BANGLADESHCAMBODIANEPALPHILIPPINESAmong the six districts where <strong>HIV</strong>cases were identified, Dhaka as thecapital city had the highest <strong>at</strong> 16.7 percent, Sylhet was second <strong>at</strong> 15.3 percent <strong>and</strong> in Chittagong 8.3 per cent.The overall identified cases of <strong>HIV</strong>throughout the country are provided inannex 3. The following table (table 2)illustr<strong>at</strong>es the basic indic<strong>at</strong>ors of <strong>HIV</strong>in Bangladesh:1.3 N<strong>at</strong>ional Response to<strong>HIV</strong>Government: The Government of thePeople’s Republic of Bangladesh remainsfirm in its political commitment tocomb<strong>at</strong> <strong>HIV</strong>, to maintain Bangladesh’sst<strong>at</strong>us as a low prevalence country,<strong>and</strong> to achieve the goal of halting <strong>and</strong>reversing the spread of <strong>HIV</strong> by 2015.The Director<strong>at</strong>e of Health <strong>Service</strong>sin the Ministry of Health <strong>and</strong> FamilyWelfare outlined a N<strong>at</strong>ional Policy on<strong>HIV</strong>/<strong>AIDS</strong> in l<strong>at</strong>e 1996. In 1998, asrecommended by the N<strong>at</strong>ional Policyon <strong>HIV</strong> <strong>and</strong> STD, the N<strong>at</strong>ional<strong>AIDS</strong>/STD Programme (NASP)was established under the DGHS tooversee the <strong>HIV</strong>/<strong>AIDS</strong> programmein the country, under the guidanceof the NAC. After the first Str<strong>at</strong>egicPlan was reviewed in 2005, the NACguided the development of the 2ndN<strong>at</strong>ional Str<strong>at</strong>egic Plan for <strong>HIV</strong>/<strong>AIDS</strong>, 2004-2010 (NSP II), withthe active involvement of a wide bodyof stakeholders, including UN<strong>AIDS</strong>.The objectives, str<strong>at</strong>egies <strong>and</strong> prioritiesof this plan are closely aligned withthe N<strong>at</strong>ional Policy for <strong>AIDS</strong> <strong>and</strong> theMillennium Development Goals, <strong>and</strong>further guided by an analysis of the<strong>HIV</strong> situ<strong>at</strong>ion <strong>and</strong> vulnerability factorsin Bangladesh. The main objectives ofNSP II are to:i. Provide support <strong>and</strong> services forpriority groupsii. Prevent vulnerability to <strong>HIV</strong>infectioniii. Promote safe practices in the healthcare systemiv. Provide care <strong>and</strong> tre<strong>at</strong>ment servicesto people living with <strong>HIV</strong>v. Minimise the impact of the <strong>HIV</strong>/ADIS epidemicNongovernmentalOrganis<strong>at</strong>ions (NGOs):There are more than 400 NGOs whohave been implementing programmes/projects in different parts of the country.These initi<strong>at</strong>ives focus on preventionof sexual transmission among highriskgroups involving mostly femalesex workers, MSM, IDUs, rickshawpullers, <strong>and</strong> truckers. NGOs are oftenin a better position than the publicsector to reach high-risk groups, suchas sex workers <strong>and</strong> their clients, <strong>and</strong>injecting drug users. Building thecapacity of NGOs, especially the smallones, <strong>and</strong> combining their reach withthe resources <strong>and</strong> str<strong>at</strong>egic programmesof the government is an effective way tochange behaviour in high-risk groups<strong>and</strong> prevent the spread of the virus tothe general public.DonorsA Global Fund grant for US$40 million(Round 6) to promote prevention of<strong>HIV</strong> among adolescents <strong>and</strong> youngpeople brought together the government10
2<strong>and</strong> Save the Children, USA, <strong>and</strong> isbeing implemented through NGOs.An FHI/USAID-supported project(US$13 million, 2005-2008) focuseson selected interventions for somehigh-risk groups <strong>and</strong> the expansion ofVCT services. Big Lottery Fund is alsoproviding <strong>HIV</strong> programmes throughCARE Bangladesh.There are three major <strong>HIV</strong> preventionprojects oper<strong>at</strong>ing in Bangladeshfocussing only on young people, sexworkers, injecting drug users, MSM<strong>and</strong> mobile popul<strong>at</strong>ions like transportworkers <strong>and</strong> rickshaw pullers. Not all ofthe groups have been identified as being<strong>at</strong> risk. While it is well understood th<strong>at</strong>raising awareness of <strong>HIV</strong> in the <strong>at</strong>-riskpopul<strong>at</strong>ion is important, improvementin knowledge needs to be linked withbehaviour change. It is not yet certainth<strong>at</strong> this is happening.Currently there are three major <strong>HIV</strong>programmes being implemented inBangladesh (UNGASS 2010):a. The <strong>HIV</strong>/<strong>AIDS</strong> TargetedIntervention (HATI) 2008-2009supported by the World Bankfinanced the Health, Nutrition<strong>and</strong> Popul<strong>at</strong>ion Sector Programme(HNPSP). HATI focuses onintervention packages for six highrisk groups: IDUs, sex workers -brothel based, street based, <strong>and</strong>hotel <strong>and</strong> residence based, - clientsof sex workers, MSMs, MSWs <strong>and</strong>hijra.b. The Bangladesh <strong>AIDS</strong>Programme (BAP) 2005-2009:This programme is funded by USAIDwith about US$14 million <strong>and</strong> isimplemented through a team comprisingFHI, Social Marketing Company(SMC), John Snow Inc Bangladesh ( JSI11
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- 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 and 12: ROUNDTABLE MEETING ON LINKAGES BETW
- Page 13 and 14: Mr Roberto M Ador, Executive Direct
- 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: However, condom use was low amongho
- Page 33 and 34: Many important national guidelines,
- Page 35 and 36: voluntarily, among project particip
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- 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
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- Page 59 and 60: Annex 6: Figure 2: National AIDS Mo
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- Page 63 and 64: AbstractBackgroundThe HIV epidemic
- Page 65 and 66: NMCHCNRHPNSRSHNational Maternal Chi
- Page 67 and 68: management system, and health servi
- Page 69 and 70: universal access to HIV prevention,
- Page 71 and 72: In order to support the linked resp
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- Page 75 and 76: The essential services package forr
- Page 77 and 78: care, and VCCT and ANC;Family plann
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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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BANGLADESHCAMBODIANEPALBackgroundTh
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