HORIZONS PROJECT
Adding Emerging STI/HIV Issues to Family Planning and Antenatal Care: Situation Analysis in KwaZulu-Natal

Using a situation analysis approach, this Horizons study aimed to obtain information from a representative sample of provincial health care facilities in KwaZulu-Natal, offering reproductive health services to identify gaps in service delivery and to determine priorities for integration to meet the growing demand for HIV/AIDS-related services. Specifically, the study examined the:

• Availability and quality of voluntary counseling and testing services.
• Extent of integration of family planning, antenatal care, and sexually transmitted infection services with HIV prevention.
• Extent of condom promotion and other HIV prevention strategies.

Numerous key findings were found in each of these areas, including:

• Family planning: Most of the province’s family planning facilities have adequate infrastructure, availability of contraceptives, equipment, logistics, and other necessities to provide services.
• Antenatal care: Antenatal care clients are more likely to receive traditional medical exams than tests for syphilis and HIV.
• Voluntary counseling and testing: Client load for voluntary counseling and testing, a relatively new service, is much less than for other reproductive health services.

The results of the study were presented at a dissemination seminar in July 2003 for discussion and to prioritize recommendations. Individuals in attendance decided on the highest-priority recommendations, which are outlined in the report.

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Location

KwaZulu-Natal Province, South Africa

Duration

May 2002–April 2003

Horizons and Population Council researchers

Lewis Ndhlovu, Robert Miller, Andrew Fisher

(For more information about this study, please contact horizons@popcouncil.org.) 

Non-Council collaborators

Maternal, Child and Women’s Health, KwaZulu-Natal Department of Health

Italian Cooperative

Donor

US Agency for International Development

Publications/Resources
Horizons and Population Council researchers' names appear in boldface type.

2003
Dadian, Margaret. "Situation analysis examines availability, quality of integrated services," Horizons Report, December. Washington, DC: Population Council. (Contact horizons@popouncil.org for a copy)

Ndhlovu, Lewis, Catherine Searle, Robert Miller, Andrew Fisher, Ester Snyman, and Nancy Sloan. "Reproductive health services in KwaZulu Natal, South Africa: A situation analysis study focusing on HIV/AIDS services," Horizons Final Report. Washington, DC: Population Council. (PDF)

"Reproductive health services in KwaZulu Natal Province, South Africa: A situation analysis study focusing on HIV/AIDS services," Horizons Research Update. Washington, DC: Population Council. (PDF)

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See Also

• South Africa

• Horizons Program

• HIV and AIDS

• HIV and AIDS/Policy Development

• HIV and AIDS/Treatment, Care, and Support

• Quality of Care

• Reproductive Health

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