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HIV/AIDS WG Session_Aida Samir


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HIV/AIDS WG Session_Aida Samir

  1. 1. HIV/AIDS<br />Comprehensive Model <br />CORE Group Fall Meeting 2011<br />
  2. 2. HIV/AIDS Comprehensive Model<br />Contents:<br />History <br />HARP strategy<br />HIV Treatment Centers<br />Other HARP Applications<br />Possible HARP Applications<br />Future Plans<br />
  3. 3. Food for The Hungry<br />Christian relief and development organization founded in 1971<br />Present in 26 countries with a focus on health and nutrition, child education, livelihoods and disaster risk reduction<br />In FY09 funding was approximately $204m, half was USG funds (In FY10 received 2 NEFAPS totaling $185m including food- huge increase!)<br />Focus on developing programs concentrating on quality improvement and behavior change.<br />Known for developing/using: care groups, barrier analysis, etc.- <br />
  4. 4. FH HIV Strategy and Policy<br />History: in HIV/AIDS<br />Bringing Hope: Multi-intervention program in Ethiopia, Kenya, Uganda, Rwanda, Mozambique. Church-based HBC, OVC, Prevention<br />FH team created curriculums like Faithfulness in Marriage/Keys to a Healthy Relationship, Prevention of Sexual Abuse, and updated Choose Life<br /><ul><li>FH received PEPFAR funds through AHA (AERDO HIV/AIDS Alliance) for prevention grant in Ethiopia, Mozambique, Nigeria and Haiti</li></ul>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. <br />
  5. 5. FH HIV Strategy and Policy<br />HARP Strategy<br />Highly Active Retrovirus Prevention: <br />A synergistic approach to HIV. <br />A combination between Behavioral approaches, Biomedical approaches and Social, Justice and Human Rights approaches<br />Strategy: Prevent HIV and AIDS using a combination of biomedical, behavioral, structural, and care approaches. <br />Objective: to provide quality, family-oriented support to people infected and affected by HIV and AIDS.<br />
  6. 6.
  7. 7. FH HIV Strategy and Policy<br />HARP Strategy<br />For HARP to occur and be scaled-up the community and the support of strong leaders is essential. <br />It requires access, linkages, or information to be provided so that clients receive a complete mix of biomedical, behavioral, structure and care approaches.<br />
  8. 8. FH HIV Strategy and Policy<br />Strategic Approaches to HARP<br />Comprehensive Approach: <br /> Provide a full package for each HIV intervention. <br />Integrated Approach: <br /> Ensures every HIV intervention clientreceives services from various HIV interventions. <br />
  9. 9. FH HIV Strategy and Policy<br />Strategic Approaches to HARP<br />Tailor projects and messages to the local context <br />Each country and regions within countries will adapt their projects according to the latest scientific information, best and promising practices, local conditions<br />Building the Capacity of Others<br /> Such as governmental facilities, churches, CBOs, FBOs, NGOs and others to help them to provide high quality HIV services. <br />
  10. 10. FH HIV Strategy and Policy<br />Strategic Approaches to HARP<br />Emphasizing sustainable approaches and handover to local entities<br /> Sustainable approaches involve local and national stakeholders at every level of program design, implementation and management<br />Integrating HIV with other health programs and services<br />Which ensure that participants in FH’s programs will have access to a full range of services. <br />
  11. 11. FH HIV Strategy and Policy<br />Strategic Approaches to HARP<br />Partnering with a variety of organizations<br />Like public, private, government, donor, research, community and local organizations<br />Experiential learning for FH’s staff<br /> FH encourages and arranges visits between fields, participation in conferences, workshops and other learning opportunities. <br />
  12. 12. FH HIV Strategy and Policy<br />Strategic Approaches to HARP<br />Working through both health facilities and communities <br /> Combine the efforts between the health facility and community to ensure quality services can reach all targeted communities. <br />High Quality Monitoring and Evaluation<br /> FH has a vast array of monitoring and evaluation tools that can be used to increase the measurability of results. <br />
