AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
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Transcript of AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
1/16
Cj ej adm wgbaadba|wl aj }bl a|}wkcx}w ai Gbljjec$ }bl wgljl
cw blg}cg e} ocmmes* ]bl xlbehhlm h|cdmcjf cw jav baol }a e
daged BCY ~xlylj}caj ~xafxeo$ vc}b e h|ws wlr|edds }xejwoc}}lm
cjilg}caj gdcjcg$ mxa~/cj ga|jwldcjf iegcdc}clw$ ejm e weil ba|wliax ycg}cow ai ycadljgl* E} ajl dexfl }ehdl wc}w e fxa|~ ai ~llx
lm|ge}axw$ edd vaoljoaw} ai }blo ~aax ejm cddc}lxe}l
xlyclvcjf me}e }bls beyl fe}blxlm cj }bl jlcfbhaxbaamw vblxl
}bls gajm|g} BCY ~xlylj}caj eg}cyc}clw iax a}blx wlr vaxklxw*
Mxlwwlm cj hxcfb} wexcw ai lylxs gadax$ }blcx wldi/gajicmljgl ejm
~xcml cj }blcx egbclylolj}w ga|dm ja} hl oaxl lycmlj} ew }bls
mcwg|ww }blcx vaxk* ]blwl vaolj$ dckl }ba|wejmw ai a}blx ~llx
lm|ge}axw vba vaxk vc}b }bl Eyebej/Cjmce ECMW Cjc}ce}cyl$ ~des e
gxc}cged xadl aj }bl ixaj} dcjlw ai Cjmcew l~cmlocg*
Eyebej olejw e gedd }a eg}caj cj Wejwkxc}* C} cw e }}cjf jeol ax ajla }bl dexflw} ejm oaw} ~xaocwcjf BCY ~xlylj}caj ~xafxeow cj }bl vaxdm*
De|jgblm cj 8>>7 vc}b |jmcjf xao }bl Hcdd ) Oldcjme Fe}lw Ia|jme}caj
}bcw oe`ax BCY ~xlylj}caj ~xafxeo w}xl}gblw aylx wcr a }bl Cjmcej w}e}lw
oaw} elg}lm hs BCY$ ew vldd ew kls }x|gkcjf xa|}lw* Jav cj e wlgajm
~bewl$ Eyebej5 vaxkw cj ~ex}jlxwbc~ vc}b }bl Cjmcej faylxjolj}$ vbcgb
vcdd }ekl aylx oaw} a }bl ~xafxeow eg}cyc}clw hs 8>5=*
Aylx c}w wbax} dcl$ Eyebej bew hlgaol e fdahed oamld ax egbclycjf
o|d}c~dl faedw }be} oejs ~xlylj}caj ~xafxeow jm gbeddljfcjf* Icxw}$ c}
bew w|gglww|dds h|cd} e gao~xlbljwcyl ~xlylj}caj ~xafxeo }be} gaohcjlw
}bl oaw} llg}cyl xlw~ajwlw }a }bl o|d}c~dl ejm gao~dlr jllmw a oaw}/
e}/xcwk ~a~|de}cajw "OEX^w#* Wlgajm$ c}w eg}cycw} ~llx lm|ge}axwvbawl
xlw~ajwchcdc}clw cjgd|ml ajfacjf me}e gaddlg}caj ejm ejedswcw ejm waol
]bl Eyebej/Cjmce ECMW Cjc}ce}cyl
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
ECMW]EX/Ajl
@abj Wjav$ Cjg*
5959 Jax}b I}* Oslx Mxcyl$ 55}b Idaax
Exdcjf}aj$ YE 888>3 \WE
]ld*0 +5 6>7/7/
vvv*ecmw}ex/ajl*gao
]bcw ~|hdcge}caj vew ~xam|glm hs }bl ECMW W|~~ax} ejm ]lgbjcged Ewwcw}ejgl Xlwa|xg"ECMW]EX/Ajl# ^xa`lg}$ Wlg}ax 5$ ]ewk Axmlx 5*\WECM Gaj}xeg} ' FBB/C/>>/>6/>>>>$ i|jmlm @ej|exs 75$ 8>>2*
Oexgb 8>55
Hs Hcdd Xe|
^xaocwcjf E~~xaegblw }a Gaohcje}caj BCY^xlylj}caj ^xafxeoocjf cj Gajglj}xe}lm L~cmlocgw
Mcwgdecolx0 ]bl e|}baxw yclvw lr~xlwwlm cj }bcw ~|hdcge}caj ma ja} jlglwwexcds xlidlg} }bl yclvw ai }bl \jc
W}e}lw Efljgs iax Cj}lxje}cajed Mlylda~olj} ax }bl \jc}lm W}e}lw Faylxjolj}*
5 ]bxa|fba|} }bcw gewl w}|ms$ Eyebej xllxw }a }bl ~xafxeo ew e vbadl$ cjgd|mcjf c}w j|olxa|w ~ex}jlxw*
Mxa~/cj glj}lx iax fxa|~w e}bcfblw} xcwk cj Oswaxl*
^xewbej}^ej`cexiax
}blHcdd)
OldcjmeFe}lwIa|j
me}caj
http://www.aidstar-one.com/http://www.aidstar-one.com/ -
8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
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8 ECMW]EX/Ajl tOexgb 8>55
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
ew~lg}w a ~xafxeo ~dejjcjf ejm oejeflolj}
lr~lxcljgl }x|l avjlxwbc~ a ejm gaooc}olj} }a
}bl ~xafxeo* ]bcxm$ c} w|gglww|dds emmxlwwlw mcg|d}w}x|g}|xed cww|lw }be} co~lml ~xafxeow vaxdmvcml*
