The Sexual & Reproductive Health Integration Project (SRHIP) is an innovative project led by PNG Catholic Church Health Services (CCHS) and implemented through the dynamic consortium of Igat Hope, ASHM and the Burnet Institute. The project is designed to expand reach and coverage of HIV, STI and SRH care in Papua New Guinea by developing integrated facilities under primary health services. 

SRHIP Phase 1 (June 2017 – June 2020) focussed on the assessment and supported integration of 22 CCHS standalone HIV facilities into the primary health system. Building on the strengths of facility operations, the project sought to increase quality, scale-up and efficiency of these HIV services for long-term sustainability.  Achievements included:  

  • 22 facilities assessed with comprehensive Integration Reports completed 

  • 18 facilities progressed towards one of four identified functional integration models 

  • SRHIP Integration Toolkit developed which guides facility assessments and integration 

  • Technical inputs in project management and finance for CCHS and Igat Hope 

  • Systems strengthened for project M&E and facility surveillance reporting 

  • Final Operational Research Report completed and disseminated 

  • Establishment of 8 Expert Patient Counsellors positions at SRHIP facilities 

  • PLHIV Counselling Toolkit implemented at 5 SRHIP facilities 

  • SRHIP Reflection & Review Workshops conducted for CCHS Health Managers 

  • Clinical trainings on revised national guidelines for HIV & STIs provided 

  • TLD Transition TeleEducation Program for CCHS health workers developed 

  • Online and mobile-based adaptations to program activities during COVID-19 implemented 

  • SRHIP COVID-19 Support Program for Health Managers & Health Workers commenced. 

ASHM’s technical expertise in SRHIP Phase 1 resulted in: 

  • 73 HIV practitioners trained as Clinical Mentors with capacity to provide workplace support for up to 365 health workers 

  • 124 health workers attending HIV, STI and SRH clinical in-service 

  • 25 health workers trained as HIV Prescribers 

  • 45 health workers trained in HIV complex case management 

  • 51 health workers trained in M&E and Data Quality 

  • 47 health workers and health managers reached with COVID-19 Support Program for Health Managers & Health Workers 

  • Online and mobile-based adaptations of training and support during COVID-19. 

SRHIP Phase 2 (July 2020 – February 2020) will build on achievements and learnings from the previous phase, shifting in focus from internal service integration to integration of services within the broader health environment. The objective is to deliver quality, scaled HIV and sexual health services at 13 CCHS health facilities across 11 provinces of PNG. This will be achieved by building: 

  1. Strengthened integrated systems for management, monitoring and evaluation of high performing (effective and efficient) projects and services 

  1. Strengthened integrated services providing high quality HIV and sexual health care 

  1. Strengthened partnerships supporting a harmonised national and provincial HIV and sexual health response 

  1. Strengthened engagement with community and key populations promoting universal access to quality HIV & sexual health services. 

The International Division of ASHM is excited to continue this essential work on the SRHIP consortium. Our focus areas during Phase 2 will be clinical workforce development, monitoring and evaluation, gender transformative approaches to HIV service delivery and COVID-19 support for the CCHS HIV and sexual health sector of PNG. 

SRHIP is supported by the Australian Government in partnership with the Government of Papua New Guinea.