Training Organized by :STRC,VadodaraPresenation developed and Translated by :

Mr. Himachal Bhutak and Mr.Dinesh Prajapati

Condom Promotion Under Core TI

Saexn-Ê

“Condom Promotion Under TI”

Importance Promotion Strategies Distribution Channel

3 piyin) s[viai[ (vS[ {About Three Basic Services} 1. STI Care 2. Condom 3. DIC

pN aipNi[ m&²y (vPy hS[ -

aipN[ 2.30 klik cci< kr)S&.

aij[ S& S)K)S& ? mhRvni m&ddi !

Basic Service {piyin) s[viai[} a[Tl[ S& ? ke ke ?

(nri[F a[Tl[ S& ?

Si miT[ (nri[Fni[ upyi[g ?

(nri[Fni fiydi an[ (nri[Fni p\kir

¹yinmi> riKvi j[v) viti[

p\mi[Snn) Äy&h rcni - D)AT^)¾y&Sn AT^[T[Js

p\mi[Snn) r)ti[ - D)AT^)¾y&Sn c[nl

Basic Service a[Tl[.....

sm&diyn[ p\i[j[kTmi> (vÅvismi> aiv[[, p\i[j[kTni[ zDp) Äyip vFirvian[ sm&diyni li[ki[n[ p\i[j[kT trf ji[Dvi j[ p\ir>B)k k[Tl)k piyin) s[viai[ {gieDlien p\miN[} uB) krv) j$r) bn[ C[.

j[mi>, m&²yRv[

1. jit)y ri[gn) sirvir miT[ r[frl s)ATm

2. mft (nri[Fn) upl¾F) krivv)

3. D).aie.s). uB& krv&

Mode of Transmission of HIV/AIDS in India: (%)

Sexual - 85.8

Perinatal – 3.8

Blood & Blood Products - 2Injecting Drug Users - 2.2

Others (Not Specified] - 6.2

Source: NACO

Si miT[ (nri[F ????????

86 % k[si[mi> a[c.aie.v). Yvi piCL as&rx)t s>Bi[g jvibdir C[.

Young People as a Percent of New HIV Infections, 2007

Under 15 14%

Aged 15-24 38%

Aged 25 + 47%

Source: Calculations based on UNAIDS/WHO, Core Slides: Global Summary of the HIV and AIDS Epidemic, 2007, 2008.

47+38 = 85 % -- Bi[g bnnirimi> 85% li[ki[ 15 Y) 47 vP<n) umrni y&vini[ hi[y C[.

(nri[F a[ l[T[x nimni r¾br k[ ¼liAT)kmi>Y) bniv[l a[k p\kirn& li>b& nLikir aivrN C[, j[ a[k C[D[Y) b>F hi[y C[ an[ Ryi> Yi[D)k j³yi riKvimi> aiv[ C[ j[mi> (vy<ni[ sg\h Yiy C[.

(nri[F a[Tl[ S& ?

(nri[F k[v) r)t[ kim kr[ C[ ?(nri[F a[k (dviln& j[v& kim kr[ C[, t[ a[s.T).D). k[ HIVni viyrsn[ y[in)mi> p\v[Sti ri[k[ C[ an[ a[ j r)t[ A#i)ni g&¼tBigmi>Y) p&$Pni l)>gmi> p\v[Sti ri[k[ C[.

Si miT[ (nri[Fni[ upyi[g krvi[ ?ji[ (nri[Fni[ (nym)t, drri[j an[ sic) r)t[ upyi[g

krvimi aiv[ ti[ t[ jit)y ri[gi[Y) (STDs, HIV) an[ p\[gn[ºs) (Pregnancy) Y) bcvini[ a[k mi#i upiy C[.

(nri[Fni p\kir :

p&$Pi[ miT[ni (nri[F (Male Condom)

A#i)ai[ miT[ni (nri[F (Female Condom)

li[ki[n[ smj aipv) k[ j[ai[ aslimt jit)y s>bF Friv[ C[ t[mni (nri[F a[ a[k Jvn bcivnir) {lief s[v)>g} dvi C[.

riOT^)y a[eD`s (ny#iN kiy<k\m an[ (nri[F :-

h[t& :-

(nri[Fn[ li[ki[ s&F) phi[ciDvimi an[ t[mn[ (nri[F viprti krvimi> j[ aDcNi[ aiv[ C[ t[ aDcNi[ d&r krv).

aim aidm) s&F) sAti, sir) g&NvRti Frivti (nri[F, srLtiY) an[ t[mn[ j$r hi[y t[ AYL[ an[ smy[ phi[ciDvi

(nri[F a[ a[k mi#i siFn C[ k[ j[ jit)y smigm Wiri f[liti ri[gi[ {a[s.T).aie. an[ a[c.aie.v). - bºn[}ni c[pn[ p\srti[

aTkiv[ C[. pN,Ryir[ j jyir[ (nri[Fni[ (nym)t an[ dr[k s>Bi[g vKt[, sic) r)t[ upyi[g krvimi> aiv[.

