Full Document (English) - POLICY Project

More documents

Recommendations

Info

PROJECT Preface Uttar Pradesh, the most populous state, is one of the low HIV/AIDS prevalence states in India. However, in the presence of the second largest national highway network, the highest volume of out-migration, low coverage of vulnerable populations with interventions and poor socioeconomic indicators and health infrastructure, its vulnerability towards spread of HIV/AIDS cannot be overlooked. It may not remain as low prevalence state for a long time unless necessary and immediate steps are taken to control the spread of the virus. It is in this context, the workshop on Prevention of HIV/AIDS in Uttar Pradesh, was organized on January 29-31, 2004 in Agra. During the three days of workshop facilitated by POLICY/Futures Group funded by USAID, 25 papers were presented by experts on different themes. In order to review the current situation of interventions in Uttar Pradesh, Futures Group prepared case studies of 6 targeted interventions covering sex workers, truckers, people injecting drugs and prison inmates. In addition a study to assess the greater involvement of people living with HIV/AIDS in Andhra Pradesh, Tamil Nadu and Uttar Pradesh was also conducted. Futures Group has also prepared five background papers using a variety of secondary data available. I would like to thank Ms Aradhana Johri, Project Director, UPSACS for her initiative, leadership and involvement in making this workshop a success. I would also like to thank Mr J. S. Deepak, Executive Director, SIFPSA for his suggestions and encouragement. Special thanks are due to Robert Clay, Meri Sinnitt, Randy Kolstad, Sheena Chhabra and Sanjay Kapur from USAID for their constant support and guidance. Our team consisting of Sherry Joseph, K. M. Sathyanarayana, Nilesh Deshpande, Anantha Rao, Ashok Singh, Dipankar Dutta, Prabuddhagopal Goswami, Mitali Deka, and Nidhi Kaul needs special appreciation for the team spirit they demonstrated in organizing this workshop. G. Narayana Country Director POLICY/Futures Group Delhi: Hyderabad: 1D-II, Parkwood Estate, Rao Tula Ram Marg, New Delhi- 110022 (India) Tel: (011) 26712165/ 71/ 75 Fax: (011) 26168931 Email: nkaul@futuresgroup.com 6-3-597/A/3, V. R. Colony, Hyderabad- 500004 A.P (India) Telefax: (040) 23394873 Email: gnarayana@futuresgroup.com
Abbreviations ABC Abstinence, Be Faithful, Use Condoms ANC Antenatal care APAC AIDS Prevention and Control (Project) APN+ Asia Pacific Network for People living with AIDS ARV Antiretoviral ASCI Advertising Standards Council of India AWW Anganwadi worker BAMS Bachelor of Ayurvedic Medicine and Surgery BCC Behaviour change communication BCSC Blood component separation centre BHMS Bachelor of Homeopathic Medicine and Surgery BSS Behavioural Surveillance Survey CBO Community-based organization CCM Country Co-ordinating Mechanisms CDC-GAP Centers for Disease Control and Prevention - Global AIDS Programme CETC Continuing Education and Training Centre CHC Community health centre CIDA Canadian International Development Agency CII Confederation of Indian Industries CMIS Computerized Management Information System CMO Chief Medical Officer CMS Chief Medical Superintendent CMS Commercial Market Strategies (Project) CSCT Central School for Counselling Training CSM Condom social marketing DACC District AIDS Coordination Committee DFID Department for International Development DG Director-General DM District Magistrate DMLT Diploma in Medical Lab Technology DMO District Medical Officer DTO District Tuberculosis Officer EQA External quality assurance ESIS Employees State Insurance Service FHAC Family Health Awareness Campaigns FP Family planning FRU First referral unit
Page 2 and 3: Workshop Proceedings Prevention of
Page 4 and 5: Session 5 Targeted Interventions in
Page 8 and 9: GIPA GNP+ GOI GSA HLL ICMR IDU IEC
Page 10: Glossary of Indian Terms Babus Boyf
