1. Repositioning Family Planning in West Africa: The role of FP Integration into HIV/AIDS Services Pierre Ngom Family Health International

2. Outline Opportunities and challenges for FP/HIV integration Current FP/HIV integration work by FHI The FHI approach to FP/HIV integration Key Achievements to date Is integration a priority in West Africa?

3. Opportunities for FP/HIV Integration

4. Challenges to FP/HIV Integration Train, motivate, and support multi-skilled workers Avoid overburdening staff at a time of severe shortage Mobilize resources to renovate or expand overcrowded health facilities Gain support of some program managers and service providers who are ambivalent toward integration

5. Current FP/HIV Integration Work by FHI Ghana Kenya Tanzania Zimbabwe South Africa

6. Current FHI work on FP/HIV Integration FP into VCT FP into PMTCT RH as part of HBC RH needs of OVCs FP and ART Assessment of FP status in the era of HIV/AIDS

7. FP/HIV Integration: The FHI Approach Baseline Assessment Strategy development Review of existing training manuals Training Country-wide rollout Pilot scale-up Operations Research Advocacy

8. Key Achievements to date (with funding from USAID/PEPFAR/REDSO) Kenya: FHI is now supporting the MoH to pilot the scale up of integrating FP into VCT at 50 facilities. Lessons learned will feed into the country-wide rollout of FP/VCT integration. South Africa: FHI is now integrating RH and HIV/AIDS services in 20 selected service delivery sites. Zimbabwe: FHI is supporting the national Integration Committee to identify opportunities for FP/HIV integration and devise implementation strategies

9. Where East meets West… Eastern-Southern Africa FP and HIV services must address the twin risk of unwanted pregnancies and of contracting the HIV virus –TFR  relatively low –CPR  relatively high –HIVPR  relatively high West Africa FP and HIV services must address the twin risk of unwanted pregnancies and of contracting the HIV virus –TFR  relatively high –CPR  relatively low –HIVPR  relatively low Is integration as priority in West Africa?

10. Thank you