Osd implement harm reduction & hiv prevention
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Osd implement harm reduction & hiv prevention

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Osd implement harm reduction & hiv prevention Osd implement harm reduction & hiv prevention Presentation Transcript

  • Presented by: Haseeb Rehman (CEO-OSD) Tel: +92-51-5564009, Cell: +92-300-9147574, Fax: +92-51- 5564008 e-Mail: osd@osdpakistan.orgwww.osdpakistan.org
  • Implement Harm Reduction & HIV Prevention Project for MSM – TGs – IDUs in Rawalpindi, PAKISTAN (2011-2012)www.osdpakistan.org
  • INTRODUCTION: OSD is a Non-Governmental Organization working in the area of promoting health, preventing unhealthy behavior and social problems by raising awareness regarding predisposing factors associated with them, mainly Sexually Transmitted Infections (STIs) and HIV amongst the Most at Risk Populations (MARPs) in Rawalpindi since 1996.www.osdpakistan.org
  • PROJECT OBJECTIVES: To provide harm reduction services to Injecting Drug Users (IDUs), Men Who Have Sex with Men (MSM) & Transgenders (TGs) for the prevention and control of HIV and other blood borne infections in Rawalpindi. Through this pilot project we attempted to address IDUs, MSM and TGs simultaneously with necessary interventions to prevent HIV and STIs transmission among them. Target Population:  400 IDUs  138 MSM  137 TGs Time Frame: 12 monthswww.osdpakistan.org
  • SERVICES: The following services were provided in this project; • Provision of clean sterile syringes in exchange of used ones • Provision of condoms and its correct usage • Provision of Voluntary Counseling and Testing (VCT) Services • Dissemination of correct information, myths and misconception about HIV • Provide access to Anti Retroviral Therapy through public sector HIV Clinic • Provision of basic social services • Provide referral services for detoxification • Train peer-educators from the target populationswww.osdpakistan.org
  • METHODOLOGY: The project staff initially did a mapping of all IDUs, MSM & TGs in the target area. The Outreach workers developed a daily plan to visit identified spots and access drug users with clean syringes and collect used ones on daily basis. The ORWs were accompanied by a paramedic on alternate days to look after the IDUs with wounds and abscesses for dressing/treatment. It was estimated that 4 ORWs will access 400 IDUs daily by the end of the project for syringe exchange services. The MSM and TGs accessed condoms and lubes from different service delivery outlets of OSD. The batches of approximately 25 MSMs and TGs were invited for a day-long session every month to educate them about the risks of HIV transmission through sex and injecting drugs and ways to refrain from such behaviors. Peer educators were trained to spread HIV prevention messages and information about safer injecting practices to other members of their community.www.osdpakistan.org
  • TARGET COMMUNITY ACCESSED VIA OUTREACH INTERVENTIONS Sr. Target Group Total Beneficiaries Reached Follow up Visits to Field 1 IDUs 419 3,742 2 TGs 142 936 3 MSM 140 873 4 Grand Total 701 5,551 SYRINGE PROVISION By ORWs At DIC At Community Based Outlets Total 54,265 1,898 48,337 104,500www.osdpakistan.org
  • CONDOM DISTRIBUTION By ORWs At DIC At CB Outlets Total 26,244 1,206 30,300 57,750 PEER EDUCATION TRAINING SESSIONS Sr. Category # of Participants Sessions 1 IDUs 90 8 2 TGs 106 14 3 MSM 79 7 4 Totals 275 29www.osdpakistan.org
  • VCT RESULTS (COMBINED) Sr. Name of Test Test Conducted +VE Prevalence 1 HIV 500 46 09.2% 2 Syphilis (VDRL) 500 87 17.4% 3 HBs Ag 500 46 09.2% 4 HCV Ab 500 52 10.4% 5 T.B. 500 44 08.8% 6 Typhoid 500 01 00.2%www.osdpakistan.org
  • VCT RESULTS (IDUs) Sr. Name of Test Test Conducted +VE Prevalence 1 HIV 300 36 12.0% 2 Syphilis (VDRL) 300 09 03.0% 3 HBs Ag 300 34 11.33% 4 HCV Ab 300 35 11.66% 5 T.B. 300 32 10.66% 6 Typhoid 300 01 00.2%www.osdpakistan.org
  • VCT RESULTS (TGs) Sr. Name of Test Test Conducted +VE Prevalence 1 HIV 100 06 06.0% 2 Syphilis (VDRL) 100 47 47.0% 3 HBs Ag 100 07 07.0% 4 HCV Ab 100 09 09.0% 5 T.B. 100 08 08.0% 6 Typhoid 100 00 00.0%www.osdpakistan.org
  • VCT RESULTS (MSM) Sr. Name of Test Test Conducted +VE Prevalence 1 HIV 100 04 04.0% 2 Syphilis (VDRL) 100 31 31.0% 3 HBs Ag 100 05 05.0% 4 HCV Ab 100 08 08.0% 5 T.B. 100 04 04.0% 6 Typhoid 100 00 00.0%www.osdpakistan.org
  • HIV STATUS BY AGE (Combined) Age No of Reactive Cases Prevalence of HIV 15-19 2 0.40 % 20-24 15 3.00 % 25-29 11 2.20 % 30-34 9 1.80 % 35-39 3 0.60 % 40-44 4 0.80 % 45-49 2 0.40 % Over 50 Not Recordedwww.osdpakistan.org
  • CHALLENGES • Harm reduction programs are neither supported nor promoted by Government. • Police interference in needle exchange programs • HIV is not at the priority of Government. • Lack of availability of free condoms. • Price of condoms and syringes are beyond the reach of majority of IDUs and other most at risk populationwww.osdpakistan.org
  • SOLUTION:  Government’s ownership and commitment can make a lot of difference which requires strong advocacy and awareness among the line department as well as IDUs for the promotion of Harm Reduction services.  Strong advocacy and behavior change communication campaigns, trainings and seminars are needed for line department so that harm reduction services will be implemented smoothly.  VCT should be the front desk service at the tertiary care hospital to avoid stigma and discrimination.www.osdpakistan.org
  • PHOTOGRAPHS Maping Exercise
  • Field Visit
  • IDUs
  • IDUs
  • Syringes Distribution during outreach
  • Community Based Condom Outlet for TGs and MSM
  • Community Based Syringe Outlet
  • Syringe Outlet
  • First aid services
  • First aid Services
  • Syringe kit distribution
  • Used Syringes Collection
  • Peer Education Session
  • Condom Demonstration
  • Certificate distribution ceremony
  • Group photo with peer educators
  • DIC Facilities
  • Group Photo with awarness session participants
  • Infection control awareness week
  • World AIDS Day 2011
  • Thank You