Reproductive Health and Family Planning Program

Project duration: July, 2012 - July, 2016


 In 2013 AGPAHI was awarded funding from UNFPA to support health facilities to integrate family planning services provision into existing HIV services to increase access to family planning methods for people accessing HIV voluntary testing and counselling services as well as people living with HIV in Shinyanga and Simiyu regions. The project aims to support PLHIV and the community in Shinyanga & Simiyu regions to meet their family planning needs through integration of FP services in existing HIV services (CTC and VCT) which allows broader access to services at each service point.

The project came to be following findings from an operational research in Shinyanga region in 2012 showcasing the growing need of Family planning services integration to reach more people living with HIV. The provision services in Voluntary Counselling and Testing (VCT) as well as Care and Treatment Clinics (CTC) is done through co-location of HIV services with Family Planning health education, counselling and provision of Family Planning methods under one roof to consenting clients with informed choice.

AGPAHI has been responsible for preparation of Annual Work Plans (AWP) on yearly basis with planned activities in the final year AWP currently being implemented since July, 2015. Through the project, AGPAHI has gained extensive experience in implementing UNFPA funded activities as well as utilizing UNFPA programmatic and FACE reporting templates to report progress in a timely manner on quarterly basis.

To date the project supports the provision of family planning integration services at 56 CTC and 68 VCT sites in Shinyanga and Simiyu reaching non-PLHIV and PLHIV adolescents, youth and adults with both HIV and FP services. Furthermore AGPAHI provides technical assistance to supported health facilities for improvement of Family planning commodities management through supply chain meetings and workshops, on-site supportive supervision and mentorship with national, regional and district supply chain custodians. In addition, through the project AGPAHI supports the provision of HIV/FP youth friendly services through supporting repairs, equipment and capacity building to providers at one youth centre in Shinyanga and provision of family planning and sexual reproductive health services to adolescents and young adults.


Through the project AGPAHI has significantly increased the coverage of integrated FP/HIV services in Shinyanga and Simiyu regions with focus of reaching as many clients as possible, especially PLHIV in need of Family Planning services. AGPAHI has supported the scale-up of FP/HIV integrated services from 14 CTC and 20 VCT sites in 2013 to 56 CTC and 68 VCT sites in 2016. AGPAHI in collaboration with RCHS unit of the Ministry of Health has increased the number of service providers with skills and knowledge in providing FP/HIV integrated services from 16 in 2013 to 119 in 2016 through in-service training using the national FP/HIV integration curriculum.

The provision of family planning integrated services contributed to increasing the proportion of PLHIV accessing family planning services from 16% by June, 2012 to 79% by December, 2015. AGPAHI has trained 36 adolescent peer educators on HIV related issues and facilitated the airing of month radio program for adolescent sexual and reproductive health education. Through the project, AGPAHI has directly supported the increase of adolescent and young adults (aged 15 to 24 years) accessing Family planning services from 188 in December, 2013 to 5,272 by December, 2015. Shinyanga and Simiyu regions have been supported in formulating of 10 adolescent and youth clubs to facilitate easy access of family planning services to PLHIV aged 10 to 24 years. The adolescent and youth clubs are utilized for provision of psychosocial support, nutritional assessment and counseling, sexual and reproductive health education, sports and games, ART adherence counseling and networking among youth.

AGPAHI has directly supported the availability of Family planning commodities; by December, 2015 there was an observed improvement in ordering mechanism for FP commodities 100% (41) of facilities funded by the project are ordering FP commodities at MSD compared to 12.5% facilities in 2013, improved availability of family planning commodities (ascertained through monthly stock monitoring) from 70% to 90% and improved availability and utilization of Logistics Management Information System (LMIS) tools. Using Integrated Logistics System (ILS) gateway data, AGPAHI continues to support redistribution of FP commodities at health facilities thus preventing frequent facility level stock-out of commodities.






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