Family Health International

1. Family Health International

2. Mission To improve lives worldwide through the synergistic strengths of research and programs in public health.

3. History • FHI grew from a contraceptive research project that began at the University of North Carolinaat Chapel Hill in 1971 Began as the International Fertility Research Program, but eventually grew from family planning… to reproductive health… to prevention of HIV!

4. 2 Main Branches: • Research • RTP • Public Health Programs --Wash.DC

5. RESEARCH • Behavioral, biomedical and health services research

6. RESEARCH • Support global health priorities • Contraception • Reproductive health • HIV, malaria, rotavirus, and other infectious diseases

7. RESEARCH WHAT SPECIFICALLY? Contraception to Prevent Mother-to-Child HIV Transmission: FHI’s study showed providing contraception to HIV-positive women averts 173,000 infected infants and 577,000 unintended births annually.

8. RESEARCH WHAT SPECIFICALLY? Providing the Evidence Base for Over-the Counter Emergency Contraception • FHI scientists conducted the pivotal studies that led the FDA Advisory Panel to recommend Plan B emergency contraception for over-the-counter access.

9. Public Health Programs • Applied research in 60 developing countries • Including HAITI!

10. Public Health Programs • Prevention of HIV, Tuberculosis Remember this?

11. Public Health Programs • Care, support, and treatment of those already infected

12. So this is all a little vague, right?? How about some examples of what FHI is currently doing to support global health…

13. Delivering Comprehensive Care Centers with core services—HIV counseling and testing; AIDS treatment; clinical diagnosis, treatment and management of related infections; and counseling for treatment adherence and nutrition.

14. Delivering Comprehensive Care… A majority of workers who harvest sugar cane in the Dominican Republic are of Haitian descent and live in bateys, impoverished rural communities known for their difficult living conditions and poor sanitation. …ByBringing health services to the bateys… MOSCHTA brings health services to the bateys through mobile clinics and home-based care. With FHI support, the organization sponsors educational programs that provide the community with information about HIV and AIDS and related infections.

15. Protecting the Vulnerable We know HIV is preventable, but these services are not always available. Even when they are, their availability is squandered. By what?

16. Protecting the Vulnerable Ignorance, denial, stigma, discrimination, gender inequality, cost, and MORE!

17. Protecting the Vulnerable… Mrs. J. Bhadri, 25, distributes medicines at a sexually transmitted infection clinic in a slum area near her home in Andhra Pradesh. …by helping the wives of truck drivers

18. Protecting the Vulnerable… At 16, Mrs. Bhadri married a truck cleaner; some years ago she discovered she was HIV +. Abandoned by her family, she joined the Safe Journey project as a community health worker. She now helps organize the clinics, conducts AIDS awareness sessions and distributes condoms to women in the trucking community. …by helping the wives of truck drivers

19. Protecting the Vulnerable… FHI has provided prevention care and support services to 360,000 migrants and truckers in India to reduce the risk that their wives will acquire HIV. …by helping the wives of truck drivers

20. Reaching Out to Those at Risk RECAP: Who is at particular risk for HIV??

21. Reaching Out to Those at Risk Sex workers, men who have sex with men, injection drug users, migrant workers, police and military are all at HIGH RISK.

22. Reaching Out to Those at Risk What’s limiting their access to necessary services of prevention and treatment?

23. Reaching Out to Those at Risk STIGMATIZATION & DISENFRANCHISEMENT

24. Reaching Out to Those at Risk… …by Introducing injection drug users to critical services

25. Reaching Out to Those at Risk… Kios Atma Jaya, an FHI-funded organization, uses peer educators—often former drug addicts—to bring care, treatment and educational opportunities to people sharing needles in Jakarta, Indonesia. …by Introducing injection drug users to critical services INDONESIA

26. Reaching Out to Those at Risk… Magda, 25, a former injection drug user, is now one of its most effective field workers. She understands the drug culture, knows the streets well and goes where drug addicts congregate in some of the city’s most dangerous places. …by Introducing injection drug users to critical services INDONESIA

27. Reaching Out to Those at Risk… She inquires about their health, asks if they share needles and tells them about the high risk of contracting HIV. She then encourages them to visit the Kios offices to receive counseling, free medical care and access to the methadone program. …by Introducing injection drug users to critical services INDONESIA

28. Helping Families Help Themselves Remember when we talked about the effect of HIV on children? Remember all of those orphans?

29. Helping Families Help Themselves… …by supporting family caregivers

30. Helping Families Help Themselves… FHI works with a local organization, Khemara, to support families coping with HIV and AIDS. …by supporting family caregivers CAMBODIA

31. Helping Families Help Themselves… • Staff instruct family on: • Monitoring health progress • Maintaining a schedule for • taking medicine • Keeping their relatives • comfortable • Providing proper nutrition …by supporting family caregivers CAMBODIA

32. Helping Families Help Themselves… Staff also provide counseling under an HIV counseling and testing program. …by supporting family caregivers CAMBODIA

33. Helping Families Help Themselves… Staff also provide counseling under an HIV counseling and testing program. …by supporting family caregivers CAMBODIA

34. Helping Families Help Themselves… After receiving training SreyVy, 16, and her friend, Cham Prea, 15, are able to provide nutritious meals and care for SreyVy’s father. CAMBODIA

35. Helping Families Help Themselves… Weakened by HIV, KhimKheng, 35, suffers from tuberculosis, is too ill to feed himself and spends much of the day on a cot outside his home. CAMBODIA

36. Helping Families Help Themselves… “He is my neighbor and the father of my friend,” Cham Prea says. “I learned I can’t get HIV/AIDS by treating him.”

37. A Short Recap • FHI: NGO that grew from a research project at UNC-CHAPEL HILL • Mission: Improve lives worldwide through • Research • Programs in Global Health

38. A Short Recap • RESEARCH • Behavioral, biomedical and health services research • Support Global Health Priorities • Examples: • MTC Transmission of HIV Study • Argument for OTC Plan B

39. A Short Recap • Programs in Public Health • Applied research in over 60 countries • Prevention of HIV & tuberculosis • Care, treatment for those afflicted by HIV/AIDS, TB, and other infectious diseases or viruses.

40. A Short Recap • Delivering comprehensive care… …by delivering health services to the bateys (Dominican Republic)

41. A Short Recap • Protecting the Vulnerable …by helping the wives of truck drivers (India)

42. A Short Recap • Reaching out to those at risk… …by introducing injection drug users to critical services (Indonesia)

43. A Short Recap • Helping families help themselves… …by supporting family caregivers (Cambodia)