Quality Service Delivery for Adolescent Family Planning and HIV Integration: Site Improvement through Monitoring System (SIMS) Guidance for Service Providers

The Site Improvement through Monitoring System (SIMS) aims to standardize site monitoring by in-country staff of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) by identifying quality gaps and making recommendations for improving services, thereby increasing the impact of PEPFAR programs on the HIV epidemic.  Orphan and Vulnerable Children (OVC) programs are currently undergoing SIMS assessments to ensure that these programs are providing quality services to vulnerable children and their families.  

One of the more recently added SIMS Core Essential Elements (CEE) for OVC programs is Family Planning/HIV Integration. The Standard for this CEE is that “Each service delivery point supporting services for this population provides access to high quality family planning (FP) education and services, directly or through referrals. The quality of the provision of these services are monitored at least quarterly.” Only partners with funding to support family planning education and services, directly or through referrals, to vulnerable children aged 10-17 and caregivers, are assessed on this CEE.

This guidance was developed by the USAID Applying Science to Strengthen and Improve Systems (ASSIST) to help OVC program staff succeed in planning and delivering quality integrated family planning and HIV services and consequently, meeting the SIMS standard in FP/HIV integration.  The guidance includes: 1) a FP/HIV Quality Checklist; 2) FP/HIV Checklist Implementation Guidance; 3) description of the Steps of Quality Improvement; and two Case Examples that describe how two programs went about improving their performance and outcomes.


Report Author(s): 
Diana Chamrad
ASSIST publication: 
ASSIST publication
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