Both family planning (FP) and its integration with HIV programs have been overshadowed by donor emphasis on other urgent health issues, namely HIV, malaria and tuberculosis. This is especially true in sub-Saharan Africa where the HIV epidemic is most acute, fertility rates are high and modern contraceptive use is low.1 This occurs despite the high unmet need for FP in the region and the proven impact of FP programming on a broad range of development goals, including health, poverty reduction and environmental sustainability. FP and HIV prevention interventions are synergistic in efforts to prevent unintended pregnancies and HIV, and their integration contributes to lessening the burden of other health and socio-economic challenges faced in the developing world. This brief discusses the lack of synergy between FP and HIV prevention interventions and the benefi ts increased synergy could bring. It discusses current limitations to contraceptive access and their effect on the potential for integration, and what PSI is doing to improve FP/HIV integration. PSI is committed to increasing and improving such integration in order to maximize health impact and cost-effi ciency.