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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BANGLADESHCAMBODIANEPALPHILIPPINESUniversity of New South Wales <strong>and</strong>the Department for Intern<strong>at</strong>ionalDevelopment, UK (DfID). Thismid-term assessment considered thechanging epidemiological situ<strong>at</strong>ion,technical aspects of str<strong>at</strong>egydesign <strong>and</strong> implement<strong>at</strong>ion, <strong>and</strong>administr<strong>at</strong>ive <strong>and</strong> managerial aspectsof programme implement<strong>at</strong>ion.These developments fed into a review<strong>and</strong> up-d<strong>at</strong>ing of the <strong>HIV</strong> <strong>and</strong> STIstr<strong>at</strong>egic plan for 2003 to 2007, withprimary objectives to respond to thechanging epidemiological situ<strong>at</strong>ion,<strong>and</strong> to align with the new HealthSector Str<strong>at</strong>egic Plan 2003-2007.The component interventions of thisupd<strong>at</strong>ed str<strong>at</strong>egic plan for controlof <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> STDs weregrouped into four packages, with anumber of components in each: 1)the prevention package (includingbehaviour change communic<strong>at</strong>ion/inform<strong>at</strong>ion, educ<strong>at</strong>ion <strong>and</strong>communic<strong>at</strong>ion (BCC/IEC),outreach <strong>and</strong> peer educ<strong>at</strong>ion, 100per cent condom use <strong>and</strong> STImanagement); 2) the continuumof care package, which includedestablishing the continuum of careitself, health facility-based careincluding ART, home-based care,VCCT <strong>and</strong> universal precautions,as well as collabor<strong>at</strong>ion with otherdepartments <strong>and</strong> centres of the MoHfor TB/<strong>HIV</strong> <strong>and</strong> PMTCT; 3) theresearch <strong>and</strong> surveillance package;<strong>and</strong> 4) the management package(which included planning, reporting,monitoring, administr<strong>at</strong>ion, logistics,<strong>and</strong> d<strong>at</strong>a management).During 2007, NCHADS workedwith stakeholders in the relevanttechnical working groups to reviewachievements under the previousstr<strong>at</strong>egic plan, to prepare necessarynew approaches <strong>and</strong> plans, <strong>and</strong> toset targets for the next period. Aseries of consult<strong>at</strong>ion meetings wereheld to review the overall situ<strong>at</strong>ion,the epidemiology <strong>and</strong> dynamics ofthe epidemic given the l<strong>at</strong>est d<strong>at</strong>a,<strong>and</strong> to consolid<strong>at</strong>e the componentplans into this str<strong>at</strong>egic plan for<strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> STI prevention<strong>and</strong> care programmes for 2008-2010. This upd<strong>at</strong>ed str<strong>at</strong>egic planrepresents a major achievement for<strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> STD programmesin the health sector in Cambodia.Firstly, it recognises the value <strong>and</strong>contribution of all stakeholders;secondly, it responds to the changingepidemiological situ<strong>at</strong>ion in thecountry; <strong>and</strong> thirdly, it recognises theimportance of expressing the <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> STD str<strong>at</strong>egy within thecontext of the overall health sectorstr<strong>at</strong>egy, integr<strong>at</strong>ing the <strong>HIV</strong>/<strong>AIDS</strong> <strong>and</strong> STD programmes intothe health sector programme. Withthis upd<strong>at</strong>ed str<strong>at</strong>egic plan are newstr<strong>at</strong>egies to improve the linkagebetween health facility based <strong>and</strong>community based services to supportfollow up <strong>and</strong> compliance of peopleliving with <strong>HIV</strong>/<strong>AIDS</strong> (PLHA) to<strong>HIV</strong>/<strong>AIDS</strong> tre<strong>at</strong>ment <strong>and</strong> care, <strong>and</strong>to strengthen referral <strong>and</strong> follow-uplinkages within health facility <strong>and</strong>community based services (VCCT,OIs <strong>and</strong> ART services, tuberculosis(TB), PMTCT, STIs, reproductivehealth <strong>and</strong> nutrition).In mid 2010, this str<strong>at</strong>egic plan wasrevised <strong>and</strong> upd<strong>at</strong>ed to meet the48
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