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National Response to combat the spread of HIV in Sri Lanka

National Response to combat the spread of HIV in Sri Lanka . Goals of the National Programme . Maintain the current low prevalence of HIV among most –at –risk populations (MARPS) and the general population Improve quality of life of people infected with or affected by HIV.

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National Response to combat the spread of HIV in Sri Lanka

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  1. National Response to combat the spread of HIV in Sri Lanka

  2. Goals of the National Programme • Maintain the current low prevalence of HIV among most –at –risk populations (MARPS) and the general population • Improve quality of life of people infected with or affected by HIV

  3. National Strategic Plan ( 2007-2011) Interventions • Targeted at most at risk groups and highly vulnerable sub populations • General population especially - Youth & Women

  4. Muti sectoral approach • Health & Non-health (Labour, Triforces, Fisheries, Education, plantation etc ) • NGO / CBO • Business Coalition • PLHIV

  5. Most at risk groups • Female Commercial sex workers & their clients • Men who have sex with Men including Beach Boys • Drug users

  6. Vulnerable Groups • Youth • Internal Migrant – FTZ • External Migrant workers • Military • Transport drivers • Plantation workers • Prisoners

  7. Media • Trained a group of Journalists to educate people about HIV/AIDS, methods of prevention, availability of services, stigma & discrimination

  8. Religious leaders • Trained in Thailand

  9. Out of school youth National youth services Council • Peer youth leaders trained • Youth club members were reached • Candle light memorials

  10. Schools • Guidance- Hon Minister of Education - • Life-skills based curriculum introduced • Teacher training manual developed under the GFATM Project. Target 300 schools in 10 districts

  11. Most at risk groups Female sex workers • Promoting consistent condom use among sex workers and MSM • Difficult to reach group – stigma & discrimination • NSACP Public health nursing sisters and doctors – out reach programmes • NGO – CSDF “ Daffodil Project”

  12. Law enforcement • Police officers are trained to reach out to the community • Stop harassment of MARP

  13. Most at risk groups Men who have sex with men including Beach Boys • 10.4% of HIV transmission in Sri Lanka is due to MSM • Included in sentinel surveillance

  14. Most at risk groups Drug users • Heroin and opiate users “ chasing the dragon” – injecting drugs is not very common • Target - prevent switching from inhalation to injecting

  15. Migrant Workers – FTZ • Several Advocacy and sensitization Programmes (NSACP, NGO ) • Behavior Surveillance (NSACP) • Behavior change communication –through peer leaders – condom promotion ( Koggala, Biyagama, Katunayake, Alliance Lanka & FPA) –WB funded • Developing linkages – for VCT & management of STI

  16. Plantation workers GFATM -

  17. Tri Forces • Peer leaders for behavior change including condom promotion • Counsellors were trained • MLT trained for testing • Prevention of Mother to Child Transmission • Baseline survey – high knowledge on methods of transmission and prevention

  18. Blood safety • Percentage of voluntary donations has increased • All donated blood is screened for HIV before transfusion. ( HIV positivity rate 0.03%)

  19. Prevention of Parent -to-Child Transmission • Integration into existing Maternal & Child Health Services

  20. STD services • Central clinic & Reference Laboratory • 28 full time peripheral clinics

  21. STD Laboratory services • HIV Tests • Tests for STI • Collaboration with centers of excellence

  22. Know your status • Blood test

  23. Care, support & Treatment • Medical team – counselling, antiretroviral therapy (WB/ GFATM), adults amd children and pregnant mothers • Home based care – Lanka plus • Nutritional support ( NSACP/FAO) • Monthly allowance , self employment –

  24. Challenges for prevention • Difficult to reach most at risk groups • Stigma and discrimination ( MARP /PLHIV) • Women getting infected by their husbands • Discussing sex is taboo • Condom promotion difficult • External migration • Frequent overseas travel by upper middle and lowe middle class for trade

  25. Thank you

  26. Challenges for prevention • Frequent travel

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