The SRHR and HIV Linkages index is built upon a Theory of Change for the Compendium of SRHR and HIV Linkages Indicators. This Theory of Change shows that a comprehensive SRHR and HIV Linkages approach is built upon three domains:
Domain 1: An enabling environment for a linked SRHR and HIV response: To make any gains in overcoming poor HIV and SRHR outcomes, the structural determinants of gender inequality, stigma and discrimination and a restrictive legal environment need to be addressed. It also requires linkages between national HIV and SRHR policies, strategies, guidelines and operational plans and funding.
Domain 2: Health systems that support SRHR and HIV integration: Weak health systems are responsible for many of the gaps that impede the full enjoyment of the right to health, including SRHR and HIV. Linking SRHR and HIV requires bringing together related health systems for more comprehensive service delivery. This can be done through a health systems strengthening approach and includes a focus on: coordination mechanisms; human resources; procurement and supply chain management; health information systems; and health service coverage.
Domain 3: Integrated services to increase access to and utilisation of SRHR and HIV services: The provision of integrated SRHR and HIV services enables clients to receive as many quality services as possible at the same time and in the same place, especially at the primary healthcare level. It can reduce missed opportunities for accessing health services – particularly among people living with HIV and key populations.
During the process to develop the SRHR and HIV Linkages Index, each of the domains were broken down into sub-domains to ensure indicators are included to reflect the full scope of SRHR and HIV Linkages. These sub-domains –agreed upon by an Expert Panel – were developed based on previous work on SRHR and HIV Linkages – such as the Rapid Assessment Tool for SRHR and HIV Linkages. Indicators were then selected for each of the sub-domains. A full list of the indicators, sources, and targets are available here with a printable pdf version also downloadable here.