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Community and Home Based Care – Reaching Out to Women and Children in Pakistan. KP province and the tribal belt, bordering with Afghanistan HIV prone province because of migration / deportations Women and children - discrimination and neglect
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Community and Home Based Care – Reaching Out to Women and Children in Pakistan • KP province and the tribal belt, bordering with Afghanistan • HIV prone province because of migration /deportations • Women and children - discrimination and neglect • Known PLHIVs, 70 % males, seldom declare their HIV status at home - stigma • War affected zone A f g h a n i s t a n T r i b a l A r e a s Khyber Pakhtunkhwa (KP) Pakistan
Community and Home Based Care – Reaching Out to Women and Children in Pakistan • CHBC project targeted the women and children of the enrolled male PLHIVs • Home based testing with rapid diagnostic kits through trained female outreach workers / Voluntary Counseling & Testing (VCT) • Referral for Anti Retroviral Therapy (ART) • Referral for Prevention from Mother to Child Transmission (PMTCT) services • Socio-economic support to PLHIVs and their family members
Community and Home Based Care – Reaching Out to Women and Children in Pakistan • In year 2013, a total of 962 women partners of the enrolled male PLHIVs were tested: • Among them 102 (11%) were HIV positive and were referred for further care at the ART sites • Similarly 281 children were tested in one year time, 31 (11%) among them were positive for HIV
Community and Home Based Care – Reaching Out to Women and Children in Pakistan • CHBC approach raised the number of women and children in HIV treatment, care and support facilities • Addressed the gap / gender imbalance • Facilitated access to most at risk communities and brought them into mainstream continuum of care • Replicable and scalable in similar situations of marginalized communities and hardest to reach areas