Integration of HIV and Family Planning Health Services in Sub-Saharan Africa: Evidence from the Service Provision Assessment Health Facility Surveys

Ilona Varallyay, ICF International
Paul Ametepi, Johns Hopkins Bloomberg School of Public Health

The current global push to achieve an HIV-free generation by 2015 is predicated on achievement of successful integration of HIV/FP service provision. This analysis describes baseline levels of HIV- and FP service integration in five sub-Saharan African countries hard-hit by the HIV epidemic (Kenya, Namibia, Rwanda, Tanzania and Uganda). We use nationally-representative health facility data from the Service Provision Assement surveys to address the following questions: 1) Do health care providers currently deliver both HIV- and FP-related services? 2) Are health care providers trained in both HIV- and FP-related services? 3) Are elements of HIV- and FP-related services integrated at the level of the health facility? and 4) Do health care workers provide integrated services in practice? We find considerable discrepancies between the levels of potential integrated service delivery and the actual provision of integrated services to clients based on observations of client visits for antenatal and STI care.