Page 13 and 14: 2 Prevention of HIV/AIDS in Uttar P
Page 15 and 16: 4 prevalence is less than 10 percen
Page 17 and 18: 6 HIV sentinel surveillance is carr
Page 19 and 20: 8 Strategies for Prevention of HIV/
Page 21 and 22: 10 and economically productive age
Page 23 and 24: 12 approach the high-risk populatio
Page 25 and 26: 14 A realization grew that existing
Page 27 and 28: 16 Advocacy There has been increasi
Page 29 and 30: 18 NACO is positioning VCTCs as a o
Page 31 and 32: 20 Already, 765 doctors and paramed
Page 33 and 34: 22 discrimination and providing
Page 35 and 36: 24 Bilateral Agencies Several bilat
Page 37 and 38: 26 the small size of the sample sur
Page 39 and 40: 28 Table 1 Migration Profiles of AI
Page 41 and 42: 30 Conclusion Sentinel surveillance
Page 43 and 44: 32 A project is seen as a solution
Page 45 and 46: 34 Such information must be collect
Page 47 and 48: 36 Figure 13 Figure 14 Solution Imp
Page 50 and 51: Session 2 UPSACS, Multisectoral App
Page 52 and 53: 41 Structure, Functions and Strateg
Page 54 and 55: 43 High-risk groups need informatio
Page 56 and 57:
45 Figure 2 Number of Interventions
Page 58 and 59:
47 To motivate vulnerable groups o
Page 60 and 61:
49 After the initial issue of a li
Page 62 and 63:
51 Regularly supplying condoms C
Page 64 and 65:
53 J.S. Deepak Multi-sectoral Invol
Page 66 and 67:
55 most cases they have no other me
Page 68 and 69:
57 When the epidemic first broke ou
Page 70 and 71:
59 and so forth, as per need. Below
Page 72 and 73:
61 Food and Civil Supplies Ration c
Page 74 and 75:
63 Family Life Education Programme
Page 76 and 77:
65 State Innovations in Family Plan
Page 78 and 79:
67 Murali Dhar Vemuri Sanghita Bhat
Page 80 and 81:
69 a higher percentage of migrants.
Page 82 and 83:
71 Figure 2 Share of States by in a
Page 84 and 85:
73 attract migrants from Uttar Prad
Page 86 and 87:
75 Conclusion As mentioned, we do n
Page 88 and 89:
77 Table 1 Percentage of Migrants t
Page 90 and 91:
79 Table 4 Percentage of Migrants b
Page 92 and 93:
81 Map 1 Top 5 districts gaining po
Page 94 and 95:
83 Map 3 Urban Net Migrants in Utta
Page 96 and 97:
85 Table 7 District-Wise Distributi
Page 98 and 99:
87 Table 8 Ranking of Districts by
Page 100 and 101:
89 Deoria 150 575 -425 Maharajganj
Page 102 and 103:
91 Table 12 Percentage Distribution
Page 104 and 105:
Session 3 Behavioural Surveillance
Page 106 and 107:
95 Behavioural Dynamics of HIV/AIDS
Page 108 and 109:
97 society and contribute to smooth
Page 110 and 111:
99 Data and Methodology The basic d
Page 112 and 113:
101 Table 4 shows the distribution
Page 114 and 115:
103 consumed alcohol in their lives
Page 116 and 117:
105 Table 1 Distribution and Mean A
Page 118 and 119:
107 Table 3 Distribution of Husband
Page 120 and 121:
109 Table 5 Distribution of Males w
Page 122 and 123:
111 Table 7 Logistic Regression Ana
Page 124 and 125:
113 The Balbir Pasha Story An Innov
Page 126 and 127:
115 The project has documented nota
Page 128 and 129:
117 engages in behaviour that may p
Page 130 and 131:
119 “Balbir Pasha sometimes forge
Page 132 and 133:
121 Hindu name, the campaign target
Page 134 and 135:
123 tremendous shifts in risk perce
Page 136 and 137:
125 executed fairly quietly, withou
Page 138 and 139:
127 “Penury and the hope of a bet
Page 140 and 141:
129 State. It is already being impl
Page 142 and 143:
Session 4 Successful Interventions
Page 144 and 145:
133 HIV/AIDS Prevention Programmes
Page 146 and 147:
135 Capacity Building of NGO Partne
Page 148 and 149:
137 STI health care providers to un
Page 150 and 151:
139 Figure 8 Voluntary Condom Procu
Page 152 and 153:
141 The frameworks of male-to-male
Page 154 and 155:
143 polymorphous behaviours, and th
Page 156 and 157:
145 Ongoing monitoring and evalu
Page 158 and 159:
147 sexualities. In both countries,
Page 160 and 161:
149 prevention and care programmes
Page 162 and 163:
151 collection of how many condoms
