Concern India HIV Programme

Concern India HIV Programme

Background

Orissa HIV Scenario HIV prevalence in general population is 0.22% Ganjam is the 2 nd high prevalent district in India (prevalence rate is 3.25%) 16,733 persons identified as HIV positive by March 2010 3,926 PLHIV are on ART treatment as on March 2010 (Govt. data)

Social stigma Contributing Factors Poverty Illiteracy Frequent natural calamities leading to lack of livelihoods options Industrialization, Mining leading to displacement Out Migration mainly seasonal migration without family In Migration including influx of young professionals and students Conservative society

State Plan of Action Focus: Prevention, Treatment and Care Key activities: 194 ICTCs, 73 Blood banks 4 ART centres, 4 more under process 5 Drop in centre, 5 Community care centre 64 Targeted interventions Mainstreaming with GO, NGO and corporates

Strengthening Local Response to HIV and AIDS in Orissa Update of 2009 till April 2010 The programme is co-funded by the European Union and Alliance 2015 partners - HIVOS and Concern Worldwide

Concern India HIV Team Programme Manager (Aparajita Dhar) Senior Programme Officer (S Gomathi) Assistant Programme Officer (George M Kerketta)

Overall Objective To respond effectively to the HIV and AIDS epidemic in Orissa; reducing risk and vulnerability to infection and ensuring that people infected and affected by HIV and AIDS have an improved quality of life by the end of 2013

Key Result Areas Result 1: Communities have increased knowledge and capacity to take up HIV testing and prevention services in the targeted districts Result 2: Health care providers and community members have accepting and positive attitude towards PLHIV and their families Result 3: PLHIV and affected families improved livelihood security and live positively and with dignity Result 4: PLHIV are able to access and receive appropriate and affordable care and treatment (STI, ICTC, OI/TB, ART services) and social security Result 5: Partners are able to design and implement effective and efficient HIV and AIDS programme interventions to reduce HIV infection among programme participants

14 Districts: Ganjam, Bolangir, Angul, Bhadrak Programme Area Sundargarh Balasore, Koraput, Khurda Mayurbhanj Jharsuguda Keonjhar Deogarh Balasore Bargarh Sonepur Cuttack, Rayagada, Gajapati, Sambalpur, Puri, Jajpur, Mayurbhanj Angul Bolangir Boudh Bhadrak Dhenkanal Jajpur Cuttack Nayagarh Kalahandi Khurda Kendrapara Jagatsinghpur Puri Ganjam Nawrangpur Rayagada Category A : 4 Category B : 3 Major focus on 8 districts (for EU): Angul, Balasore, Bhadrak, Bolangir, Ganjam, Khurda, Koraput and Cuttack Koraput Malkangiri Category C : 18 Category D : 5

Programme Participants 18,000 Young people above 13 to 35 years - Rural and tribal youth & adolescents Slum & street youth & adolescents College students and young professionals 1500 Mobile populations - Auto/taxi drivers 700 People Living with HIV and their families 5000 slum communities

Strategy Peer Education using Life Skills Development Module Community Mobilization Network Building & capacity development Condom Promotion Referral to government service delivery points Advocacy Action Research

Concern s Partners Ruchika Social Service Organisation Utkal Sevak Samaj South Orissa Voluntary Action Indian Network of People Living with HIV BIG 92.7 FM Radio

Key Milestones of 2009 Achievements of 2009 Initiation of 2 nd Phase of Alliance 2015 HIV programme and 1 st year of EU Funding

Emphasis was on planning, capacity building of partners and strengthening/ building cohesion among the entire team (Concern and partners)

Mid Term Evaluation of Alliance 2015 HIV Strategy & Programme

Key Findings of Mid Term Evaluation Stronger collaboration among Alliance partners especially in the technical sphere The concept of change is not well-defined in any of the implementing organisations nor is there a clear roadmap to how such change would be achieved, what are the steps and how to measure the degree to which such change is being achieved - A strategic visioning exercise needs to be undertaken to develop a clear roadmap for 2010 2015 Output, outcome and impact indicators need to be developed to create an evidence base The adolescents and youth have received a lot of information they are aware but enabling factors needed to apply that awareness in real life situations have not been effectively addressed, especially for girls and women

2 nd Phase contract signed with HIVOS Revision of the Logical Framework for the European Union project, based on the review findings and the lesson learnt from the various documentations, and roll out of Impact Indicator Framework in line with NACP III Indicators

Around 600 new Peer Educators formed in 30 slums, 70 villages and 16 colleges 80 Balak/ Balika Mandalis formed 5 PLHIV district networks registered

20 PLHIV families, 30 women self help groups and 1 Balika Mandali have been supported to initiate small enterprises like tailoring, small business including organic farming, food vending

60 young women supported with Nutritional garden through organic farming and production of organic manure Produced 13 different green leafy vegetables, herbs and tomatoes, papaya, carrot, radish, cluster beans, corn, etc.

Good entry point for community mobilization that can facilitate promotion of behavior change among peers expense related, health and hygiene, education, eating habits, slum development and also most importantly sexual behavior change

Prathama Sopana The First Step In collaboration with Orissa State AIDS Control Society, GoO Class IV employees sensitization in 18 government hospitals covering more than 2,500 staff

Capacity assessment of PLHIV networks Capacity building of Board and General members of the District Networks in collaboration with Volunteer Service Overseas (VSO)

EU supported meeting of CSOs Best Practise Documentation workshop supported by EU Health workshop with all stakeholders in the state supported by EU

Use of innovative communication strategies to reach urban youth: Innovative Interactive theatre SOCHA NAHIN TOH SOCHO ZARA Campaign on Responsible Living

Global AIDS Week of Action Non-stop Radio Marathon for 92.7 Hours Candle Light Memorial Radio chat shows In collaboration with BIG 92.7 FM radio channel 360 degree media coverage through Outdoor hoardings, Print and electronic media Active Corporate Support Reach out: 10,000 Youth

Studio on Hoarding, 1 st ever in Eastern India Live radio studio On-air jingles & interactive chat sessions College Fests Chat sessions at coffee shops Interactive stalls Yuva Utsav, Auto Driver s Day, PLHIV Meet World AIDS Day In collaboration with BIG 92.7 FM radio channel 360 degree media coverage through Outdoor hoardings, Print and electronic media Active Corporate Support Reach out: 15,000 Youth

Capacity Building of partners Orientation on 2 nd phase programme proposal & EU reporting guidelines for all partner staff Strategic planning workshop with all partners Gender and HIV workshop with all partners Training of Trainers on basics of HIV and AIDS (shift from clinical to sociological perspective) Leadership and Management Training by The Management Centre, London, UK

With Orissa State AIDS Control Society, GoO, Concern and partners are planning to develop the strategy for: Tracking ART drop outs Uploading data to State CMIS

Support extended by the Unit Innovations Programme Development of Concern s 10 th Anniversary Film & celebrations Country Programme Annual Report 2009 development HAP Baseline

Capacity Building Initiatives: Life Skills Development workshop and development of Ready Reckoner Hand Book Skills (documentation, communication) workshop for partner staff Proposal development workshop with partners

There is Hope despite fear & we have miles to go