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Supporting MSM and TGs, Nepal Leads the Way. Kabiraj Khanal MoHP 27 July, 2012 . Outline . Status and trend of HIV prevalence Routs and MARGs Plans and Programs of GoN Activities in collaboration with CSOs Other Govt Activities. Selected Indicators, Nepal, 2011.
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Supporting MSM and TGs, Nepal Leads the Way KabirajKhanal MoHP 27 July, 2012
Outline • Status and trend of HIV prevalence • Routs and MARGs • Plans and Programs of GoN • Activities in collaboration with CSOs • Other Govt Activities
HIV Infections Estimates among Adults, by Sub Groups, Nepal, 2011
Estimated Number of HIV Infections and HIV Prevalence, 1985-2015 %
Trend of Estimated Adult HIV Infections among Risk Groups: 1980-2015
Reported cases of HIV infections by sub groups and Sex, July 2011
Routes of Transmission among Reported HIV cases, 2011 N = 2,060
What GoN is Doing? • Implementing NHSP II (2010-2015) • Developed National HIV AIDS Strategy 2011-2016 in 2011 • A No. of other sectoral policies and plans • Provides services through its outlets • Supports CSOs in implementing various Programmes
Major targets of NSP 2011 Compared to baseline figure of 2010: • Reduce HIV transmission by half by 2016 • MSM from 3.8 to 2.0 • MSWs from 5.2 to 2.5 • Reduce HIV deaths by 25% by 2016 • Reduce new HIV infection among children by 90% by 2016
Key Actions proposed in NSP • Provide comprehensive priority interventions for MSM, MSW and TG • promoting condom use, water‐based lubricants, detecting and managing STIs, IEC through peer outreach; enabling people to know their HIV status and psychosocial and emotional counseling. • Advocate MSMs’ right and needs with law enforcement, health service providers, and other stakeholders to respect, protect, and fulfill the rights of MSM,TG and meet their needs for services. • Sensitize MSM, MSW and TG on the importance of legal services and lawyers providing these services.
Major Programs being implemented in Partnership • Comprehensive HIV prevention program for MSM, MSW and TG (WB Pull fund, to NCASC to BDS) • Comprehensive HIV prevention program for MSM, MSW and TG (GF R7, to FPAN to BDS) • Capacity building and advocacy program for MSM, TG (GF R9, through PSI DIVA project to BDS • National Working Group is formed (Coordinated by MoHP) • Regional WGs are also formed • Comprehensive HIV prevention program for MSM, MSW and TG (GF R10, to Save the Children to BDS) • LGBTI children Study ( Save the children with BDS)
Major Programs being implemented, contd… • NHRC has focal person and desk for LGBTI people and has started intern at NHRC from LGBTI community • UNDP conducted Comprehensive HIV prevention program for MSM, MSW and TG from 2006 to 2011. • UNDP supported BDS to amend proposed criminal code and civil code • In 2011 UNAIDS supported research on TG community • UNICEF is going to conduct capacity building program for adolescent MSM,TG in 2012 ( August to December) • GoN provides Yearly Budget for LGBTI community
Other Key Activities • GoN has formed a Committee to recommend on same sex marriage • Supreme Court decriminalized the same sex relationship • Mapping of Discriminatory legal provisions (on the basis of gender identity) is completed • Directives is being developed to grant citizenship certificates on the basis of Gender Identity (others category) • Program to protect rights of sexual minorities have been incorporated in 3 year NHRAP.