Percent of clients at HIV service delivery points who received voluntary family planning counseling (including safe contraception/safe pregnancy counseling)
The clients measured in this indicator include all male and female HIV clients of reproductive age (15-49 for females and 15-54 for males) served an an HIV service delivery point (SDP) during the reporting period.
Screening will be done during counseling sessions. The counselor/provider will keep a record of all who have been screened for FP need. The clients will be screened using a counseling form to ask clients aged 15-49 (female) and 15-54 (male):
- Whether they have a spouse/partner
- Whether they state that they are sexually active
- Whether they would like to have a child/another child in the next year
- Whether they are currently using a FP method
This indicator is calculated as:
(Number of HIV-related clients aged 15-49 [female] and 15-54 [male] who receive FP counseling at an HIV SDP) / (All HIV-related clients 15-49 (female) and 15-54 (male) provided with services at the SDP during the reporting period) x 100
Total number of HIV -related service delivery point (SDP) clients of reproductive age; number receiving FP counselling.
Data can be disaggregated by:
- HIV service platforms, such as counseling and testing, care and treatment, prevention of mother-to-child transmission (PMTCT), key populations, and DREAMS
- Non-HIV focused service delivery platforms (e.g. FP-integrated school, community, or facility health programs) that are supported by PEPFAR
- Type of SDP (e.g., a mobile service unit, hospital, or health center)
- Sex/age (male: <15, 15–19, 20–24, 25+; female: <15, 15–19, 20–24, 25+)
- Rural/urban location
- Type of counseling (e.g., FP counseling; safe conception counseling; safe pregnancy counseling)
Service delivery statistics, including FP registers, HIV client charts, or electronic records and community outreach log books
Screening for FP need is a major step towards identifying FP needs of HIV service clients, and for determining and planning service provision and/or referral. The indicator will measure voluntary FP counseling—a key component to quality FP services—provided to male and female clients of reproductive age living with HIV, key populations, and adolescent girls and young women at HIV community and facility sites. This is a direct measurement of voluntary FP counseling and a proxy measurement of both FP and HIV integration and quality of care.
High-quality voluntary FP counseling should cover a wide range of topics that are client- and context-specific, and that include both safe pregnancy counseling for individuals who wish to become pregnant as well as contraception for individuals who wish to limit, space, or delay pregnancy. Voluntary FP counseling should follow the highest standards of quality and best practices.
For more information on this indicator, 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 only track whether or not the clients receiving services at the SDP have been screened for FP need, regardless of whether they have unmet need for FP. Although each HIV-related SDP that systematically screens clients for FP need should maintain a record of services provided to clients, FP information is sometimes not well-recorded for HIV-focused SDPs thereby leading to under-reporting.
Over-reporting may occur if a provider considers the mere mention of contraceptives as “FP counseling” or if individuals outside of the specific age range (15-49 for women and 15-54 for men) are included.
family planning, HIV/AIDS, integration