title: "Our hands are tied up": current state of safer conception services suggests the need for an integrated care model.
abstract: We conducted in-depth interviews with a variety of health care providers (n = 33) in Uganda to identify current services that could support and act as barriers to the provision of safer conception counseling (SCC). Consistent with their training and expertise, providers of all types reported provision of services for people living with a diagnosis of HIV or AIDS who desire a child. Important barriers, including a lack of service integration, poor communication between stakeholders, and the absence of policy guidelines, were identified. Drawing on these data, we propose a model of integrated care that includes both SCC services and prevention of unplanned pregnancies.
authors.affiliation: a Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics , Kansas City , Missouri , USA.
authors.forename: Kathy
authors.initials: K
authors.lastname: Goggin
authors.forename: Deborah
authors.initials: D
authors.lastname: Mindry
authors.forename: Jolly
authors.initials: J
authors.lastname: Beyeza-Kashesya
authors.forename: Sarah
authors.initials: S
authors.lastname: Finocchario-Kessler
authors.forename: Rhoda
authors.initials: R
authors.lastname: Wanyenze
authors.forename: Christine
authors.initials: C
authors.lastname: Nabiryo
authors.forename: Glenn
authors.initials: G
authors.lastname: Wagner
mesh_terms: D000328:Adult; D003142:Communication; D003376:Counseling / Q000458:organization & administration*; D003625:Data Collection; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005193:Family Planning Services / Q000458:organization & administration*; D015658:HIV Infections / Q000175:diagnosis* / Q000523:psychology; D006282:Health Personnel; D006291:Health Policy; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D017410:Practice Guidelines as Topic; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D014454:Uganda