SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
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Logistics management proceduresfor both <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> programmeshave been integr<strong>at</strong>ed into the MoHsystem through central medical stores.While “integr<strong>at</strong>ed labor<strong>at</strong>ory” facilitiesare available <strong>at</strong> some <strong>HIV</strong> clinic sites,the complete <strong>SRH</strong> labor<strong>at</strong>ory packageis not readily available to clients. Forexample, pregnancy testing is notroutinely available to PL<strong>HIV</strong> womenin the OI/ART cohort.Within the next five years, the MoH <strong>and</strong>key stakeholders will need to developa long-term str<strong>at</strong>egy for reproductivehealth commodity security, withmonitoring <strong>and</strong> evalu<strong>at</strong>ion structures inplace to capture client access to servicesin both <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> programmes.Based on documentary evidence st<strong>at</strong>edbelow, the indic<strong>at</strong>ors being used tocapture integr<strong>at</strong>ion between <strong>SRH</strong> <strong>and</strong><strong>HIV</strong> are:a. Str<strong>at</strong>egic Plan for <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong>STI Prevention <strong>and</strong> Care 2008-2010:Proportion of women accessingANC services who are tested forsyphilis (UA 35)Percentage of ANC <strong>at</strong>tendeeswith positive syphilis test (UA36)Number <strong>and</strong> percentage ofpregnant women who were testedfor <strong>HIV</strong> <strong>and</strong> received their testresultsNumber <strong>and</strong> percentage of <strong>HIV</strong>infectedpregnant women whoreceived a complete course ofARVb. N<strong>at</strong>ional Str<strong>at</strong>egy for Reproductive<strong>and</strong> Sexual HealthPercentage of married womenusing modern birth spacingPercentage of pregnant womenwith 2+ (two or more) ANCconsult<strong>at</strong>ion with skilled healthpersonnelpercentage of <strong>HIV</strong> pregnantwomen aged 15-49 visiting ANCNumber <strong>and</strong> percentage of <strong>HIV</strong>infectedpregnant women whoreceived a complete course ofARVPercentage of young people aged15-24 reporting use of a condomduring sexual intercourse with anon-regular sexual partnerc. The Guide for Implement<strong>at</strong>ion ofPositive Prevention among PL<strong>HIV</strong>Number <strong>and</strong> percentage ofPL<strong>HIV</strong> who received inform<strong>at</strong>ionon condom use <strong>and</strong> condoms forpreventing <strong>HIV</strong> <strong>and</strong> STINumber of PL<strong>HIV</strong> who arereferred to ANCNumber of PL<strong>HIV</strong> who arereferred to FP clincsd. The SoPfor CoPCT among EWNumber of referral slips collectedfor STI/RTI services <strong>and</strong> RH/FP5. There are separ<strong>at</strong>echecklists between <strong>SRH</strong><strong>and</strong> <strong>HIV</strong> programmes tomonitor <strong>at</strong> health servicedeliveries.61
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