Icjedds$ Eyebej bew egbclylm jlexds |j~xlglmlj}lm
dlyldw a wgedl/|~ }be} beyl oeml e xled co~eg} aj
}bl l~cmlocg cj }bl xlfcajw vblxl c} vaxkw*
Gaohcje}caj BCY ^xlylj}caj
E} xw}$ Eyebej alxlm e }xemc}cajed ocr a wlxycglw0
BCY hlbeycax gbejfl olwweflw mldcylxlm ~xcoexcds}bxa|fb a|}xlegb vaxklxw ejm ~llx lm|ge}axw$
gajmao ~xaoa}caj ejm mcw}xch|}caj$ ejm wlr|edds
}xejwoc}}lm cjlg}caj "W]C# }xle}olj}* E}lx xlgx|c}cjf
daged ~ex}jlxw ejm ~llx lm|ge}axw$ c} emmlm
w}x|g}|xed cj}lxylj}cajw mlwcfjlm }a xlm|gl ~adcgl
bexewwolj} a ejm ycadljgl efecjw} bcfb/xcwk fxa|~w
ejm }a lr~ejm je}cajed BCY ~xlylj}caj ~adcgclw ejm
gaoo|jc}s ljfeflolj} lax}w*
Aylx }col$ Eyebej lyadylm cj}a e gaohcje}caj BCY
~xlylj}caj ~xafxeo }exfl}lm }a OEX^w$ e oamld}be} cjgd|mlw e ocr a xcwk/xlm|g}caj w}xe}lfclw hewlm
aj }bl de}lw} l~cmlocadafcged ejm ~xafxeooe}cg
lycmljgl* W|gb ~xafxeow }exfl} mclxlj} ~a~|de}cajw
vc}b wco|d}ejla|w hlbeycaxed$ hcaolmcged$ ejm
w}x|g}|xed cj}lxylj}cajw mlwcfjlm }a emmxlww daged
xledc}clw* Eyebej ag|wlw aj }bl xlfcajw OEX^w0
loedl wlr vaxklxw$ olj vba beyl wlr vc}b olj
"OWO#$ }xejwfljmlx ~la~dl$ cj`lg}cjf mx|f |wlxw
"CM\w#$ ejm }x|gklxw ejm }blcx bld~lxw*
Eyebejw aylxedd faed cw }a vaxk vc}b lrcw}cjffaylxjolj} cj}lxylj}cajw cj wcr w}e}lw "Ejmbxe
^xemlwb$ Kexje}eke$ Oebexewb}xe$ ]eocd Jem|$
Jefedejm$ ejm Oejc~|x#$ vblxl ~xlyedljgl a BCY
cw bcfblw} eoajf OEX^w$ }a xlegb 2> ~lxglj} a
OEX^w vc}b ~xlylj}caj wlxycglw* ]blwl w}e}lw
egga|j}lm ax 27 ~lxglj} a BCY cjlg}cajw cj 8>>8$
ejm xl~xlwlj} e flafxe~bcg exle ejm ~a~|de}caj wcpl
wcocdex }a }bl \jc}lm W}e}lw* Eyebej xl~ax}w ~xaycmcjf
oaj}bds ~xlylj}caj wlxycglw }a oaxl }bej 88>$>>>
loedl wlr vaxklxw$ 2>$>>> bcfb/xcwk OWO ejm
}xejwfljmlxlm ~la~dl$ 52$>>> CM\w$ ejm < ocddcaj
olj vaxkcjf cj }bl }x|gkcjf cjm|w}xs* Cj emmc}caj }aCjmcew Je}cajed ECMW Gaj}xad Axfejcpe}caj "JEGA#
ejm }bl w}e}l faylxjolj} ECMW Gaj}xad Wagcl}clw$
Eyebej ~ex}jlxw vc}b jcjl dlem co~dlolj}cjf
fxej}llw$ 57= daged jajfaylxjolj}ed axfejcpe}cajw
"JFAw#$ ejm b|jmxlmw a axoed ejm cjaxoed
gaoo|jc}s/hewlm fxa|~w "GHFw#$ ew vldd ew >
~llx lm|ge}axw ejm a|}xlegb vaxklxw*
Eyebejw g|xxlj} cj}lxylj}cajw xlilg} }bl
kls ldlolj}w a gaohcje}caj BCY ~xlylj}caj
~xafxeoocjf ax OEX^w0 ^llx/dlm a|}xlegb }a ~xaoa}l hlbeycax gbejfl
Gdcjcged wlxycglw }a }xle} W]Cw
Gajmao wagced oexkl}cjf ejm mcw}xch|}caj a xll
gajmaow
Mcw}xch|}caj a gdlej jllmdlw ejm wsxcjflw
W|~~ax} ax gaoo|jc}s oahcdcpe}caj
Emyagegs }a xlm|gl w}x|g}|xed hexxclxw }a welx
wlr|ed ~xeg}cglw*
]blwl ldlolj}w gaohcjl w}ejmexm gao~ajlj}w a
e ocjco|o ~egkefl a wlxycglw ax OEX^w vc}b
gaoo|jc}s oahcdcpe}caj ejm lax}w }a emmxlww
w}x|g}|xed hexxclxw }a xcwk xlm|g}caj* ]a }cl }blwl
gao~ajlj}w }afl}blx$ Eyebej bew w}xajf oejeflolj}
ejm ge~egc}s/h|cdmcjf w}x|g}|xlw e} oejs dlyldw
}bxa|fba|} c}w a~lxe}cajw* Iax lreo~dl$ Eyebejw ~llx
lm|ge}axw ja} ajds gexxs a|} lr}ljwcyl a|}xlegb h|}
Eyebej bew egbclylm jlexds
|j~xlglmlj}lm dlyldw ai wgedl/|~
}be} beyl oeml e xled co~eg} aj
}bl l~cmlocg cj }bl xlfcajw vblxl
c} vaxkw*
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
