www.aids2014.org les ong program adviser community-based service delivery across the continuum of...
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www.aids2014.org
Les Ong
Program Adviser
Community-based service delivery across the continuum of prevention, care & treatment for Key Populations
www.aids2014.org
• Epidemic Concentrated in Key Populations
• Goal: Zero new HIV infections by 2020
• Cover 17 out of 22 provinces
• Reach 49, 396 KPs (70% of estimated population size) with prevention, care and support services through community-based program
www.aids2014.org
Strengthening the Care Cascade
Prevent new infections
Accelerate case
detection
Early enrollment in Pre-ART/ART
Maximize retention in
care
www.aids2014.org
Tailored Programs
Men who have sex with men
Transgender people
Entertainment Workers
www.aids2014.org
Linkage to Care HC
CD4, pre-ART/ART, ANC, VCCT, TB, STI, MMT, VL
+Key Populations
BCC, Condoms/ lubricants, NSP, oral/emergency contraceptives, HTC, STI& TB screen, risk tracing
Prevent new infections
Accelerate case detection
Early enrollment in Pre-ART/ART
Maximize retention in care
Active Case ManagementHC
DIC
Peer outreach worker
Community level
Implementing Partner NGO
www.aids2014.org
Key Populations
BCC, Condoms/lubricants, NSP , oral/emergency
contraception
HTC, STI screen, TB screen, Risk Tracing
Peer Driven Intervention
mHealth Finger Prick Testing
Social Marketing
Prevent new infections Accelerate case detection
HC
DIC
Peer outreach worker
Community level
Implementing Partner NGO
www.aids2014.orgEarly enrollment in Pre-ART/ART Maximize retention in care
Linkage to Care HC
CD4, pre-ART/ART, ANC, VCCT, TB, STI, MMT, VL
+Key Populations
Active Case Management
- Follow-up- Accompanied referrals- Health services liaison
HC
DIC
Peer outreach worker
Community level
Implementing Partner NGO
www.aids2014.org
Lessons Learned• Community-based approach brings services closer to KPs and improves
linkage to, and retention in, the care cascade.
• Institutional and capacity building of “specialist” implementing partner NGOs and task shifting to KP members are critical.
• Challenge to reach KPs with highest risks and partners of KPs. We may need to consider modification of the outreach strategy – eg PDI, 24 hour drop outreach, GIS mapping.
• OWs experience significant burden, low motivation and a high turnover, compromising quality of service delivery. ‘Professionalize’ to improve conditions and quality?
• Community based approach needs to continue to evolve to reflect the needs of KPs. More resources are needed for research and to generate evidence of cost-effectiveness to stimulate investment.
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