Support To National Efforts For Mainstreaming of HIV

Welcome Delegates

Ashok RaisinghaniState Mainstreaming Unit.

RSACS

Support To National Efforts For Mainstreaming of HIV

Some Rationales

Vulnerable Factors HIV already exists

large population of Rajasthan (56.4 million)

HIV and AIDS is equally as rural as an urban epidemic

Out-migration

Rajasthan accounts for 19 percent of all mines in India

25,000 trucks travel daily on NH 8 alone

Tourist Destination

Where is the epidemicWhere is the epidemicNumbers – 2.5 millionNumbers – 2.5 million

Women – 38.4%Women – 38.4%

Rural – 57%Rural – 57%

The South Africa ExperienceThe South Africa Experience

15-20 years back --- Denial --- Now 20% 15-20 years back --- Denial --- Now 20%

Where India is todayWhere India is today

Support To National Efforts For Mainstreaming of HIV

Mainstreaming is

“the concept of addressing HIV & AIDS both internally and externally in all sectors, at all

levels, particularly where the pandemic might not ordinarily be addressed.”

Support To National Efforts For Mainstreaming of HIV

Some Examples of mainstreaming:

Support To National Efforts For Mainstreaming of HIV

Mainstreaming Project:

UNDP is supporting the government’s efforts in mainstreaming HIV/AIDS in five low prevalence states through

System strengthening Capacity development Building synergy & alliances

Support To National Efforts For Mainstreaming of HIV

IMPLEMENTATION ARRANGEMENTS

National Council on AIDS Chaired by the Prime Minister

National AIDS Control

Organisation (NACO)

Cells in the identifiedMinistries

State Mainstreaming Unit

(SMU) in SACS of5 selected states

State Departments including of Ministries identified

MRU in 5 selected state

DISTRICT ACTION GROUP

LWS & Village

Volunteers

Support To National Efforts For Mainstreaming of HIV

Mainstreaming Project:

• The 5 year project will work in 25 districts across

Bihar UP Chattisgarh Rajasthan Orisa

•The 5 year project will work in 6 districts

Jaipur Jodhpur Udaipur Ajmer Alwar Barmer

Support To National Efforts For Mainstreaming of HIV

Focused Sectors

Corporate (organized, Unorganized)

NGOs/CSOs (INGOs, CBOs, FBOs, Societies, Associations)

Govt. Dept. (Panchayti Raj, Rural Development, Urban Development, Tribal development, Tourist Development and Railway)

Support To National Efforts For Mainstreaming of HIV

MAINSTREAMING HIV/AIDS

As the epidemic in India spreads from urban to rural areas, from pockets of high prevalence to generalized population, HIV can no more be the sole agenda of one organization or department. There is a need to move towards an integrated, inclusive multi-sectoral approach that will transfer the ownership of HIV/AIDS issues.

Support To National Efforts For Mainstreaming of HIV

WHY MAINSTREAMING HIV/AIDS IN INDIA?

Key strategy to implement a multi-sectoral response to expand coverage of prevention, care and treatment information and services.

It is a cost effective approach for a systematic and sustained response that includes health and non-health partners.

Early mainstreaming action may prevent concentrated epidemics from becoming generalized.

Support To National Efforts For Mainstreaming of HIV

It will provide additional support to the development process as HIV and AIDS is closely linked to poverty, gender inequality and social welfare.

Mainstreaming addresses both the direct and indirect aspects of HIV/AIDS.

It makes national responses sustainable in the long-term.

Cont..Cont..

Support To National Efforts For Mainstreaming of HIV

There are various ways to integrate HIV in their programmes and policies. Some are illustrated below :

Identify programmes which can have the largest reach, cutting across gender, caste and hierarchical boundaries

Sensitize key stakeholders on HIV/AIDS

Set up an internal committee /nodal person to develop HIV/AIDS workplace policy.

Work place policy for prevention, care and treatment for staff members and spouses

INTERVENTIONS IN MAINSTREAMINGINTERVENTIONS IN MAINSTREAMING

Support To National Efforts For Mainstreaming of HIV

Cont..

•Orientation on HIV should be part of all technical and Orientation on HIV should be part of all technical and management training institutes’ programmes management training institutes’ programmes

• HIV integrated in existing training programmes and refresher courses

•Policy for non-discrimination on basis of HIV status

•Condom corners at all locations

•HIV / AIDS to be incorporated induction and service teaching programmes

•Prevention messagingPrevention messaging

Support To National Efforts For Mainstreaming of HIV

Modes of Main Streaming

Through Programmes Through Policies

Different levels of Mainstreaming Departmental Level (Officers & Staff) Organizations ( Partner NGOs) Communities / People / Networks

Support To National Efforts For Mainstreaming of HIV

HOW CAN IT SUPPORT?

Makes HIV/AIDS response a multi sectoral effort. Expands coverage of HIV prevention programmes by

integrating HIV/AIDS within existing activities and schemes.

Ensures that prevention messages reach people and thereby helps protect and save many lives.

Is cost effective and sustainable in the long term, since it builds on existing programmes.

Prevents aggravation of poverty, gender inequality and discrimination.

Avoids duplication, overlap and allows greater scope for collaborative efforts.

Support To National Efforts For Mainstreaming of HIV

ROLE OF GOVT. DEPARTMENTS/

NGOS/ PRIVATE SECTOR:

Govt. Departments, NGOs & Private sectors have their own reach and target groups. They can either work in a collaborative manner or they can focus on their special groups for mainstreaming HIV.

Mainstreaming HIV in these sectors is therefore an effective strategy to ensure that both direct and indirect causes are addressed.

