South Africa: Stories of Integration of SRH, HIV and SGBV Services

In 2018, with funding from 2gether 4 SRHR, UNFPA supported the integration of sexual and reproductive health (SRH), sexual and gender-based violence (SGBV) and HIV in five pilot health facilities in the uThukela District in KwaZulu-Natal, South Africa.The district was selected as the focus of this documentation exercise since it was the district where the model was initially piloted and documented for effectiveness.In 2018, UNFPA brought on board Optidel, as a service provider and scaled up the SRH, HIV and SGBV model from five to 53 facilities across three districts (uThukela, eThekwini and Ugu) in KwaZulu-Natal.The implementation involved the use of the Plan Do Study Act (PDSA) cycle, a quality improvement methodology, which includes the training of health-care workers (HCWs) to equip them with skills to integrate SRH, HIV and SGBV services. This was followed by ongoing mentoring and supervision with the overall aim of ensuring the sustainability and institutionalization of the model across 53 facilities. The following documented human-interest stories reflect project implementation realities.