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]bl Eyebej/Cjmce ECMW Cjc}ce}cyl0 ^xaocwcjf E~~xaegblw }a Gaohcje}caj BCY ^xlylj}caj ^xafxeoocjf cj Gajglj}xe}lm L~cmlocgw 7
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
edwa ~dej }blcx eg}cyc}clw* ]be} ~dejjcjf llmw cj}a e
o|d}cdlyld oejeflolj} w}x|g}|xl }be} fcylw }bl ~xafxeo
eme~}ehcdc}s ejm w}xajf egga|j}ehcdc}s*
W}x|g}|xed cj}lxylj}cajwvbcgb emmxlww wagced$
lgajaocg$ ejm ~adc}cged cww|lw }be} elg} bled}b e}
}bl cjmcycm|ed$ gaoo|jc}s$ ejm wagcl}ed dlyldwexl
e kls ldlolj} a Eyebej* ]a emmxlww w}x|g}|xed
~xahdlow$ Eyebej emyage}lw ax ~adcgclw$ xlf|de}cajw$
dc}cfe}caj$ ejm ljaxglolj} a lrcw}cjf devw }a
gxle}l ej ljehdcjf dlfed ejm wagced ljycxajolj} ax
~xlylj}caj* ]bl axfejcpe}caj edwa w|~~ax}w daged
lo~avlxolj} ejm ej}cycadljgl cjc}ce}cylw$ ew vldd ew
egglww }a ~|hdcg bled}b ejm aam wlg|xc}s ~xafxeow*
]bl Axcfcjw a Eyebej
Vblj Eyebej hlfej$ JEGA vew edxlems a~lxe}cjf
e ~xlylj}caj ~xafxeo a je}cajed wga~l |jmlx c}w
Je}cajed ECMW Gaj}xad ^xafxeo "JEG^/C ejm /CC#*
Cjc}ced |jmcjf ax }bcw lax} geol xao }bl je}cajed
faylxjolj}$ }bl Vaxdm Hejk$ ejm wlylxed hcde}lxed
majaxw }a w|~~ax} ha}b w}e}l/ ejm je}cajed/dlyldeg}cyc}clw* De}lx$ W}e}l ECMW Gaj}xad Wagcl}clw "WEGW#
}aak gbexfl a waol a }bl mlgcwcajw xlde}lm }a
wldlg}cjf$ |jmcjf$ ejm oajc}axcjf daged JFAw$ vbcgb
co~dlolj}lm }exfl}lm cj}lxylj}cajw }a ~xlylj} BCY*
Ew xe}lw a BCY cjlg}caj cj Cjmce cjgxlewlm cj }bl
de}l 533>w$ oejs ja}lm }bl ~a}lj}ced ax e o|gb
dexflx l~cmlocg* Ed}ba|fb l~cmlocadafcg lw}coe}lw
xao }be} }col ~|} }bl j|ohlx a BCY/cjlg}lm
cjmcycm|edw cj Cjmce e} = ocddcaj$ lexw fxlv }be}
~xlyedljgl ga|dm xlegb < ~lxglj} hs 8>>
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
4/16
= ECMW]EX/Ajl tOexgb 8>55
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
Icjedds$ Eyebej cw e dlexjcjf oamld* Eyebej o|w}
eme~} }a xlw~ajm }a gbejfcjf xledc}clw cj }bl ldm cj
axmlx }a w|ggllm* Iax lreo~dl$ }bl GO^ vew xlycwlm}bxll }colw cj }bl ~xa`lg}w xw} ~bewl$ eddavcjf ax
cjjaye}cajw e} }bl daged dlyld }a hl gbejjldlm hegk }a
}bl Eyebej ~xafxeo dlyld* Oejeflxw dcw}lj gdawlds }a
w}e}l co~dlolj}cjf efljgclw ejm JFAw ejm em`|w}
}blcx e~~xaegblw ejm w|~~ax} vblj }bls blex }be}
ej ew~lg} a }bl ~xafxeo cw ja} vaxkcjf a~}coedds*
Eyebejw w}e}l ~ex}jlxw ~xaycml emmc}cajed w}e w|~~ax}
ejm }xecjcjf }a JFAw }be} wdc~ cj xlegbcjf }blcx }exfl}w*
Eyebejw ]lgbjcgedE~~xaegb
Eyebejw }lgbjcged e~~xaegb cjyadylw }bl }exfl}
gaoo|jc}clw }a mlylda~ c}w cj}lxylj}cajw$ |wcjf bcfbds
~ex}cgc~e}axs e~~xaegblw }a cmlj}cs ba}w~a}w ejm xcwk
fxa|~w$ }a mlwcfj e ~egkefl a ~xlylj}caj wlxycglw
}be} cw xldlyej} ejm egglwwchdl$ ejm }a emmxlww wagced
eg}axw }be} cjgxlewl OEX^ oexfcjedcpe}caj ejm
gxle}l hexxclxw }a ~xlylj}caj wlxycglw* Hs cjylw}cjf cj
oajc}axcjf ejm lyed|e}caj eg}cyc}clw$ Eyebej ljw|xlw
}be} c}w cj}lxylj}cajw gaj}cj|l }a llg}cylds emmxlww
}bl lyadycjf jllmw a c}w }exfl} ~a~|de}cajw*
^cj~acj}cjf }bl l~cmlocg0 ]a ewwlww vblxl
}bl jllm ax ~xlylj}caj wlxycglw ax OEX^w cw
oaw} gxc}cged$ Eyebej hlfej c}w ~dejjcjf ~xaglww hs
xlyclvcjf Cjmcew lr}ljwcyl l~cmlocadafcg ejm wlr|ed
hlbeycaxed me}e* ]blwl me}e wbavlm }be} }bl wcr
w}e}lw vblxl Eyebej cw hewlm bem ej lw}coe}lm 27
~lxglj} a edd BCY cjlg}cajw cj Cjmce* ]blwl w}e}lw
