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Scaling-up harm reduction services towards universal
access in AsiaModels of good practice
ICAAP IXBali, Indonesia
Nai Zindagi,Pakistan
The Context15% yearly shift to injectingMajority men of which 50% are married with 4 children 20% HIV prevalence among persons injecting drugs and up to 15% among their wivesMostly poor and uneducatedInjecting drug use driven epidemic in Pakistan
PotentiaPotential future l future
injectorsinjectors
CoverageGovernment financed- Civil Society implemented partnerships15-18% have access to HIV prevention servicesServices include SEP, minus OSTQuality of services variesMechanisms of engagement and monitoring in placeScale up is possible
Outcome and Impact
Public-Private Partnerships workUninterrupted, at scale and consistent availability of services reduces transmission and incidence of HIVWhere programs exist coverage has been above 80%, resulting in a decrease and/or maintained prevalenceTransmission of HIV among people using drugs can be reduced with appropriate targeted interventions if initiated timely
Some lessonsTrust and time to build partnershipsOwnership - essential to mobilizeCompensate for weaknesses and strengthAccountability and transparencyInclusion - not exclusionAvoid pilots if you know it works - go to scale
Proposed scale up2010-2014
Province wide contracts to reach 60% coverage by 2012Resource allocation expected from Government and Global Fund Round 9 Proposed program includes OST and services for wives and childrenAccess to HIV and AIDS services includedEvidence based workable plan, dependent on resources
Our approach
HIV & AIDS
Drug Use Poverty
Client conceptualized
and client driven
Drug treatment services(40%)
HIV prevention and AIDS related services
(80%)
Skills training and employment
(20%)
Thank you