Banner1 Banner3 Meeting Banner 4

Targetted Intervention (T.I.)

 ABGUS works with female sex worker (FSW) for reducing the prevalence of HIV/AIDS in districtJhalawar since Rajasthan is highly vulnerable state. Jhalawar is situated in the south-eastern region of Rajasthan, a region widely known as Hadoti (Hadavati), the land of Hadas. It is bounded on the northwest by Kota District, on the northeast by BaranDistrict, and on the east, south, and west by Madhya Pradesh state. The town of Jhalawar is the district headquarters. The Kali Sindh River flows northward through the center of the district. Jhalawar District is home to many tribes, including Meenas and Bhils. Jhalawar is 323 kms away from the State capital Jaipur.

 

Although HIV estimates for Rajasthan are erratic, given the current level of knowledge regarding sexually transmitted infections (STI) and sexual behavior, particularly among vulnerable sub-populations, there are strong indications that Rajasthan is indeed a highly vulnerable state. The sero prevalence of Rajasthan is 0.19% among general population and 2.16% in STD patients (as per sentinel surveillance 08). Rajasthan has a special situation in terms of equal HIV prevalence rates of urban and rural areas, signifying the spread of disease and need for geo-focus strategy of reach.

 

Therefore ABGUS works and carry out Targeted Intervention programme along-with Prevention of HIV/AIDS and Stigma Reduction.

 

BCC

The behavior change communication programme generates demand for the services. The main objective is to improve knowledge levels of the HRGs about the causes and consequence of sexually transmitted diseases and the preventive measures. All the efforts are focused on increasing the health seeking behavior.

These are the activities which would help to achieve this objective:-

Interpersonal Communication

  • One to one
  • One to group
  • Focus group discussion
  • Small media event
  • Need based IEC materials distribution

These issues which have to find out in base line regarding knowledge about STI/HIV, attitudes towards HIV/AIDS, risk perception, and dual advantage of condoms will be discussed in GD/FGDs. Peer educators need to updated and advance training on peer educator outreach planning, IPC and issues which have to find out in base line regarding knowledge about STI/HIV, attitudes towards HIV/AIDS, risk perception, and dual advantage of condoms through dialogue base in GD/FGDs.

 

STD Services

The female sex workers come forward and seek help after the one to one or group interaction. Peer Educators also help in identification of STD patients. The identified STD patients are immediately referred to clinic or DIC run by project or to another facility in the vicinity or to the nearby hospitals. STD case management involves amplifying the doctor’s advice, stressing the link between STD & HIV, reinforcing the risk perception and health seeking behavior. He diagnoses the cases and prescribes medicine to the patients and refers to ICTC & other hospitals if needed. STD diagnosis and treatment facility is provided through an established clinic and health camps. 

 

  • Effective  BCC interventions will be support/strengthen STD service delivery
  • Difficult to identify the MBBS qualify doctor due to rural base brothel (Traditional) HRG.
  • Qualified and  trained staff to do counseling as an integral part of Syndromic case management

-         System for maintaining privacy and confidentiality

-         System for maintaining case records

-         Development of MIS at the service locations

-         Training needs of the staff

Because most of the sex workers is scattered so we assessed that camp approach is more effective for STI treatment. In the current project will do for minimize the gap will be issue health card separately and follow up on regularly basis by PEs/ORWs. Counselors visit in the field area and meet the sex workers and counsel them at safe space. Fix day and time for counseling at that area where counselor visit PEs and ORWs will refer for counseling. Project has a good referrals system and follows up mechanism and adherence referrals to ICTC, ART, DOT center and community care center. But we have to strengthen referrals to other health services.

 

Condom Promotion and Distribution Programme

Another important technical strategy was promotion of safer sex practices through the condom usages. The project focused on two facts, one is information & other is availability of condoms for safety & prevention of STI/HIV/AIDS

.  The Project team opted for four-prong strategy:

·         Increasing accessibility and availability of condoms in the target area

·         Skill building for correct condom usage. For this, demonstrations were  organized

·         Social marketing of condoms

 

There are gap regarding negotiation skills and risk perceptions, so we need to more focus on negotiation skills for condom. So PEs and ORWs will discuss on those issues in one to one, GD and FGD. There are gap regarding use of condoms in prevention of STI/HIV/AIDS. So we need to more focus on dual advantage of condoms first prevent from HIV/AIDS and then other. So PEs and ORWs will discuss on those issues in one to one, GD and FGD.

 

Staff Capacity Building

Training of staff/PEs/ volunteers on following component Gender, sex and sexuality Sexual and reproductive health Role of PEs in STI management HIV/AIDS and linkage with STI Condom promotion Identifying risk and vulnerability factors  Negotiation skills Self esteem and value development, Outreach Planning and IPC.

 

Enabling Environment

When the ultimate goal of the programme is community participation, creating an enabling environment becomes very crucial.  Enabling environment results in trust-building and sustainability of a project.  Under this component advocacy was considered very important to shed away the stigma and discrimination against the PLWHA as well as High Risk Groups.  Second is networking to tap the resources of the community effectively. Third is meeting immediate needs to establish credibility in the community. 

Gallery

View All

  • 13
  • 12
  • 11
  • 10
  • 9
  • 8
  • 7
  • 6
  • 5
  • 4
  • 3
  • 2
  • 1