Strengthening the Integration of Family Planning and HIV Services at the Community Level in Kenya

Study findings reveal that many Kenyan women living with HIV are comfortable receiving family planning services from community health volunteers and with proper training and support, community health volunteers have the potential to provide integrated FP/HIV services. Community-based integrated FP/HIV services could help connect women living with HIV who want to prevent or postpone a pregnancy to contraceptive services, which can reduce unintended pregnancies and in turn maternal mortality and vertical transmission of HIV.

This implementation research study offers evidence of the feasibility, quality of care, and acceptability of using community health volunteers to integrate family planning into HIV/AIDS services for women living with HIV at the community level in Busia County, Kenya. The report also provides an incremental cost-analysis to estimate the additional health system cost for integrating the provision of pills and condoms into community health volunteers’ existing activities, and the recurrent cost to maintain these additional services.