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A project from the Population Council’s USAID-funded FRONTIERS program found that integrating HIV counseling and testing into family planning (FP) services was feasible and acceptable to clients and providers, and led to significant improvement in the quality of care provided. However, a major limitation was that FP clients who tested HIV-positive were not actively linked to care and treatment services, including antiretroviral treatment, and screening and management of sexually transmitted infections. A new initiative aimed to design and test a referral framework for linking HIV-positive FP clients to treatment and care in selected health facilities; assess the acceptability of the proposed referral framework to providers; and assess its effectiveness in increasing the number of eligible HIV-positive FP clients receiving HIV care and treatment services. The findings of the project evaluation show that the referral mechanism put in place was effective and the study recommends that the Division of Reproductive Health, NASCOP, and other units within the Ministry of Health, such as the Health Management Information System, support the provincial and district health management teams to scale up the use of the referral form developed under this project to other FP clinics within Central and other provinces.






AIDS, Population, and Health Integrated Assistance (APHIA II) Operations Research Project