Page 164 and 165:
153 Annex 2 Examples of Outputs fro
Page 166 and 167:
155 equally important from an HIV i
Page 168 and 169:
157 than criminals, is of paramount
Page 170 and 171:
Session 5 Targeted Interventions in
Page 172 and 173:
161 Jyoti Mehra Targeted Interventi
Page 174 and 175:
163 staff including project co-ordi
Page 176 and 177:
165 Economic Vulnerability The very
Page 178 and 179:
167 However, peer educators require
Page 180 and 181:
169 Referrals SKS offers referral s
Page 182 and 183:
171 The Prevention of Immoral Traff
Page 184 and 185:
173 awareness about their legal rig
Page 186 and 187:
175 enabling approaches that remove
Page 188 and 189:
177 References 1. Family Health Int
Page 190 and 191:
179 the UP State AIDS Central Socie
Page 192 and 193:
181 Background of the Projects Like
Page 194 and 195:
183 In order to reduce the incidenc
Page 196 and 197:
185 treatment in the project, while
Page 198 and 199:
187 Blood Banks and Safety Measures
Page 200 and 201:
189 The motivation of donors is bei
Page 202 and 203:
191 Clinicians should be sensiti
Page 204 and 205:
193 regarding use, availability, an
Page 206 and 207:
195 Most of the increase in statewi
Page 208 and 209:
197 were aware that HIV could be tr
Page 210 and 211:
199 50 years as a family planning m
Page 212 and 213:
Session 6 GIPA and PLHA Network Cha
Page 214 and 215:
203 Satheesh Chandran David Stephen
Page 216 and 217:
205 Table 1 Overview Table: Percept
Page 218 and 219:
207 Capacity building on organi
Page 220 and 221:
209 As well as continued activism a
Page 222 and 223:
211 programmes; and the barriers an
Page 224 and 225:
213 involved in any of the programm
Page 226 and 227:
215 Benefits of Involvement This se
Page 228 and 229:
217 However, unlike the PLHAs, prog
Page 230 and 231:
219 Programme mangers, however, fee
Page 232 and 233:
221 value of the GIPA approach wher
Page 234 and 235:
223 Annex GIPA Models Reproduced fr
Page 236 and 237:
225 Networking for Change The India
Page 238 and 239:
227 Gujarat, Karnataka, Kerala, Mah
Page 240 and 241:
229 education centre, which provide
Page 242 and 243:
231 the national network and the ce
Page 244 and 245:
233 Africa, where the estimated num
Page 246 and 247:
235 Developing IEC Materials IEC ma
Page 248 and 249:
Session 7 VCTCs, Treatment, Care an
Page 250 and 251:
239 Voluntary Counselling and Testi
Page 252 and 253:
241 inform the person about the ava
Page 254 and 255:
243 Voluntary Counselling and Testi
Page 256 and 257:
245 Timings of VCTC The working hou
Page 258 and 259:
247 As part of infection control me
Page 260 and 261:
249 exposure to the field of HIV/AI
Page 262 and 263:
251 Counselling, Consent, and Confi
Page 264 and 265:
253 sent by courier, especially dur
Page 266 and 267:
255 Availability of Condoms Condoms
Page 268 and 269:
257 for outreach sessions, it can b
Page 270 and 271:
259 Care and support for PLHAs, the
Page 272 and 273:
261 infected, to the terminally ill
Page 274 and 275:
263 and evaluation of care and supp
Page 276 and 277:
265 enhanced STI treatment services
Page 278 and 279:
267 continuing education will be ne
Page 280 and 281:
269 to ensure a care continuum; and
Page 282 and 283:
271 Printing of information, educat
Page 284 and 285:
273 Possible Next Steps The steps c
Page 286 and 287:
275 Group Discussion HIV/AIDS Preve
Page 288 and 289:
277 HIV/AIDS Prevention Strategies
Page 290 and 291:
279 viewed as small media- posters,
Page 292 and 293:
281 manner appropriate to the needs
Page 294 and 295:
283 Lack of conceptual clarity
Page 296 and 297:
285 About Chairpersons, Discussants
Page 298 and 299:
287 List of Participants Akash Gula
Page 300 and 301:
289 Jyoti Mehra Programme Associate
Page 302 and 303:
291 Rajesh Bangia Project Manager S
Page 304:
POLICY is a five-year project funde
show all

Full Document (English) - POLICY Project

Create successful ePaper yourself

Delete template?

Save as template?