Christian Innovations in HIV/AIDS       Prevention and Care  Increasing Demand for HIV Testing           in South Sudan   ...
Christian Health Association of                          Sudan   Shared Vision:    “All CHAS member    organizations visi...
CHAS MandateFacilitate organizationaldevelopment of its membersand actively advocate, foster,promote and support creationo...
CHAS Strategic Focus AreasThere are four (4) programmatic   strategic focus areas:     Health Systems strengthening     ...
CHAS Membership CHAS has 73 members drawn from:    Episcopal Church of Sudan -    Catholic Church –    African Inland ...
HIV/AIDS in South Sudan According to UNAIDS estimates HIV prevalance    among adult population in South Sudan s 3% South...
HIV/AIDS Prevalence by Surveillance ANC Site
HIV/AIDS Prevalence by        State
Key Determinants of the                       EpidemicKnowledge about HIV/AIDS is still extremely  low: Sudan Household ...
Key Determinants of the                          Epidemic Multiple   concurrent sexual partners coupled with low   levels...
Key Determinants of the                         Epidemic Poverty, desperately low school enrollment, high levels of   sti...
National Prevention                          Strategy     Given the nature of the epidemic and the post conflict context  ...
CHAS Engagement Awarded a service agreement to provide technical leadership    and management of South Sudan HVI/AIDS pro...
The role of FBOs Communities prefer to seek HIV/AIDS related   information and services from FBOs    They have been a so...
The role of FBOs Building an interface between facilities and the community     Health service promotion in churches and...
Taking Lead World AIDS Day  events
Strategies Used Building capacity through training and empowering   over 800 church leaders and church workers in   HIV/A...
Strategies Used Upgraded church   facilities Linked up with   traditional health   systems Attracted 80-100   clients p...
What was Unique?Churches participated   visibly in big events like   World AIDS Day   Campaigns. Supporting   positives an...
Results•   Trained and supported 44 counselors trained under this    project•    Sixteen [16] FBO sites targeted by this p...
Results•   Services were provided in 7 locations in Western Equatoria    [blitz sessions] and 18,232 people were served.• ...
CCIH 2012 Conference, Breakout 2, Joy Mukaire, Christian Innovations in HIV/AIDS Prevention and Care, Increasing the Deman...
CCIH 2012 Conference, Breakout 2, Joy Mukaire, Christian Innovations in HIV/AIDS Prevention and Care, Increasing the Deman...
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CCIH 2012 Conference, Breakout 2, Joy Mukaire, Christian Innovations in HIV/AIDS Prevention and Care, Increasing the Demand for HIV Testing

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Joy Mukaire of the Christian Health Association of Sudan discusses the organization's approach to encouraging HIV testing in the Western Equatoria and Lakes States of South Sudan.

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CCIH 2012 Conference, Breakout 2, Joy Mukaire, Christian Innovations in HIV/AIDS Prevention and Care, Increasing the Demand for HIV Testing

