The number of HIV SDPs in the area of interest and confirmation from providers or facility administrators that at least three types of FP methods are available on-site

Data can be disaggregated by the following:

• HIV service platforms, such as counseling and testing, care and treatment, prevention of mother-to-child transmission of HIV (PMTCT), key populations, and DREAMS
• Non-HIV focused service delivery platforms (e.g., FP-integrated school, community, or facility health programs) that are supported by PEPFAR
• Type of SDP (e.g., mobile service unit, hospital, or health center)
• Number of FP methods available on-site (i.e., at least two or at least three)

Service delivery statistics

This indicator measures the extent to which HIV SDPs are capable of providing a particular component of integrated FP/HIV services. HIV SDPs may generally offer male and/or female condoms to clients, but because of vertical programming and the prohibition of PEPFAR funds being used to purchase FP commodities, SDPs may not typically offer other FP methods. Provision of more than one FP method on-site (i.e. condoms plus another FP method) may therefore be indicative of some level of FP/HIV integration.

For more information on this indicator, see “Monitoring the Integration of Family Planning and HIV Services: A Manual to Support the Use of Indicators to Measure Progress toward PEPFAR’s 90-90-90 Targets and Protect Women’s Reproductive Rights” (MEASURE Evaluation, 2016).

Although each HIV SDP should maintain a record of services provided to clients, FP information (particularly the provision of FP screening, counseling, and/or referral) is sometimes not well-recorded for HIV SDPs. Poor documentation and subsequent failure to meet all three criteria for providing clients with integrated FP services (i.e., the provision of FP screening, counseling for FP needs, and FP products or referral), will lead to difficulty and underreporting of integrated HIV SDPs. HIV SDPs may generally offer male and/or female condoms to clients, but may not typically offer other FP methods. Provision of more than one FP method on-site may therefore be indicative of some level of FP/HIV integration and provision of at least three types of FP method suggests access to good-quality services.

Also, the indicator does not capture those HIV SDPs that offer referrals for FP methods not available on-site.