Components and Attributes

Key Components

CHANGE’s research indicates three essential components of sexual and reproductive health care: family planning, sexual health, and maternal health. When offered as a comprehensive program in one location or through seamless referral processes, these services can be the most effective method for preventing HIV/AIDS and other STIs, reducing maternal mortality and long-term pregnancy-related injuries, and maintaining healthy families.

Key Attributes

User-centered and Participatory

Programs and services are developed based on the needs of the user, who is included in every step of program planning, implementation, and evaluation.


Services are provided free from judgement and stigma, and the user's privacy and consent is paramount.

Informed Choice

Accurate information is provided on all available services and options.

Freedom From Coercion

Services are delivered free of pressure.

Equal Access (race, class age, gender, sexuality, HIV status, profession)

Services are affordable, offered in appropriate languages, physically accessible and are available to all people at all times.

Quality of Care

Services are provided by trained personnel, with quality mointoring and evaluation performed regularly.

Integration of Care

Family planning, sexual health, and maternal health services are offered in one location or through a seamless referral process, and are linked to services for survivors of gender-based violence.

Comprehensive Sexual and Reproductive Health Services Framework

(click to enlarge)