Work package 4: Design of an optimum package of SRH interventions and services

Overall objective

  • To design a feasible and optimum package of interventions tailored to conditions at each study site to improve sexual and reproductive health care in general and for sex worker populations in particular

Specific objectives

  • To design a feasible and optimum package of interventions/services for each of 4 selected study sites,  both health facility- and community-based, tailored to the specific conditions at each of these sites
  • To design a model to better align and integrate SRH services for the general population and targeted interventions for female sex workers
  • To use the designed packages and models of interventions to develop a strategy to improve sexual and reproductive health care for both the general population and female sex workers, that it is replicable in other settings


Based on the policy and situation analysis, and existing knowledge on cost, effectiveness and preferences of local policy makers, health staff, community and other stakeholders, context specific packages of interventions were designed to improve SRH in general populations and FSW. Intervention packages were designed to have the highest likelihood of sustainability (be able to continue with little or no support from the research team after project completion).
Packages had 3 components:

  1. Comprehensive integrated high-quality SRH services within public facilities.
  2. Comprehensive high-quality SRH services for FSW. Local models depended on the outcome of the policy and situational analysis, but involved a linked combination of services for FSW and general population women (e.g. services integrated within the general public health services with measures to increase accessibility and acceptability by sensitisation of staff, separate opening hours or services; and/or targeted interventions providing services in the community via a separate facility, or mobile services).