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Experiences of health care providers with integrated HIV and reproductive health services in Kenya: a qualitative study.肯尼亚提供艾滋病毒综合防治和生殖健康服务的卫生保健提供者的经验：一项定性研究。
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A case/comparison study in the Eastern Region of Ghana on the effects of incorporating selected reproductive health services on family planning services.加纳东部地区一项关于纳入选定生殖健康服务对计划生育服务影响的病例/对照研究。
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Why don't physicians follow clinical practice guidelines? A framework for improvement.医生为何不遵循临床实践指南？一个改进框架。
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马拉维恩彻乌区护士将艾滋病毒预防与性健康和生殖健康服务相结合的实践。

Nurses' practice of integration of HIV prevention and sexual and reproductive health services in Ntcheu District, Malawi.

作者信息

Duma Sinegugu E, Ngala Lapani C

机构信息

School of Nursing & Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban.

出版信息

Curationis. 2019 Jul 18;42(1):e1-e7. doi: 10.4102/curationis.v42i1.1919.

DOI:10.4102/curationis.v42i1.1919
PMID:31368314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6676784/
Abstract

BACKGROUND

Nurses play a critical role in their practice of integrating human immunodeficiency virus (HIV) prevention and sexual and reproductive services to combat the spread of HIV and promote family planning in resource-constrained countries like Malawi.

OBJECTIVES

The purpose of this study was to determine and describe the nurses' practice of integration of HIV prevention and sexual and reproductive health (SRH) services as a strategy to effectively combat the spread of HIV and promote family planning in Malawi.

METHODS

A descriptive qualitative case study was used. The research question was: How do nurses practise the integration of family planning and HIV prevention services in Ntcheu District, Malawi? Qualitative data were collected using semi-structured interviews from a sample of 10 participants. Manual data analysis, using the five steps for interpretive content analysis, was used to analyse data.

RESULTS

Five themes were identified as (1) facilitation of access and acceptability of comprehensive HIV and family planning services, (2) educating and counselling patients, (3) early detection of HIV among women of child-bearing age, (4) professional benefits of integrating family planning and HIV prevention services and (5) resentment of integration of family planning and HIV prevention services.

CONCLUSION

The nurses' practice of integration of HIV prevention and SRH services has more benefits for both nurses and patients as a strategy to combat the spread of HIV and promote family planning in a resource-constrained country like Malawi.

摘要

背景

在马拉维等资源有限的国家，护士在将人类免疫缺陷病毒（HIV）预防与性健康和生殖健康服务相结合的实践中发挥着关键作用，以抗击HIV传播并促进计划生育。

目的

本研究的目的是确定并描述护士将HIV预防与性健康和生殖健康（SRH）服务相结合的实践情况，以此作为在马拉维有效抗击HIV传播并促进计划生育的一项策略。

方法

采用描述性定性案例研究。研究问题为：马拉维恩彻乌区的护士如何开展计划生育与HIV预防服务的整合工作？通过对10名参与者进行半结构化访谈收集定性数据。采用解释性内容分析的五个步骤进行手动数据分析。

结果

确定了五个主题，分别为：（1）促进全面HIV和计划生育服务的可及性与可接受性；（2）对患者进行教育和咨询；（3）育龄妇女中HIV的早期检测；（4）整合计划生育与HIV预防服务的职业益处；（5）对整合计划生育与HIV预防服务的不满。

结论

作为在马拉维这样资源有限的国家抗击HIV传播并促进计划生育的一项策略，护士将HIV预防与SRH服务相结合的实践对护士和患者都更有益处。