Getting the architecture right: working out how best to deliver the comprehensive package of HIV...
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![Page 1: Getting the architecture right: working out how best to deliver the comprehensive package of HIV prevention and care programs and services among key affected.](https://reader035.fdocuments.us/reader035/viewer/2022062618/5513b60455034660198b458e/html5/thumbnails/1.jpg)
Getting the architecture right:working out how best to deliver the comprehensive package of HIV prevention and care programs and services among key affected populations
Lou McCallumDirector, APMG
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Where are we up to in the development of Comprehensive Packages for key populations?
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MSM and TGMSM and TG
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MSMMSM
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Sex workersSex workers
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Drug usersDrug users
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PrisonersPrisoners
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yy
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Challenges
Health system is isolatedo Not an active partnero Not involved in
outreacho Depends on donors
to bring key populations in
Creates long-term problems:
o Hard to scale-up a sustainable system
o Few links between different key population groups
o Focused on numberso Angry advocateso Like finds like
People aren’t empowered
HIV – Current Model and Challenges
General Health System
Donor Intervention
IDU CSW MSM Prisoners Migrants PLHIV
Outreach
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Strategy
Quality improvement enhances outreach, and opens entry points
Create demand, ensure supply
Focus on long-term engagement
Create demand – ensure supply
CBOCBO CBO
NGO
NGO
NGO
Care Environment
Entry Point
Entry Point
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ModelsModels
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• Humsafar Trust, Mumbai– Mature MSM NGO– Has its own STI/HIV clinic as primary care and a
feeder to mainstream services– Sub-population segmentation– Not duplicating government services – advocating
and feeding in– Outreach to create demand– Mentor for emerging CBOs– Research arm
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ModelsModels
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• PT Foundation, Malaysia– Serves MSM, TG, DU and SW– Good links with VCT and PLHIV services,
government and private– Has its staff placed in these services to
strengthen links, improve quality and acceptance
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BalanceBalance
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Key pointKey point
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• It is only by working out the most appropriate and sustainable connection between demand and supply
• The key is in the balance