edwa bem e gajglj}xe}caj a loedl wlr vaxklxw$
OWO$ ejm CM\w*
Oe~~cjf lrlxgcwlw |x}blx gajxolm }be} }blwl
w}e}lw xl~xlwlj} }bl gaxl a }bl l~cmlocg cj Cjmce ejm
|jgaylxlm lylj dexflx j|ohlxw a OEX^w* Icxw}$
Eyebej w}e}l ~ex}jlxw ejm JFAwvbcgb ha}b wlxyl
ejm exl a}lj w}elm hs OEX^woe~~lm exlew
vc}b }bl bcfblw} BCY ~xlyedljgl ejm }bl dexflw}
gajglj}xe}cajw a OEX^w vc}bcj }bl wcr w}e}lw*
Eyebejw ~ex}jlxw }blj |jmlx}aak ml}ecdlm oe~~cjfejm wcpl lw}coe}caj lrlxgcwlw vc}bcj mcw}xcg}w ejm
w|hmcw}xcg}w }a ml}lxocjl vblxl }a lw}ehdcwb wlxycglw
ejm }a |wl de}lx }a fe|fl ~xafxlww* Ew ~ex} a }be}
~xaglww$ }bls gexl|dds oe~~lm wadcgc}e}caj ba} w~a}w
ejm wlr|ed jl}vaxkw e} daged dlyldw*
]blwl me}e oeml c} ~awwchdl }a ag|w xlwa|xglw cj
legb w}e}l aj mcw}xcg}w$ w|hmcw}xcg}w$ ejm wlg}cajw a
|~ }a 5> dexfl gc}clw ejm 5>> }avjw vc}b }bl bcfblw}
BCY ~xlyedljgl ejm gajglj}xe}cajw a OEX^w* ]bl
oe~~cjf fljlxe}lm lw}coe}lw a 857$>>> loedlwlr vaxklxw$ 69$>>> }xejwfljmlx ~la~dl ejm OWO$
ejm 8>> CM\w cj 28 mcw}xcg}w egxaww }bl wcr
w}e}lw*8 ]exfl} fxa|~w vlxl |x}blx w|hmcycmlm hs
mloafxe~bcg gbexeg}lxcw}cgw$ hlbeycaxw$ ax vaxkcjf
dagedlw }a eddav ax mclxlj} a|}xlegb e~~xaegblw*
Iax lreo~dl$ loedl wlr vaxklxw vlxl cmlj}clm
ew baol/hewlm$ ew w}xll}/hewlm$ ax ew hewlm cj
hxa}bldw ejm damflw*
H|cdmcjf kls wlxycglw0 Eyebej ~xaycmlw e
~egkefl a ~xlylj}caj wlxycglw aj e dexfl wgedlegxaww }bl wcr w}e}lw* Gajmao ~xaoa}caj ejm
mcw}xch|}caj ew vldd ew W]C mcefjawcw ejm }xle}olj}
exl dcjklm }a hlbeycax gbejfl gaoo|jcge}cajedd
lwwlj}ced ldlolj}w a gaohcje}caj BCY ~xlylj}caj* ]a
oecj}ecj bcfb w}ejmexmw a u|edc}s cj wlxycgl mldcylxs$
}bl ~xafxeo eg}cylds oajc}axw edd eg}cyc}clw e} edd dlyldw*
Oaw} Eyebej gdcjcgw exl dage}lm cj exlew vc}b bcfb
gajglj}xe}cajw a OEX^w ax vblxl }va ax }bxll
w|gb fxa|~w }ljm }a aylxde~* Eyebej w~ajwaxw W]C
gdcjcgw e} wc}lw ja} gaylxlm hs faylxjolj} gdcjcgw*Oejs exl ba|wlm vc}bcj }bl jlexds 9>> gaoo|jc}s
mxa~/cj glj}lxw }bl ~xafxeo bew gxle}lm* Gdcjcgcej
ba|xw exl ~aw}lm$ ejm legb W]C gdcjcg edwa cjgd|mlw e
ga|jwldax$ e j|xwl!mcw~ljwlx$ ejm ej emocjcw}xe}cyl
8 Lw}coe}lw cj w|hwlu|lj} slexw cjgxlewlm }bl j|ohlx a loedl wlr vaxklxw }a
885$>>> ejm a oaw}/e}/xcwk OWO }a 25$>>>$ vbcdl mlgxlewcjf }bl j|ohlx a CM\w
}a 52$>>>*
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
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]bl Eyebej/Cjmce ECMW Cjc}ce}cyl0 ^xaocwcjf E~~xaegblw }a Gaohcje}caj BCY ^xlylj}caj ^xafxeoocjf cj Gajglj}xe}lm L~cmlocgw 55
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
Oajc}axcjf ejm lyed|e}caj0 Eyebejw oejeflolj} xldclw aj
}bl dexfl eoa|j} a a|}~|} me}e }bl ~xafxeo fljlxe}lw e} edd dlyldw$
w}ex}cjf vc}b gaj}eg}w oeml hs ~llx lm|ge}axw* ^llx lm|ge}axw kll~
mecds xlgaxmw a }blcx gaj}eg}w ejm }blcx cj}lxeg}cajw vc}b }blcx ~llxw$
cmlj}cscjf bcfbds y|djlxehdl ~llxw ax lr}xe e}}lj}caj* ]blwl xlgaxmw exl
gajwadcme}lm cj}a vllkds w|ooexclw a gaj}eg}w* Co~dlolj}cjf JFAw
vaxk vc}b }bl ~llx lm|ge}axw }a ejedspl }blwl me}e ejm ~dej a|}xlegb}a ljw|xl oerco|o gaylxefl ejm gdcjcg e}}ljmejgl* ]bls }blj axvexm
a|}~|} me}e }a }bl dlem efljgclw cj legb w}e}l }a bld~ oajc}ax ~xafxlww
ejm cmlj}cs exlew ax co~xaylolj} ax emmlm e}}lj}caj*
