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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Model of Linked Response Service Provision in CambodiaDiscussion• The issue of involving most at risk persons (MARPS) and people living with HIV(PLHIV) arose in the discussions. In Nepal, the government officials mentionedthat collaboration with PLHIV is very limited as the role of PLHIV in the planningprocess is unclear. PLHIV organisations are very outspoken and always critical to thegovernment policies and programmes. PLHIV organisations are perceived to bemore interested on the monetary benefits.• Cambodia has established an effective mechanism to address the coordinationissue at all levels, where working groups were established with clear roles andresponsibilities. These coordinating committee and working groups meet regularly.In addition, private sectors and NGOs are required to work together and support thegovernment policies.• In the Philippines, self-organized groups were established at local level. Thesegroups will mobilize support from the provincial and national level governments. Itis important for these groups to start at from bottom and start to pressure the localand national government for better health services.• It is important to involve both the PLHIV and their partners together. The PLHIVgroups can help to improve the provision of services at health facilities and withinthe communities by strengthening their support and link all their activities to healthservices.Introduction ⅵ (d)

Session 3: Health Systems Strengthening for SRHR and HIV/AIDS LinkagesThe objective of this session was to share experiences in improving government anddonor co-ordination to strengthen health system, policies and plansDr Krishna Kumar Rai, Director, National Centre for AIDS and STDs Control,NepalDr Rai described the structural linkages between National Centre for AIDS and STDsControl (NCASC) with other agencies under the Ministry of Health and Population.NCASC is linked with the Department of Health Services, Reproductive HealthDepartment and also the regional, district hospitals and community-based health carefacilities. The linkages with other agencies and facilities have widened the opportunityto integrate SRH and HIV through the PMTCT services. PMTCT is included in thenational medical standard for reproductive health (2009) and also in the SBA trainingpackage. A series of joint workshops were organized to move forward the programalignment with FHD/CHD/NPHL at implementation level.The PMTCT programme, however, face challenges as the health care system in thecountry need to be strengthened to integrate both SRH and HIV within the generalhealth services. It is also important to scale up the PMTCT services across the countryby increasing access to HIV testing and VDRL testing to all women, including MARPs.Guidelines and protocols have been updated to meet the standard. In addition, trainingpackages for different level of health work force as part of health system strengtheningto provide one stop service is under implementation.Model of PMTCT Services in NepalIntroduction ⅵ (e)

Model of Linked Response <strong>Service</strong> Provision in CambodiaDiscussion• The issue of involving most <strong>at</strong> risk persons (MARPS) <strong>and</strong> people living with <strong>HIV</strong>(PL<strong>HIV</strong>) arose in the discussions. In Nepal, the government officials mentionedth<strong>at</strong> collabor<strong>at</strong>ion with PL<strong>HIV</strong> is very limited as the role of PL<strong>HIV</strong> in the planningprocess is unclear. PL<strong>HIV</strong> organis<strong>at</strong>ions are very outspoken <strong>and</strong> always critical to thegovernment policies <strong>and</strong> programmes. PL<strong>HIV</strong> organis<strong>at</strong>ions are perceived to bemore interested on the monetary benefits.• Cambodia has established an effective mechanism to address the coordin<strong>at</strong>ionissue <strong>at</strong> all levels, where working groups were established with clear roles <strong>and</strong>responsibilities. These coordin<strong>at</strong>ing committee <strong>and</strong> working groups meet regularly.In addition, priv<strong>at</strong>e sectors <strong>and</strong> NGOs are required to work together <strong>and</strong> support thegovernment policies.• In the Philippines, self-organized groups were established <strong>at</strong> local level. Thesegroups will mobilize support from the provincial <strong>and</strong> n<strong>at</strong>ional level governments. Itis important for these groups to start <strong>at</strong> from bottom <strong>and</strong> start to pressure the local<strong>and</strong> n<strong>at</strong>ional government for better health services.• It is important to involve both the PL<strong>HIV</strong> <strong>and</strong> their partners together. The PL<strong>HIV</strong>groups can help to improve the provision of services <strong>at</strong> health facilities <strong>and</strong> withinthe communities by strengthening their support <strong>and</strong> link all their activities to healthservices.Introduction ⅵ (d)

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