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Khush Raho Na Yaar. Presentation by Vivek Raj Anand Chief Executive The Humsafar Trust Mumbai, India. Khush Raho Na Yaar. HUMSAFAR Prevention, Care, Support and Treatment Minimum Service Delivery Package. Khush Raho Na Yaar. Humsafar MSD Package Includes. ~ Community Mobilization
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Khush Raho Na Yaar Presentation by Vivek Raj Anand Chief Executive The Humsafar Trust Mumbai, India
Khush Raho Na Yaar HUMSAFAR Prevention, Care, Support and Treatment Minimum Service Delivery Package
Khush Raho Na Yaar Humsafar MSD Package Includes ~Community Mobilization ~ Street Outreach and Condom Distribution ~IEC Development and Distribution ~STI Service and HIV Testing Facility ~ Care, Support and Treatment ~ Advocacy and Networking ~ Research and Training ~ Project Management
Khush Raho Na Yaar Community Mobilization ~ Drop-in-center ~ Library and Archives ~ Face-to-face counseling ~ Help-line (Telephone and E-Mail) ~ Community Workshops ~ Skills Building Programs
Khush Raho Na Yaar Street Outreach Outreach education on safer sex practices and increasing awareness on STIs among MSM and Tg and HIV and AIDS Conduct 1to1 and 1 to Group sessions
Street Outreach Condom Distribution – Free and Socially Marketed
Street Outreach - Lubes distribution Condom Demonstration and Condom Outlets
Khush Raho Na Yaar STI and HIV Services HST offers increased accessibility to high quality STI examination / treatment, HIV testing facilities HST links with Private Medical Practioners (PMPs) around hotspots to provide STI care and referrals for HIV testing
Khush Raho Na Yaar STI and HIV Services HST also provides general examination of routine illnesses to the MSM / TG Community at the HST Clinic HST counselors provide pretest and post test counselling to MSM and TG clients at HST clinic and its other referral linkages
Khush Raho Na Yaar Partner Notification HST encourages partner notification to MSM-PLWHA under its partner notification program
Khush Raho Na Yaar Referral Linkages 3 In house clinics and strategic linkages with public Health Care providers for care, support and treatment ~ Lokmanya Tilak Medical General Hospital ~ JJ Hospital ~ Thane Civil Hospital ~ MSF Treatment Center
Khush Raho Na Yaar Care, Support & Treatment To meet the specific requirements of the MSM-PLWHA, HST initiated “Sanjeevani” a group formed by and for MSM-PLWHA
Khush Raho Na Yaar Sanjeevani Safe space for positive men to meet and discuss their issues Initiate activities for getting family and community support Professional mental health support Initiate training and employment programs
Khush Raho Na Yaar Sanjeevani Initiating programs to promote healthy minds and healthy bodies Treatment of Opportunistic Infections (OIs) and enrollment in accessing ART
Khush Raho Na Yaar Sanjeevani Nutrition counseling and nutritive supplement support Provision of potable water and weighing machine at SSC premises
Khush Raho Na Yaar Advocacy & Networking Advocacy and Networking with different stakeholders and gatekeepers to create an enabling environment Advocacy is done at 2 levels Level 1 : direct influencers Level 2 : indirect influencers
Khush Raho Na Yaar Advocacy Level 1 : Direct Influencers ~ Police ~ Doctors / Counselors and Health providers ~ Lawyers ~ Educational Institutions ~ Job providers for employment of PLWHA ~ General Population
Khush Raho Na Yaar Advocacy Level 2 : Indirect Influencers ~ Municipal Corporators ~ Political parties ~ Policy makers ~ Press and media ~ Condom Manufacturers
Khush Raho Na Yaar Networking INFOSEM The Integrated Network for Sexual Minorities was set up in October 2003 Main objective : To join hands on vital issues of Sexuality, Health and Human Rights Members : 26 LGBT groups across the country
Khush Raho Na Yaar Research Gather Information systematically and scientifically to show evidence for up scaling of MSM holistic projects in the country First Knowledge-Attitude-Behavior-(KAB) study in March 2000, baseline for its pilot project Second wave study in March 2002 – KAB among MSM Third wave study in May 2004 - A HIV related risk behaviors of MSM in Mumbai & Thane Fourth wave study in 2005 Fifth wave study in 2007 ( Awaiting Dissemination )
Khush Raho Na Yaar Training Organize training programs for Outreach Workers (ORWs) and Peer Educators (PEs) led by trained community trainers. Training in MIS systems /Accounts / Financial management for the financial and administrative staff Training / sensitization for doctors and counselors specific to their respective roles Training for Community Counselors and CCHWs
Khush Raho Na Yaar ProjectManagement Develop management information systems (MIS) Develop human resources policy (HRP) Strengthen financial management systems (FMS) Monitoring and evaluation systems (M&E) Advisory boards (Community and Health )
Khush Raho Na Yaar ProjectManagement Project Support Systems Crisis Management Cell Friday Workshop Panel Advocacy Panel Street Theater Group
Khush Raho Na Yaar CHALLENGES Reaching the un-reached Female partners and wives of MSM Married and bisexual MSM Stigma and discrimination Disclosure of positive status reflected in stigma onion of HST Mainstreaming Acceptance of rational attitudes to sexuality
Khush Raho Na Yaar STIGMA ONION OF HST MSM HIV + STATUS Married to woman Cross-dresser Sex worker Socio economic status