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Dr Ali Razaque Project Director Enhanced HIV/AIDS Control Programme Department of Health

Relationship between the World Bank, National Governments & service providers within an HIV/AIDS perspective. Dr Ali Razaque Project Director Enhanced HIV/AIDS Control Programme Department of Health Government of Punjab, Pakistan. Enhanced HIV/AIDS Control Programmes.

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Dr Ali Razaque Project Director Enhanced HIV/AIDS Control Programme Department of Health

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  1. Relationship between the World Bank, National Governments & service providers within an HIV/AIDS perspective Dr Ali Razaque Project Director Enhanced HIV/AIDS Control Programme Department of Health Government of Punjab, Pakistan

  2. Enhanced HIV/AIDS Control Programmes • Government of Pakistan cognizant of the growing challenge of HIV and AIDS • GoP acted proactively to avail the window of opportunity • Early 2001 National HIV/AIDS Strategic Framework developed • This framework guided activities of HIV/AIDS stakeholders in Pakistan

  3. Enhanced HIV/AIDS Control Programmes contd. • The government has negotiated with the World Bank for the implementation of “Enhanced HIV/AIDS Program” which includes: • Grant of US$ 9.28 million • Loan/Credit of US$ 27.83 million • Other key donors include • DFID • CIDA

  4. Enhanced HIV/AIDS Control Programmes contd. • GoP has obligated 10-15% counterpart financing • The partnership is from 2003-08 • Health a provincial subject • Ensuing interventions owned at both national and provincial levels • Both World Bank and GoP needed to fast track procedures

  5. Components of Enhanced Programme Four main components • Expansion of Interventions Among Vulnerable Population • Improved HIV Prevention by the General Population • Prevention of HIV/STI Transmission through Blood Transfusion • Capacity Building and Program Management

  6. Expansion of Interventions Among Vulnerable Population • Through contracting NGOs to provide comprehensive service delivery packages including • Behavior change communication • Promotion of effective condom use • VCT & HIV testing • STI management • Needle exchange and promotion of safe injection practices • Empowering vulnerable groups

  7. Improved HIV Prevention by the General Population • Raising awareness and BCC aimed at general adult population • Advocacy activities to raise awareness of decision makers and opinion leaders • Activities targeted for • Youth • Uniformed personnel • Formal sector workers • Improved STI management in public sector

  8. Prevention of HIV/STI Transmission through Blood Transfusion • Through capacity building of provincial blood transfusion authorities • Implementation of quality assurance • Expanded blood screening including Hep B and C

  9. Capacity Building and Programme Management • Strengthening of • NACP and PACPs • NGOs capacity building • Second generation HIV surveillance and evaluation • Care for people living with HIV/AIDS

  10. Conclusion • In all provinces including AJK, NA and FATA service delivery packages are in the process of implementation • Punjab province has been the first to engage with Civil Society to move HR agenda forward • Punjab experience can guide the Enhanced Programme for further HIV/AIDS prevention services with IDUs • It can also be a model for SAARC

  11. THANK YOU

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