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

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

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

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