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Impacts of ASHM mentoring program in Mendi, SHP, PNG Mentee perspective Clare Andawa Care Taker Catholic Health Secretary. Outcomes in p roviding services to communities. Increased information on STIs & HIV/AIDS in the community
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Impacts of ASHM mentoring program in Mendi, SHP, PNG Mentee perspective Clare Andawa Care Taker Catholic Health Secretary
Outcomes in providing services to communities • Increased information on STIs & HIV/AIDS in the community • Involvement of PLWHIVs as advocates • Reduced some level of stigma & discrimination Rural outreach,PLWHIV addressing people at Paka health centre,2011
Outcomes in Clinical management of STIs & HIV/AIDS • Improved quality in STI screening with lab set up • Capacity of CHWs as RLAs up scaled in screening common STIs • Appropriate clinical management of STIs & HIV/AIDS • Capacity of VCCT nurses and CHWs up scaled to manage HIV/AIDS effectively at remote facilities without much supervision CHWs delivering HIV positive women and administering ARV prophylaxis to neonate,Pureni,2012 RLA with battery powered microscope,Pureni,2011
Success • Increase in attendance of Antenatal mothers • Improved in STI management with rural laboratory and RLA trained • 1,010 People on ART • 90 Babies born HIV negative from positive parents • 32 Discordant couples • Antenatal women screened for HIV & STIs using Gram Stain and Wet Prep • Working towards the national target of Reducing 85% of mother to Child transmission
Challenges • Believe and teaching in faith based healing-HIV/AIDS & Saguma • Staff turn over • Polygamy & Partner Management • Closure of health facilities due to tribal fights/staff assault • Consistent supply of reagents & ARTs • Geographical location of facilities, ongoing challenge for coordination • Ownership & sustainability of Sexual health awareness programs in schools & communities • Communication • Change of weather patterns Nurses and Bishop with medicine box waiting to board MAF in Lake Kopiago,2013