Safer Conception Services: Implementation Guide for Programme Managers and Health Care Providers


Wits Reproductive Health and HIV Institute


Why safer conception services are important Many HIV-positive individuals are adults of reproductive age who desire a child or children, now or in the future.[1] A significant proportion of these individuals have partners who are currently HIV uninfected.[2, 3] Safer conception services are needed, particularly in high HIV prevalence settings, to support these HIV infected and affected individuals and couples to achieve pregnancy safely, with minimal risks of horizontal or vertical HIV transmission. Safer conception services represent one intervention in the armament of HIV prevention strategies that are needed to curb new HIV infections. Safer conception services present an important opportunity to simultaneously tackle numerous key HIV related targets in an integrated approach, including USAID 90/90/90 targets and the elimination of mother to child transmission of HIV and syphilis.

How was this guide developed and who is it for?

This implementation guide has been developed to support the introduction and sustainable provision of routine fertility intentions screening and safer conception services at the primary healthcare level, as well as, where relevant, other levels of the health sector. It is founded on the principle of low cost, low technology services for resource-limited settings.

June 15, 2020
Year of publication
Resource types
Guidelines and Policies
conception, people living with HIV (PLHIV), programme managers, health care providers

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