Gul Farina, Lassi Zohra S, Tessema Gizachew A, Mahmood Mohammad Afzal
Level 4, Rundle Mall Plaza, 50 Rundle Mall, Adelaide 5000, Australia; School of Public Health, University of Adelaide, Adelaide, Australia.
School of Public Health, University of Adelaide, Adelaide, Australia; Robinson Research Institute, University of Adelaide, South Australia, Australia.
Sex Reprod Healthc. 2025 Jun;44:101090. doi: 10.1016/j.srhc.2025.101090. Epub 2025 Mar 18.
Critical gaps exist in the provision of family planning services in low and middle-income countries (LMICs), hindering access. Integrating family planning services with existing health services offers a promising solution to enhance its accessibility. This multi-case study aims to analyse initiatives and develop a framework applicable to diverse resource-limited settings. The objectives of this study are to analyse national documents on FP services integration with other reproductive health service, identify enablers and barriers among different integration examples, and to compare among FP integration initiatives from selected countries. For this paper, cases are defined as specific interventions where family planning services have been integrated into existing reproductive health services at healthcare facilities of LMICs.
This study will employ national document analysis and qualitative inquiry. The national documents consisting of policies, guidelines, strategic plans and health services packages of selected countries will be analysed. The qualitative data will be collected through 20-25 semi-structured virtual interviews with key stakeholders. These key informants will be healthcare providers, researchers, policy makers and health managers. The data analysis will use both deductive and inductive approaches, applying the six key dimensions of clinical, professional, organisational, system, functional, and normative integration of the Rainbow Model.
This paper will identify the process of integrating FP services, a structured, adaptable approach for integrating family planning services with other reproductive health services in low resource settings and addressing health system gaps in family planning service delivery.
低收入和中等收入国家（LMICs）在提供计划生育服务方面存在重大差距，阻碍了人们获得这些服务。将计划生育服务与现有卫生服务相结合，为提高其可及性提供了一个有前景的解决方案。这项多案例研究旨在分析相关举措，并制定一个适用于各种资源有限环境的框架。本研究的目的是分析关于计划生育服务与其他生殖健康服务整合的国家文件，确定不同整合案例中的促进因素和障碍，并比较选定国家的计划生育整合举措。在本文中，案例被定义为在低收入和中等收入国家医疗机构将计划生育服务整合到现有生殖健康服务中的具体干预措施。
本研究将采用国家文件分析和定性调查。将分析选定国家的政策、指南、战略计划和卫生服务包等国家文件。定性数据将通过对20 - 25名关键利益相关者进行半结构化虚拟访谈收集。这些关键信息提供者将是医疗服务提供者、研究人员、政策制定者和卫生管理人员。数据分析将使用演绎和归纳方法，应用彩虹模型临床、专业、组织、系统、功能和规范整合的六个关键维度。
本文将确定计划生育服务整合的过程，这是一种在资源匮乏环境中将计划生育服务与其他生殖健康服务整合并解决计划生育服务提供中卫生系统差距的结构化、可适应方法。
