Integrated outreach is the new normal

By 2026 the question is no longer whether outreach should be integrated. The data is settled. Single-service outreach cycles are now the exception, retained only for narrow campaigns where integration would slow throughput unacceptably.

Ten integrated cycles are now delivered per quarter across the six councils, each carrying six service streams: HIV testing, PrEP/PEP, family planning, GBV first-line response, TB symptom screening, and onward facility referral.

Yield — defined as the number of distinct clinical actions taken per client contact — is 34 percent higher in integrated cycles than in single-service cycles, with no detectable reduction in any individual service indicator.

Approximately 3,400 contacts are now made per quarter through integrated outreach, of which a quarter generate two or more clinical actions per contact.

Integrated cycles cost more per contact and less per outcome. The 2026 budget allocation reflects this — outreach lines are now sized by expected outcomes, not by expected contacts.