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SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...

SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...

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educing stigma <strong>and</strong> discrimin<strong>at</strong>ion; <strong>and</strong> recognizing the centrality of sexuality.Based on a review of liter<strong>at</strong>ure, key informant interviews <strong>and</strong> policy <strong>and</strong> programmeanalyses, this report summarizes major issues to developing linkages <strong>and</strong> discussespossible str<strong>at</strong>egies <strong>and</strong> opportunities for engagement <strong>and</strong> strengthening linkages.There are three major sections of the findings:• Policy – The level <strong>and</strong> effectiveness of linkages between sexual <strong>and</strong> reproductivehealth <strong>and</strong> rights <strong>and</strong> <strong>HIV</strong>-rel<strong>at</strong>ed policies, n<strong>at</strong>ional laws, oper<strong>at</strong>ional plans <strong>and</strong>guidelines;• Systems – The extent to which the systems support effective linkages of <strong>SRH</strong> <strong>and</strong><strong>HIV</strong> with respect to planning, management <strong>and</strong> administr<strong>at</strong>ion; staffing, humanresources <strong>and</strong> capacity development; logistics <strong>and</strong> supplies; labor<strong>at</strong>ory support; <strong>and</strong>monitoring <strong>and</strong> evalu<strong>at</strong>ion; <strong>and</strong>• <strong>Service</strong> delivery – The extent to which <strong>HIV</strong> services are integr<strong>at</strong>ed into <strong>SRH</strong> services<strong>and</strong> likewise, the extent to which <strong>SRH</strong> services are integr<strong>at</strong>ed into <strong>HIV</strong> services.Four consultants were identified to carry out the review in the selected countries asfollows:• Bangladesh: Ms Tarannum Dana, Assistant Professor, Department of Popul<strong>at</strong>ionSciences, University Of Dhaka, Bangladesh• Cambodia: Mr Somareth Sovannarith, Deputy Director, N<strong>at</strong>ional Centre for <strong>AIDS</strong>,Derm<strong>at</strong>ology <strong>and</strong> STD Control, Cambodia• Nepal: Dr Laxmi Narayan Thakur, Freelance Consultant, Nepal• Philippines: Dr Ofelia Pardo Saniel, Chair, Department of Epidemiology <strong>and</strong>Biost<strong>at</strong>istics, College of Public Health, UP Manila, the PhilippinesSummary of the FindingsIn general, the study found:• Policy – There is lack of bi-directional linkages between sexual <strong>and</strong> reproductivehealth <strong>and</strong> rights <strong>and</strong> <strong>HIV</strong>/<strong>AIDS</strong> in the policies, n<strong>at</strong>ional laws, oper<strong>at</strong>ional plans <strong>and</strong>guidelines.• Systems – Effective linkages of <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> with respect to planning, management<strong>and</strong> administr<strong>at</strong>ion; staffing, human resources <strong>and</strong> capacity development; logistics<strong>and</strong> supplies; labor<strong>at</strong>ory support; <strong>and</strong> monitoring <strong>and</strong> evalu<strong>at</strong>ion are limited.• <strong>Service</strong> delivery – Functional integr<strong>at</strong>ion of <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> services has occurred only<strong>at</strong> the primary level service delivery of government <strong>and</strong> NGOs.Introductionv ⅳ(b)

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