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Les Ong Program Adviser

Community-based service delivery across the continuum of prevention, care & treatment for Key Populations. Les Ong Program Adviser. Epidemic Concentrated in Key Populations Goal: Zero new HIV infections by 2020 Cover 17 out of 22 provinces

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Les Ong Program Adviser

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  1. Community-based service delivery across the continuum of prevention, care & treatment for Key Populations Les Ong Program Adviser

  2. Epidemic Concentrated in Key Populations • Goal: Zero new HIV infections by 2020 • Cover 17 out of 22 provinces • Reach 49, 396 KPs (70% of estimated population size) with prevention, care and support services through community-based program

  3. Strengthening the Care Cascade

  4. Tailored Programs Transgender people Entertainment Workers Men who have sex with men

  5. Key Populations Linkage to Care + BCC, Condoms/ lubricants, NSP, oral/emergency contraceptives, HTC, STI& TB screen, risk tracing CD4, pre-ART/ART, ANC, VCCT, TB, STI, MMT, VL DIC HC HC Peer outreach worker Community level Active Case Management Implementing Partner NGO

  6. Key Populations Peer Driven Intervention Social Marketing DIC Finger Prick Testing mHealth HC Peer outreach worker Community level BCC, Condoms/lubricants, NSP , oral/emergency contraception HTC, STI screen, TB screen, Risk Tracing Implementing Partner NGO

  7. Key Populations Linkage to Care + CD4, pre-ART/ART, ANC, VCCT, TB, STI, MMT, VL DIC HC HC - Follow-up - Accompanied referrals - Health services liaison Peer outreach worker Community level Active Case Management Implementing Partner NGO

  8. Lessons Learned • Community-based approach brings services closer to KPs and improves linkage to, and retention in, the care cascade. • Institutional and capacity building of “specialist” implementing partner NGOs and task shifting to KP members are critical. • Challenge to reach KPs with highest risks and partners of KPs. We may need to consider modification of the outreach strategy – eg PDI, 24 hour drop outreach, GIS mapping. • OWs experience significant burden, low motivation and a high turnover, compromising quality of service delivery. ‘Professionalize’ to improve conditions and quality? • Community based approach needs to continue to evolve to reflect the needs of KPs. More resources are needed for research and to generate evidence of cost-effectiveness to stimulate investment.

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