Integration for Impact: Reproductive Health & HIV Services

 Supported by the University of California, San Francisco


Integration for Impact is an interactive clearinghouse for  information on integration of reproductive health and HIV services that researchers, managers and policy makers worldwide can share. The intention of this forum is to decrease duplication of effort, foster new collaborations and increase interest in the topic of integration across the global health community. 

There is growing interest within the global health community in the potential public health impact of integrating different health services into a single delivery setting.  Integrating programs for HIV, family planning (FP), and maternal, neonatal, and child health (MNCH) would address patients’ multiple needs at once, and may enhance program effectiveness and efficiency.

Although HIV/AIDS prevention and care programs are expanding in sub-Saharan Africa, in most settings these services are offered in isolation from MNCH services and FP services. Program managers and policymakers have begun to recognize the missed opportunities and inefficiencies created by these vertical “siloed” approaches.  Experiences in some sub-Saharan African settings suggest that integrating reproductive health and HIV services may improve access to contraception for HIV-infected individuals, increase uptake of prevention of mother-to-child transmission services and cervical cancer screening, and lead to earlier initiation and sustained use of anti-retroviral therapy.

Despite lack of rigorous evidence, the integration of MNCH/FP/HIV services has advanced with support from governments, international organizations, and donors but further work needs to be done to help policymakers, program implementers, donors, and researchers understand the current developments, practices, and latest evidence on integration.






 “When the patients come to the clinic all these services can be given there instead of seeing the patient partially and then referring the patient for family planning services in the next clinic.” (Clinic Provider)




“[The HIV clinic] is the place where I come and I get all the services without announcing my problem elsewhere. I meet my need and I leave for home.” (Female Client, 29 years)