Eyebej edwa oajc}axw a|}gaolw* W]C xe}lw e} gdcjcgw exl addavlm gdawlds$
ew cw gajmao mcw}xch|}caj e} yexca|w wa|xglw* Eyebej |jmlm }va xa|jmw
"8>>9>6 ejm 8>>35># a ej Cj}lfxe}lm Hlbeycax ejm Hcadafcged
Ewwlwwolj} }a gaddlg} hlbeycax ejm hcadafcged me}e xao e xl~xlwlj}e}cyl
weo~dl a }bl }exfl}lm e}/xcwk ~a~|de}cajw cj wldlg}lm mcw}xcg}w* Weo~dl
me}e ldlolj}w cjgd|mlm kjavdlmfl$ e}}c}|mlw$ ejm ~xeg}cglw xlde}lm }a
welx wlr; ejm BCY$ W]C$ ejm!ax bl~e}c}cw cjlg}caj* JEGA fljlxe}lwejj|ed lw}coe}lw a Cjmcew ~a~|de}caj dcycjf vc}bBCY }a ag|w e}}lj}caj
aj mcw}xcg}w vc}b lolxfcjf l~cmlocgw$ ejm gajm|g}w hcejj|ed hlbeycaxed
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oajc}ax c}w avj ~xafxlww ejm }a daak ax fe~w cj c}w mcw}xcg}w*
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ai a|}~|} me}e }bl ~xafxeo fljlxe}lw e} edd dlyldw$
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XLW^AJWCHCDC]CLW AI
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DLEXJCJF IXAO ^LLXLM\GE]AXW
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mloajw}xe}lm }bl addavcjf }a
Eyebej ejm c}w w}e}l ~ex}jlxw*
]blxlexloejswkcddwvc}bcj
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vldexl ~xafxeow*
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
7/16
]bl Eyebej/Cjmce ECMW Cjc}ce}cyl0 ^xaocwcjf E~~xaegblw }a Gaohcje}caj BCY ^xlylj}caj ^xafxeoocjf cj Gajglj}xe}lm L~cmlocgw 6
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
mclxljgl hl}vllj dcycjf cj mll~ ~aylx}s ejm beycjf
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oaw} ~llx lm|ge}ax ~xafxeow*
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^llx lm|ge}axw ejm wlxycgl mldcylxs0Legb ~llx lm|ge}ax bew |~ }a gdclj}w$ oll}cjf
vc}b legb e} dlew} ajgl e oaj}b ejm a}lj oaxl
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a cmlj}cscjf ejm wldlg}cjf ~llx lm|ge}axw$ ~xaycmcjf
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ai }blcx kjavdlmfl ejm wkcddw*
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
8/16
2 ECMW]EX/Ajl tOexgb 8>55
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
devslxw gej xlw~ajm vc}bcj 8= ba|xw }a xl~ax}w a
ycadljgl hs ~adcgl ax fejfw$ maolw}cg ycadljgl$
ax a}blx gao~decj}w* Jlfa}ce}cajw exl gajm|g}lme} ~adcgl w}e}cajw$ waol}colw vc}b wljcax aglxw*
Maolw}cg ycadljgl bew dlm waol GHAw }a lw}ehdcwb
wel ba|wlw ax vaolj ejm }blcx gbcdmxlj; GHA
olohlxw oes edwa e}}lo~} }a cj}lxyljl vc}b }bl
b|whejm ax ~ex}jlx }a xlwadyl cww|lw*
]bl mlmcge}caj a ~llx lm|ge}axw }a }blcx vaxk cw
ajl xlewaj Eyebej vew ehdl }a u|cgkds wgedl/|~
c}w ~xafxeo egxaww 28 mcw}xcg}w cj wcr w}e}lw* Oaw}
~llx lm|ge}axw beyl gaol }a xlgafjcpl }be} lylj
cj e ~xafxeo }bcw dexfl$ }blcx cjmcycm|ed cj~|}w ejmegbclylolj}w gaj}xch|}l }a }bl ~xafxeow ah`lg}cylw*
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vc}b a|}xlegb vaxklxw emm }a }bl ~llx lm|ge}axw
wljwl a xlw~ajwchcdc}s ejm ljfeflolj}*
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cj de}l 8>>7$ Eyebej oaylm u|cgkds }a lr~ejm
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e} wlr wadcgc}e}caj dagedlw* ]bxa|fb }bl dlem w}e}l
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w}e}l ejm JFA ~ex}jlxw hxa|fb} }blcx lr}ljwcyl
