HIV/AIDS WG Session_Aida Samir
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HIV/AIDS WG Session_Aida Samir HIV/AIDS WG Session_Aida Samir Presentation Transcript

  • HIV/AIDS
    Comprehensive Model
    CORE Group Fall Meeting 2011
  • HIV/AIDS Comprehensive Model
    Contents:
    History
    HARP strategy
    HIV Treatment Centers
    Other HARP Applications
    Possible HARP Applications
    Future Plans
  • Food for The Hungry
    Christian relief and development organization founded in 1971
    Present in 26 countries with a focus on health and nutrition, child education, livelihoods and disaster risk reduction
    In FY09 funding was approximately $204m, half was USG funds (In FY10 received 2 NEFAPS totaling $185m including food- huge increase!)
    Focus on developing programs concentrating on quality improvement and behavior change.
    Known for developing/using: care groups, barrier analysis, etc.-
  • FH HIV Strategy and Policy
    History: in HIV/AIDS
    Bringing Hope: Multi-intervention program in Ethiopia, Kenya, Uganda, Rwanda, Mozambique. Church-based HBC, OVC, Prevention
    FH team created curriculums like Faithfulness in Marriage/Keys to a Healthy Relationship, Prevention of Sexual Abuse, and updated Choose Life
    • FH received PEPFAR funds through AHA (AERDO HIV/AIDS Alliance) for prevention grant in Ethiopia, Mozambique, Nigeria and Haiti
    FH was sub to World Concern in Haiti for (Prevention, OVCs, and Palliative Care) and CHAMP for reducing vulnerabilities of HIV+ people and their families.
  • FH HIV Strategy and Policy
    HARP Strategy
    Highly Active Retrovirus Prevention:
    A synergistic approach to HIV.
    A combination between Behavioral approaches, Biomedical approaches and Social, Justice and Human Rights approaches
    Strategy: Prevent HIV and AIDS using a combination of biomedical, behavioral, structural, and care approaches.
    Objective: to provide quality, family-oriented support to people infected and affected by HIV and AIDS.
  • FH HIV Strategy and Policy
    HARP Strategy
    For HARP to occur and be scaled-up the community and the support of strong leaders is essential.
    It requires access, linkages, or information to be provided so that clients receive a complete mix of biomedical, behavioral, structure and care approaches.
  • FH HIV Strategy and Policy
    Strategic Approaches to HARP
    Comprehensive Approach:
    Provide a full package for each HIV intervention.
    Integrated Approach:
    Ensures every HIV intervention clientreceives services from various HIV interventions.
  • FH HIV Strategy and Policy
    Strategic Approaches to HARP
    Tailor projects and messages to the local context
    Each country and regions within countries will adapt their projects according to the latest scientific information, best and promising practices, local conditions
    Building the Capacity of Others
    Such as governmental facilities, churches, CBOs, FBOs, NGOs and others to help them to provide high quality HIV services.
  • FH HIV Strategy and Policy
    Strategic Approaches to HARP
    Emphasizing sustainable approaches and handover to local entities
    Sustainable approaches involve local and national stakeholders at every level of program design, implementation and management
    Integrating HIV with other health programs and services
    Which ensure that participants in FH’s programs will have access to a full range of services.
  • FH HIV Strategy and Policy
    Strategic Approaches to HARP
    Partnering with a variety of organizations
    Like public, private, government, donor, research, community and local organizations
    Experiential learning for FH’s staff
    FH encourages and arranges visits between fields, participation in conferences, workshops and other learning opportunities.
  • FH HIV Strategy and Policy
    Strategic Approaches to HARP
    Working through both health facilities and communities
    Combine the efforts between the health facility and community to ensure quality services can reach all targeted communities.
    High Quality Monitoring and Evaluation
    FH has a vast array of monitoring and evaluation tools that can be used to increase the measurability of results.
  • FH HIV Strategy and Policy
    Strategic Approaches to HARP
    Evidenced-based, innovative and research focused programming
    Aspect of programming that enables FH to contribute to the body of knowledge, as well as to partner with research facilities such as universities.
    Gender issues are considered in the design, implementation and measurement
    Ensuring that the differing impacts on men and women, boys and girls are considered.
  • FH HIV Strategy and Policy
    Strategic Outcomes to HARP
    Impact:
    Physical, mental, spiritual and social health will improve, meeting 70% of their indicator targets.
    Scale:
    70% of FH fields use the HARP approach.
    Influence:
    On the cross-cutting issues like poverty, stigma and gender-based violence.
  • FH HIV Strategy and Policy
    HARP Application
    HIV Treatment Center
    Tumaini in Marsabit, Kenya and New Life Medical Center in Kitgum, Uganda
    Providing a comprehensive treatment package
    Partnership between many organizations
    Integrating HIV services with other medical services such as MCH, FP and TB
  • FH HIV Strategy and Policy
    HARP Application
    HIV Treatment Center
    Integrating community and facility
    Will be handed over to FBO after building their capacity
    Exchange field visits between the two clinics
    Research is approved to be done in the Tumaini
  • FH HIV Strategy and Policy
    HARP Application
    TB Integration in FH treatment centers
    Identified by symptoms
    Tested for TB
    Chest X-ray could also be requested
    Treat TB and test for HIV in case status is unknown
    Treat TB and consider HAART if positive
  • Kenya
  • Uganda
  • FH HIV Strategy and Policy
    HARP Application- Global Fund, Kenya
    GF R7
    PR: Care Kenya
    Activities: youth outreach, testing and counseling, ARV’s meetings and youth teams
    GF R10
    PR: Red Cross
    Activities: support ARV’s, Increase coverage of PMTCT, HTC, PEP, reach MARPS with services and build the capacity of other CBO’s
  • FH HIV Strategy and Policy
    HARP Application- AphiaPlus, Kenya
    Led by Pathfinder, include FH, MSH, IRC, and Intra-health
    Covering Zone 5
    Provide expanded HIV/AIDS services, Maternal/Child health, Population services
    Provide linkages to other USAID projects
    Provide services through health facility and community
  • FH HIV Strategy and Policy
    HARP Application- PrevSida, Haiti
    USAID’s national general population HIV prevention program (led by WV)
    IGA, SRH, educational support, legal support, etc.- through a variety of partners
    Training FBO partners
    Local CBOs, FBOs, MOE, MOH
    Building in discussions on gender roles, violence, substance abuse in order to reduce vulnerabilities for girls
  • FH HIV Strategy and Policy
    Possible HARP Applications
    PMTCT projects that include prenatal and postnatal follow up, community mobilization and providing needed ARV’s
    Testing and counseling services connected to referral centers and community groups using mobile, moonlight and stand alone services
    Linkages to wrap-around services such as nutrition programs, food security, income-generation and education services.
  • FH HIV Strategy and Policy
    Possible HARP Application
    Home based care projects connected to health facilities, T&C and prevention messages
    OVC projects connected to different service providers in order for a more holistic service to the OVC and their household
    Behavior Change projects that include elimination and minimization of risk
  • FuturePlanModelReplication
    Sudan
    Burundi
    Rwanda
    DRC
    Tumaini
    Kenya
    NLC
    Uganda
    Ethiopia
    MOZ.
    Center 3
    Kenya
    Center 2
    Uganda
    Center 2
    Kenya
  • Comprehensive Treatment ApproachFuturePlan
    Treatment
    Prevention
    IGA
    OVC/HBC
    Capacity
    building
    CDP
    WASH
    Health
  • HIV/AIDS
    Comprehensive Model