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Positive Health, Dignity, and Prevention

Positive Health, Dignity, and Prevention. HIV Prevention. Session Objectives. Participants name three appropriate and two inappropriate PCV roles in PHDP programming. Participants describe PHDP’s contributions to HIV prevention. Background. 35.3 million PLHIV (UNAIDS 2013)

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Positive Health, Dignity, and Prevention

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  1. Positive Health, Dignity, and Prevention HIV Prevention

  2. Session Objectives • Participants name three appropriate and two inappropriate PCV roles in PHDP programming. • Participants describe PHDP’s contributions to HIV prevention.

  3. Background • 35.3 million PLHIV (UNAIDS 2013) • WHO 2013 guidelines expanded treatment eligibility. • Old guidelines: 61% eligible received ART • New guidelines: ~34% eligible received ART • GIPA • “Secondary prevention” or “Prevention with positives”

  4. PHDP Framework • An approach that embraces GIPA, moves beyond prevention with positives (PwP) • Recognize and appreciate power of PLHIV • Engagement of PLHIV and community – shared responsibilities • Holistic approach • Rights-based, including harm reduction

  5. PHDP Categories • Protect your health • Protect your partner(s) • Protect your family

  6. PEPFAR PWP Components • Treatment adherence • Positive living counseling • Risk reduction counseling • Diagnosis and treatment of STIs • Condom promotion • Support to disclosure • PMTCT, including family planning • Information about alcohol abuse

  7. PHDP Priorities1 • Disclosure support needs • Rights violations • Couple discordancy/Couple concordancy • Pregnancy/fertility intentions • Depressive feelings • Child HIV status, disclosure to children • Death of a child • Limiting factors for adherence (e.g., food intake, transportation) 1 Parker, W. & Rogers, S.J. 2012. Perspectives of People Living with HIV on HIV Prevention: Opportunities and Challenges for Strengthening the Response in Eastern and Southern Africa. Washington, DC: C‐Change/FHI 360.

  8. PHDP and PCVs • Provide support to encourage adherence • Work with partners to provide PLHIV with minimum package of services • Improved referral and service linkages • Incentives and social support programs that address barriers such as lack of food, child care, transport • Help with the formation and functioning of support groups • Organize focused activities for children and youth living with HIV

  9. Adolescents Living with HIV (ALHIV) • ~5 million young people (aged 15–24) and ~2 million adolescents (10–19) were living with HIV in 2009.2 • Perinatal vs. behavioral infection • Mental health – grief and loss • Lack of agency • Youth and SRH • Young key populations 2 Unicef. June 2011. Opportunity in Crisis

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