(nri[Fni[ upyi[g b[ r)t[ gB<(Nri[Fk tr)k[ an[ jit)y ri[gi[ sim[ rxN m[Lvvi kr) Skiy C[.

kirN k[,

The Most Important...The Most Important... Accessibility {Accessibility {smjN, Av)kirvin) t]yir)}smjN, Av)kirvin) t]yir)}

Acceptability Acceptability {sv<{sv<--Av)kiy<}Av)kiy<}

Availability Availability {upl{upl¾Fti}}

Visiblility Visiblility {njr sim[, ji[e Skiy t[v&}{njr sim[, ji[e Skiy t[v&}

(nri[Fn) srL uplupl¾Fti krivv), t[n[ Av< Av)kiy< bnivvi[, t[ni[ sici[, stt an[ (nym)t upyi[g Yiy t[ riOT^)y a[eD`s (ny#iN kiy<k\m –f[z - 3ni[ m&²y an[ a(t mhRvn[i ud[S C[. Ensuring availability, accessibility and correct and consistent usage of condoms is a core imperative of NACP III.

Condom programming

m&²y an[ p\iYm)k Äy&hrcni (Primary strategy)TIs NGOs/CBOs Wiri ji[Km) vt<n Frivti j&Yi[n[ mft (nri[F upl¾F krivvi

gi]N an[ v]kÃp)k Äy&hrcni {Secondary (optional) strategy)NGOs/CBOs Wiri si[s)yl mik[<T)>g s>AYiai[ni shyi[gY), (nri[Fn& si[s)yl mik[<T)>g krv& {m&²yRv[ vF& ji[Km Frivti j&Yi[ {ki[r g\&p}ni g\ihki[ miT[, an[ j$r pD[ ki[r g\&p miT[ pN}

Condom Distribution (HRG)

shBigshBig) s>) s>AYiaiAYiai[ [ WiriWiri kiki[ºDi[m p[ºDi[m p\\mi[mi[SnSn

T)T)..aieaie.. pp\\ii[j[[j[kTkT WiriWiri ff\\)) D)AT^)¾y&SnD)AT^)¾y&Sn ::--

((nrinri[Fn&[Fn& mftmft ((vtrNvtrN ::

kiki[[epNepN vAt&nvAt&n[[ pp\\YmvirYmvir lili[[kiki[[ simsim[[ rjrj&& krtkrt)) vKtvKt[[ t[n&t[n& mftmft ((vtrNvtrNagRynagRyn&& pispis&& bnbn)) rhrh[[ C[C[.. jiji[[ k[k[ aiai p¹Ft)p¹Ft)nini[[ mi[T[mi[T[ piypiy[[ upyiupyi[g[gBlimNpi#iBlimNpi#i nYnY))..

mftmft ((vtrNYvtrNY)) pp\\ii[j[[j[kTnkTn[[ kiymkiym)) FiFi[[rNrN[[ clivcliv)) nini SkiySkiy an[an[ mftmimftmi>>aipaip[l[l ((nrinri[[FniFni[[ Kr[KrKr[Kr upyiupyi[g[g YiyYiy C[C[ k[k[ nhnh)) t[t[ nkknkk)) krvkrv&& m&Ækm&Æk[l[lC[C[.. a[a[TlTl[[ a[n&a[n& yiyi[³y[³y mi[n)mi[n)TrTr)>g)>g YiyYiy t[t[ jj$$rr)) C[C[..

(nri[Fn& si[s)yl mik[<T)>>g :-si[s)yl mik[<T)>>gmi> (nri[Fn[ sbs)Diez Fi[rN[ ai[Ci Biv[ aipvimi> aiv[ C[.

ai a[k sfL an[ p\i[j[kTn[ Tkiu tYi kiym) upyi[g) bnivvi miT[n) mhRvn) Äy&hrcni C[. j[ (nri[Fni[ Äyip an[ upyi[g pN vFir[ C[.

g&jritmi> DKT nimn) si[s)yl mik[<T)>>g s>AYinn[ kimg)r) si[pvimi> aiv) C[.

kimg)r) :-1. (nri[Fn) mi>g uB) Yiy, li[ki[mi> (nri[F p\Ry[n) hkiriRmk asr

p[di Yiy t[v) p\vZ(tai[ (nym)tpN[ krv).2. si[s)yl mik[<T)>gni (nri[F p\i[j[kT (vAtirn) a>dr an[

aispis, p>rprigt an[ mi[D<n A#i[t Wiri upl¾F krivvi3. VPLs/PE an[ ORWs Wiri (nri[Fni (ndS<n

(Demonstration) krv& j[Y) (nri[Fni[ sic) r)t[ upyi[g Yiy

pN, m&²y lÈy an[ ud[S FSWs/MSM/TGs Wiri (nri[Fni[ sici[ an[ (nym)t upyi[g Yiy t[ C[.

