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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BANGLADESHCAMBODIANEPALPHILIPPINESin the healthcare system, health careproviders including <strong>HIV</strong> clinic staff<strong>and</strong> nurses <strong>at</strong> all levels of health servicesshould receive counseling training onreproductive <strong>and</strong> sexual health <strong>and</strong>contraceptive <strong>and</strong> family planning..<strong>SRH</strong> staff <strong>at</strong> health centres also needbetter training on <strong>HIV</strong> counselling <strong>and</strong>basic <strong>HIV</strong> educ<strong>at</strong>ion.Capacity building among health careproviders should be guided by theprinciples <strong>and</strong> values of <strong>HIV</strong> <strong>and</strong><strong>SRH</strong> educ<strong>at</strong>ion, to avoid stigma <strong>and</strong>discrimin<strong>at</strong>ion, improve underst<strong>and</strong>ingof gender <strong>and</strong> reproductive health,increase male involvement, improve<strong>at</strong>titudes towards PL<strong>HIV</strong>, <strong>and</strong> improveawareness of reproductive rights <strong>and</strong>choices, especially among PL<strong>HIV</strong>.MMM (friend help friend centre whichforms a part of the <strong>HIV</strong> continuum ofcare framework), organises monthlymeetings <strong>at</strong> the end of each month toprovide opportunities for PL<strong>HIV</strong> tomeet <strong>and</strong> share experiences of <strong>HIV</strong>care with each other, <strong>and</strong> to improvethe rel<strong>at</strong>ionship between health careproviders <strong>and</strong> PL<strong>HIV</strong>. These forumsare also used as a pl<strong>at</strong>form to referPL<strong>HIV</strong> to the required health careservices.One new approach introduced to healthcare providers <strong>at</strong> <strong>HIV</strong> care <strong>and</strong> tre<strong>at</strong>mentservices to improve comprehensivecounselling is positive prevention of<strong>HIV</strong> transmission among PL<strong>HIV</strong>, <strong>and</strong>the choice of falling pregnant amongPL<strong>HIV</strong>. Since 2010, family planningservices have been included as a formof positive prevention for PL<strong>HIV</strong> <strong>at</strong>ART service.Training CurriculumComponents of STI/RTI, <strong>HIV</strong> basiceduc<strong>at</strong>ion, drug use, pregnancy, <strong>and</strong>gender <strong>and</strong> reproductive health, havebeen included in training curriculum.These were based on modules fromthe 2007 “Reproductive Health <strong>and</strong>Adolescents” <strong>SRH</strong> program.<strong>SRH</strong> educ<strong>at</strong>ion has been includedin the curriculum of STI/RTI basictraining developed by NCHADS.There is also a plan to include specificmodules on <strong>SRH</strong> in <strong>HIV</strong>, OI/ART<strong>and</strong> VCCT training curriculum.ChallengesThe challenges faced in rel<strong>at</strong>ion tointegr<strong>at</strong>ing <strong>SRH</strong> <strong>and</strong> <strong>HIV</strong> are:inadequ<strong>at</strong>e staff working on <strong>SRH</strong><strong>and</strong> <strong>HIV</strong> serviceshealth care staff with specific tasks<strong>and</strong> responsibilities <strong>at</strong> health careservice centresworkload of staff if integr<strong>at</strong>ed <strong>HIV</strong><strong>and</strong> <strong>SRH</strong> services are introducedcapacity building for health staff <strong>at</strong>all health facility services rel<strong>at</strong>ed to<strong>SRH</strong> <strong>and</strong> <strong>HIV</strong>.staff motiv<strong>at</strong>ionimproved quality of health careservicesThe n<strong>at</strong>ional str<strong>at</strong>egy for reproductive<strong>and</strong> sexual health indic<strong>at</strong>es an increasedgrade <strong>and</strong> benefits for key reproductivehealth providers, particularly qualifiedmidwives. The MoH is committed tohave <strong>at</strong> least one trained midwife ineach health centre.60
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