PEPFAR

Integration of HIV prevention with Health and Nutrition Program involving Self HelpGroup (SHG) Women in Andhra Pradesh(AP), India

S Sivalenka1, C. Nitrahally Mallachar2, L.D. Chava3, S.P. Ravi2

Institution(s): 1.Centers for Disease Control and Prevention (CDC), Center for Global Health, Division of

Global HIV/AIDS, Hyderabad, India2. LEPRA Society, Secunderabad, India3. Society for Elimination of Rural Poverty, Government of Andhra Pradesh, India

AIDS 2012 - Turning the Tide Together

Abstract No: WEPDC0204

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BACKGROUND• In India, females constitute 39%

of People Living with HIV/AIDs (PLHAs) (0.9 million)1

• Andhra Pradesh a southern state in India with >80 million population has 73% rural population

• AP has the highest estimated number of PLHAs (0.5 million in 2007), high HIV prevalence among pregnant women (>1%), and female sex workers (9.74%)2

METHODOLOGY• The HIV/AIDs prevention

component was integrated with the public sector's largest community-based program under Health and Nutrition Program (HNP) of Indira Kranthi Padham – Society for Elimination of Rural Poverty, involving women Self Help Groups (SHGs) (2008-2011)

• Capacity building of HNP staff utilized three innovative modules developed in story form

Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India

PEPFARCapacity building

of HNP Staff on HIV prevention

Self Help Groups level (SHG) – 45,565

Village Organization level (VO)-2,289

Sub District level (MS) - 62

District level (ZS) - 22

State Level

(SL) - 1

Health Savings-

Health Risk Fund

Regular capacity

building of HNP staff

Community Kitchen Gardens

Water and Sanitation

Nutrition cum Day

Care center

Adolescent girl

groups

Fixed Nutrition

Health Days

Community based

Health and Nutrition

Program (HNP)

Support:

PEPFAR- LEPRA Society: HNP staff training SL, ZS, MS level and joint M & E

SERP: Infra-structure, HR, training cascade Joint M & E

AP State AIDS Control Society: Guidance & services (HIV)

Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India

METHODOLOGY

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RESULTS• 438,622 /511,555 (86%) of SHG

women trained on HIV prevention, >40,000 got tested for HIV and >150 case studies were shared by women

• 3,244 HNP state/district level staff trained on HIV Prevention

• District wise (all 23 districts) HIV/AIDs health resource directories developed and distributed

• IKP-SERP has planned a phased scale up of this project across AP in 2012

CONCLUSION• With reductions in funding

globally for HIV/AIDs programs, integration of HIV prevention within existing community-based programs will support sustainability, community ownership, address gender issues and contribute towards the achievement of Millennium Development Goals

Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India

PEPFAR

Acknowledgements• Dr. Pauline Harvey, Centers for Disease Control

and Prevention (CDC), Center for Global Health, Division of Global HIV/AIDS, New Delhi, India

• Centers for Disease Control and Prevention (CDC), Center for Global Health, Division of Global HIV/AIDS (USA & India)

• National AIDS Control Organization (NACO), New Delhi, India

• Andhra Pradesh State AIDS Control Society (APSACS), Andhra Pradesh, India

• LEPRA Society, Implementation Partner, Andhra Pradesh, India

• Indira Kranthi Padham-Society for Elimination of Rural Poverty (SERP), Government of Andhra Pradesh, India

• Rural Self Help Group Women, Andhra Pradesh, IndiaThank you for your attention