Decision makers considering FP/HIV integration must weigh a number of factors specific to their country or region to determine whether and how to integrate FP/HIV services, including the extent of the HIV epidemic, contraceptive prevalence, the capacity of providers, the facilities available, and the human and financial resources required. They can begin by answering the following key questions:
- What type of service integration is needed? What is feasible?
- To what extent should services be integrated?
- What steps are needed to establish and sustain high-quality integrated services?
- What information is needed to measure program success, to improve program or service delivery, and to replicate or scale up integrated services?
This section of the Toolkit houses a number of resources to assist with the many aspects of program management, including facility and service assessment, procurement and logistics, quality improvement, and generally strengthening the linkages between both programs.
FP services can be integrated at several HIV service delivery points. The use of multiple entry points can greatly improve the ability of people living with HIV (PLHIV) and those at risk of HIV to exercise their reproductive rights, access voluntary contraception, and prevent unintended pregnancies.
- Prevention of mother-to-child transmission (PMTCT)
- Other HIV prevention settings, including those for key populations, adolescents and young girls
- HIV care and treatment (C&T), including antiretroviral therapy (ART)
- HIV/STI services for key populations
In all of these settings, providers must be equipped to counsel both HIV-positive and serodiscordant couples on their FP and safe pregnancy options, and support them to make voluntary, informed reproductive decisions.
In addition to the resources in this section of the Toolkit, the case studies section of the toolkit also provide country-specific examples of some of these models, including community-based distribution, male engagement, integration of FP with antiretroviral therapy programs, FP/ HIV counseling and testing integration, facilitated referral, PMTCT and postpartum FP, youth-friendly integrated services, and more.
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