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

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Discussions• Linked response strategies are very much related to country’s HIV epidemiologicalstatus, resources, health systems, etc. Linked response also faced challenges,especially in resource poor settings. To overcome these challenges, programmesshould be able to priorities the needs of the population. Every citizen has anequal right to access quality of health, in which can be improved through linkages.Attention should be given to improve access among the vulnerable and marginalizedpopulations.• Question on whether intensifying SRHR and HIV linkages will jeopardize otherhealth programmes such as maternal and child health was raised. This issue canbe minimized if the policy makers and programme planners have a clear vision andcan understand that health is human rights. Linked response will complement otherhealth services.Session 2: Institutional Capacity for HIV/AIDS and SRHR LinkagesThe objective of this session was to present the review on the policies, systems andservice delivery and challenges affecting the bi-directional linkages of SRHR and HIV/AIDSDr Lakshmi Narayan Thakur, Freelance Consultant, NepalNepal has both the national HIV policy (1995) and national HIV strategy (2006-11).Both HIV policy of 1995 and strategy are under the process of revision. Similarly thereis a national SRH strategy (1998) in line with the ICPD programme of action. Thisstrategy was revised in 2006 but the revised strategy which added gender basedviolence could not be endorsed by MOHP. The National RH Strategy (1998) hasidentified HIV as one of the eight components of SRH. Linkages has been made intothe National Safe Motherhood and New borne Health – Long Term Plan (2006-2017)chapters including STI , PMTCT and ART and VCT has been included in the differentnational RH medical standards and protocols. However, there is no systematicapproach to linking SRH and HIV at policy and system level, and national guideline forSRH and HIV linkages at service delivery is also not available.❁ ❁ ❁HIV and SRH programming still remains largely vertical. Thepolicies and strategies, protocols, Medical standards/SOPs,guidelines are developed at different point of time hinderinglinkages between two programmes.❁ ❁ ❁Introduction ⅵ (b)
Mr Roberto M Ador, Executive Director, Family Planning Organization of thePhilippinesLinkages between HIV and SRH have only been recently introduced. HIV-relatedstrategies are now included in the proposed bills on reproductive health. Conversely,reproductive health-related measures are included in HIV strategies. All of these bills callfor the integration of HIV-related services as part of the SRH program. All elements ofRH, including AIDS/HIV, are covered in the bills, which are still pending in for approval.At present, there is no solid strategy for advocacy leading to the integration of SRH andHIV. Bi-directional provisions of RH and HIV/AIDS have yet to be re-oriented; protocolsand guidelines for integration have yet to be developed.❁ ❁ ❁The advocacy efforts to pressure Congress to pass the RHrelatedbills should be further strengthened. There should bemuch broader support from various sectors of the society❁ ❁ ❁Dr Sovannarith Samreth, National Center for HIV/AIDS, Dermatology and STD(NCHADS)There is no separate policy that addresses SRH and HIV/AIDS linkages in Cambodia.Linkages are addressed in the [1] Standard Operating Protocol for Linked Responsefor Prevention, Care and Treatment of HIV/AIDS and SRH; [2] National Guidelines forPMTCT; [3] Joint NCHADS-NCMCH statement on the implementation of PMTCT; and[4] National Policy and Strategy for STI/RTI Prevention and Care. Both SRH and HIVservices are integrated into the public health service delivery in hospitals and healthcenters. Although there is no specific policy on SRH and HIV/AIDS linkages, the linkagesare implemented through coordination mechanism at district level. There is alsocommitment to make birth spacing available for PLHIV and EW at OI/ART service andSTI clinic. In order to ensure effectiveness and efficiency of linked response services,there is a need for staff training, revised training curriculum that include linkages ofSRH and HIV, and materials on linkages.Introduction ⅵ (c)
Page 2 and 3: Published by:International Council
Page 5 and 6: Table ofContentChapter Titles Pages
Page 7 and 8: INTRODUCTIONThe 2009 AIDS Epidemic
Page 9 and 10: REVIEW OF LINKAGES BETWEEN SEXUAL A
Page 11: ROUNDTABLE MEETING ON LINKAGES BETW
Page 15 and 16: Session 3: Health Systems Strengthe
Page 17 and 18: Model for Public-Private Partnershi
Page 19 and 20: CONCLUSIONSuccessful linkages betwe
Page 21 and 22: INSTITUTIONALCAPACITY FORHIV/AIDS A
Page 23 and 24: AbstractBackground: There are a num
Page 25 and 26: the highest export earnings. The pr
Page 27 and 28: grass-roots based service deliveryi
Page 29 and 30: However, condom use was low amongho
Page 31 and 32: 2and Save the Children, USA, and is
Page 33 and 34: Many important national guidelines,
Page 35 and 36: voluntarily, among project particip
Page 37 and 38: ut all sources have consistently sp
Page 39 and 40: USA) and the World Bank ledconsorti
Page 41 and 42: the Prevention of Parent to ChildTr
Page 43 and 44: access to services for their consti
Page 45 and 46: for planned prevention, treatment a
Page 47 and 48: e accomplished if there is supporta
Page 49 and 50: In addition, not all services canbe
Page 51 and 52: daily lives and take priority overH
Page 53 and 54: Promote the social acceptability of
Page 55 and 56: References20 years of HIV in Bangla
Page 57 and 58: 337
Page 59 and 60: Annex 6: Figure 2: National AIDS Mo
Page 61 and 62: INSTITUTIONALCAPACITY FORHIV/AIDS A
Page 63 and 64:
AbstractBackgroundThe HIV epidemic
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NMCHCNRHPNSRSHNational Maternal Chi
Page 67 and 68:
management system, and health servi
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universal access to HIV prevention,
Page 71 and 72:
In order to support the linked resp
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ased violence, unplanned pregnancy/
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The essential services package forr
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care, and VCCT and ANC;Family plann
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Strategy for RSH in Cambodia 2006 -
Page 81 and 82:
Logistics management proceduresfor
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ReferencesStrategic Plan for HIV/AI
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INSTITUTIONALCAPACITY FORHIV/AIDS A
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ABSTRACTBackgroundThere are a numbe
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planning products from DHOs/DPHOs.A
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priority. A large part of the preve
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the major breakthrough in linking t
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guidelines especially those related
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Court responded to the petition byi
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34building on the technical strengt
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million from donors. As a percentag
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in hill and mountain districts. Fre
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uilding for home-based care through
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is from GFATM. It sets targetsand d
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SRH and HIV programmes are runverti
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IX. REFERENCES1. Adolescent Health
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BANGLADESHCAMBODIANEPALPHILIPPINES9
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BANGLADESHCAMBODIANEPALBackgroundTh
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BANGLADESHCAMBODIANEPALPHILIPPINESC
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BANGLADESHCAMBODIANEPALPHILIPPINESt
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BANGLADESHCAMBODIANEPALPHILIPPINEST
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BANGLADESHCAMBODIANEPALPHILIPPINESi
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BANGLADESHCAMBODIANEPALThe protocol
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BANGLADESHCAMBODIANEPALPHILIPPINESP
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