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To document how programs are actually implementing integrated services, AIDSTAR-One visited several programs in Kenya and Ethiopia and focused especially on the integration of FP and HIV services. FP/HIV integration has been the focus of much research and policy-level support, but documentation and evaluation of implementation experience are lacking.
In South Africa, care and support and antiretroviral (ARV) treatment for individuals infected with HIV is available at a few selected hospitals as a first step in the national treatment roll out. However, counseling and testing for HIV (C&T;) is currently limited to antenatal care (ANC) settings and a few stand-alone centers. Uptake is limited, even within the ANC setting where C&T; is systematically offered to clients for the prevention of mother to child transmission of HIV (PMTCT). C&T; services have yet to be integrated into other reproductive health services. …
The process of linking sexual and reproductive health and HIV/AIDS needs to work in both directions: this means that traditional sexual and reproductive health services need to integrate HIV/AIDS interventions, and also that programmes set up to address the AIDS epidemic need to integrate more general services for sexual and reproductive health. While there is broad consensus that strengthening linkages should be beneficial for clients, only limited evidence is published regarding real benefits, feasibility, costs and implications for health systems. …
The overall goal of this strategy is to assist the National AIDS and STD Control Programme and the Division of Reproductive Health of the Ministry of Health in maximising the opportunities provided by VCT and FP services to reach women, men, and couples with these services, using a more cost-effective and sustainable approach. The purpose of this strategy is to increase and sustain the support, demand, access, and utilisation of high-quality VCT and FP services offered through both the public and private sectors.
HIV testing and counselling (HTC) is the main entry point to prevention, care and treatment. These guidelines were developed in the context of existing Kenyan laws and policies, especially the HIV and AIDS Prevention and Control Act (2006). They support the provision of HTC to children, youth, and adults, according to the circumstances described herein. The guidelines retained key policy issues that were in previous guidelines, but they have outlined some of the emerging evidence based approaches and lessons learnt in the implementation of HTC in the last eight years. …
