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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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


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

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

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.


Thank you!

Sunita Grote

India HIV/AIDS Alliance

[email protected]

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