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Role of Civil Society in differentiated care

Role of Civil Society in differentiated care. George Ayala, PsyD Executive Director. definition. Key populations: Shoulder disproportionate HIV disease burden when compared with the general populations;

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Role of Civil Society in differentiated care

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  1. Role of Civil Society in differentiated care George Ayala, PsyD Executive Director

  2. definition • Key populations: • Shoulder disproportionate HIV disease burden when compared with the general populations; • Are criminalized or experience persistent and particularly heinous stigma, discrimination, and violence; • Experience inequitable access to services (intentionally and unintentionally). • Gay, bisexual men and other men who have sex with men, sex workers, transgender women, people who inject drugs – in all parts of the world.

  3. Differentiated care for Key Populations • Differentiated care models applied to key populations require: • Smart investment, not divestment. • Thorough assessment, screening and diagnostics; • Safe spaces; • Interventions and services that are principled – acceptable, accessible, evidence-informed, and rights-based; • Participatory approaches that center community.

  4. Implementing Comprehensive HIV and STI Programmes with Men Who Have Sex with Men: Practical Guidance for Collaborative Interventions (MSMIT), 2016

  5. Role community plays • Communities: • Deliverand tailor services; • Provide safe spaces; • Link with friendly healthcare providers; • Drive demand for quality, evidence-informed and rights-based services; • Monitor service implementation and document human rights abuses; and • Mobilize for advocacy.

  6. Service delivery Accessing services through an LGBT-led CBO has a dramatically large and positive association with utilization of HIV prevention, testing and treatment. Risk reduction programs (OR 76.72; CI 58.18-102.34, p=0.00) Condoms (OR 4.81; CI 4.09-5.68; p=0.00) Lubricants (OR 5.77 CI 4.83-6.90; p=0.00) HIV testing (OR 11.07; CI 8.67-14.23; p=0.00) ART(OR 1.92; CI; 1.19-3.10; p=0.00) GMHR, 2014

  7. advocacy 1 2 3 4 National targets and commitments Document human rights violations and structural barriers to sexual health services Combination prevention, testing, and treatment – holistic sexual health programming Watchdog international funding and domestic investment MSMGF & the Advocacy Platform to Fast-track the HIV and Human Rights Responses with Gay and Bisexual Men, 2017

  8. THANK YOU!

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