HIV Prevention and Sexual HIV Prevention and Sexual Violence Protection among PWDs, Violence Protection among PWDs,

CambodiaCambodia

Dr. Dr. Vivath CHOU - Project Manager Vivath CHOU - Project Manager pm-hiv@hicambodia.orgpm-hiv@hicambodia.org

Regional Workshop, Feb 21Regional Workshop, Feb 21stst 2011 2011

Towards Mainstreaming the Towards Mainstreaming the discriminated populations in the HIV discriminated populations in the HIV

and AIDS responseand AIDS response in Cambodia, Vietnam and Lao in Cambodia, Vietnam and Lao

Project title and main donorsProject title and main donors

Total budget for 3 Total budget for 3 years (for years (for

Cambodia): 308, 626 Cambodia): 308, 626 EUROEURO

45%

55%

HIF AFD

Project Duration and

Location

Duration: September 2008 to August 2011 + 10 months NCELocation: 13 districts of Battambang and Kampong Cham provinces

Project Objectives

Overall Objective: To contribute to the recognition of and access to rights of discriminated groups; and contribute to the decrease of HIV and AIDS impacts among groups of vulnerable populations

Specific Objective: Different discriminated groups of population in Cambodia, Vietnam and Lao have a better access to HIV and AIDS prevention, care, protection and support system through the capacity building of existing and emerging organizations

Expected Results1. In 13 districts of Battambang and Kampong Cham

provinces, PWDs’ access to HIV prevention and sexual violence protection is enhanced through inclusive approach with the active participation of community based organizations of PWDs and local stakeholders (Cambodia)

2. The operational and strategic frameworks of the main national stakeholders involved into HIV and AIDS response and/or the promotion of gender becomes more inclusive (Cambodia)

3. Experiences and innovative practices developed by the project, in relation with cultural minorities and PWDs’ inclusion are promoted and disseminated among local, national and regional HIV-AIDS and gender organizations (3 countries)

Main Project Partners/Stakeholders

State actors: Ministry of Health and its provincial

departments of Battambang and Kampong Cham

National AIDS Authority and its National AIDS Authority and its provincial AIDS offices provincial AIDS offices

Commune Councils Polices Provincial Departments of Women’s

Affairs

HIV-AIDS actors from civil HIV-AIDS actors from civil society:society:

HIV and AIDS Coordinating CommitteeHIV and AIDS Coordinating Committee Reproductive Health Alliance of Reproductive Health Alliance of

CambodiaCambodia

A

B

C

S

... continued

Disability actors from civil society: Krusar Thmey (specialized schools for

children with hearing and visual impairments)

Deaf Development Program - Maryknoll Action for Disability and Development Association of Blinds of Cambodia Battambang DPO

Legal, psychosocial and other actors:Legal, psychosocial and other actors: Bantey Srey-Gender based violence Bantey Srey-Gender based violence

organizationorganization LICADHO-Human rights organization LICADHO-Human rights organization Transcultural Psychosocial OrganizationTranscultural Psychosocial Organization

Main Activities Awareness raising, training and technical support Awareness raising, training and technical support

to HIV and AIDS actors for disability inclusionto HIV and AIDS actors for disability inclusion– Development of studies Development of studies – Training curriculum and IEC tools development Training curriculum and IEC tools development

and adaptationand adaptation– Training of health workers, volunteer health Training of health workers, volunteer health

support groups/traditional birth attendantssupport groups/traditional birth attendants Promotion of the rights related to Sexual Violence

protection in cooperation with specialized organizations

– Dissemination and consultative workshop with Dissemination and consultative workshop with relevant actors on sexual violence referral systemrelevant actors on sexual violence referral system

– Training of focal persons from Training of focal persons from partners/stakeholders organizationspartners/stakeholders organizations

– Elaboration of a referral guideline for survivors of Elaboration of a referral guideline for survivors of sexual violencesexual violence

... continued Referral of survivors of sexual violence to support

system– Identification of survivors– Referral and monitoring

Support to DPOs and Self-help Groups for HIV and AIDS mainstreaming– Training and Awareness Raising to local groups of Training and Awareness Raising to local groups of

