Feasibility of implementing an integrated hybrid model of service delivery for adolescent girls and young women (AGYW) sexual and reproductive health (SRH) in South Africa
AGYW in Sub Saharan Africa face a myriad of sexual and reproductive health challenges including HIV, sexually transmitted infections (STIs), intimate partner violence (IPV), unplanned pregnancies and mental health issues. These problems are exacerbated by current verticalized service delivery models, which are characterised by non-integrated services, multiple missed opportunities and judgemental provider attitudes resulting in low uptake of services by AGYW. There is therefore an urgent need to develop optimal service delivery models responsive to the problems AGYW face. Given this need for optimal service delivery models, this study aims to determine the feasibility of implementing an integrated hybrid model of service delivery for AGYW (15-24) integrating STI/HIV transmission and prevention services into family planning (FP) services using the Consolidated Framework for Implementation Research (CFIR) adapted to assess feasibility and acceptability. This will be done at selected health facilities and address barriers to access to improve uptake of FP services , PrEP, STI and mental health screening and linkage to care through use of health connectors. The feasibility will be assessed through four elements namely (i) the acceptability of an integrated hybrid model for SRH, (ii) assessing demand, (iii) determining practicality and (iv) determining the adaptation needed to implement the model.
Diantha Pillay, Dr Saiqa Mullick/p>
DFID, UK MRC
Latest Update: 15 February 2021
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