SRH & HIV LINKAGES AND INTEGRATION

Provision of Integrated SRH and HIV services in Malawi

Hans Katengeza- MOH, Department of Reproductive Health

12/04/2023 2

Outline of presentation• SRH Services• HIV and AIDS Services• Principles to Consider• Potential Benefits• Key links• Challenges• Critical considerations/questions

Always look for opportunities around the Key Linkages compartment

• Family Planning• Maternal and Infant Care including antenatal and postnatal care• STI Diagnosis and Treatment• Post-Abortion Care• Youth-Friendly Services• Counseling

Sexual and Reproductive Health

Key Linkages• HIV and Family Planning• HIV and Reproductive Health • HIV and STI control• PMTCT and Family Planning, Antenatal Care, Postnatal Care

HIV and AIDS

• Prevention: Condom Promotion and PMTCT• Diagnosis and Treatment: VCT, ARVs and treatment of OI’s• Care: Community home based care• Support for PLWHA

• Address structural determinants of HIV and SRH (poverty, gender inequality, social marginalization, etc.)

• Focus on Human Rights and Gender• Promote a national coordinated and coherent response• Meaningfully involve PLWHA• Foster community participation• Reduce stigma and discrimination

Principles to consider while Linking SRH & HIV/AIDS

• Access to services– Improved access to and uptake of key HIV/AIDS and SRH

services including the community– Better access by PLWHA to SRH services tailored to their

needs– Reduced HIV/AIDS-related stigma and discrimination– Improved coverage of underserved and marginalized

populations – Greater support for dual protection– Maximum use of limited resources.

Potential Benefits of Integration of SRH and HIV

• Service Delivery – Improved quality of care- one stop shop.– Enhanced programme effectiveness and efficiency– Decreased duplication of efforts and competition for

resources– Better understanding and protection of individual rights– Mutually reinforcing complementarities in legal and policy

frameworks including community intiatives.

Potential Benefits of Integration of SRH and HIV/AIDS

Key Links: Priority Framework

• Overburdening existing services (initial phase)• Increased workload for staff• Increased costs initially• Adapting services to attract men and young people• Reaching the most vulnerable people• Special training and ongoing support to staff• Motivating donors to opt for integrated services• Making the services available to the rural

communities (Hard to reach areas)

Challenges to Integration of SRH and HIV/AIDS

• Which service combinations are feasible?• Which services are acceptable to clients and service providers?• Which services can effectively increase access to one or both

without compromising the quality or safety of their delivery• Does joint provision lead to synergistic impact to both the

individual client served and that of the community served?• What to integrate at each level?

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Critical Considerations/Questions to Integration