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Improving reproductive health: integrating STD and contraceptive services
L J Fox1, N E Williamson, W Cates
1Family Health International, Research Triangle Park, North Carolina, USA.
Journal of the American Medical Women'S Association (1972)
|May 1, 1995
Summary
Integrating family planning (FP) and sexually transmitted disease (STD) services can improve reproductive health. Addressing historical and structural barriers is key to successful FP/STD integration for better client outcomes.
Area of Science:
- Public Health
- Reproductive Health
- Infectious Disease Prevention
Background:
- The 1994 International Conference on Population and Development recommended integrating family planning (FP) with sexually transmitted disease (STD) services.
- Despite apparent synergy, historical, philosophical, and structural differences between FP and STD fields create integration challenges.
Purpose of the Study:
- To examine experiences with FP/STD integration in the US and developing countries.
- To review practical issues for FP providers, STD programs, and general practice.
- To identify priority areas for future research in FP/STD integration.
Main Methods:
- Review of selected case studies on FP/STD integration.
- Analysis of practical challenges and opportunities for service providers.
- Identification of research gaps and future directions.
Main Results:
- Integration efforts face significant obstacles despite recommendations.
- Practical considerations for clinicians and program managers are discussed.
- Key research areas include STD risk assessment, contraceptive method impact on transmission, dual method use, and service integration costs/training.
Conclusions:
- Facilitating FP and STD service integration requires a client-centered approach to reproductive health.
- Program managers play a crucial role in overcoming barriers to integration.
- Further research is needed to optimize integrated FP/STD service delivery.
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