Authors s grote s middleton lee s mehta j robertson india hiv aids alliance new delhi india
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Abstract Number: WEPDE0102 Oral Poster Discussion Session: Track E Expanding Coverage and Quality: Approaches to Scaling-Up 25 July 2012  13:00-14:00  Mini Room 3.

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Authors: S . Grote , S. Middleton-Lee, S. Mehta, J. Robertson

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Authors s grote s middleton lee s mehta j robertson india hiv aids alliance new delhi india

Abstract Number: WEPDE0102

Oral Poster Discussion Session: Track E

Expanding Coverage and Quality: Approaches to Scaling-Up

25 July 2012  13:00-14:00  Mini Room 3

Reaching Key Populations in SRH/HIV IntegrationRecommendations from a global intervention review to identify strategies to increase the responsiveness and relevance of integrated programming to the sexual and reproductive health and rights (SRHR) needs

Authors: S. Grote, S. Middleton-Lee, S. Mehta, J. Robertson

India HIV/AIDS Alliance, New Delhi, India


Backgroun d methods

Background & Methods

  • Increasing policy support for HIV/SRHR integration to achieve universal access, but questions remain about its successful application in programs and policies for key populations: including MSM & transgender people; female sex workers; people who use drugs; and PLHIV.

  • Global review of over 160 resources focusing on SRHR/HIV integration for key populations

  • Objective: Assess how SRHR/HIV integration can not only improve the efficiency of programs but truly serve the needs of key populations.

  • Analysed successful approaches and lessons learned to inform future programme development, implementation and evaluation


Findings

Findings

Common challenges highlighted the need to follow good practice principles for programming for key populations:

  • Lack of rights-based approaches

  • Inappropriate design of HIV/SRHR integration

  • Missed obvious opportunities

  • Stigma and discrimination related to HIV and KPs

  • Low demand for HIV/SRHR integrated services by KPs

  • Low attention to gender inequality

  • Low understanding of KPs’ specific and diverse needs

  • Presumptions or lack of expertise among service providers

  • Lack of a strong referrals systems

  • Lack of political, technical and financial support to create the enabling environment for scale-up


Conclusions

Conclusions

Key steps can be taken to maximize the effectiveness of SRHR/HIV integration among key populations:

  • Plan and start by building on ‘what’s there’, gathering evidence and identifying key entry points

  • Ensure comprehensive HIV/SRHR integrated programming

  • Ensure effective and creative service delivery

  • Ensure a strong ‘chain’ of HIV/SRHR integrated services, including through high quality and systematic referrals

  • Promote HIV/SRHR integration at all levels, including building an enabling internal and external environment

  • Address the political, legislative and funding context

    While desirable in the long-term, integration that is premature, overly rapid or too large-scale risks compromising rather than enhancing access to high-quality services by key populations.


Authors s grote s middleton lee s mehta j robertson

Thank you!

Sunita Grote

India HIV/AIDS Alliance

[email protected]

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