2010. 54 p.
Adamchak, Susan E.
Janowitz, Barbara
Liku, Jennifer
Munyambanza, Emmanuel
Grey, Thomas
Keyes, Emily
Family Health International, FHI
United States Agency for International Development, USAID
Final Report
In the past several years, there has been a growing international dialogue on the feasibility and desirability of providing integrated family planning (FP) and HIV services. The reasons for offering joint, complementary services are many. Adding FP services to counseling and testing might provide an opportunity to reach populations that do not typically attend FP clinics, such as the sexually active young and unmarried, men, and members of high-risk groups such as sex workers. Adding FP services to care and treatment might facilitate the uptake of contraception by HIV-positive individuals, helping to maintain their health, plan safer pregnancies, and reduce the rate of mother-to- child transmission of HIV. Including HIV services, particularly counseling and testing, in FP services would allow earlier diagnosis and referral to care and treatment. This study was undertaken to provide a snapshot of early integration efforts, in order to provide the U.S. Agency for International Development (USAID) and national programs with information needed to improve integrated services. Three models of integrated HIV and FP services were included in this study: family planning in counseling and HIV testing (FP-CT), family planning in HIV care and treatment services (FP-C&Tx), and HIV services (particularly counseling and testing) into family planning (HIV-FP).
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