1. Program Integration of FP into Health and Non-Health Sectors Integration de PF en dans la Sante des autres secteurs

2. Major issue/problem #1 Facteur majeur #1 Issue/problem: Weak social, political and structural enabling environment to support integration Probleme: Environment social, politique et structurel non-favorables a l’integration

3. Enabling environment/ facteurs non-favorables Justification: Vertical funding,vertical national programs, Norms and procedures different, physical barriers Financement verticaux, programmes verticaux, normes et protocol differents, barrieres physiques Mis-conception of FP, FP not seen as a development/multi- sectoral problem (productivity), Not enough political commitment, not enough advocacy, Lack of link of FP with other sectors Mauvaise conception de la PF, PF non-percue comme un probleme de developpement/problem multi-sectoriel, insufficance de l’engagement politique, insuficance de plaidoyer, Insufiance de liens avec les autres secteurs

4. Enabling environment /facteurs non-favorables Impact: HIGH Availability of data: Données disponibles Need: Assessment/situational analysis of what needs to change, cost analysis, evidence from experience of multi- sectoral HIV integration Analyse situationelle, analyse de couts, experience multi- sectorielles du SIDA, Feasibility: varies, some countries are ahead, some of the issues are feasible, while other take time. Varies selon les pays, certain sont plus rapide que d’autres

5. Major issue/problem #2 Facteur majeur #2 Issue/problem: Obstacles in Service delivery and untilization for integration of FP Probleme: Obstacles dans les prestations de services de l’integration

6. Service delivery and utilization for Prestations de services Justification: Lack of personnel, resistance to integration on the part of providers, lack of training Maque de personnel, reticence a l’integration, formation insuficante Clients: hours, economic barriers to integration, lack of understanding of client need (varies by country) Heures d’ouvertures, barrieres economiques, manque de comprehensions des besoins des clients

7. Service delivery and utilization for Prestations de services Impact: HIGH Availability of data: Données disponibles Assessment/situational analysis, operational research at facility level Analyse situationelle, analyse de couts, recherche operationnelle Feasibility: Yes! Training, costing models, check-lists for integration of services Formation, modele de cout, check-lists pour l’integration de services