Overview: Why is the integration of family planning (FP) and HIV/AIDS services important and how does it relate to the right to health? What models of service integration are currently being implemented in Kenya? What are the successes, outcomes and lessons learned from clients and providers in Kenya? What can you do to advocate for the integration of FP and HIV/AIDS services and halt the feminization of AIDS? Disclaimer: While this presentation focuses specifically on the integration of family planning services and HIV/AIDS testing and counseling services, it is important to note that this is just one example that falls within a more comprehensive approach to service integration. To address the AIDS epidemic, health systems must integrate HIV/AIDS services for prevention, care and treatment with non-HIV services such as primary care, maternal and child health, and reproductive health services, including family planning. Additionally, HIV/AIDS services should be connected to social and community-based services that address underlying determinants for health such as poverty, unemployment and legal inequalities.

1. Lessons from Kenya: Integrating Family Planning and HIV/AIDS Services

3. why should services be integrated? “ Women have been split into parts - eyes, ears, heart, breasts - by the health system. We must see women holistically .”

4. a critical rights-based intervention Available : more entry points for vulnerable/rural populations and more opportunities for outreach into communities. Accessible : decreased time spent, money required and distance covered to reach services; decreased stigma and discrimination associated with standalone HIV/AIDS services. Acceptable : multiple services through fewer providers can lead to stronger client/provider relationships. Provider training necessary for integration can also lead to greater gender and cultural sensitivity. Quality : increase quality of comprehensive care by offering services that would not otherwise be provided and the space for informed decision-making.

5. addressing the feminization of AIDS Effective prevention: Preventing unplanned pregnancies through FP contributes to the prevention of new HIV infections and PMTCT efforts. Provides opportunities for education: By increasing info given by providers, integration can increase awareness of prevention messages among women and communities. Provides services in one-stop shop: Multiple entry points to the health system promotes early detection of HIV and expands reach and uptake of HIV services. Strengthens health systems: Integration can ease strain on health systems by streamlining resources and maximizing effectiveness of health workforce. Decreases stigma: Women who receive VCT through FP can avoid the stigma of standalone HIV facilities.

8. lessons from emma & her health center “ Women coming for family planning services are sexually active – they need to know their status.” -Emma

13. outreach in action – a day with MSK

15. get tested - know your status ! After group counseling, clients choose services they want - VCT is given in private room.

16. lessons from dr. moguche “ It is obvious. If I come here, I get FP and VCT – that is access – that is a package. This is the best way - package it, make it available and take it to the community because they will not come to you.”

25. take action now: ensure women’s rights “… ..make it a one stop shop that is comprehensive, empathetic, sensitive and answering to my needs so that you recognize the many roles that I have…the multiple jobs I have to do; clean, cook, farm, raise children, care for the elders...”

26. thank you… “ Gender inequality is driving the pandemic, and we will never subdue the gruesome force of AIDS until the rights of women become paramount in the struggle.” — Stephen Lewis