Background
In Zambia today, 15% of all pregnancies end in abortion. In 2005, statistics from Hospital Gynae records at MGH indicate that only 14.2% of post abortion patients were linked to HIV/STI Services. Of these, only five (5) % received counseling on HIV. Abortion in Zambia remains illegal, unless medically indicated. PAC service provision at Mansa General Hospital is done in isolation with no direct linkage to HIV/STI services and other support services. There is therefore need to strengthen this linkage and increase access to these services

About the project
The project aimed at strengthening linkages between HIV/AIDS, STI and Post abortion care services through providing Post Abortion HIV counseling, increasing proportion of people receiving treatment on HIV/STI as well as improve the number of people linked to other SRH/HIV services. The project provided In-house Counseling to clients on Family Planning and STI/HIV and AIDS, conducted blood testing for HIV and RPR as well as Posttest Counseling, linked clients to appropriate clinics and community services, carried out patient follow up and maintenance of linkages between Gynae ward, CTC clinic, Laboratory, Adherence Corner, Haart Clinic and Community services and the team participated in weekly meetings on HIV/AIDS with other stake holders

Results
115 clients received Post Abortion HIV/STI counseling with age 20-24 being the largest with (27%). Of the 115 counselled, 103 and 109 received HIV and Syphilis testing services respectively. 89% tested for HIV and 94.7% tested for syphilis. Contraceptive uptake was 96% among the 115 clients that is they went home with a method and Microgynon was more adopted (79%).

Year: 2006