Country Experiences

© 2004 Arturo Sanabria, Courtesy of Photoshare

A growing number of countries are integrating FP and HIV services. The pace and stage of these efforts vary by country, and few programs have been rigorously evaluated. Nevertheless, promising practices and useful lessons from these experiences can help guide the integration of FP/HIV services. This section of the Family Planning and HIV Services Integration Toolkit contains case studies on experiences with FP/HIV integration at the national level. 

FP/HIV integration is a particularly valuable approach in countries with both high HIV prevalence and high levels of unmet need for FP. Many of the experiences described in this section stem from countries that share these characteristics. For example, according to the Population Reference Bureau, both Lesotho and Uganda are among the 10 countries with the highest HIV prevalence in the world. These two countries are also among the 10 countries with the highest levels of unmet need for FP in rural areas. Both countries are working on integrated approaches, including:

  • Postpartum FP for prevention of mother-to-child transmission of HIV
  • Integrating FP and antiretroviral therapy services
  • Examining how HIV status affects fertility desires and implementing FP/HIV programs that effectively address related needs

The experiences of these and other countries, which have a great need for integration but also face great implementation challenges, yield rich information on good practices and key reasons for success. From these experiences, programmers, policy makers, and providers can also learn from interventions whose elements appeared to be sound but whose results were of limited value. 

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