Public, Private & Faith-based Partnershipsin Papua New Guinea

 How to provide innovative, needs-based programs to support HIV

health care capacity building in collaboration with a range of partners

Artwork by: Steve Estvanik

Impacts of ASHM mentoring program in Mendi, SHP, PNGMentee perspective

Clare Andawa Care Taker Catholic Health Secretary

Outcomes in providing services to communities

• Increased information on STIs & HIV/AIDS in the community

• Involvement of PLWHIVs as advocates• Reduced some level of stigma & discrimination

Rural outreach,PLWHIV addressing people at Paka health centre,2011

Outcomes in Clinical management of STIs & HIV/AIDS

• Improved quality in STI screening with lab set up• Capacity of CHWs as RLAs up scaled in screening common STIs • Appropriate clinical management of STIs & HIV/AIDS• Capacity of VCCT nurses and CHWs up scaled to manage

HIV/AIDS effectively at remote facilities without much supervision

CHWs delivering HIV positive women and administering ARV prophylaxis to neonate,Pureni,2012

RLA with battery powered microscope,Pureni,2011

Success • Increase in attendance of Antenatal mothers• Improved in STI management with rural laboratory and

RLA trained• 1,010 People on ART• 90 Babies born HIV negative from positive parents• 32 Discordant couples• Antenatal women screened for HIV & STIs using Gram

Stain and Wet Prep • Working towards the national target of Reducing 85% of

mother to Child transmission

Challenges• Believe and teaching in faith based healing-HIV/AIDS & Saguma• Staff turn over• Polygamy & Partner Management• Closure of health facilities due to tribal fights/staff assault• Consistent supply of reagents & ARTs • Geographical location of facilities, ongoing challenge for coordination• Ownership & sustainability of Sexual health awareness programs in

schools & communities• Communication• Change of weather patterns

Nurses and Bishop with medicine box waiting to board MAF in Lake Kopiago,2013