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Findings

Resources from the project to date can be downloaded in the Open Access Research Library.

Early positive data and good practices continue to emerge from the project sites, suggesting an increased uptake of critical HIV and SRH services. Other findings relate to improvement of infrastructure, patient flow and capacity building of human resources, which suggest that there are efficiencies to make.

Work on national scale up has been initiated in Botswana and Swaziland, while Malawi, Namibia and Zimbabwe are preparing for district-level scale up, and Lesotho and Zambia are working on strengthening their pilot sites.

At policy level, the countries have done well in ensuring that integration is placed within their respective health and development plans, policies and strategies. At systems level, oversight structures have been established and are in full operation. There is ongoing development and appraisal of tools to facilitate the work of these structures.

At the level of service delivery, all seven participating countries are involved with different activities to promote more effective project implementation. Facilities/service centres are equipped to provide a range of services.

Evidence on the ground generally points to improved service uptake directly resulting from the integrated services model. There is regular capacity building and training of facility staff and other implementing partners, and task shifting/sharing has been noted to enhance provision of integrated services at Primary Health Care (PHC) levels.

Community mobilization, which has been identified as central to the successful implementation of the project, is featured regularly in many participating countries.

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