Achieving synergies in prevention through linking sexual and reproductive health and HIV services (PDF)
in Proceedings of the International Conference on Actions to Strengthen Linkages between Sexual and Reproductive Health and HIV/AIDS, Mumbai, 4-8 February
Publication date: 2007
Integration, linkages and synergies are widely used terms among those interested in strengthening the relationship between sexual and reproductive health (SRH) services and HIV prevention. This paperexplores these terms conceptually, and then reviews the wide range of combinations of SRH and HIV prevention services that have been linked or integrated. Several different combinations have proven feasible and acceptable in pilot situations, but there remains a lack of evidence as to their effectiveness in changing behaviours, including preventing HIV transmission. There is also limited experience with scaling up successful models and a need to move beyond a focus on services to consider systemlevelchanges that will enable successful configurations of linked services to be implemented effectively and sustained routinely. Whether linking or integration of services, the limitations of using clinic-basedinfrastructures to reach the most vulnerable, including bridging and core populations, need to be recognized at the pilot-testing stage; Asian countries can learn much from the work that has been undertaken in Africa over the past decade when prioritizing between models.