Document Type


Publication Date



The current spread of HIV/AIDS poses a major threat to individual lives and national economies in many sub-Saharan African countries. The region also has some of the highest levels of other reproductive tract infections (RTIs) in the world. Some of these RTIs increase the risk of sexual transmission of HIV infection. Thus, the control of RTIs is seen not only as an important reproductive health care strategy to alleviate symptoms of infection and long-term gynecological, obstetric, and neonatal complications, but also as a key strategy in reducing the spread of HIV/AIDS. As a result, all national health care programs in the region are actively seeking cost-effective ways of implementing an RTI management program that would reduce the spread of RTIs and ultimately HIV. Although there are many reasons to support an integrated approach to service delivery, many unanswered questions remain concerning its implementation, effectiveness, and cost-effectiveness. In 1998, the Africa OR/TA II Project and the Zimbabwe National Family Planning Council (ZNFPC) undertook a study to assist the ZNFPC in developing the most appropriate and cost-effective approach to managing RTIs in its clinics. Findings from the study are presented in this report.






Africa OR/TA Project II