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vaxk* Xe}blx }bej cjwcw}cjf aj ajl oamld a
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}bl xe~cm wgedl/|~ a ~xafxeo eg}cyc}clw*
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OWO cj }bl a|x wa|}blxj w}e}lw*
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lm|ge}caj eg}cyc}clw$ vbcgb xlw|d}lm cj |~}ekl cj W]C
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mldcylxs a|}gaolw$ }bl ~xafxeo gaj}xch|}lm }a
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a BCY ~xlylj}caj ~xafxeow* Icjedds$ }bl majax
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]bl mlmcge}caj ai ~llx lm|ge}axw
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vew ehdl }a u|cgkds wgedl/|~ c}w
~xafxeo egxaww 28 mcw}xcg}w cj wcr
w}e}lw*
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
9/16
]bl Eyebej/Cjmce ECMW Cjc}ce}cyl0 ^xaocwcjf E~~xaegblw }a Gaohcje}caj BCY ^xlylj}caj ^xafxeoocjf cj Gajglj}xe}lm L~cmlocgw 3
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
|jmcjf hs }bl w}e}l faylxjolj}w }a emlu|e}lds
emmxlww BCY*
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faed a a~lxe}cjf e} e dexfl wgedl cj wcr Cjmcej w}e}lw*
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}aadw ejm }lgbjcu|lw* Me}e gaddlg}caj ejm oajc}axcjf
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jaj/dc}lxe}l ~llx lm|ge}axw* ]bl ~xafxeo gexxclm a|}
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mcw~ljwlm ax wadm ejm cjgxlewlw cj xl~ax}lm gajmao
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dlyld emyagegs ~xeg}cglm hs ~llx lm|ge}axw ejm
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mxeoe}cgedds*
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
10/16
5> ECMW]EX/Ajl tOexgb 8>55
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
Lolxfcjf dlemlxwbc~0 Eyebejw ~llx lm|ge}axw
beyl hljl}lm xao wba|dmlxcjf wcfjcgej}
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}bls }ekl gbexfl a ocgxa~dejjcjf$ vbcgb cjgd|mlw
cjc}ced oe~~cjf a wlr|ed wadcgc}e}caj ejm jl}vaxkcjf
dagedlw |wlm hs OEX^w* ^llx lm|ge}axw edwa ~des
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
12/16
58 ECMW]EX/Ajl tOexgb 8>55
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http://business.in.com/article/cross--border/how-bill-gates-blew-$258-million-in-indias-hiv-corridor/852/1http://business.in.com/article/cross--border/how-bill-gates-blew-$258-million-in-indias-hiv-corridor/852/1http://www.forbes.com/2009/07/20/gates-foundation-response-philanthropy-avahan_print.htmlhttp://www.forbes.com/2009/07/20/gates-foundation-response-philanthropy-avahan_print.htmlhttp://sti.bmj.com/content/86/Suppl_1http://sti.bmj.com/content/86/Suppl_1http://www.forbes.com/2009/07/20/gates-foundation-response-philanthropy-avahan_print.htmlhttp://www.forbes.com/2009/07/20/gates-foundation-response-philanthropy-avahan_print.htmlhttp://business.in.com/article/cross--border/how-bill-gates-blew-$258-million-in-indias-hiv-corridor/852/1http://business.in.com/article/cross--border/how-bill-gates-blew-$258-million-in-indias-hiv-corridor/852/1 -
