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Background on the HIV and disability project

Capitalisation of good practices on HIV programming for persons with disabilities in Rwanda from 2008 to 2013 Muriel Mac-Seing and Elie Mugabowishema Handicap International. Background on the HIV and disability project.

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Background on the HIV and disability project

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  1. Capitalisation of good practices on HIV programming for persons with disabilities in Rwanda from 2008 to 2013 Muriel Mac-Seing and Elie Mugabowishema Handicap International

  2. Background on the HIV and disability project • Title: Strengthening communities to integrate persons with disabilities in the HIV and AIDS response in Rwanda • Period: 2008 to 2013 • Funding: Health Resources and Services Administration (HRSA) of the US Government (New Partner Initiative) • Technical assistance from: JSI and CDC Rwanda • Main partners: Seven disabled people’s organisations (DPOs), two CBOs, the Rwanda Biomedical Centre (RBC) and the Ministry of Health • Location: 19 of 30 districts of Rwanda

  3. Expected project results • ER1: The national AIDS programme, Umbrella of People with disabilities in the Fight of HIV/AIDS (UPHLS), seven DPOs and CBOs and five health facilities/VCT centres are capacitated and their involvement in the national response to HIV increased • ER2: HIV prevention services are scale up to include at least 65,700 persons with disabilities and 187,570 family members • ER3: HIV care and support to people living with HIV is strengthened and scaled up to include at least 2,200 persons with disabilities infected and affected by HIV • ER4: Sexual and gender-based violence (SGBV) services are accessible to 6,000 women and men with disabilities and 70 persons with disabilities who are SGBV survivors have appropriate care and treatment

  4. Main achievements • 93,393 persons with disabilities (57% women) and 246,100 community members (69% women) have been sensitized on HIV prevention • 2,090 persons with disabilities living with HIV (61% women) received care and treatment services • 4,903 persons with disabilities (54% women) and 8,715 community members were sensitized on SGBV • 53 persons with disabilities (56% women) received SGBV care and treatment services • Nine DPOs and CBOs received organisational development strengthening • Three national forums on HIV and disability have been co-organised with the Rwanda Biomedical Centre and UPHLS.

  5. Good practice 1: Strengthening of disabled people’s organisations The process The results Increased coverage in selected districts Technical and organisational capacity assessment Ownership and empowerment of PWD Set up of association and support groups for PWD Technical support from JSI and follow-up from Handicap International Reinforced relationship between organisations and their constituency Increased institutional capacity of DPOs and CBOs

  6. Good practice 2: Involvement of persons with disabilities as peer educators in HIV prevention The process The results TOT of DPOs and CBOs • Family level • Decreased stigma and discrimination • Increased knowledge • Formation of support groups • Increased involvement of CHW • Individual level • Increased demand for inclusive health services • Increased knowledge • Increased self-esteem and confidence • Sense of ownership Training of peer educators Peer education to people, families and community members

  7. Good practice 3: Use of tailored advocacy to include disability at national level The process The results Close collaboration with RBC and UPHLS Inclusion of disability in national policies, e.g. most recent NSP on HIV Disability inclusion guideline in health system at community level Technical working group of HIV and disability Inclusion of disability type in VCT registry books Advocacy National forums on HIV and disability Training workshops at national and district levels Production by RBC of disability sensitive IEC material (sign language, images, large fonts)

  8. Good practice 4: Mainstreaming of disability at HIV service provision level The process The results Disability accessibility audit with corrective measures Identification of PWD by CHWs and follow-up Increased knowledge and changed attitudes among health staff Training of health staff Mobile VCT services for PWD Advocacy Adaptation of IEC material accessible to PWD Selected health facilities accessible to PWD Support groups of PWD at health facilities More PWD seeking HIV and SGBV services

  9. Good practice 5: Integration of SGBV protection in HIV programming The process The results Participation in the MOH SGBV technical group Integration of SGBV in UPHLS’ HIV programming Increased SGBV seeking services from PWD Peer education and mass awareness creation Increased knowledge among health staff, CHWs, police and judiciary staff for providing services to PWD Advocacy Training of service providers and institutional strengthening of CBOs District monthly consultative meetings Improved coordination and working relations among HIV and SGBV actors

  10. ThankyouMurakoze

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