Download 5_WhyIntegrate

Integrated Services Meet the
Needs of Clients with HIV
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.
Why Integrate HIV and FP Services
Clients seeking
HIV-related services
AND
Clients seeking
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
Why Integrate HIV and FP Services
continued ...
Creates programmatic synergies:
• 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
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
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.
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