  13. 13. FH HIV Strategy and Policy<br />Strategic Approaches to HARP<br />Evidenced-based, innovative and research focused programming<br /> Aspect of programming that enables FH to contribute to the body of knowledge, as well as to partner with research facilities such as universities. <br />Gender issues are considered in the design, implementation and measurement<br /> Ensuring that the differing impacts on men and women, boys and girls are considered. <br />
  14. 14. FH HIV Strategy and Policy<br />Strategic Outcomes to HARP<br />Impact:<br />Physical, mental, spiritual and social health will improve, meeting 70% of their indicator targets.<br />Scale:<br />70% of FH fields use the HARP approach.<br />Influence:<br />On the cross-cutting issues like poverty, stigma and gender-based violence.<br />
  15. 15. FH HIV Strategy and Policy<br />HARP Application<br />HIV Treatment Center<br />Tumaini in Marsabit, Kenya and New Life Medical Center in Kitgum, Uganda<br />Providing a comprehensive treatment package<br />Partnership between many organizations<br />Integrating HIV services with other medical services such as MCH, FP and TB<br />
  16. 16. FH HIV Strategy and Policy<br />HARP Application<br />HIV Treatment Center<br />Integrating community and facility<br />Will be handed over to FBO after building their capacity<br />Exchange field visits between the two clinics<br />Research is approved to be done in the Tumaini<br />
  17. 17. FH HIV Strategy and Policy<br />HARP Application<br />TB Integration in FH treatment centers<br />Identified by symptoms<br />Tested for TB<br />Chest X-ray could also be requested<br />Treat TB and test for HIV in case status is unknown<br />Treat TB and consider HAART if positive<br />
  18. 18. Kenya<br />
  19. 19. Uganda<br />
  20. 20. FH HIV Strategy and Policy<br />HARP Application- Global Fund, Kenya<br />GF R7<br />PR: Care Kenya <br />Activities: youth outreach, testing and counseling, ARV’s meetings and youth teams<br />GF R10<br />PR: Red Cross<br />Activities: support ARV’s, Increase coverage of PMTCT, HTC, PEP, reach MARPS with services and build the capacity of other CBO’s <br />
  21. 21. FH HIV Strategy and Policy<br />HARP Application- AphiaPlus, Kenya<br />Led by Pathfinder, include FH, MSH, IRC, and Intra-health <br />Covering Zone 5<br />Provide expanded HIV/AIDS services, Maternal/Child health, Population services<br />Provide linkages to other USAID projects<br />Provide services through health facility and community<br />
  22. 22. FH HIV Strategy and Policy<br />HARP Application- PrevSida, Haiti<br />USAID’s national general population HIV prevention program (led by WV)<br />IGA, SRH, educational support, legal support, etc.- through a variety of partners<br />Training FBO partners<br />Local CBOs, FBOs, MOE, MOH<br />Building in discussions on gender roles, violence, substance abuse in order to reduce vulnerabilities for girls<br />
  23. 23. FH HIV Strategy and Policy<br />Possible HARP Applications<br />PMTCT projects that include prenatal and postnatal follow up, community mobilization and providing needed ARV’s<br />Testing and counseling services connected to referral centers and community groups using mobile, moonlight and stand alone services<br />Linkages to wrap-around services such as nutrition programs, food security, income-generation and education services. <br />
  24. 24. FH HIV Strategy and Policy<br />Possible HARP Application<br />Home based care projects connected to health facilities, T&C and prevention messages<br />OVC projects connected to different service providers in order for a more holistic service to the OVC and their household<br />Behavior Change projects that include elimination and minimization of risk <br />
  25. 25. FuturePlanModelReplication<br />Sudan<br />Burundi<br />Rwanda<br />DRC<br />Tumaini<br />Kenya<br />NLC<br />Uganda<br />Ethiopia<br />MOZ.<br />Center 3 <br />Kenya<br />Center 2 <br />Uganda<br />Center 2<br />Kenya<br />
  26. 26. Comprehensive Treatment ApproachFuturePlan<br />Treatment<br />Prevention<br />IGA<br />OVC/HBC<br />Capacity <br />building<br />CDP<br />WASH<br />Health<br />
  27. 27. HIV/AIDS <br />Comprehensive Model <br />