1. Integrated Services Meet the Needs of Clients with HIV

2. Goal of Integrated FP/HIV Services Holistic care that meets clients’ needs. To provide comprehensive HIV prevention, counseling, testing, and treatment services in which family planning is an integral component of care. To provide comprehensive family planning services in which HIV prevention, counseling, testing, and treatment is an integral component of care.

3. Clients seeking HIV-related services Why Integrate HIV and FP Services Share common needs and concerns: Are often sexually active and fertile Are at risk of HIV infection or might be HIV-positive Need to know their HIV status Need access to contraceptives Clients seeking FP services AND

4. Why Integrate HIV and FP Services More attractive to potential clients –increases access to wider range of services –helps overcome HIV stigma Opportunities for follow-up and support for drug or method adherence continued... Creates programmatic synergies:

5. Potential Benefits of Incorporating FP into Existing HIV Services Increased access to contraceptive methods –number of delivery sites –different customer base (people not normally reached through traditional FP clinics) Increased ARV drug options for women Increased staff job satisfaction –client satisfaction –new skills/more opportunities

6. Benefits of Involving Men Encourages partner counseling, testing, and disclosure Helps women act on prevention messages Helps couples make informed decisions about fertility intentions and RH goals Improves client satisfaction and adoption, continuation, and successful method use Integrated RH services can provide a valuable opportunity to involve men in a meaningful way.

7. Practical Challenges to Integrating FP into Existing HIV Services Increased workload in busy HIV clinics Increased intensity of HIV consultations –increased information/decision-making for client –increased clients’ waiting time Ensuring staff have appropriate knowledge/skills Incorporating FP into service structure, management system, record keeping, activity reports, logistics