PWDsPWDs– Training of teachers and students with hearing and Training of teachers and students with hearing and

visual impairments at the schools of Krusar Thmey visual impairments at the schools of Krusar Thmey – Cambodian sign language training and awareness-Cambodian sign language training and awareness-

raising to women with hearing impairment in raising to women with hearing impairment in communitycommunity

– Coordination and support to members of local DPO Coordination and support to members of local DPO and self help groups to participate in HIV and AIDS and self help groups to participate in HIV and AIDS and disability eventsand disability events

... continued Other advocacy and lobbying action for disability

inclusion– Project presentation and workshop with commune Project presentation and workshop with commune

council and other NGOs networkcouncil and other NGOs network– Conducting participatory learning actionConducting participatory learning action– Local mass media campaign to general populationLocal mass media campaign to general population– Participation to the review of the 3Participation to the review of the 3rdrd national HIV and national HIV and

AIDS responses strategy-2011-215AIDS responses strategy-2011-215– Trainings of focal points from Trainings of focal points from

partners/stakeholders/organizations at national levelpartners/stakeholders/organizations at national level

Achievements at activities level

1. Awareness raising, training and technical 1. Awareness raising, training and technical support to HIV and AIDS actors for disability support to HIV and AIDS actors for disability mainstreamingmainstreaming

Study Study developmedevelopmentnt

22ndnd study on the vulnerabilities of deaf study on the vulnerabilities of deaf persons to be finalized by Jan 2011 persons to be finalized by Jan 2011 following the 1following the 1stst study on access to health study on access to health and SV protection servicesand SV protection services

Training Training curriculum curriculum and IEC and IEC tools tools developmedevelopmentnt

Posters on HIV, VCCT, PMTCT and SV Posters on HIV, VCCT, PMTCT and SV produced and distributedproduced and distributedTraining curriculum on RH, HIV and AIDS Training curriculum on RH, HIV and AIDS for deaf and PWPI with support IEC tools for deaf and PWPI with support IEC tools updatedupdated

Training of Training of 100 100 TBA/VHSGTBA/VHSG

50 VHSG/TBA received training on 50 VHSG/TBA received training on disability, reproductive health, HIV/AIDS disability, reproductive health, HIV/AIDS and sexual violence protectionand sexual violence protection

... Continued 2. 2. Support to DPOs and Self-help Groups for HIV and AIDS mainstreaming

Training Training and and Awareness Awareness Raising to Raising to local local DPO/SHGsDPO/SHGs

32 focal persons were trained on HIV and 32 focal persons were trained on HIV and AIDS, and Reproductive Health AIDS, and Reproductive Health 331 (176F) members of DPO/SHGs 331 (176F) members of DPO/SHGs received awareness-raising sessions on RH, received awareness-raising sessions on RH, HIV and AIDS, SV protection and disability HIV and AIDS, SV protection and disability facilitated by SHGfacilitated by SHG

Training of Training of teachers teachers and student and student at KT’s at KT’s special special schoolsschools

83 (39F) deaf students and 92 (39F) blind 83 (39F) deaf students and 92 (39F) blind students aged 14-18 years and 32 teachers students aged 14-18 years and 32 teachers received awareness-raising sessions on RH, received awareness-raising sessions on RH, HIV and AIDS and sexual violence HIV and AIDS and sexual violence facilitated by project stafffacilitated by project staff

... Continued

2. 2. Support to DPOs and Self-help Groups for HIV and AIDS mainstreaming (continued)

Working Working with Deaf with Deaf women in women in communitycommunity

10 groups of 64 deaf women were trained on 10 groups of 64 deaf women were trained on Cambodian Sign Language (CSL) and received Cambodian Sign Language (CSL) and received awareness-raising sessions on project related topicsawareness-raising sessions on project related topicsDevelopment of key vocabularies in CSL for the Development of key vocabularies in CSL for the topics addressed under the projecttopics addressed under the project12 new groups of 84 deaf women were trained on 12 new groups of 84 deaf women were trained on CSL and key vocabularies CSL and key vocabularies

