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Repositioning Family Planning in West Africa: The role of FP Integration into HIV/AIDS Services. Pierre Ngom Family Health International. Outline. Opportunities and challenges for FP/HIV integration Current FP/HIV integration work by FHI The FHI approach to FP/HIV integration
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Repositioning Family Planning in West Africa:The role of FP Integration into HIV/AIDS Services Pierre Ngom Family Health International
Outline • Opportunities and challenges for FP/HIV integration • Current FP/HIV integration work by FHI • The FHI approach to FP/HIV integration • Key Achievements to date • Is integration a priority in West Africa?
Challenges to FP/HIV Integration • Train, motivate, and support multi-skilled workers • Avoid overburdening staff at a time of severe shortage • Mobilize resources to renovate or expand overcrowded health facilities • Gain support of some program managers and service providers who are ambivalent toward integration
Current FP/HIV Integration Work by FHI Kenya Tanzania Ghana Zimbabwe South Africa
Current FHI work on FP/HIV Integration • FP into VCT • FP into PMTCT • RH as part of HBC • RH needs of OVCs • FP and ART • Assessment of FP status in the era of HIV/AIDS
FP/HIV Integration: The FHI Approach Country-wide rollout Pilot scale-up Training Review of existing training manuals Operations Research Advocacy Strategy development Baseline Assessment
Key Achievements to date(with funding from USAID/PEPFAR/REDSO) • Kenya: FHI is now supporting the MoH to pilot the scale up of integrating FP into VCT at 50 facilities. Lessons learned will feed into the country-wide rollout of FP/VCT integration. • South Africa: FHI is now integrating RH and HIV/AIDS services in 20 selected service delivery sites. • Zimbabwe: FHI is supporting the national Integration Committee to identify opportunities for FP/HIV integration and devise implementation strategies
Eastern-Southern Africa FP and HIV services must address the twin risk of unwanted pregnancies and of contracting the HIV virus TFR relatively low CPR relatively high HIVPR relatively high West Africa FP and HIV services must address the twin risk of unwanted pregnancies and of contracting the HIV virus TFR relatively high CPR relatively low HIVPR relatively low Is integration as priority in West Africa? Where East meets West…