Number/percent of HIV service delivery points that are providing integrated voluntary family planning services

Number/percent of HIV service delivery points that are providing integrated voluntary family planning services

Number/percent of HIV service delivery points that are providing integrated voluntary family planning services

An integrated HIV-related service delivery point (SDP) is one that provides family planning (FP) screening to assess voluntary FP needs, FP counseling (including safe pregnancy counseling for those wishing to become pregnant, or those who are pregnant), and at least three modern contraceptive methods available on-site or through referral, in addition to offering one or more HIV-related service, including but not limited to HIV testing and counseling; prevention of mother-to-child transmission of HIV; antiretroviral treatment; screening and prophylaxis for opportunistic infections; other health services for people living with HIV (e.g., positive health, dignity, and prevention and nutrition support); and prevention activities for priority populations. It  can include fixed locations and/or mobile operations offering routine and/or regularly scheduled services. Examples include different HIV services within clinics, hospitals, health facilities, and community-based organizations (government, private, or nongovernmental). Individual community health workers are not considered to be individual service delivery points (SDPs). Rather, the organizations with which they are affiliated are considered to be the SDP(s). Note that an SDP is NOT the same as a site.  There can be numerous SDPs within one site.

As a percent, this indicator is calculated as:

(Number of HIV-related SDPs that are providing integrated voluntary FP services / Total number of HIV-related SDPs) x 100

Data Requirement(s):

Number of HIV-related SDPs in geographic area of interest; confirmation from providers or facility administrators that FP services are also provided.

Data can be disaggregated by intervention area (e.g. care and treatment, counseling and testing, PMTCT, etc.) and type of SDP (e.g. mobile service unit, hospital, health center, etc.).

This indicator counts the number of SDPs, not the number of sites that integrate FP services.  Therefore, the total number of HIV-integrated SDPs (the denominator) must be greater than or equal to the total number of HIV SDPs that have integrated FP (the numerator).

Service delivery statistics; special survey

This output indicator aims to measure progress toward integrating voluntary FP within HIV programs at the service delivery level. It captures information about whether FP integration is occurring at various HIV SDPs. This indicator will enable headquarters, PEPFAR country teams, national governments, and other implementing partners to accomplish the following:

  • Gain a basic but essential understanding of whether FP services are being integrated in HIV-supported SDPs.
  • Identify gaps, including service contexts, countries, or regions with low levels of HIV/FP integration.

Inherent within this indicator is the principle that integrated HIV/FP program activities must respect a client’s right to make informed decisions about his or her reproductive life. This means that clients should have access to an appropriate and comprehensive range of contraceptive options and/or to safer conception/pregnancy counseling, depending upon their fertility desire and intentions. Judgments and personal opinions are not appropriate in a clinic setting.

For more information on this indicator specific to PEPFAR, see “Monitoring the Integration of Family Planning and HIV Services: A Manual to Support the Use of Indicators to Measure Progress toward PEPFAR’s 90-90-90 Targets and Protect Women’s Reproductive Rights” (MEASURE Evaluation, 2016).

This indicator will be used to monitor coverage of HIV/FP integration at a global level. Because this indicator will only measure whether the services are integrated in theory., detailed information on completion of referrals, FP service uptake, types of contraceptive methods offered on-site, and other critical components of integrated programs will not be captured.  Without observing client-provider interactions, it can’t be determined whether providers are systematically screening clients

access, family planning, HIV/AIDS, integration

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