Public, Private & Faith-based Partnerships in Papua New Guinea How to provide innovative, needs-based programs to support HIV health care capacity building.

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Public, Private & Faith-based Partnerships in Papua New Guinea How to provide innovative, needs-based programs to support HIV health care capacity building in collaboration with a range of partners Artwork by: Steve Estvanik Impacts of ASHM mentoring program in Mendi, SHP, PNG Mentee perspective Clare Andawa Care Taker Catholic Health Secretary

Outcomes in providing services to communities Increased information on STIs & HIV/AIDS in the community Involvement of PLWHIVs as advocates Reduced some level of stigma & discrimination Rural outreach,PLWHIV addressing people at Paka health centre,2011

Outcomes in Clinical management of STIs & HIV/AIDS Improved quality in STI screening with lab set up Capacity of CHWs as RLAs up scaled in screening common STIs Appropriate clinical management of STIs & HIV/AIDS Capacity of VCCT nurses and CHWs up scaled to manage HIV/AIDS effectively at remote facilities without much supervision CHWs delivering HIV positive women and administering ARV prophylaxis to neonate,Pureni,2012 RLA with battery powered microscope,Pureni,2011

Success Increase in attendance of Antenatal mothers Improved in STI management with rural laboratory and RLA trained 1,010 People on ART 90 Babies born HIV negative from positive parents 32 Discordant couples Antenatal women screened for HIV & STIs using Gram Stain and Wet Prep Working towards the national target of Reducing 85% of mother to Child transmission

Challenges Believe and teaching in faith based healing-HIV/AIDS & Saguma Staff turn over Polygamy & Partner Management Closure of health facilities due to tribal fights/staff assault Consistent supply of reagents & ARTs Geographical location of facilities, ongoing challenge for coordination Ownership & sustainability of Sexual health awareness programs in schools & communities Communication Change of weather patterns Nurses and Bishop with medicine box waiting to board MAF in Lake Kopiago,2013