New Step by Step Guide: How to Integrate HIV and SRH services
Based on the high-quality evidence gained through the Integra Initiative, this guide outlines the key steps a health facility should follow in order to design an effective, realistic integrated model of service delivery.
The first in a new Steps to Integration series, ‘Integration of sexual and reproductive health and HIV services‘ provides a guide on how to integrate HIV and sexual and reproductive health (SRH) services based on findings from the Integra Initiative.
1. Advocate and build consensus among policymakers or programme managers at the regional or district level
2. Conduct capacity assessments of the individual facility
3. Invest in physical infrastructure and drug availability/supply
4. Include the experiences and opinions of providers throughout the integration process, including at the design stage
5. Use a well-designed mentorship process as a capacitybuilding tool
6. Maintain flexibility in integration design
7. Ensure the integration process continues
8. Remain vigilant at the health systems level
The Integra Initiative was a research project on the benefits and costs of a range of models for delivering integrated HIV and SRH services in high and medium HIV prevalence settings, to reduce HIV infection (and associated stigma) and unintended pregnancies. It was managed by the International Planned Parenthood Federation (IPPF) in partnership with the London School of Hygiene & Tropical Medicine (LSHTM) and the Population Council. For more information and to the view Integra Research findings, visit the project page.