USG Update on Family Planning/HIV...
Transcript of USG Update on Family Planning/HIV...
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USG Update on Family Planning/HIV Integration
Nithya Mani, USAID/Office of HIV/AIDS Jennifer Mason, USAID/Office of Population
and Reproductive Health
IAWG SRH and HIV Linkages Meeting March 9-10, 2015
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Presentation Overview • Global Technical Leadership
– USG FP/HIV Integration Task Force – PEPFAR FP/HIV Acceleration Initiative – Provision of technical assistance including FP and
HIV policy and legislative compliance support and quality assurance
– Monitoring & Evaluation • USAID core-funded activities • USAID field support activities
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GLOBAL TECHNICAL LEADERSHIP
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PEPFAR’s increased focus on FP/HIV integration
• Optimizing PEPFAR as a platform to integrate HIV and voluntary family planning (FP) services – Access to a full range of FP services and information is critical for
individuals to exercise their reproductive health rights. – USG is committed to meeting the reproductive health needs of
PLHIV and those at risk of HIV. – Ensure PLHIV have access to family planning counseling and
services and safe pregnancy counseling through the integration of FP services into all PEPFAR prevention, care, and treatment programs.
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Key Opportunities for Programming:
1. Prevention of Mother-to-Child Transmission (PMTCT) 2. Care and Treatment 3. Prevention & Continuum of Care for Key Populations 4. Health Systems Strengthening
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• $25M for five countries ($5M per country): Malawi, Nigeria, Tanzania, Uganda, Zambia
• $1.97M for headquarters country support and evaluation activities – Operations research to examine different models for integrating FP and
HIV service delivery; comparing efficiencies in providing FP services through community based programs vs. clinical services (Evidence project, study proposed for Kenya)
– Costing of PMTCT Prongs 1 and 2 (HPP, Malawi as pilot country) – Translations and dissemination of USG FP policy and legislative
compliance materials (K4Health) – Technical assistance for country programs implementing Acceleration
Funding (Advancing Partners and Communities, FHI360)
PEPFAR FP/HIV Acceleration Initiative
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Provision of Technical Assistance
• Programmatic technical assistance to USG country teams as requested
• Facilitate links to partners in the region with expertise in
HIV/FP integration service delivery and research
• USG policy and legislative compliance support through Compliance Sub-group of Task Force
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Monitoring Activities
• Developed and finalized three core essential elements for FP/HIV under the PEPFAR Site Improvement Monitoring System (SIMS) facility module – Systems for Family Planning/HIV Integration – Family Planning/HIV Integration Service Delivery – Contraceptive Counseling for Women at High Likelihood of
Exposure to STIs
• Review of PEPFAR Country Operational Plans (COPs) – FY14 and upcoming FY15
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Monitoring Activities (cont’d) • PEPFAR FP/HIV Integration Indicator (required)
– Percentage of HIV service delivery points supported by PEPFAR that are directly providing integrated voluntary family planning services
• Other FP and HIV Indicators (suggested)
– Standard FP indicators – Modified FP indicators for HIV settings
• Monitoring FP outcomes for PLHIV in MNCH/FP settings
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USAID CORE FUNDED ACTIVITIES
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Current and Ongoing Core Funded Activities
• Support to WHO/SRH Linkages • Hormonal contraception-HIV: acquisition and drug
interaction – Developed two USG technical briefs – HC3 – development of strategic communication framework
and pilot of counseling materials (Malawi and Swaziland) – Jhpiego/MCSP project – client chart review to further
examine EFV-implant interactions
• Deliver/JSI – developing commodities technical brief for PEPFAR programs
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Current and Ongoing Core Funded Activities (cont’d)
• K4Health – E-learning courses on FP/RH for PLHIV, FP and HIV policy and legislative compliance, and hormonal contraception for HIV
• LINKAGES (FHI360) – FP for key populations • Abt Associates – FP/HIV efficiency study (Tanzania
and Zambia) • USG curriculum on family planning and safer
pregnancy/conception for people living with HIV/AIDS - a tool for health care providers in HIV care and treatment settings
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Future Priorities/Plans
• Project SOAR – technical leadership on FP/HIV; safe pregnancy/conception for PLHIV
• Hormonal contraception-HIV roll out • Strengthening FP support to PLHIV • Development of community module for PEPFAR
SIMS • Measure Evaluation – developing FP outcomes
measures within HIV settings • DHS – data triangulation to determine unmet need for
FP among PLHIV • Research prioritization – linking with other groups
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Future Priorities/Plans (cont’d)
• Continue to implement headquarters/core funded FP/HIV Acceleration activities – operations research (Evidence), costing activity (HPP), TA (APC)
• Continue to advocate and mainstream FP as part of comprehensive care package for PEPFAR – Shift of FP/HIV into PEPFAR Care and Treatment Technical
Working Group
• Collaboration with PEPFAR DREAMS Initiative, potential for integration of HIV HCT services into FP
• Hold USG FP/HIV regional field meeting (TBD) • Hold bi-annual FP/HIV Task Force partners meeting
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Thank you!