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The role of a family planning program in international AIDS care.

An interview with an officer of the Margaret Sanger Center International (MSCI) in New York City considers HIV/AIDS to be an integral issue in basic reproductive health. MSCI integrates HIV/AIDS into family planning/reproductive health education service delivery and program planning. It helps ministries of health and private agencies establish or improve family planning training programs which include HIV risk assessment and prevention education. Health providers need to integrate family planning and HIV/sexually transmitted disease (STD) information so clients can modify their sexual behavior. MSCIs family life education programs for youth and parents include sexuality education (including HIV/STDs and contraception) decision making skills and expanding conceptual views of gender roles. MSCI hosts an annual course on HIV/AIDS and program design for program managers from developing countries in New York City. Barriers encountered in developing countries are similar to those in the US. For example family planning programs do not include sexuality in training or counseling. Nurses and other health providers need to learn how to discuss sexuality. Vertical AIDS programs are an obstacle because they hinder integrated service delivery. Some cultures are uncomfortable discussing condom use. A holistic approach is critical when addressing HIV prevention and family planning. MSCI has learned that open dialogue of HIV prevention at the personal and community level is easier than most bureaucrats think. MSCI invites anticipated opponents to a curriculum development workshop to alleviate their fears of content and to encourage them to own the program and material. Nurses must provide people with facts especially in areas where myths are abundant e.g. Africa. They can provide holistic and emotional support for people concerned about or infected or affected by HIV infection. They can train lay persons in HIV prevention.