8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
13/16
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8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
14/16
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exlew ax gaj}cj|lm gaoo|jc}s oahcdcpe}caj*
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wgedl gaaxmcje}lm ~xafxeo$ vc}b gaooaj ~xafxeo
ldlolj}w |wlm cj edd dage}cajw vblxl c} vaxkw* C}w
cjmcycm|ed gao~ajlj}w ejm mcylxwl w}e}l xledc}clw
exl bldm }afl}blx hs }bawl gaooaj ldlolj}w
ejm hs w}ejmexmw a wlxycgl mldcylxs ejm e w}xajf
oejeflolj} w}x|g}|xl* Vbcdl ~xafxeo oejeflxw
beyl bejmdlm gaaxmcje}caj vldd$ }bl ehcdc}s }a
bejmdl mclxljglw cw ej ajfacjf gbeddljfl* GHF
cjyadylolj} cw hlcjf cj}lfxe}lm cj}a }bl ~xafxeow
~xaglwwlw ylxs wdavds* Eyebej oejeflolj} cw
lr~daxcjf vesw }a w}xljf}blj GHFw hs gajylx}cjf
waol fxa|~w cj}a xlfcw}lxlm GHAw$ ejm }blj
lw}ehdcwbcjf wsw}low }a oajc}ax gaoo|jc}s fxa|~
eg}cyc}clw* ]bl ~xafxeo bew majl vldd }a w|~~ax}
xe}blx }bej lld }bxle}ljlm hsgaoo|jc}clw vba exl
wllkcjf e fxle}lx xadl cj x|jjcjf }blcx avj eecxw* H|}
c} edwa olejw }be} }bl w}xajf gaaxmcje}caj le}|xlw
a }bl Eyebej ~xafxeo vcdd hlfcj }a daawlj }aeggaooame}l mcylxwl daged cj}lxlw}w ejm ol}bamw*
Xl~dcge}caj0 Eyebejw gaohcje}caj BCY ~xlylj}caj
e~~xaegb e~~lexw }a hl ylxs xl~dcgehdl cj ga|j}xclw
vc}b gajglj}xe}lm BCY l~cmlocgw ejm dcklds xl~dcgehdl
vblxl }blxl exl ocrlm l~cmlocgw* Xl~dcge}caj vcdd
xlu|cxl e faam$ h|} ja} jlglwwexcds ~lxlg}$ wl} a
l~cmlocadafcged ejm hlbeycaxed me}e$ faam ~dejjcjf$
ejm e wa|jm oejeflolj} w}x|g}|xl e} edd dlyldw*
Ejs xl~dcge}caj a }bl Eyebej oamld wba|dm xlilg}
daged xledc}clw ejm axfejcpe}cajed lr~lxcljglw* ]bljejgced ejm b|oej xlwa|xglw jllmlm }a h|cdm w|gb
e ~xafxeo exl$ cj oaw} gewlw$ vc}bcj }bl xlegb a
BCY ejm ECMW h|mfl}w cj oejs ga|j}xclwc majaxw$
faylxjolj}w$ ejm co~dlolj}cjf efljgclw gej efxll
}a vaxk aj e gaooaj ~xafxeo*
Lylj ga|j}xclw }be} degk ej emlu|e}l h|mfl} ax
gajwljw|w aj ag|wcjf xlwa|xglw aj }bl oecj
mxcylxw a }bl l~cmlocg gej dlexj xao }bl Eyebej
oamld ejm xl~dcge}l waol a c}w ldlolj}w* ]bxll
a }bawl ldlolj}w w}ejm a|}* Icxw}$ |wl eyecdehdlme}e }a cmlj}cs }bl oecj mxcylxw$ oaw}/e}/xcwk$
ax |jmlxwlxylm fxa|~w cj }bl l~cmlocg ejm ~|}
emlu|e}l xlwa|xglw }avexm xlegbcjf }blo* Wlgajm$
ag|w aj h|cdmcjf ejm w|w}ecjcjf gaoo|jc}s h|s/cj
ejm ej eg}cyl xadl cj ~xafxeo mlylda~olj}* ]bcxm$
emmxlww }bl w}x|g}|xed hexxclxw }be} oekl c} mcg|d}
ax cjmcycm|edw }a ~xeg}cgl xcwk xlm|g}caj*
Oajc}axcjf u|edc}e}cyl ejm loa}cyl
ew~lg}w ai }bl ~xafxeo0 Ed}ba|fb Eyebej bew
wsw}low }a xlf|dexds gaddlg} ejm |wl dexfl eoa|j}w
a me}e$ c} bew hllj wdav }a mlylda~ ol}bamw ax
oajc}axcjf }bl llg}w a emyagegs lax}w e} edd
dlyldw$ olew|xcjf dlyldw a ycadljgl efecjw} OWO
ejm loedl wlr vaxklxw "a}blx }bej ~adcgl ycadljgl#$
u|ej}cscjf lr~ejmlm egglww }a jaj/~xafxeo
wlxycglw "w|gb ew aam xe}caj gexmw# ax bcfb/xcwk
~la~dl$ ejm ge~}|xcjf cjaxoe}caj eha|} gaoo|jc}s
oahcdcpe}caj* ]bl ~xafxeow cjc}ced lo~bewcw aj
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]bl Eyebej/Cjmce ECMW Cjc}ce}cyl0 ^xaocwcjf E~~xaegblw }a Gaohcje}caj BCY ^xlylj}caj ^xafxeoocjf cj Gajglj}xe}lm L~cmlocgw 5=* ]bl Wajefegbc ^xa`lg}0 e
