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International AIDS conference 2014. Fragile States: Boosting community systems for effective HIV response . Dr Syed Jamal Shah IFRC Pakistan 20 th July 2014 . Session Brief . HIV Status in P akistan Community& Home based Care. Community based health programming. Challenges.
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International AIDS conference 2014 Fragile States: Boosting community systems for effective HIV response Dr Syed Jamal Shah IFRC Pakistan 20th July 2014
Session Brief • HIV Status in Pakistan • Community& Home based Care. • Community based health programming. • Challenges. • Way Forward .
low prevalence, high risk to “concentrated "epidemic People who inject drugs (PWID), 27.2% Transgender sex workers (HSW) at 5.2%, Male sex workers (MSW 1.6% Female sex workers (FSW) 0.6%. Estimated 105 161 people living with HIV by the end of 2013 HIV Statistics
HIV Statistics • 7568 PLHIV registered in 18 HIV centres • Out of these, 3211 adult PLHIV and 70 children were on ART. • HIV treatment, care and support facilities are available through • 18 HIV treatment centres, • 5 paediatric AIDS centres, • 16 VCCT • 11 (PPTCT/PMTCT) sites. • Under Global Fund Round 9 till now 11 CHBC sites have been established.
Global Fund Round 9:Community and Home Based Care.(CHBC) CHBC Package includes; • VCT • Travel costs for ART. • Nutritional Support. • Diagnostic services. • Referral • School fess for children • Funeral costs • Vocational Training Communities can play an effective role in prevention and care if properly trained & oriented. Increased the access to care and support. Out reach workers and councillors are PLHIVs .
Red Cross: Community based health programming. • Community based health & First Aid(CBHFA) • Community based volunteers and coaches. • HIV/AIDS response is integrated - Pilot phase • Awareness about HIV/AIDS • Stigma and Discrimination • Referral Services.
Model of community programming • 10-20 House Holds are catered by one volunteer. • 8-10 Volunteers are supervised by coaches. • Coaches are supervised by Health educators based in basic health units of that community . • Linking it to formal health system. • Training of volunteers, coaches and community .
Challenges • Integration. • Limited budget and delay in fund transfers • Turn over of volunteers. • Access to high risk groups . • Security issues & Law and order situation • Frequency of natural disasters.
Way Forward. • Trainings of communities. • Involvement of PLHIVs as volunteers. • Linkage development with APLHIV • Strengthening of referral hospitals and services.