Family Planning for Clients with HIV

This module was developed for use in training physicians, nurses, and midwives and other health care providers who will provide family planning for clients with HIV.

This module on Family Planning for Clients with HIV is designed for the providers in developing countries who most often are tasked with providing FP services—primarily nurses and nurse-midwives, as well as primary care physicians—and assume trainees will have at minimum a nurse’s level of clinical training. Although the module can be used for Community Health Workers (CHWs), they would need basic literacy skills.

Designed to actively involve the trainees in the learning process, sessions include:

  • a session plan,
  • PowerPoint presentations, and
  • accompanying activities and resources.

Learning Objectives

By the end of the training, trainees should be able to:

  1. Describe how HIV/AIDS disproportionately affects women.
  2. Describe the role of FP in alleviating the burden of HIV.
  3. Describe how programs and providers can ensure that the sexual and reproductive rights of clients with HIV are upheld.
  4. Describe how FP and HIV services can be integrated to meet the needs of clients with HIV including programmatic synergies, addressing intimate partner violence, serving key populations, engaging men and counseling couples.
  5. Describe the contraceptive options available to women and couples with HIV, including issues related to:
    1. factors that affect FP method choice and other sexual and reproductive health decisions for clients with HIV
    2. medical eligibility for hormonal methods and specific concerns related to interactions with specific ARV drugs, rifampicin or rifabutin
    3. medical eligibility for non-hormonal methods and specific concerns related to HIV transmission to an uninfected partner or superinfection
    4. breastfeeding recommendations for women with HIV who choose the lactational amenorrhea method (LAM)
    5. dual method use and the protection it provides against both unintended pregnancy and sexually transmitted infections (STIs)
  6. Demonstrate how to use the Contraceptive Method Considerations for Clients with HIV Including Those on ART: Provider Reference Tool to consider HIV-related medical eligibility issues.
  7. Describe the components and content of counseling sessions for clients with HIV including those on ARV therapy.
  8. Describe the key counseling messages for clients who desire to use FP to achieve safe pregnancy.
  9. Demonstrate during role plays (and/or a supervised practicum) how to counsel clients with HIV as they consider issues related to:
    1. method options and effectiveness,
    2. possible interactions between hormonal contraceptives and ARV drugs,
    3. using FP to achieve safe pregnancy,
    4. dual method use to prevent transmission/acquisition of STIs and unintended pregnancy, and
    5. situations where emergency contraceptive pills (ECPs) can be used.
  10. Describe additional topics that may be appropriate to raise in counseling sessions for clients with HIV (e.g., disclosing HIV status, STI treatment, social and legal concerns).

Read the Quick Start guide below, if you haven't already—and then explore the tabs at right to walk through the Facilitator's Guide, illustrative examples, presentation slides, handouts, and more--all of which you are free to adapt for your training participants' needs.