1 / 16

Residential Support for HIV-Positive and Street-Involved Girls in Ukraine

Residential Support for HIV-Positive and Street-Involved Girls in Ukraine. Living, Loving, Working: HIV and Sex Work July 2 1, 201 4, Melbourne, Australia 20th International AIDS Conference Halyna Skipalska Ukraine Country Director , HealthRight International

nevaeh
Download Presentation

Residential Support for HIV-Positive and Street-Involved Girls in Ukraine

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Residential Support for HIV-Positive and Street-Involved Girls in Ukraine Living, Loving, Working: HIV and Sex Work July 21, 2014, Melbourne, Australia 20thInternational AIDS Conference Halyna Skipalska Ukraine Country Director, HealthRight International Executive Director, Ukrainian Foundation for Public Health

  2. Overview • HealthRightInternationalisa global health and human rights organization working to build lasting access to health for excluded communities. • The Ukrainian Foundation for Public Health (UFPH)is a Ukrainian charitable organization, founded by HealthRight International in 2008, with the aim of building local sustainability.

  3. 30 to 100 thousand youth live on the streets in Ukraine Donetsk, 2010

  4. Street Youth and HIV 18.4% HIV prevalence among street youth (HealthRight/CDC 2009) Chernigiv Volyn Rivne Sumy Zhytomyr Kyiv Lviv Kharkiv Khmel-nytskiy Ternopil Poltava Luhansk Cherkasy Iv.-Frank. Vinnytsia Zakarpatska Kirovograd Chernivtsi Dnipropetrovsk Donetsk Zaporizhia Mykolaiv Odessa Kherson ARCrimea Donetsk: 9.8%(N=307) HIV prevalence rate in three cities18.4% Kyiv: 18.6%(N=311) Odesa: 26.7%(N=311)

  5. Street-Involved Girls Street girls and young women are a small (25%),but highly vulnerable sub-group of the larger street youth population

  6. In 2010, to respond to the extreme vulnerability of street-involved girls, and the high prevalence of HIV among them, HealthRight and UFPH launched a service model for street-involved women and girls in Kyiv. Continuum of Care for Street-involved and HIV-positive Women and Girls

  7. Continuum of Care for Street-involved and HIV-positive Women and Girls Outreach Drop-in services Halfway House Case Management Independence or family Referral

  8. Street Outreach Mapping of sites Psychosocial counseling Client referral Voluntary HIV counseling and testing STI, Hepatitis testing. In 4 years: • 598girls and women received services in outreach • 313were tested for HIV • 11 HIV-positive.

  9. Drop-in Center for Women and Girls • Shower, laundry, food • Legal, social, psychological • Material support • HIV, STIs and pregnancy testing • Referrals (advanced medical care) • STEPS HIV prevention and education trainings • Case management • Psychological intervention for survivors of VAW and partner perpetrators • Services for children • Basic services for client’s partners.

  10. Drop-in Center for Women and Girls • June 2010 – May 2014: • 1 160 girls served • 247 (21.3%) HIV-positive • 98 pregnant (including 14 HIV-positive) • 655 tested for STI, 30 with positive result • 329 tested for Hepatitis, 13 with positive result • 147 tested for pregnancy, 7 with positive results • 744 children received services, including 152 HIV-positive • 107 clients partners received services.

  11. In 2013, HealthRightadded a halfway house to the continuum of care for especially vulnerable women and girls. • Residence Based Support at the Halfway House

  12. Residence Based Support in the Halfway House

  13. Residence Based Support at the Halfway House • Since May 2013, 17 women and 19 of their children have been engaged in residential care. • 2 HIV-positive • 5 had lived in an orphanage • 10had lived on the street • 12 had abused substances • All had survived abuse. • All clients have kept parental rights for their children. Fiveclients with their children were supported to transition to independent living. Four returned to partners and family members, 3 were referred to rehabilitation centers and 5 continue to receive services.

  14. Conclusions/Next Steps A residential program is a critical part of the continuum of care, allowing a secure transition to independence and prevention of child abandonment. HealthRight and UFPH intend to develop a career and financial literacy program to help clients improve their prospects for independence.

  15. Thanks to our donors!

  16. Thank you! HealthRight International Representative Office in Ukraine 3, Stanislavskoho St., Office 7, Kyiv, 01001 Tel.:/Fax: + 38 (044) 278 2358 Halyna.Skipalska@healthright.org www.healthright.org www.healthright.org.ua

More Related