Total number of female clients aged 15-49 receiving counseling and testing services; number of repeat counseling and testing female clients aged 15-49 reporting unintended pregnancy.  Data could be disaggregated by age, marital status, and type of service delivery point (e.g. mobile service unit, hospital, health center, etc.).

Data Source(s):

Special annual surveys.  Female clients will be asked if they are pregnant or

Purpose:

This indicator will track the effect of increased access to family planning (FP) services on unintended pregnancy among counseling and testing clients. As FP/HIV integration expands and services are delivered, it is expected that unmet need for FP among counseling and testing clients will decline, consequently leading to a decline in unintended pregnancy within this group.

Issue(s):

As FP services become more integrated into HIV care and treatment sites, one would expect to see a decrease in unintended pregnancies.  However, data can be skewed if there are extended and/or repeated FP stock outs.  Furthermore external factors promoting and making FP use more accessible may account for fewer unintended pregnancies rather than changes in service provision at individual service delivery points.  Thus, it is important to evaluate the results of this indicator long-term when a more accurate trend analysis can be conducted.