Oral

The call for integration of the components of reproductive health, including HIV, has grown stronger in recent years. Still, many questions remain on the effectiveness and the costs of integration. This session discusses the challenges and opportunities for integration in the US and in developing countries and provides evidence of successful integration. One presentation offers evidence of a successful program in a busy FP clinic in the U.S. that uses a consent, counseling and testing model to integrate HIV with FP. The other presentations focus on sub-Saharan and North Africa (Ethiopia, Egypt and Malawi). The paper on Ethiopia includes data from an evaluation of a behavior change communication program design to promote increased use of family planning and reduce risk for HIV. The presentation on Egypt describes an integrated supervision program to provide support for integrated clinical services and to improve quality of care, and the outcomes of the program. Finally, a panelist will present the challenges and successes from a program in Malawi that is a pioneer in attempting to introduce cervical cancer screening and treatment into public health services in Africa.

Session Objectives: • Describe a consent, counseling and testing model that integrates HIV screening in a FP clinic • Recognize different successful BCC approaches applied to increase RH in a rural African Community • Describe how integrating RH programs increases quality and uptake of MCH/FP/RH service delivery • Explain how strengthening linkages between government sectors and health management bodies facilitates the integration process • Prioritize program areas where integration efforts will achieve the greatest results • Discuss the successes and challenges of introducing cervical cancer prevention and treatment services into low-resource settings

CE Credits: CME, Health Education (CHES), Nursing