ParticipatioParticipation in HIV n in HIV and AIDS and AIDS and and disability disability eventsevents

Deaf women, DPO and SHG representatives were Deaf women, DPO and SHG representatives were invited to the WAD and IDPD at national and local invited to the WAD and IDPD at national and local levelslevels

... Continued

3. Promotion of the rights related to Sexual Violence protection through DPO/SHGs

Workshop Workshop with with specialized specialized organizatioorganizationsns

Two consultation workshops on SV Two consultation workshops on SV referral system organized with concerned referral system organized with concerned stakeholdersstakeholders

Training of Training of focal focal personspersons

32 focal persons at local level trained on 32 focal persons at local level trained on Gender, Rights related to SV protection and Gender, Rights related to SV protection and Commune development processCommune development process

Referral to Referral to support support servicesservices

57 PWDs (including 5 survivors of rape) 57 PWDs (including 5 survivors of rape) were referred to support services (health, were referred to support services (health, psychosocial and legal counseling) psychosocial and legal counseling) 2 survivors of sexual violence were 2 survivors of sexual violence were identified early and referred to support identified early and referred to support servicesservices

... Continued

4. Other advocacy and lobbying action for disability inclusion

Activities Activities with with commune commune councilcouncil

28 (9F) commune chiefs were trained on 28 (9F) commune chiefs were trained on disability and genderdisability and genderProject presentation was disseminated to Project presentation was disseminated to 41 communes at their monthly meeting41 communes at their monthly meeting

WorkshopsWorkshops Three project annual review workshops Three project annual review workshops organized at national and provincial levelsorganized at national and provincial levelsDissemination workshop of the project’s Dissemination workshop of the project’s study presented at international and study presented at international and national levelsnational levels

Local mass Local mass campaign campaign to general to general populationpopulation

One quiz show on SV and HIV/AIDS One quiz show on SV and HIV/AIDS organized at community level with organized at community level with attendance of more than 400 peopleattendance of more than 400 people

Main obstacles and Challenges

Delayed field implementation due to high number of trainings as well as high staff turn over

Level of involvement of partners is limited and there is a lack of ownership

The scope of the project is wide geographically and there are many topics

Limited knowledge and no clear strategic orientation on mainstreaming among project team

A lot of activities remain to be done to achieve expected results

Very limited budget allocation

... continued

Lack of knowledge on disability among decision makers and service providers in HIV and AIDS and gender sectors

Limited data available on HIV and AIDS among PWDs

No coordination between Disability sector / HIV and AIDS sector / gender sector

Limited interest of national PWDs organizations about the project topics

Only 45% of the total budget is supported by AFD and no new funding found for the next phase

Lessons Learned Situation analysis related to beneficiaries and

partners must be well defined to better identify the scope of the work

Positioning of HIF should be well defined since the beginning in order to adjust the approach

Training materials for deaf persons must be concrete, simple with clear message

Importance of trustful relations with both families and local authorities: information, regular visit, female team members

Need for evidence-based information for advocating towards decision makers and key national stakeholders

Main Documentation Produced

Title of document Type Year Language

Qualitative study on the access to health and sexual violence protection services among PWDs

Hand-book

2009 English

Qualitative study on the vulnerabilities among women and men with hearing impairments

Hand-book

2011 English

HIV and AIDS, Reproductive Health Training curriculum and IEC tools for persons with hearing and physical impairment

Hand-book, posters

2010 Khmer

Ways Forward No cost extension till June 2012 Withdrawal from double mainstreaming at national

level. Focus on mainstreaming disability into HIV AIDS and Gender organizations at national level response only. One pilot approach with 1 DPO maintained

Focus on disability mainstreaming into existing local system for the protection of sexual violence survivors

Develop primary prevention for sexual violence protection to all women and support for referral of all women with disabilities instead of deaf women only

Phase out from partnership with ADD and from direct implementation at Krusar Thmey’s schools

Minimized the geographical areas from 13 to 6 districts and topics (RH, HIV and AIDS, SV and Disability)

Thank You!