Building capacities of PWDs organisations to enhance access to sexual reproductive health and HIV...

1www.lvcthealth.org

Building capacities of PWDs organisations to enhance access to sexual reproductive health and HIV information and services

for PWDs – LVCT Health’s experience with DPOs in Nyanza

Jeckonia, P; Theuri, C; Kongere, M; Nalobo, L; Mukoma, W 6th International Conference on Peer Education, Sexuality, HIV

& AIDS 2014Dates: 16- 18 June 2014

We have rebranded. We are now LVCT Health

Building Partnerships, transforming lives 3

ABOUT LVCT Health

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• LVCT Health (formerly known as Liverpool VCT, Care and treatment (LVCT)) is an indigenous Kenyan non-governmental and non-profit organization.

• Founded in 1998 and registered in 2001

• LVCT Health envisions healthy societies and uses research results, capacity improvement and policy reform action for equitable HIV, SRH services to the most vulnerable populations.

• LVCT health reached 1.3m Kenyans with HTC in 2013 with 80% linkage to care, 40,000 in care, 4300 survivors of sexual violence in 124 MOH facilities and 150,000 youthful callers to one2one hotline.


Presentation Outline

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• Background

• Our approach

• The process

• Results

• Lessons learnt

• Recommendations


General Background

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• About 600,000,000 people live with disabilities in the world, with 80% of this total living in low income countries.

• 10% of Kenyan population (approx. 42 million) indicates that there are 4 million people living with disability (PWD).

• The Kenyan government spends less than 1% of its health budget on mental health.

• Many PWD in Kenya live in poverty and have limited opportunities for accessing education, health, rehabilitation, suitable housing and employment.

• 51% of PWD are female, while 49 % are male.

• The most prevalent forms of disability are visual (30%) and physical (30%), followed by hearing (12%) and mental (11%).


Health Related Background

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• 1 in every 5 PWDs has tested for HIV (approx. 20% compared to 72% of national KAIS data).

• Those with hearing impairment had a prevalence of 7% according to Taegtmeyer, T. et al. 2008

• 16% women with disability aged 12–49 years use some form of family planning.

• More PWDs reside in rural than in urban areas, where health facilities are fewer and infra-structure is less friendly for a PWD.

• 65% of PWDs regard the environment as major problem in their daily lives

• 15% of PWDs are likely to be affected by environmental factors on a daily basis and 3% on a weekly basis.


Challenges for PWDs

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• Physical infrastructure in most health facilities – limiting access.

• Communication- Health information accessible to the public is often not readily available for people with visual, hearing or intellectual disabilities.

• Due to low literacy levels and handicap caused by various disability, many PWD are not gainfully employed and do not participate in trade.

• Attitudes and perceptions from general public lead to stigma and discrimination.

• The combined effect of disability and HIV/AIDS poses double stigma.

• Challenges faced by PWD are seldom highlighted, therefore limited interventions.


LVCT Health’s Achievements

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• LVCT Health pioneered the first three deaf VCT in Kenya (Nairobi, Kisumu and Mombasa).

• HTC offered to over 30,000 PWD clients including over 15,000 deaf clients with 80% of positive clients linked to care.

• Over 150 hearing HIV service providers trained on basic KSL

• Built organisation capacity of 7 PWD peer-led organisations.

• Partnered with over 20 groups/organisations of persons with disability

• Over 20,000 HCWs have been sensitised on offering PWD friendly services to strengthen referrals and linkages


LVCT Health’s Capacity Development Approach: The Timisha Model

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The Process

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• Peer-led approach - LVCT Health has a disability division headed by an hearing impaired staff who actively identifies PWD groups and organisations that need capacity building to reach PWDs.

OSS trainingsContinual mentorship and

coaching

Develop a capacity building plan

End term assessment

Graduation of organisations Baseline assessment

Solicitation of organisations

Ongoing Monitoring, evaluation and documentation


Disabled Person’s Organisations (DPO)

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LVCT Health worked with 3 DPOs in Nyanza between 2011 and 2014.

Successes:All three organisations have stable income generating activities supporting their operations.

All three organisations have operational organisation policy documents.

All three organisations engage in county level policy and advocacy forums

All three organisations have strong referral systems to different health facilities in the region.

One of them is offering KSL training

All three organisations are complying to legal requirements as per their type of registration


Lessons Learnt

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Peer led PWD organisations are more effective in programming for PWDs

Participatory approaches in capacity building creates buy-in and yields better results.

Working with DPOs requires patience and constant mentorship to achieve the best results.


Recommendations

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There need:

• To be a conscious inclusion of PWD in national planning for health and other services.

• To scale up sensitivity trainings for health care workers to ensure that they provide comprehensive and friendly health services to PWD.

• To consider communication needs of PWDS with different forms of disability in health services.


Thank YouCONTACT US:

[email protected]@lvcthealth.org

www.lvcthealth.org

Building capacities of PWDs organisations to enhance access to sexual reproductive health and HIV...

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