  1. 1. Christian Innovations in HIV/AIDS Prevention and Care Increasing Demand for HIV Testing in South Sudan Joy P. Mukaire CCIH Annual Conference June 2012
  2. 2. Christian Health Association of Sudan Shared Vision: “All CHAS member organizations visibly and effectively participating in health service delivery and contributing to the attainment of health outcomes for South Sudan”
  3. 3. CHAS MandateFacilitate organizationaldevelopment of its membersand actively advocate, foster,promote and support creationof partnerships among memberorganizations, the public sectorand other development partnersoperating in Sudan
  4. 4. CHAS Strategic Focus AreasThere are four (4) programmatic strategic focus areas:  Health Systems strengthening CHAS members  Community systems strengthening  Scaling-up coverage of priority health interventions for South Sudan  Advocacy and creation of partnerships
  5. 5. CHAS Membership CHAS has 73 members drawn from:  Episcopal Church of Sudan -  Catholic Church –  African Inland Church -  Presbyterian Church –  Pentecostal churches –  Sudan Presbyterian evangelical Church -  Muslim faith groups –  PLHIV Network
  6. 6. HIV/AIDS in South Sudan According to UNAIDS estimates HIV prevalance among adult population in South Sudan s 3% South Sudan shares borders with countries reported to have high rates of HIV/AIDS (Uganda 6.5%, Kenya, 6.3%, Ethiopia, 1.1%, DRC 3.4%, Central African Republic 4.9%) Since the signing of the CPA there is increased population movement and interaction across boarders such that there is potential for the epidemic to blow-up The nature of the epidemic is generalized low although there are “hot spots” where it has matured and is grounded
  7. 7. HIV/AIDS Prevalence by Surveillance ANC Site
  8. 8. HIV/AIDS Prevalence by State
  9. 9. Key Determinants of the EpidemicKnowledge about HIV/AIDS is still extremely low: Sudan Household Survey 2010 showed that only 11% of southern Sudanese women aged 15-24 years are knowledgeable about three ways of preventing transmission of HIV. Only 53.8% among women aged 15-49 years have heard of HIV/AIDS 41.1% of women and 58.1% of men know can avoid the AIDS virus by using a condom correctly every time
  10. 10. Key Determinants of the Epidemic Multiple concurrent sexual partners coupled with low levels of condom use High levels of stigma, discrimination, and denial regarding HIV/AIDS and rudimentary health care systems. Massive population movements (IDPs relocation, refugees influx, repatriation, ex-combatants transition to civilian life, and commercial transporters travel)
  11. 11. Key Determinants of the Epidemic Poverty, desperately low school enrollment, high levels of stigma, discrimination, and denial regarding HIV/AIDS and rudimentary health care systems. Cultural norms such as tribal marking practices, polygamy and widow inheritance are also ingredients for rapid spread of HIV.
  12. 12. National Prevention Strategy Given the nature of the epidemic and the post conflict context South Sudan HIV/AIDS Strategic Framework includes seven thematic areas: Enabling environment; Prevention; Treatment, care and support; Capacity building; Post conflict ; and Monitoring & EvaluationThe Prevention strategy includes6. Awareness raising and community education7. HCT8. Promotion of condom use9. PMTCT10. Blood safety
  13. 13. CHAS Engagement Awarded a service agreement to provide technical leadership and management of South Sudan HVI/AIDS project supported by Multi Donor Trust Fund [MDTF] Two states: Western Equatoria and Lakes States Sub-contracted and strengthened capacity of 35 implementing partners Western Equotoria Lakes• 15 FBO 7 8• 6 CBO 3 2• 11PLHIV Associations 10 1• 2 Local government departments 1 1
  14. 14. The role of FBOs Communities prefer to seek HIV/AIDS related information and services from FBOs  They have been a source of comfort and compassion time in memorial. A source of spiritual and other emotional support  Command authority in making HIV/ADS an issue for public dialogue  Supported creation & operations of PLHIV support groups Link with and work in partnership with traditional health care systems to increase access to PMTCT
  15. 15. The role of FBOs Building an interface between facilities and the community  Health service promotion in churches and on Christian FM radios  Disease prevention  Promote care seeking & compliance with treatment practices Supporting specific models for creating evidence in priority setting and target prevention, care and support  Participatory statistical methods like LQAS to collect evidence  Cost effective home-care models – target primary care givers  Outreach service systems  Linking and working with traditional health care systems
  16. 16. Taking Lead World AIDS Day events
  17. 17. Strategies Used Building capacity through training and empowering over 800 church leaders and church workers in HIV/AIDS awareness raising and education – a brief session per church service Reaching out by initiated care & support structures – PLHIV associations and service centers Trained community mobilizers and counselors and established outreach service teams with support from ministry of health. – 36 locations
  18. 18. Strategies Used Upgraded church facilities Linked up with traditional health systems Attracted 80-100 clients per session once a month
  19. 19. What was Unique?Churches participated visibly in big events like World AIDS Day Campaigns. Supporting positives and taking lead in public debates Facilitating first public testimony by a young man in Rumbek
  20. 20. Results• Trained and supported 44 counselors trained under this project•  Sixteen [16] FBO sites targeted by this project were upgraded and supported to carry out HCT sessions on a weekly basis.•  VCT services initiated at 7 sites in Western Equatoria [Yambio, Nzara, Ibba, Ezo counties] and 9 in Lakes [Rumbek Central, Rumbek East, Cueibet, Yirol West and East, Wulu ]•  VCT services combined with advocacy reduced stigma in areas considered difficult due to strong culture
  21. 21. Results• Services were provided in 7 locations in Western Equatoria [blitz sessions] and 18,232 people were served.•  Services were provided in 9 locations in Lakes [blitz sessions] and 7,951 people were served.•  Forty three [43] TBAs in Nzara and in twenty four [24] Rumbek were trained to promote access and utilization of PMTCT•  Organized HCT sessions for CSWs: 66 in Yambio and 38 in Rumbek• Trained 78 Home Based care Facilitators who support primary care givers

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