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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.
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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 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 HIV-related services AND Clients seeking FP services
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