1.
Sylvere BUKIKI
West Africa Regional Coordinator
HIV Collaborative Fund/ITPC
Email:watagcoordination@gmail.com
Tel: +225 08 95 6621/+225 46 95 00 95
PLACING POSITIVE PREVENTION
WITHIN TREATMENT, SUPPORT
AND CARE’

2.
Positive prevention approach and strategy
Four intervention level
- Individually focused health promotion
- Community mobilization
- Scaling up, targeting and improving service &
commodity delivery
Advocacy, policy change & community
awareness

3.
How do you work on and approach positive
prevention? (Practical examples of what works
and does not work).
Individual empowerment (literacy, build self
esteem)
Build strong PLWHAs organization’s capacity
(positive leadership)
Advocacy for universal access, Community
awareness and community involvement
Train and involve PLWHAs as caregivers
(peer counselors)
Play Watch dogs role in national programs,
CCM…

4.
Challenges in integrating positive
prevention with existing program
-Positive prevention is seen as prevention reserved
exclusively to PLWHAs (Why is the burden on
people living with HIV?)
- PLWHAs are responsible of HIV transmission
(What would be the impact of positive prevention
in legal environment where criminalization is in
place)
Positive prevention concept contribute to the
stigmatization/discrimination of PLWHAs
Positive prevention focus on people who know their
status (what will happen on the 90% who do not
know their status)

5.
What are the priorities when linking positive
prevention with treatment, support and care
activities?
Treat Literacy
Human Rights Education
Sexual and Reproductive Rights of PLWHAs
No criminalization law (shared responsibility
of HIV transmission)
VCT program including PMTCT
Universal access

6.
Experiences of implementing positive
prevention amongst key populations (1)
Building a strong PLWHA network to link
people to ressources :
ADA Process (from the name of the first PLWHA
organization set up by using this approach) works on
three levels:
Individual: building self-esteem, acceptance,
knowledge, skills through:
Analysis of the impact of vulnerabilities and stigma
Participatory assessment
Shared solution finding and decision making
Organization: capacity building, mentoring

7.
Experiences of implementing positive
prevention amongst key populations (2)
Environmental: addressing stigma through
ambassador-of-hope missions, advocacy,
media
ADA Process leads to:
Validation/ valorisation of the individual
Autonomy (Empowerment of PLWHA
from passive beneficiary to active
partner)
Positive leadership
Experience from West Africa (Burkina Faso
& Côte d’Ivoire)

8.
GRACIAS
MERCI
СПАСИБО
THANK YOU!!