The presence of certain STIs increases the risk of the sexual transmission of HIV. Thus, controlling STIs can reduce the incidence of HIV. Almost all women in the East and Southern African regions attend MCH/FP clinics regularly, and recent surveys have shown that the prevalence levels of many STIs, including HIV, can be high for women seeking FP and antenatal services, even though they are frequently asymptomatic. MCH/FP services are provided by medically trained staff with many of the same skills needed for managing STIs. Consequently, several MCH/FP programs have started looking for ways to integrate STI management strategies, such as STI screening, treatment, and education, into their routine services. The Population Council’s Africa OR/TA Project undertook case studies of four such programs in Botswana; Nakuru, Kenya; Mombasa, Kenya; and Busoga, Uganda. The model includes case detection and treatment, HIV/AIDS management, detection and treatment of syphilis, and information and education materials. This summary explains that STI and HIV/AIDS management services can be integrated successfully into existing MCH/FP programs in East and Southern Africa.
"Integrating STI/HIV services into existing MCH/FP programs," Africa OR/TA Project II Operations Research Summary. Nairobi: Population Council, 1998.