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« Trust » advice bureau

« Trust » advice bureau. Target group : PLHIV PLHIV / TB Former prisoners IDUs. Statistical overview. Year end 2009: 1262 PLHIV on D register at AIDS Centre ; Includes 266 HIV/TB cases ; 17 new HIV/TB cases detected in Q1 2010 ;

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« Trust » advice bureau

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  1. «Trust» advice bureau Target group: • PLHIV • PLHIV/TB • Former prisoners • IDUs

  2. Statistical overview • Year end 2009: 1262 PLHIV on D register at AIDS Centre; • Includes 266 HIV/TB cases; • 17 new HIV/TB cases detected in Q1 2010; • 68 PLHIV deaths at year end 2009 including 22 HIV/TB cases; • 230 patients on TB chemotherapy (isoniazid) in 2009; • 71 patients on TB chemotherapy during Q1 2010; • 15 HIV/TB deaths in Q1.

  3. Multidisciplinary team Psychologist Social worker Lawyer Patient

  4. Role of team members • Psychologist - Psychosocial counselling of PLHIV and their close contacts. • Social worker: - motivational counselling for TB prevention • assessing patient's lifestyle and requirements for adherence to treatment regimen • offering support to the patient's family • advice and support in diagnostic phase (fluorography, overall radiogram of the lungs, AFB examination of sputum smear). • provision of welfare assistance in the form of food packs and health packs for 50 HIV/TB clients during supportive treatment. • Lawyer: • client advocacy • legal advice and support

  5. Expected outcome • Establishment of an effective model for delivering medical, social, psychological and legal assistance to TB/HIV patients • More information for PLHIV and vulnerable populations about the warning signs of TB and the impact of the disease among PLHIV, IDUs, former prisoners and sex workers • Access by PLHIV to HIV/TB prevention and treatment services • Advocacy and human rights in an HIV/AIDS context • One-stop medical facility for PLHIV/TB providing full range of services • Motivating physicians to provide high-quality medical services to PLHIV/TB • Ensuring project buy-in from physicians and nurses • Ensuring programme buy-in from PLHIV

  6. Constraints • No TB specialist at AIDS Centre • Recipient population is socially marginalized • Clients are drug- and alcohol-dependent • No residence permit or fixed address • No work, financial precarity • Geographical remoteness and dispersion of medical facilities providing services • Stigmatized by employers • Stigmatized by health workforce, refusal to admit inpatients • Passive attitude of PLHIV towards their problems • No advocates for PLHIV

  7. Achievements • Client trust nurtured • Clients motivated for HIV/TB prevention and treatment • Partnership with physicians at AIDS Centres, medical institutions, neuropsychiatric clinics and user-friendly surgeries • Successful treatment of TB patients forms a bridge to supportive treatment

  8. Better access to HIV/TB prevention and treatment

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