services.Revise RH policies/str<strong>at</strong>egies toinclude <strong>HIV</strong> services as part of thest<strong>and</strong>ard of care for RH services.At <strong>Service</strong> Delivery LevelCapacity training <strong>and</strong> taskshiftingFoster sensitivity to the RH needsof PL<strong>HIV</strong>, thereby reducingstigma <strong>and</strong> discrimin<strong>at</strong>ion throughcommunity outreach workers such asfemale community health volunteers(FCHVs) <strong>and</strong> mothers groupsPrepare an integr<strong>at</strong>ed package oftools/guidelines for <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>service provisionBuild capacity of service providersfor PMTCT, <strong>HIV</strong> counseling <strong>and</strong>testing, <strong>and</strong> <strong>HIV</strong> care <strong>and</strong> tre<strong>at</strong>ment.<strong>Service</strong> providers should have thecapacity to assess clients’ fertilityintentions, offer dual protectioncounseling <strong>and</strong> condom promotion,<strong>and</strong> refer clients to FP services orsafe pregnancy services.Provide refresher training toservice providers on a regular basis,to accommod<strong>at</strong>e frequent stafftransfers.Ensure th<strong>at</strong> space is available forclients comfort <strong>and</strong> confidentiality.Address providers’ concerns aboutworkload, <strong>and</strong> encourage <strong>and</strong>motiv<strong>at</strong>e staff.Use a checklist for monitoring theadherence to service protocols, <strong>and</strong>reviewing service st<strong>at</strong>istics, such asthe number of RH clients referred to<strong>HIV</strong>-rel<strong>at</strong>ed services or the numberof <strong>HIV</strong> clients referred to RHservices.BANGLADESHCAMBODIANEPALPHILIPPINES90
IX. REFERENCES1. Adolescent Health <strong>and</strong> Development in Nepal , St<strong>at</strong>us , Issues , <strong>Programmes</strong> <strong>and</strong>Challenges , A country profile 2005, FHD , DoHS, MoHP, GoN2. ART guideline, 2004, NSASC3. Demographic Health Survey (2006), MOHP , Nepal, New ERA , <strong>and</strong> MacroIntern<strong>at</strong>ional Inc. Nepal4. N<strong>at</strong>ional Guidelines, Prevention of Mother-to –Child Transmission of <strong>HIV</strong> inNepal, NCASC, MOHP, GoN December 20085. N<strong>at</strong>ional <strong>HIV</strong> Str<strong>at</strong>egy(2006-2010), NCASC, MoHP, 20076. N<strong>at</strong>ional Health Policy(1991), MoHP7. N<strong>at</strong>ional <strong>HIV</strong> <strong>AIDS</strong> Action Plan (2008-2011, <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> STI ControlBoard, March 2009), GoN8. N<strong>at</strong>ional Reproductive Health Str<strong>at</strong>egy(1998), FHD , DOHS, MoHP9. N<strong>at</strong>ional Safer Motherhood <strong>and</strong> Newborn Health – Long Term Plan92006-2107) 2006, FHD, DoHS , MoHP , GoN10. Nepal <strong>HIV</strong> <strong>AIDS</strong> Policy(1995), MoHP11. Nepal N<strong>at</strong>ional <strong>AIDS</strong> Assessment Report 2007, <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> STD ControlBoard GoN /UN<strong>AIDS</strong>12. Second Term Long Term Health Plan (1997- 21017), MoHP13. Third Edition, N<strong>at</strong>ional Guidelines PMTCT in Nepal December 2008,NCASC , MoHP , GoN14. Trainers Guideline, Health Educ<strong>at</strong>ion for Class 9-10, Curriculum DevelopmentCenter, Ministry of Educ<strong>at</strong>ion <strong>and</strong> Sports15. UNGASS Country Report Nepal 2010,16. VCT guideline, 2007, NSASC, MOHP91
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Published by:International Council
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Table ofContentChapter Titles Pages
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INTRODUCTIONThe 2009 AIDS Epidemic
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REVIEW OF LINKAGES BETWEEN SEXUAL A
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ROUNDTABLE MEETING ON LINKAGES BETW
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Mr Roberto M Ador, Executive Direct
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Session 3: Health Systems Strengthe
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Model for Public-Private Partnershi
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CONCLUSIONSuccessful linkages betwe
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INSTITUTIONALCAPACITY FORHIV/AIDS A
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AbstractBackground: There are a num
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the highest export earnings. The pr
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grass-roots based service deliveryi
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However, condom use was low amongho
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2and Save the Children, USA, and is
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Many important national guidelines,
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voluntarily, among project particip
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ut all sources have consistently sp
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USA) and the World Bank ledconsorti
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the Prevention of Parent to ChildTr
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access to services for their consti
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for planned prevention, treatment a
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e accomplished if there is supporta
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In addition, not all services canbe
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daily lives and take priority overH
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Promote the social acceptability of
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References20 years of HIV in Bangla
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337
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