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HIV/AIDS Integration with Family Planning

The PRIME II Project integrated HIV/AIDS prevention and management with family planning and other reproductive health care, centering on the preparation and support of primary providers. PRIME worked to increase the number of providers prepared to confront the challenges of delivering quality family planning and HIV services in a variety of clinic and non-clinic settings, and assisted program decision-makers, managers and supervisors to better coordinate their activities.

With PRIME’s extensive field experience in implementing sustainable safe motherhood programs throughout the developing world, the Project increasingly became involved in designing interventions to help providers in the prevention of mother-to-child transmission (PMTCT) of HIV. Building on PMTCT work in Rwanda, PRIME was an implementing partner in the Presidential Initiative PMTCT program in Ethiopia and developed a methodology and tools that other PMTCT initiatives can use to maximize opportunities to integrate family planning as an important aspect of PMTCT.

In a number of countries—from the Philippines to Uganda—PRIME pilot projects succeeded in improving young peoples’ access to HIV/AIDS prevention services by creating or promoting adolescent-friendly health care environments. PRIME’s approaches in HIV/AIDS also included:

  • Combining dual protection with strategies to overcome provider and client biases against condom use
  • Improving access to information about client needs and gender sensitivity, including effective, practical social risk assessment and risk reduction counseling along with the care of people with HIV/AIDS
  • Improving access to information, counseling and services that protect privacy and confidentiality.

Throughout all of its HIV/AIDS-related activities, PRIME II endeavored to change misconceptions about how HIV is spread and eliminate stigma associated with condom use. Gender issues, including male involvement and female empowerment in skills to negotiate condom use with partners, were cornerstones of PRIME’s strategy in working with communities. Cooperating with a wide variety of organizations involved in public awareness campaigns, social marketing and other behavior change activities related to HIV/AIDS was a proven strength of PRIME II.

PRIME Voices
Ethiopia: Strengthening Systems and Services to Prevent Mother-to-Child Transmission of HIV (5/2004)
Philippines: Integrating Family Planning with HIV Prevention for High-Risk Youth (12/2003)
Rwanda: Keeping Newborns HIV Free (6/2002)
PRIME Dispatches
To Reach the Youth: Creating Adolescent-Friendly Reproductive Health Services in Uganda (5/2001)
Appropriate and Effective Approaches to HIV/AIDS (8/2002)
Dual Protection (11/2000)
Effective Linkages through the PRIME Project: HIV Prevention and Management Integrated with Reproductive Health Services at the Primary Level (11/2000)
Philippines: Improving Sexual Behaviors among High-Risk Youth (2/2004)
Reaching Adolescents (1/2001)
Reproductive Health Needs of Women with HIV (11/2000)
Rwanda, Ethiopia: Scaling-Up Services to Prevent Mother-to-Child Transmission of HIV (2/2004)
Rwanda: Effective Prevention of Mother-to-Child Transmission (10/2002)
Rwanda: Prevention of Mother-to-Child Transmission of HIV (11/2003)
STI Prevention and Management (1/2001)