Table 4.
Stakeholder opinion on integration of HIV and family planning services
| Discordant Couples Are Advised to Use the IUD/Implant for Effective Prevention of Pregnancy, and to also Use Condoms to Prevent HIV Transmission. In Your Opinion, Would Providing the IUD or the Implant in HIV Discordant Couples Affect Their Condom Use? | N | % |
|---|---|---|
| No, condom use will not change | 6 | 60% |
| Yes, they will be less likely to use condoms | 4 | 40% |
| Yes, they will be more likely to use condoms | 0 | 0% |
| How can we ensure a sustainable integration of HIV and FP services in the health care system? (Open‐ended) | ||
| Integrated tools (training materials, data collection, advocacy, policy guidance) | 7 | 70% |
| Preservice and in‐service training | 5 | 50% |
| Integrate FP and HIV more broadly within each facility | 5 | 50% |
| Train health workers to provide all services | 4 | 40% |
| Integrated funding | 2 | 20% |
| Use community health workers to promote both | 2 | 20% |
| What are your opinions on offering CVCT services/VCT services to people who are coming for FP services as a strategy for the integration of HIV/FP services in the health care system? Good idea: | 10 | 100% |
| What are your opinions on offering the full range of family planning options to people who are coming for HIV services as a strategy for the integration of HIV/FP services in the health care system? Good idea: | 10 | 100% |
| What are your opinions on discussing issues related to child spacing and family planning options in antenatal clinics when both women and men come together to get tested for HIV? Good idea: | 10 | 100% |
| Rwanda is the first country that has established CVCT as a standard practice in antenatal clinics. What are your opinions on promoting and offering couples family planning counseling services in infant vaccination programs? Good idea: | 9 | 90% |
| How far is Rwanda in the implementation of integrated HIV/FP services? | ||
| HIV testing in family planning clinics? | ||
| Well established | 1 | 13% |
| In progress | 7 | 88% |
| No plans | 0 | 0% |
| Family planning in HIV services? | ||
| Well established | 2 | 22% |
| In progress | 7 | 78% |
| No plans | 0 | 0% |
Abbreviations: IUD, intrauterine device; ART, antiretroviral treatment; CVCT, couples' voluntary HIV counseling and testing; VCT, voluntary HIV counseling and testing; FP, family planning.