Integration of Family Planning and Reproductive Health with HIV, Maternal, Neonatal, and Child Health, and Nutrition
MSH implements many projects that promote integrated health service delivery, including integrating family planning and reproductive health and HIV & AIDS, maternal, neonatal, and child health, and nutrition services.
MSH integrates services by:
- Strengthening the integration of HIV prevention and management in the minimum package of priority health services offered at the service delivery sites
- Strengthening family planning as one of the pillars of prevention of mother-to-child transmission of HIV projects. Our prevention of mother-to-child transmission training and mentoring programs integrate antenatal care, labor and delivery, neonatal care, postnatal care, and family planning into one coherent program provided by the same trained staff.
- Training HIV & AIDS service providers to deliver family planning counseling and contraceptives to clients without leaving their clinical area
- Ensuring that supervisors and mentors can support staff in all service areas
- Engaging community leaders to disseminate key family planning and HIV & AIDS messages at the community-level
- Reducing structural barriers that limit a client’s ability to receive multiple services at the same time (e.g., examining fees charged for some services but not others and ensuring the availability of adequate supplies of all essential commodities, including contraceptives)
MSH does this in a number of settings:
- At scale: Our Ethiopia PEPFAR-funded HIV & AIDS Care and Support Program supported 550 facilities that provided integrated HIV, family planning, tuberculosis, and maternal and child health services to a catchment population of 33 million people--40 percent of the population. The PEPFAR and USAID-funded Ethiopia Network for HIV/AIDS Care and Support project covers a population of 23 million (29 percent of Ethiopia’s population), and approximately 470,000 HIV-positive people (39 percent of people living with HIV in Ethiopia’s) in the Amhara and Tigray regions.
- At the community level: The USAID-funded Malawi Community-Based Family Planning and HIV & AIDS Services project brought integrated services to hard to-reach, underserved areas through community health workers.
- In post-conflict settings: In Haiti through the USAID-funded Santé pour le Développement et la Stabilité d’Haïtiprogram, the health facilities MSH supports provide integrated health services to 43 percent of the population—over 4 million people —through 79 facilities.
- In remote, hard-to reach areas: The USAID-funded APHIAplus project (AIDS, Population, and Health Integrated Assistance) covered 60 percent of Kenya, which is inhabited by remote, nomadic communities with limited access to goods and services.