SARVOJANA NGO Consortium Five States Eight Partners Seven Model CVCTC+

Five States  Tamil Nadu  Kerala  Andhra Pradesh  Karnataka  Maharashtra

Eight Partners  South India AIDS Action Program  INP+  SWAM  FIRM  WINS  Samraksha Society  Sangama  The Humsafar Trust

Challenging AIDS Related Poverty Interventions with ownership, diversity, reach and innovation for poor and marginalized communities in South India

Overall Objectives Reduce poverty and improve quality of life of poor and traditionally marginalized communities disproportionately affected by or vulnerable to HIV and AIDS and empower Civil Society Organisations (CSOs) to check spread of HIV and reduce impact of AIDS in the highest prevalence states

Specific Objective Reduce stigma and discrimination and increase equitable access to HIV & AIDS prevention, treatment delivery, care and support, for People in Sex Work (PSW), Gay, Bisexual, Transgender and Transsexual people (GBT), People Living with HIV & AIDS and their families (PLHAs), and People living in the Immediate Environments of the target communities (PIE), through establishing Community based Voluntary Counselling, Testing, Support and Care Centres (CVCTC+); and promoting self help groups of members of target communities to address the sociological, psychological and medical factors that increase their vulnerability to HIV &AIDS.

Target Groups Direct Beneficiaries - 25,000 PSW (ages 14-60), 20,000 GBT (ages 16-50), 100,000 PLHA (ages 5-50), and 50,000 PIE; 200,000 other direct/indirect beneficiaries including village leaders, government & private health care workers, legal and judicial personnel, local & regional government officials.

Expected Results  Improved quality of life of PSW, GBT, PLHA, and PIE through improved health seeking behaviour and equitable access to services through Community based Voluntary Counselling, Testing, Support and Care Centres (CVCTC+).  An effective alliance of 16 groups of target communities of PSW, GBT, PLHA and coalition members engaged in community mobilisation and advocacy at government, private and community levels to reduce stigma & discrimination.  Improved quality of services available at government, private and community facilities for a continuum of care for HIV & AIDS prevention, treatment delivery, care and support for target communities.  Effective functioning of an umbrella organisation, established with the objective to build capacity of coalition members to cooperate and manage future projects in this area.

Activities  Establishment and operationalisation of Community based Voluntary Counselling, Testing, Support and Care Centres (CVCTC+)  Sensitisation and mobilization of target communities  Baseline survey to quantify existing levels of stigma & discrimination  Meetings of self-help groups to develop an action plan to identify & address specific cases of stigma & discrimination  Advocating with government, private and community agencies for action against stigma & discrimination of target communities.  Capacity building of health care personnel  Monitoring availability and quality of treatment at government hospitals  Establishment, formalisation and Operationalisation of an umbrella organisation of coalition members  Facilitating government and private agencies to replicate CVCTC+  Identifying required changes and taking action on policies that will facilitate future work of coalition members in this area.

NACP-III Indicators SARVOJANA TRACKING KEY INDICATORS IN NACP – III  Percentage of FSW, MSM, who are HIV infected  Percentage of men reporting use of condoms in the last time they had anal sex with a male partner.  Percentage of FSW, MSM with STI symptoms, seeking services from qualified medical providers.  Percentage of persons who return for test report at CVCTC+ by gender and age.

NACP-III Indicators  Number of persons receiving pretest counseling/information and proportion of people seeking testing by age and gender  Percentage of HRG members reporting instances of stigma and discrimination in the last month.  Percentage of FSW and MSM who received HIV testing in the last 12 months and who know their results.  Percentage of persons put on ART who report adherence at the end of 12, 24, 36 months, by age and gender

Additional Tracking Vulnerability indicators  Consistent condom usage among marginalized groups  Multiple partner among MSM and TG  Reported anal sex among MSM and TG

Additional Tracking Legal Issues related Indicators  Stigma and discrimination in health care settings  Direct action against incidents of discrimination  Advocating with various stakeholders on stigma and discrimination  Group meetings to deal with misconceptions with general public on issues of PLHA and marginalized groups  Group meetings with communities on legal and human rights  Sensitizing law enforcement agencies and judiciary about the human rights of PLHA and marginalized populations  Offering legal aid for PLHA and marginalized populations.  Removing self-stigma among PLHA and marginalized populations

Additional Tracking Indicators for Effective Project Management  Number of Referrals to TB and other co infections.  Tracking Supply of ART medicines at ART centers.  No of clients provided F2F counseling ( New + Follow ups )  No of clients provided Telephone/ counseling ( N+F)  No of reactive results collected  No of non reactive results collected  No of female partner notification requested  No of clients receiving general health treatments

Additional Tracking Indicators for Effective Project Management  No of RPR/VDRL tests done ( Humsafar/ Sangama)  No of clients tested positive for syphilis  No of PLHAs referred to Positive Peoples Groups  No of PLHAs referred to TB/ DOTs programs  No of clients referred to GOI-ARV roll out program  No of clients registered in the GOI- ARV roll out program  No of clients enrolled in the GOI- ARV roll out program

Project Outputs  20,000 seek CVCTC+ services after the end of year one  60% of people testing positive for HIV, receive social support  50% of target people access Government hospital for health services  One ART centre available in each project area  Adequate supply of ART drugs available at ART centres  5 people per CVCTC+ are properly trained for providing services at the community care centres  Functional consortium of CSOs  An effective alliance of 16 groups of target communities  Government policy in place in Project area to support equitable access to HIV and AIDS prevention, treatment delivery and care and support  Consortium of Community institutions formally registered  12 of the community networks have local office bearers

Lessons Learned Add Key Lessons Learned : you can take from your technical report submitted to HIVOS

Key Challenges Add Key Challenges Faced: you can take from your technical report submitted to HIVOS

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