ALGAF IVALGAF IV

GHANA’S PRESENTATIONGHANA’S PRESENTATION

Friday, December 19, 2003Friday, December 19, 2003

What is the purpose of an HIV/AIDS Strategy?

What is a strategy?

• Guideline

• Roadmap

• Work plan

Importance of HIV/AIDS strategy

• Because of spread

• Devastating effects of disease

• Social, economic and developmental impacts of HIV/AIDS

• Reduce and prevent spread

Why is mainstreaming an important element?

A

• Everybody should be involved in integrating HIV/AIDS response in every sector of Ghanaian economy

• Become a social problem

• Security risk (without care it could wipe out a whole generation)

How non-health related departments can help.

B

• Financial support

• Diverse expertise (educational)

• Seminars/teachings

• Advice market women, truck drivers, etc.

• volunteerism

Who is Responsible For Coordination?

• District bodies

• National level: Ghana AIDS Commission

• Special offices or desk for HIV/AIDS prevention

Challenges

• Short tenure of office

• Continuity of services

• Lack of dedicated resources (human & material)

Functional integration to improve service delivery

• Education of other diseases (e.g. Tuberculosis, Malaria, & STIs)

• Non-communicable diseases• Education on good health (good diet,

exercises)• Proper refuse disposal• Responsibility of media about

information on locations of refuse disposals, washrooms, etc.

Functional integration to improve service delivery (Cont.)

• Education on usage of facilities

• Biomedical waste disposal system

• Government’s responsibility of providing facilities that are not existing for health improvement

Data collection

• Ghana AIDS Commission

• National AIDS Control Program

• District hospitals

• Local clinics/ health posts

• District Assemblies

• Unit Committees

Services provided

• Community, regional and district offices

• Education of people about the menace (Action AID)

• Co-ordination

• Awareness creation, VCT

Formal and Informal Relationship Between Organizations

• Poor relationship between LGAs and organizations responsible for HIV/AIDS

• Poor data of organizations by LGAs

• No accurate monitoring and supervision and evaluation

Gaps in service provision

• No accurate monitoring and inaccurate supervision

• Lack of innovations

• One sided method of education on HIV/AIDS (Awareness)

Proposal for Addressing Gaps Identified

• Capacity building (behavioural change counselors)

Some organizations in my municipality to be targeted

• Hairdressers and barbers

• Tailors and dressmakers

• Drivers (including truck drivers)

• Circumcisionists

• Hoteliers and bar operators

• Soldiers and police (Forces)

Departments in Local Government Departments in Local Government Authorities and Groups AssociatedAuthorities and Groups Associated

• Education (school children, students)

• Health (doctors, nurses, etc.)

• Agriculture (farmers)

• Social workers ( including street children, “Kayayos”)

• Interior (Forces, Fire Service)

Activities to be implemented

• Water and sanitation programs

• Behavioural changes

• Peer group training (Education)

• Community health

• Child welfare clinics

• Workshops

Services Provided to HIV/AIDS Prevention

• Counseling

• Educational talks

• Voluntary Counseling & Testing (VCT)

• Home base care

• Prevention of Mother To Child Transmission

Identifying Organizations Outside The Public Sector

• Religious bodies

• Barbers

• Hairdressers

• Traders

• Poultry farmers

• Ghana Midwifery/ Nurses Association

Where do HIV/AIDS Infected People go?

• Hospitals (Korle Bu, Noughuchi)

• Laboratories

• PPAG

• Clinics

• Accredited medical institutions

Where do People go if they are HIV Positive?

• NGOs

• Hospitals for counseling

• Office desk

Where do They Find Counseling On Nutrition & Healthy Lifestyle?

• NGOs

• Hospitals

• clinics, etc.

Where Can They Get Access To Condoms?

• Hospitals

• Clinics

• Pharmacies

• Drug stores

• NGOs

• Street vendors

Who Can They Turn To If They Loose Their Jobs And Family

Income?

• CHRAG

• FBOs

• NGOs

When They Become Sick, Where Can Their Caregiver Turn To For

Advice?

• Hospitals where victims were diagnosed

• Desks within District Assemblies, Unit committees, etc.

• FBOs

• NGOs

How Will Their Children Attend School?

• NGOs

• FBOs

• Scholarships from Central government, District Assemblies, Unit committees

Who Will Pay For Their Burial?

• Extended family

• Unit committees

• Ethnic associations

Where they will seek the service and mechanisms for referrals

• The following have been categorised according to service provision capacity

Teaching/ Tertiary

Regional hospitals

Level C (District Hospital Status)

Level B (Clinics, Health Centers)

THANK YOU !!!THANK YOU !!!

ASANTE SANA !!!ASANTE SANA !!!

YE DA MU ASYE DA MU ASεε!!!!!!