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PEPFAR
Integration of HIV prevention with Health and Nutrition Program involving Self HelpGroup (SHG) Women in Andhra Pradesh(AP), India
S Sivalenka1, C. Nitrahally Mallachar2, L.D. Chava3, S.P. Ravi2
Institution(s): 1.Centers for Disease Control and Prevention (CDC), Center for Global Health, Division of
Global HIV/AIDS, Hyderabad, India2. LEPRA Society, Secunderabad, India3. Society for Elimination of Rural Poverty, Government of Andhra Pradesh, India
AIDS 2012 - Turning the Tide Together
Abstract No: WEPDC0204
PEPFAR
BACKGROUND• In India, females constitute 39%
of People Living with HIV/AIDs (PLHAs) (0.9 million)1
• Andhra Pradesh a southern state in India with >80 million population has 73% rural population
• AP has the highest estimated number of PLHAs (0.5 million in 2007), high HIV prevalence among pregnant women (>1%), and female sex workers (9.74%)2
METHODOLOGY• The HIV/AIDs prevention
component was integrated with the public sector's largest community-based program under Health and Nutrition Program (HNP) of Indira Kranthi Padham – Society for Elimination of Rural Poverty, involving women Self Help Groups (SHGs) (2008-2011)
• Capacity building of HNP staff utilized three innovative modules developed in story form
Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India
PEPFARCapacity building
of HNP Staff on HIV prevention
Self Help Groups level
(SHG) – 45,565Village
Organization level (VO)-2,289
Sub District level (MS) - 62
District level (ZS) - 22
State Level
(SL) - 1
Health Savings-
Health Risk Fund
Regular capacity
building of HNP staff
Community Kitchen Gardens
Water and Sanitation
Nutrition cum Day
Care center
Adolescent girl groups
Fixed Nutrition
Health Days
Community based
Health and Nutrition
Program (HNP)
Support:
PEPFAR- LEPRA Society: HNP staff training SL, ZS, MS level and joint M & E
SERP: Infra-structure, HR, training cascade Joint M & E
AP State AIDS Control Society: Guidance & services (HIV)
Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India
METHODOLOGY
PEPFAR
RESULTS• 438,622 /511,555 (86%) of SHG
women trained on HIV prevention, >40,000 got tested for HIV and >150 case studies were shared by women
• 3,244 HNP state/district level staff trained on HIV Prevention
• District wise (all 23 districts) HIV/AIDs health resource directories developed and distributed
• IKP-SERP has planned a phased scale up of this project across AP in 2012
CONCLUSION• With reductions in funding
globally for HIV/AIDs programs, integration of HIV prevention within existing community-based programs will support sustainability, community ownership, address gender issues and contribute towards the achievement of Millennium Development Goals
Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India
PEPFAR
Acknowledgements• Dr. Pauline Harvey, Centers for Disease Control
and Prevention (CDC), Center for Global Health, Division of Global HIV/AIDS, New Delhi, India
• Centers for Disease Control and Prevention (CDC), Center for Global Health, Division of Global HIV/AIDS (USA & India)
• National AIDS Control Organization (NACO), New Delhi, India
• Andhra Pradesh State AIDS Control Society (APSACS), Andhra Pradesh, India
• LEPRA Society, Implementation Partner, Andhra Pradesh, India
• Indira Kranthi Padham-Society for Elimination of Rural Poverty (SERP), Government of Andhra Pradesh, India
• Rural Self Help Group Women, Andhra Pradesh, IndiaThank you for your attention