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BSS/ECVC-Honduras MSM

BSS/ECVC-Honduras MSM. Sonia Morales Miranda, DVM, MSc Centers for Disease Control and Prevention (CDC) Global Program on AIDS (GAP) Oficina Regional de Centro América y Panamá. Secretaría de Salud.

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BSS/ECVC-Honduras MSM

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  1. BSS/ECVC-Honduras MSM Sonia Morales Miranda, DVM, MSc Centers for Disease Control and Prevention (CDC) Global Program on AIDS (GAP) Oficina Regional de Centro América y Panamá

  2. Secretaría de Salud Central America Behavioral Surveillance and HIV/STI Prevalence Survey – Honduras, 2005 – 2007MSMCSWPLHGarifunas

  3. Background • BSS protocol developed without local leadership and without local partners. • Civil society was opposed to having a BSS given previous negative experiences. • MOH not involved in the planning process and at times, opposed to the BSS for lack of involvement from the start. • Protocol’s 1st draft presented at a national forum and everyone was opposed. • CDC initially invited to participate providing technical expertise and eventually asked to run the BSS.

  4. Ground work • Dialogue with MOH to highlight importance of BSS/Honduras. • CDC develops new protocol and it is vetted throughout the process with stakeholders at MOH and in civil society. • CDC convenes an ad-hoc Steering Committee comprised of representatives from: • MOH • Civil Society • Donor Agencies • UN System Agencies • NGOs working on AIDS • Universities • Social Security

  5. MOH as a Partner • National AIDS Program Strengthening • Human Capacity Building in HIV/AIDS 2nd Generation Surveillance • Physical Space Infrastructure • Informatics and Computers • Infrastructure/equipment Strengthening • Laboratories • Clinics • Study sites • Diagnostics capacity • Trainings in different methodologies (PCR, BED) in Atlanta

  6. Civil Society and NGOs as Partners • Protocol development in consultation with gate keepers • Questionnaires developed, piloted and vetted • NGO staff (interviewers, recruiters, etc.) were trained to participate in all stages of the survey • Natural leaders from Civil Society were recruited as field coordinators • Commitment from CDC to consult civil society in each of the processes as partners in research • Return results to the different communities at the end of the Survey. • Develop Capacity to Interpret the findings • Develop Capacity for Grant Proposals

  7. Other Agenciesas Partners • Leverage from all interested agencies: • USAID – Overall Funding • UNAIDS – Political Support • PAHO/WHO – Funding training • Universities – Molecular Biology Laboratory • CDC/Atlanta – STD Laboratory and HIV Laboratory • PSI/PASMO – Condoms • AED/PASCA – Logistics

  8. BSS/ECVC Objetives • Obtain behavioral indicators for the populations included in the survey. • Determine HIV and STI prevalence for groups at a higher risk for transmission. • Provide with strategic information for prevention program planning to key players in order to develop a more precise response to the HIV epidemic in Honduras. • Support the development of local capacity to establish behavioral surveillance. • Develop local guidelines, methods and instruments on how to execute future BSS in Honduras. • Use innovative approaches and techniques to conduct BSS (RDS, ACASI, BED, Resistance to ARV)

  9. Accomplishments • Data for Decision Making • National Response Five Year Strategic Plan • Global Fund Proposal • USAID’s Five Year Programming Plan • NGO Program Realignment • WHO/UNAIDS Projections based on most recent data (not estimates) • Establishment of STI Control Clinic for MSM

  10. Accomplishments • Civil Society and PLH • Paradigm change: from unwilling guinea pigs to help guide the BSS • “Realization” that they were capable of partnerships in research • Civil Society and PLH “can” benefit from BSS participation and findings • Mended relationships and development of new way in working with MOH, international agencies and academic institutions. • Behavioral Surveillance Processes Ownership

  11. MSM National Partners Asociación Kukulcan Asociación Colectivo Violeta Asociación Arco Iris Comunicando cambio para la vida, COMCAVI Región Metropolitana de Tegucigalpa Centro de Salud de las Crucitas Laboratorio de Referencia Nacional de ITS Laboratorio de Referencia Nacional de VIH Región de Salud de Comayagua Cesamo José María Ochoa Comunidad Gay Sampedrana para la Salud Integral (CGSI) Centro de Prevención y Educación en Salud, Sexualidad y SIDA (CEPRESS) Centro Integral Imágenes Positivas Red de Hombres Gay Positivos Colectivo Travestí, Transgeneros y Transexuales Región de Salud Metropolitana de San Pedro Sula UMIETS/ Cesamo Miguel Paz Barahona Asociación Mano amiga, AMA OPROUSE Región de Salud Departamental de Atlántida UMIETS / Hospital de Atlántida

  12. National Partners Región Metropolitana de Tegucigalpa Centro de Salud Alonso Suazo Laboratorio de Referencia Nacional de ITS Laboratorio de Referencia Nacional de VIH Programa para el Desarrollo de la Infancia y la Mujer (PRODIM) Comunicando cambio para la vida, COMCAVI Región de Salud de Comayagua Cesamo José María Ochoa Proyecto por amor a la vida / Cruz Roja, Filial Comayagua Región de Salud Metropolitana de San Pedro Sula UMIETS/ Cesamo Miguel Paz Barahona Proyecto Siloé de Ministerios Siempre Unidos de la Iglesia Episcopal Región de Salud Departamental de Atlántida UMIETS / Hospital de Atlántida COCSIDA Red Gestora de Trabajadoras Sexuales

  13. Thanks/Gracias

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