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Scaling-up harm reduction services towards universal access in Asia Models of good practice

Scaling-up harm reduction services towards universal access in Asia Models of good practice. ICAAP IX Bali, Indonesia Nai Zindagi, Pakistan. The Context. Potential future injectors. 15% yearly shift to injecting Majority men of which 50% are married with 4 children

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Scaling-up harm reduction services towards universal access in Asia Models of good practice

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  1. Scaling-up harm reduction services towards universal access in AsiaModels of good practice • ICAAP IX • Bali, Indonesia • Nai Zindagi, • Pakistan

  2. The Context Potential future injectors • 15% yearly shift to injecting • Majority men of which 50% are married with 4 children • 20% HIV prevalence among persons injecting drugs and up to 15% among their wives • Mostly poor and uneducated • Injecting drug use driven epidemic in Pakistan

  3. Coverage • Government financed- Civil Society implemented partnerships • 15-18% have access to HIV prevention services • Services include SEP, minus OST • Quality of services varies • Mechanisms of engagement and monitoring in place • Scale up is possible

  4. Outcome and Impact • Public-Private Partnerships work • Uninterrupted, at scale and consistent availability of services reduces transmission and incidence of HIV • Where programs exist coverage has been above 80%, resulting in a decrease and/or maintained prevalence • Transmission of HIV among people using drugs can be reduced with appropriate targeted interventions if initiated timely

  5. Some lessons • Trust and time to build partnerships • Ownership - essential to mobilize • Compensate for weaknesses and strength • Accountability and transparency • Inclusion - not exclusion • Avoid pilots if you know it works - go to scale

  6. Proposed scale up2010-2014 • Province wide contracts to reach 60% coverage by 2012 • Resource allocation expected from Government and Global Fund Round 9 • Proposed program includes OST and services for wives and children • Access to HIV and AIDS services included • Evidence based workable plan, dependent on resources

  7. Our approach HIV prevention and AIDS related services (80%) HIV & AIDS Client conceptualized and client driven Poverty Drug Use Drug treatment services (40%) Skills training and employment (20%)

  8. Thank you

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