Online Program

Integration of family planning with HIV/AIDS in private health sectors in Ethiopia

Wednesday, November 6, 2013

Dessie Mekonnen, MDA, STI/HIV/Reproductive health, Mariestopes International, Addis Ababa, Ethiopia
Issue: Unmet need for family planning for PLWHAS in Ethiopia is not well known, however over half of Ethiopians with HIV are women of reproductive age, and many HIV-infected women want FP as compared to 19% in Kenya.The contribution of the private health sector in providing FP service is low only 13 %. Private health Sector program works in seven regions of the country to increase access to Long Acting FP at private health facilities.

Description: PHSP trained 142 service providers on focusing Long Acting FP, initiated in 112 PHSP supported private health facilities, with 82% providing integrated FP/HCT/TB service, nearly 36%(40) providing integrated FP/PMTCT/ART services.These facilities served 4,523 clients with a wide method mix based on informed choice. 15% FP users were offered for HIV testing, 59 % FP users tested for HIV, with 93.4 % testing negative & 6.6% positive .62.4% HIV negative women choose injectable followed by pills (19%), Implants (15%), IUCD (1.4%) and male condom (1.4%). 72% HIV positive women choose injectable followed by pills (16%), implant(8%) and male condom (4%).

Lessons learn: Providing integrated services at private health facilities increase the number of users, for HIV- and HIV+ women, adolescents and men. There is significant demand for FP services in the community.

Conclusion and recommendation: Provision of integrated FP with HIV/AIDS service addresses poor access to basic public health services and increase service coverage, client satisfaction within integrated approach in private health facilities. Strengthen public private partnership, supply commodities and demand creation is needed.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Program planning
Protection of the public in relation to communicable diseases including prevention or control
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe integration of Family Planning with HIV/AIDS in private health sectors in Ethiopia

Keyword(s): Family Planning, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My educational background is Bsc,MPH.More than twelve (12) years of experience in reproductive health, Family Planning, HIV AIDS, primary health care, community health services, program management & proposal development, training, operational research, and clinical service delivery in government,local and International NGOs. I am currently Program coordinator for family planning and STI for Private Health Sector Program (PHSP) donated from PEPFAR and USAID in Ethiopia country office and worked peer-reviewed researches & abstracts published
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.