Integration of Services

Young people, especially those who are sexually active, need a variety of services, including contraception, HIV counseling and testing, testing and treatment for other sexually transmitted infections (STIs), pre- and postnatal care, and post-abortion care. Health facilities serving youth may offer one primary service, have separate units providing different types of services, or rely on a referral system. As a result, many young people who are at risk of both pregnancy and STIs/HIV may receive only one service while related sexual health needs are not addressed. Much the same is true for the integration of other types of programming that combines areas such as livelihoods with sexual and reproductive health care or intimate partner violence.
 
Research shows that integrated services for youth are feasible in diverse settings and there is a strong need for various services in a single setting. While programs are beginning to offer integrated services for youth using various approaches, more research is needed to determine cost-efficient and effective service delivery models. Below are resources that may provide guidance.


Addressing Comprehensive Needs of Adolescent Girls in India: A Potential for Creating Livelihoods

This report, published in 2013, documents research on comprehensive programming aimed at adolescent girls in India, particularly in terms of those that combine interventions around sexual and reproductive health and rights with programs aimed broadly at livelihoods. The report identifies particularly effective approaches and uses the experience of these programs to develop recommendations for programming and policy around adolescent girls specifically (2013).


Integrating Reproductive Health into Youth Development Programs Toolkit

This interactive online toolkit is intended as a resource for both strengthening existing youth programs and developing new programs for youth that incorporate reproductive and sexual health education and empowerment. The toolkit is organized into five categories: Strategic Framework, Project Development & Design, Curricula, and Lessons Learned (2013).


Violence against women and girls: Economic Development and Women’s Economic Empowerment

This set of two guidance notes, developed by DFID, set out the strategic rationale for approaching violence against women and girls (VAWG), develops a broad theory of change for integrated programming focused on economic development and VAWF, and provides practical programmatic recommendations on types of interventions that achieve these broad goals (2015).


Integrating Family Planning and HIV/AIDS Services for Young People: Tools for Programming

This report summarizes tools that can assist programs to plan and implement integrated services for youth. The tools are summarized in four sections: developing youth-friendly services, training providers, supporting providers with job aids, and promoting services in the community (2007).


A Framework for Integrating Reproductive Health and Family Planning into Youth Development Programs

This document provides a strategic framework for the integration of youth reproductive health and family planning into youth development programs (2007).


Linking Sexual and Reproductive Health and Gender Programs and Services with Prevention of HIV/STI

This document offers a strategic proposal to guide effective coordination, collaboration, and participation among programs and services devoted to gender, sexual and reproductive health and HIV and STI prevention and treatment. Among the desired results of these synergies are expanded coverage, adaptation for greater use, greater resiliency in the population, integrated services, general well-being, and equity (2010).


SRH and HIV Linkages Compendium: Indicators and Related Assessment Tools

This compendium discusses the linkages between SRH and HIV and how to best measure these. A theory of change describing the linkages is presented, followed by detailed recommendations for measurement based on the experience of the field over the past decade (2014).