w|w}ecjehdl gaoo|jc}s cj}lxylj}caj ~xafxeo*ECMW
Lm|ge}caj ejm ^xlylj}caj 590=>>3* Kljse
BCY ^xlylj}caj Xlw~ajwl ejm Oamlw ai ]xejwocwwcaj
Ejedswcw0 Icjed Xl~ax}* Jecxahc0 JEGA*
http://www.gatesfoundation.org/avahan/Pages/overview.aspxhttp://www.gatesfoundation.org/avahan/Pages/overview.aspxhttp://www.taivhs.org/http://www.hlfppt.org/andhrapradesh.htmhttp://www.hlfppt.org/andhrapradesh.htmhttp://www.hlfppt.org/andhrapradesh.htmhttp://www.hlfppt.org/andhrapradesh.htmhttp://www.taivhs.org/http://www.gatesfoundation.org/avahan/Pages/overview.aspxhttp://www.gatesfoundation.org/avahan/Pages/overview.aspx -
8/3/2019 AIDSTAR-One Case Study: Avahan-India HIV/AIDS Initiative
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59 ECMW]EX/Ajl tOexgb 8>55
ECMW]EX/Ajl tGEWL W]\MS WLXCLW
Kco$ Gexaj X*$ ejm Gexadcjl Ixll* 8>>2* Xlglj}
Lyed|e}cajw a }bl ^llx/Dlm E~~xaegb cj Emadlwglj}
Wlr|ed Bled}b Lm|ge}caj0 E Wsw}loe}cg Xlyclv*Cj}lxje}cajed Ieocds dejjcjf lxw~lg}cylw 7="8#02339*
Eyecdehdl e} vvv*f|}}oegblx*axf!~|hw!`a|xjedw!7=>23>2*
b}od "egglwwlm Wl~}lohlx 8>5>#
\JECMW* 5333* ^llx Lm|ge}caj ejm BCY!ECMW0 Gajgl~}w$
\wlw ejm Gbeddljflw* Fljlye0 \JECMW*
EGKJAVDLMFOLJ]WE w~lgced }bejkw }a }bl w}e a }bl Hcdd ) Oldcjme Fe}lw
Ia|jme}caj vba ewwcw}lm vc}b cjaxoe}caj ejm dafcw}cgwcj }bl ~xl~exe}caj a }bcw gewl w}|ms* E} }bl Ia|jme}caj$
Fcje Meddehl}}e ejm Oe}ejfc @esexeo vlxl lw~lgcedds
bld~|d* Cj ]eocd Jem|$ }bl w}e a }bl ]eocdjem|
ECMW Cjc}ce}cyl a Yad|j}exs Bled}b Wlxycglw$ cjgd|mcjf
^xa`lg} Mcxlg}ax X* Dekwbochec$ fljlxa|wds wbexlm }bl
axfejcpe}cajw lr~lxcljglw vc}bcj Eyebej* Cj Ejmbxe
^xemlwb$ ^* Wbecde`e ejm }bl w}e a }bl Wvefe}c ^xa`lg}
vc}bcj }bl Bcjm|w}ej De}lr Ieocds ^dejjcjf ^xaoa}caj
]x|w} ~xaycmlm cjaxoe}caj ejm egglww }a ~xa`lg} wc}lw*]bejkw edwa }a Y* Weo~e}b K|oex ejm Klxxs ^ldpoej
vc}b \WECM!Cjmce$ ]coa}bs Oeb ejm Wbseoc MlWcdye
vc}b \WECM!Vewbcjf}aj$ ejm }bl ^xlylj}caj ]lgbjcged
Vaxkcjf Fxa|~ ax }blcx xlyclv ejm cjwcfb}*
XLGAOOLJMLM GC]E]CAJXe|$ Hcdd* 8>55* ]bl Eyebej/Cjmce ECMW Cjc}ce}cyl0 ^xaocwcjf
E~~xaegblw }a Gaohcje}caj BCY ^xlylj}caj ^xafxeoocjf
cj Gajglj}xe}lm L~cmlocgw* Gewl W}|ms Wlxclw* Exdcjf}aj$
YE0 \WECMw ECMW W|~~ax} ejm ]lgbjcged Ewwcw}ejglXlwa|xglw$ ECMW]EX/Ajl$ ]ewk Axmlx 5*
^dlewl ycwc} vvv*ECMW]EX/Ajl*gao iax
emmc}cajed ECMW]EX/Ajl gewl w}|mclw ejm a}blx
BCY/ ejm ECMW/xlde}lm xlwa|xglw*
ECMW]EX/Ajlw Gewl W}|mclw ~xaycml cjwcfb} cj}a cjjaye}cyl BCY ~xafxeow ejm e~~xaegblw
exa|jm }bl vaxdm* ]blwl ljfefcjf gewl w}|mclw exl mlwcfjlm iax BCY ~xafxeo ~dejjlxw ejm
co~dlolj}lxw$ mag|olj}cjf }bl w}l~w ixao cmle }a cj}lxylj}caj ejm ixao xlwlexgb }a ~xeg}cgl*
^dlewl wcfj |~ e} vvv*ECMW]EX/Ajl*gao }a xlglcyl ja}cicge}caj ai BCY/xlde}lm xlwa|xglw$cjgd|mcjf emmc}cajed gewl w}|mclw iag|wlm aj lolxfcjf cww|lw cj BCY ~xlylj}caj$ }xle}olj}$
}lw}cjf ejm ga|jwldcjf$ gexl ejm w|~~ax}$ fljmlx cj}lfxe}caj ejm oaxl*
http://www.guttmacher.org/pubs/journals/3408908.htmlhttp://www.guttmacher.org/pubs/journals/3408908.htmlhttp://www.aidstar-one.com/http://www.aidstar-one.com/http://www.aidstar-one.com/http://www.aidstar-one.com/http://www.guttmacher.org/pubs/journals/3408908.htmlhttp://www.guttmacher.org/pubs/journals/3408908.html