Distribution channelsDistribution channels

Direct distributionDirect distribution –– j[m k[,j[m k[, s)s)FiFi {{DiyrDiyr[[kTkT} } FSW/MSM/TG FSW/MSM/TG n[ (n[ (nrinri[F [F aipviaipvi shpshp\\((SxkSxk, , aiai[.[.air.DbÃyair.DbÃy& & WiriWiri f)f)ÃDmiÃDmi>, D).>, D).aie.saie.s). ). WiriWiri an[ an[

klkl)n)k )n)k WiriWiri ((nrinri[F [F vhvh[[cNcN))

Indirect distributionIndirect distribution -- j[m k[,j[m k[,((nrinri[F D[pi[ {[F D[pi[ {jihjih[r Si][r Si]cilycily, r[, r[kDkD), ), cincin) ) lirlir), ), pinnpinn) ) d&kind&kin, , lili[j} an[ [j} an[

((nrinri[[FniFni ATiATi[k)AT [k)AT WiriWiri hi[T hi[T ApiApi[[TnTn) ) aispisniaispisni birbir, , dlildlil, r)xi , r)xi D^ievrD^ievr, , lili[j hi[T[[j hi[T[lviLilviLi v[g[r[ v[g[r[ WiriWiri ((nrinri[Fn) [Fn) vhvh[[cNcN)})}

mft (nri[F kiy<k\mn) k[Tlik piyin) bibt[i (FSWs/MSM/TGs) miT[

•mi#i (nri[F upl¾F krivvi a[Tl& p&rt& nY) -(nri[Fn) vh[cN) krv) a[ni[ aY< a[m ni kr) Skiy k[ (nri[Fni[ upyi[g Yiy j C[.

an[ a[j r)t[,•(nri[Fn) smjN an[ jiNkir) pN p&rt) nY) –smjN an[ jiNkir) aiv) a[ni[ aY< a[m ni kr) Skiy k[ (nri[Fni[ upyi[g Yiy j C[.

(nri[Fn& mi[n)Tr)>g krv&

(nri[Fn) upl¾Fti an[ vh[cN)n& mi[n)Tr)>g krv&(nri[Fni vpriSn& mi[n)Tr)>g krv&(nri[F a>g[ni aiyi[jn an[ kimg)r)n& mi[n)Tr)>g krv&

an[ a[Tl[ j, j$r) C[. . . .!

dr[k NGO pis[ p&rti p\miNmi> (nri[Fni[ ATi[k hi[y t[ j$r) C[. dr[k NGO pis[ (nri[Fni ATi[kn[ riKvi {ATi[r krvi} yi[³y an[

p&rt) j³yi hi[v) ji[ea[. a[ pN ¹yin riKv& j$r) C[ k[ (nri[Fn[ jiLvti k[ aiuTl[T - D[pi[ s&F) le jti smy[ a[n[ n&ksin ni Yiy

(nri[Fn) kimg)r)n[ lgti r[ki[D< jiLvvi pN j$r) C[. T).aie. s>AYi Wiri ki[n[, kyi>, kyir[ an[ k[Tli (nri[F apiyi t[n) mih)t) hi[v) ji[ea[.

Si[s)yl mik[<T)>g s>AYin {a[s.a[m.ai[} siY[ (nym)t s>kln riKv& j$r) C[.

Yiel[ºD - a[k p\[rNi$p udihrNYiel[ºD srkir[ d[Smi> (nri[F vpriSmi> aicki$p pr)Nim his)l ky&<, 1990mi> Yiel[ºDmi> (nri[Fni[ vpriS 14 % hti[ j[ 5 vP< bid sn[ 1994mi> 94% le jvimi> srirn[ sfLti mL), {ki[ms)<yl s[ks s[T)>gmi>} Ye gyi[.

an[ pr)Nim Av$p jit)y ri[gn) Tkivir)mi 68%ni[ FTiDi[ ji[vi mÇyi[. {1990mi> 410,406 k[s ni[Fiyi hti j[ 1994mi> 27362 j k[s ni[Fiyi}. srkirn) 100% (nri[F vpriSn) pi[l)s)n[ kirN[ ai Sky bºy&.

24

HIV, Difficult to get, Impossible to cure but, Easy to prevent