In order to provide appropriate and high quality reproductive health (RH) services, including counseling, providers must ask clients a range of sensitive questions about their sexual behavior or that of his or her partner. Clients are less likely to reveal accurate information if they fear that personal information will be shared with anyone other than the health provider. Clients have sensitive and diverse needs, such as testing and treatment for sexually transmitted infections (STIs), including HIV, treatments to prevent mother-to-child transmission of HIV, family planning, and care for complications of unsafe abortions. A growing body of research supports that protection of privacy and confidentiality is a priority factor in whether clients access RH information, counseling, and services. When clients experience violations in privacy orconfidentiality they are also more likely to drop out of services.