SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...
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in hill <strong>and</strong> mountain districts. Frequenttransfer of health workers <strong>and</strong> theneed for constant training is anotherfactor affecting motiv<strong>at</strong>ion <strong>and</strong> servicedelivery. Retention is more acute in theNGO sector.There is limited capacity fortraining.Trainers are not up-to-d<strong>at</strong>e ontraining (content <strong>and</strong> pedagogy);There is a shortage of teaching/learning equipment <strong>and</strong> m<strong>at</strong>erial;Transport facilities for monitoring<strong>and</strong> supervision of field training arelacking.There is inadequ<strong>at</strong>e opportunity <strong>and</strong>capacity for needs-based in-servicetraining on <strong>HIV</strong>/<strong>AIDS</strong>Training needs are not knownfor different c<strong>at</strong>egories of serviceproviders <strong>and</strong> there are inadequ<strong>at</strong>ein-service training opportunities.Clinical services rel<strong>at</strong>ed to ART, <strong>HIV</strong>TC, PMTCT, OI <strong>and</strong> STI are impactedby:Challenges rel<strong>at</strong>ed to deployment<strong>and</strong> retention of health professionals,particularly in hill/mountaindistricts.Frequent transfer of health workersleading to a need for constanttraining.Lack of supportive supervisionwithin the health system .Supervision of NGO-deliveredservices not linked to the governmentsystem.Most of the respondents agreed th<strong>at</strong>orient<strong>at</strong>ion <strong>and</strong> training should begiven on linkage <strong>and</strong> integr<strong>at</strong>ionbetween <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>, stigma<strong>and</strong> discrimin<strong>at</strong>ion, <strong>and</strong> counseling.Training on proposal writing, advocacy,PMTCT, VCT counseling, RHprotocols <strong>and</strong> labor<strong>at</strong>ory – st<strong>and</strong>ardoper<strong>at</strong>ing procedures (SOPs) were alsoneeds th<strong>at</strong> were expressed.Capacity building on <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>incorpor<strong>at</strong>es avoidance of stigma <strong>and</strong>discrimin<strong>at</strong>ion, gender sensitivity, <strong>and</strong>confidentiality of reproductive rights<strong>and</strong> choices. There are separ<strong>at</strong>e trainingmanuals for pre-service <strong>and</strong> in-servicetraining through the N<strong>at</strong>ional HealthTraining Center of the Ministry ofHealth <strong>and</strong> Popul<strong>at</strong>ion for serviceproviders.The curricula for secondary educ<strong>at</strong>ion<strong>and</strong> teacher training, through Ministryof Educ<strong>at</strong>ion, has incorpor<strong>at</strong>ed safe sex,sexual health stigma, sexual violence,condoms <strong>and</strong> reproductive rights forstudents <strong>and</strong> teachers.D. Logistics/SuppliesWhile <strong>SRH</strong> logistics <strong>and</strong> suppliesare procured <strong>and</strong> supplied throughLogistics Management Division, <strong>HIV</strong>supplies are procured from UNDP<strong>and</strong> supplied through NCASC. Hencethere is a two track system of supplychain for drugs <strong>and</strong> test kits <strong>and</strong> othercommodities. USAID, through FHI<strong>and</strong> the DELIVER project, have alsoprovided support for the n<strong>at</strong>ionallogistics supply of <strong>HIV</strong> commodities.83
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