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RH HIV Integration

This document outlines the experience of integrating reproductive health (RH) and HIV services in Kenya, led by Margaret Gitau from the National AIDS and STI Control Program, Ministry of Public Health and Sanitation. It highlights key statistics and challenges faced, including unmet family planning needs and varying HIV prevalence among demographics. The integration strategy emphasizes supportive policies, broad-based committees, and effective resource allocation while addressing financial, human, and infrastructural challenges. Lessons learned underscore the importance of stakeholder consensus and continuous advocacy for successful integration.

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RH HIV Integration

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  1. RH HIV Integration Kenya Experience Margaret Gitau National AIDS and STI Control Program Ministry of Public Health and Sanitation

  2. Background • Pop. 40 Million (2009 Est.) • CPR 46% (KDHS 2008/09) • TFR 4.6 (KDHS 2008/09) • FP unmet needs 24% (KDHS 2008) • HIV prev.15-64yrs= 7.1% (KAIS 2007) • HIV prevalence among 15-64: women=8.4%; Men5.4% (KAIS 2007) • HIV prevalence among pregnant women 9.6%, (KAIS 2007) • Unmet need for FP among HIV infected -50% (KAIS 2007)

  3. Enabling Factors/Achievements Supportive Policy environment Service provision guidelines- FP,FP VCT, PMTCT, VCT, ART, HBC, Adolescent RH Broad Based RH/HIV Integration Committee Ability to leverage partners funds for integration Evidence based decision Making Training material and decentralized trainers National RH HIV Integration Strategy

  4. Challenges Resources- Financial, Human, Infrastructure Sustained Advocacy/ Consensus Building Scope of services ( how comprehensive?) Training (Segmented VS Integrated) Lack of Integrated Reporting Tools Commodities- Shortage, distribution

  5. Lessons Learnt Ministry of Health ownership/involvement Critical Broad based RH HIV Integration committee crucial Advocacy a continuous process Stakeholders Consensus building Inbuilt Monitoring and Evaluation Documentation- Constant

  6. Integration of RH/HIV leads to a Satisfied & Happy family!

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