Implementation process brief: Integrated family planning and HIV services at the community level in Kenya

Enabling women living with HIV to use contraception effectively can decrease unintended pregnancies and in turn reduce maternal mortality and vertical transmission of HIV. This brief describes the implementation process and intervention tested under the Evidence Project for delivering integrated FP and HIV services at the community level in Kenya. It outlines the implementation steps, best practices, and lessons learned of an intervention that was tested within the existing community health structure. Community health volunteers were trained to offer FP as part of their routine services to women living with HIV, and community health units were prepared to sustain those services. This brief complements a research report that offers evidence of the feasibility, quality of care, and acceptability, of using community health volunteers to integrate FP into existing 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 of maintaining these additional services