Support To National Efforts For Mainstreaming of HIV

EXAMPLES

OF

MAIN STREAMING

Support To National Efforts For Mainstreaming of HIV

GOVT. GOVT. DEPARTMENTS/Corporate/non HIV DEPARTMENTS/Corporate/non HIV

NGOsNGOsWHY?WHY?

HIV/AIDS prevalence in rural areas fast increasing (57%)HIV/AIDS prevalence in rural areas fast increasing (57%)Weak infrastructure in rural areas to address the challengeWeak infrastructure in rural areas to address the challengeGreater stigma and discrimination due to lack of awareness Greater stigma and discrimination due to lack of awareness

and close social networksand close social networksPoverty and distress rural-urban migration - one of the key Poverty and distress rural-urban migration - one of the key

underlying causes of vulnerability to HIV/AIDS underlying causes of vulnerability to HIV/AIDS

STRATEGIC STRENGTHSSTRATEGIC STRENGTHS

Wide outreach of development programmes to the very Wide outreach of development programmes to the very last person in the village last person in the village

Multiplier effect of integrating HIV within existing Multiplier effect of integrating HIV within existing infrastructure infrastructure

Department officials at the community level have trust of Department officials at the community level have trust of communities as they help generate livelihoods and fight communities as they help generate livelihoods and fight poverty poverty   

Support To National Efforts For Mainstreaming of HIV

DEPARTMENT OF RURAL DEPARTMENT OF RURAL DEVELOPMENTDEVELOPMENT

POSSIBLE ACTIVITIESPOSSIBLE ACTIVITIES Large scale coverage of rural populations through Large scale coverage of rural populations through

integration withinintegration within Women Self Help GroupsWomen Self Help Groups Watershed CommitteesWatershed Committees Employment Guarantee ProgrammesEmployment Guarantee Programmes

Incorporate HIV/AIDS in all the Rural Development training Incorporate HIV/AIDS in all the Rural Development training programmes.programmes.

Capacity strengthening of SIRDs in HIV/AIDS to train PRIs on Capacity strengthening of SIRDs in HIV/AIDS to train PRIs on an ongoing basisan ongoing basis

Implementation of development schemes Economic support Implementation of development schemes Economic support to PLHA and vulnerable populations on priority.to PLHA and vulnerable populations on priority.

Review poverty alleviation programmes and strengthen Review poverty alleviation programmes and strengthen activities in highly vulnerable districtsactivities in highly vulnerable districts

Support To National Efforts For Mainstreaming of HIV

RAILWAYS

Possible Activities: Awareness campaign Incorporate HIV/AIDS in all training

programmes as ongoing basis Sensitization of staff at all level Sensitization of MO,s and Para Medical staff

on stigma & discrimination and prevention Setting up Migration Information Centre

Support To National Efforts For Mainstreaming of HIV

DEPARTMENT OF TOURISM

Possible Activities: Work place policy for prevention, care and treatment for

staff members and spouses HIV integrated in existing training programmes and

refresher courses Policy for non-discrimination on basis of HIV status Condom corners at all locations HIV/AIDS to be incorporated in pre-induction, induction and

service teaching programmes

Support To National Efforts For Mainstreaming of HIV

DEPARTMENT OF TOURISMPossible Activities: Orientation on HIV should be part of all technical and

management training institutes’ programmes Enforce HIV/AIDS code of conduct within workplaces Sensitive messages on display boards at tourist entry and exit

points Include HIV prevention and care in Workplace policies of all

hotels within Ministry’s purview Prevention messaging at tourism facilities Ensuring availability of condoms at all tourist places, pubs,

bars and hotels Advocate with private sector employers in tourism and hotel

industries to include HIV in their work/ for their staff

Support To National Efforts For Mainstreaming of HIV

DEPARTMENT OF PANCHYATI RAJ

Possible Activities: Awareness campaign Incorporate HIV/AIDS topic in all training

programmes. Sensitization of staff on HIV/AIDS at all level Setting up Migration Information Centre

Support To National Efforts For Mainstreaming of HIV

DEPARTMENT OF PANCHAYTI RAJ

Possible Activities : Organize IEC activity through Panchayts Include HIV/AIDS issues as an agenda point in

monthly meetings Social marketing for condom Use BRGF for HIV/AIDS affected & infected people

Support To National Efforts For Mainstreaming of HIV

DEPARTMENT OF URBAN DEVELOPMENT

Possible Activities: Awareness campaign Incorporate HIV/AIDS topic in all training

programmes. Sensitization of staff on HIV/AIDS at all level Incorporate HIV/AIDS in ongoing

schemes/Programs

Support To National Efforts For Mainstreaming of HIV

Other Deptt./private Other Deptt./private sectors/NGOs,CSOssectors/NGOs,CSOs

Possible ActivitiesPossible Activities Nodal officers can be appointedNodal officers can be appointed Committee can be formed to deal with HIV/AIDS issuesCommittee can be formed to deal with HIV/AIDS issues Financial support for awareness and prevention Financial support for awareness and prevention

programmes of programmes of HIV/AIDS.HIV/AIDS.

HIV messages in monthly magazines/souvenirs HIV messages in monthly magazines/souvenirs training programmes.training programmes.Organise events like World AIDS Day, Blood Donation Day Organise events like World AIDS Day, Blood Donation Day Display IEC Material at their office Display IEC Material at their office Lay special focus on Orphan/Vulnerable ChildrenLay special focus on Orphan/Vulnerable ChildrenStep up nutrition support for PLHA with focus on Orphan/ Step up nutrition support for PLHA with focus on Orphan/

Vulnerable Children.Vulnerable Children.Support for employmentSupport for employment

Support To National Efforts For Mainstreaming of HIV

And All These Will be Possible Through

Continued political commitment Participation by all stakeholders Coordination and implementation of the shared

vision Shared accountability

Support To National Efforts For Mainstreaming of HIV

THANK YOU