For decades, the Arab States have emphasized maternal health care, child health, and family planning in primary health care, reflecting the priorities governments have placed on these issues. Strategies or policies to guide the integration of a full package of sexual and reproductive health (SRH) services, including family planning and HIV/AIDS, have been largely absent. This brief uses assessments of the situation in 11 Arab countries to describe the challenges of integrating such care at the primary health care level, and it then makes recommendations for moving forward.