1. From choice, a world of possibilities Linking Sexual and Reproductive Health to HIV: a missed opportunity Integrating HIV/AIDS and Sexual and Reproductive Health: Finding common ground - Risk or Reality? Dr Nono Simelela Director, Technical Knowledge and Support, IPPF

2. Reality Check Increased treatment, increases demand for SRH services Culture, tradition added pressures for procreation Discordant relationships part of fabric of society

3. Dreams and Desires “I know of some positive women who have been pressured into terminating pregnancies simply because some health care workers are ignorant of the real risk of mother-to- child transmission.” Susan, UK ‘Dreams & Desires, Sexual and reproductive health experiences of HIV positive women’, IPPF 2004

4. A framework for priority linkages A framework for priority linkages, WHO, UNFPA, UNAIDS, IPPF, 2005

5. Reorientation of programmes PLHIV are not a homogenous group: IDUs, SW, MSM,…. Responding to a seamless continuum of prevention to care Positive Prevention ARV programmes in a SRH setting Emergency contraception; safe abortion

6. FHOK : SRH and ARVs FPFP (All methods) 5,750 Non-FP SRH Services 1,550 VCT2,422 people went for testing 315 tested positive PMTCT412 pregnant mothers, 31 tested positive, and received Nevirapine ARTBy the end of Dec 05 63 people on ART Results for the period, June – Dec 2005

7. Profamilia Colombia: MSM 14 workshops for 200 services providers in 35 clinics to: - integrate HIV/AIDS into service provision - promote sexual rights and HIV prevention amongst MSM and their partners - sensitize staff on sexual diversity and gender sensitivity Development of SRH protocol on Gender, Sexuality and Sexual Diversity in the provision on SRH services

8. Profamilia Colombia: MSM “The timely and direct openness to the trans population has been generous, participative, and humane. The desire within PROFAMILIA for training shows its great desire and will to continue providing qualified and specialized SRH services.” Santa María Foundation, Cali

9. Sexual Health and HIV Treatment is part of SRH agenda Interaction between FP and ARVs for HIV positive people Acting as a modality of stigma reduction Global Fund Round 6: Global AIDS Alliance

10. “Understanding and addressing the specific sexual and reproductive health needs of HIV positive people is an important part of linking prevention and treatment. Some people are amazed that my wife (who is HIV negative) and I are parents.” Christo Greyling, a father living with HIV, South Africa ‘Fulfilling Fatherhood, Experiences of HIV positive fathers’, IPPF 2005 Fulfilling Fatherhood