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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educing stigma and discrimination; and recognizing the centrality of sexuality.Based on a review of literature, key informant interviews and policy and programmeanalyses, this report summarizes major issues to developing linkages and discussespossible strategies and opportunities for engagement and strengthening linkages.There are three major sections of the findings:• Policy – The level and effectiveness of linkages between sexual and reproductivehealth and rights and HIV-related policies, national laws, operational plans andguidelines;• Systems – The extent to which the systems support effective linkages of SRH andHIV with respect to planning, management and administration; staffing, humanresources and capacity development; logistics and supplies; laboratory support; andmonitoring and evaluation; andService delivery – The extent to which HIV services are integrated into SRH servicesand likewise, the extent to which SRH services are integrated into HIV services.Four consultants were identified to carry out the review in the selected countries asfollows:• Bangladesh: Ms Tarannum Dana, Assistant Professor, Department of PopulationSciences, University Of Dhaka, Bangladesh• Cambodia: Mr Somareth Sovannarith, Deputy Director, National Centre for AIDS,Dermatology and STD Control, Cambodia• Nepal: Dr Laxmi Narayan Thakur, Freelance Consultant, Nepal• Philippines: Dr Ofelia Pardo Saniel, Chair, Department of Epidemiology andBiostatistics, 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 and reproductivehealth and rights and HIV/AIDS in the policies, national laws, operational plans andguidelines.• Systems – Effective linkages of SRH and HIV with respect to planning, managementand administration; staffing, human resources and capacity development; logisticsand supplies; laboratory support; and monitoring and evaluation are limited.• Service delivery – Functional integration of SRH and HIV services has occurred onlyat the primary level service delivery of government and NGOs.Introductionv ⅳ(b)

ROUNDTABLE MEETING ON LINKAGES BETWEENSEXUAL AND REPRODUCTIVE HEALTH AND HIV/AIDS(7-8 FEBRUARY 2011, PHNOM PENH, CAMBODIA)A Roundtable Meeting on the Linkages between Sexual and Reproductive Health andHIV/AIDS was held from 7-8 February 2011 in Phnom Penh, Cambodia. The purposeof the roundtable meeting was to review the findings of recently conducted countrycase studies and develop a plan of action to institutionalize reproductive health andHIV/AIDS linkages at all levels.The meeting was attended by sixteen participants representing government agencies,international and national non-governmental organisations from Cambodia, Nepal andPhilippines. Participants from Bangladesh had to cancel their participation at a verylast minute due to constraints in obtaining travel document and visa. Governmentofficials from Philippines did not also participate in the roundtable meeting due to priorcommitments.The report will outline highlights from each session in line with the agenda as well aspresent key issues raised during discussions. Key points from country presentation willbe raised as well as the main points from government counterparts when commentswere provided.Session 1: Scaling Up SRHR and HIV/AIDS Linkages towards MDGsThe objective of this session was to appreciate common strategies that can achieveresults on universal access targets and Millennium Development Goals.Mr Hairudin Masnin, Programme Officer of ICOMPThe presentation highlighted the calls for SRHR and HIV linkages through a series of keyinternational commitments including Glion Call to Action (2004), Political Declarationon HIV/AIDS (2006), Maputo Plan of Action (2006) and Guilin Framework (2007).These commitments are expected to intensify the linkages between SRH and HIV/AIDS and recognize the need to consider the sexual and reproductive health andrights (SRHR), needs, and desires of people living with HIV. However, the importantglobal mandates have not translated into the political will needed to accelerate actionand scale up RH/HIV integration in the countries and communities that need it most.At the same time, linkages between RH and HIV at the policy level, which addresshuman rights and other structural issues, lag far behind the need. In particular, whileacknowledging the benefits of RH/ HIV integration, few donors or funding mechanismshave adapted their remits or application processes to proactively attract and resourceprogramme integration and linkages.Introduction ⅵ (a)

ROUNDTABLE MEETING ON LINKAGES BETWEENSEXUAL AND REPRODUCTIVE HEALTH AND <strong>HIV</strong>/<strong>AIDS</strong>(7-8 FEBRUARY 2011, PHNOM PENH, CAMBODIA)A Roundtable Meeting on the <strong>Linkages</strong> between Sexual <strong>and</strong> Reproductive Health <strong>and</strong><strong>HIV</strong>/<strong>AIDS</strong> was held from 7-8 February 2011 in Phnom Penh, Cambodia. The purposeof the roundtable meeting was to review the findings of recently conducted countrycase studies <strong>and</strong> develop a plan of action to institutionalize reproductive health <strong>and</strong><strong>HIV</strong>/<strong>AIDS</strong> linkages <strong>at</strong> all levels.The meeting was <strong>at</strong>tended by sixteen participants representing government agencies,intern<strong>at</strong>ional <strong>and</strong> n<strong>at</strong>ional non-governmental organis<strong>at</strong>ions from Cambodia, Nepal <strong>and</strong>Philippines. Participants from Bangladesh had to cancel their particip<strong>at</strong>ion <strong>at</strong> a verylast minute due to constraints in obtaining travel document <strong>and</strong> visa. Governmentofficials from Philippines did not also particip<strong>at</strong>e in the roundtable meeting due to priorcommitments.The report will outline highlights from each session in line with the agenda as well aspresent key issues raised during discussions. Key points from country present<strong>at</strong>ion willbe raised as well as the main points from government counterparts when commentswere provided.Session 1: Scaling Up <strong>SRH</strong>R <strong>and</strong> <strong>HIV</strong>/<strong>AIDS</strong> <strong>Linkages</strong> towards MDGsThe objective of this session was to appreci<strong>at</strong>e common str<strong>at</strong>egies th<strong>at</strong> can achieveresults on universal access targets <strong>and</strong> Millennium Development Goals.Mr Hairudin Masnin, Programme Officer of ICOMPThe present<strong>at</strong>ion highlighted the calls for <strong>SRH</strong>R <strong>and</strong> <strong>HIV</strong> linkages through a series of keyintern<strong>at</strong>ional commitments including Glion Call to Action (2004), Political Declar<strong>at</strong>ionon <strong>HIV</strong>/<strong>AIDS</strong> (2006), Maputo Plan of Action (2006) <strong>and</strong> Guilin Framework (2007).These commitments are expected to intensify the linkages between <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> recognize the need to consider the sexual <strong>and</strong> reproductive health <strong>and</strong>rights (<strong>SRH</strong>R), needs, <strong>and</strong> desires of people living with <strong>HIV</strong>. However, the importantglobal m<strong>and</strong><strong>at</strong>es have not transl<strong>at</strong>ed into the political will needed to acceler<strong>at</strong>e action<strong>and</strong> scale up RH/<strong>HIV</strong> integr<strong>at</strong>ion in the countries <strong>and</strong> communities th<strong>at</strong> need it most.At the same time, linkages between RH <strong>and</strong> <strong>HIV</strong> <strong>at</strong> the policy level, which addresshuman rights <strong>and</strong> other structural issues, lag far behind the need. In particular, whileacknowledging the benefits of RH/ <strong>HIV</strong> integr<strong>at</strong>ion, few donors or funding mechanismshave adapted their remits or applic<strong>at</strong>ion processes to proactively <strong>at</strong>tract <strong>and</strong> resourceprogramme integr<strong>at</strong>ion <strong>and</strong> linkages.Introduction ⅵ (a)

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