The Population Council’s USAID-funded Frontiers in Reproductive Health (FRONTIERS) Program, in collaboration with the National Department of Health and the North West Provincial Department of Health and with support from PEPFAR, initiated a two-phased operations research study to test the acceptability, feasibility, and cost of two different models of integration of counseling and testing for HIV into family planning services in South Africa and to evaluate their effectiveness against standard practice. Based on the studies findings, the report concludes that the integration of HIV prevention activities, including education about prevention, dual protection, and counseling and testing within FP services in public facilities in South Africa is feasible and acceptable to both FP providers and clients. Use of the Balanced Counseling Strategy Plus tool is effective in improving the overall quality of care. Both the testing and referral models were acceptable and effective and so can be used interchangeably depending on client needs and preferences and the skills of the providers. Considering the policy context and the evidence from this study, a number of specific recommendations are proposed.
Mullick, Saiqa, Mantshi Menziwa, Nzwakie Mosery, Doctor Khoza, and Edwin Maroga. 2008. "Feasibility, acceptability, effectiveness and cost of models of integrating HIV prevention and counseling and testing for HIV within family planning services in North West Province, South Africa," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health