Integration of HIV prevention with Health and Nutrition Program involving Self Help Group (SHG) Women in Andhra Pradesh(AP), India S Sivalenka 1, C. Nitrahally Mallachar 2, L.D. Chava 3, S.P. Ravi 2 Institution(s): 1.Centers for Disease Control and Prevention (CDC), Center for Global Health, Division of Global HIV/AIDS, Hyderabad, India 2. LEPRA Society, Secunderabad, India 3. Society for Elimination of Rural Poverty, Government of Andhra Pradesh, India AIDS Turning the Tide Together Abstract No: WEPDC0204

PEPFAR BACKGROUND In India, females constitute 39% of People Living with HIV/AIDs (PLHAs) (0.9 million) 1 Andhra Pradesh a southern state in India with >80 million population has 73% rural population AP has the highest estimated number of PLHAs (0.5 million in 2007), high HIV prevalence among pregnant women (>1%), and female sex workers (9.74%) 2 METHODOLOGY The HIV/AIDs prevention component was integrated with the public sector's largest community- based program under Health and Nutrition Program (HNP) of Indira Kranthi Padham – Society for Elimination of Rural Poverty, involving women Self Help Groups (SHGs) ( ) Capacity building of HNP staff utilized three innovative modules developed in story form Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India

PEPFAR Capacity building of HNP Staff on HIV prevention Self Help Groups level (SHG) – 45,565 Village Organization level (VO)-2,289 Sub District level (MS) - 62 District level (ZS) - 22 State Level (SL) - 1 Health Savings-Health Risk Fund Regular capacity building of HNP staff Community Kitchen Gardens Water and Sanitation Nutrition cum Day Care center Adolescent girl groups Fixed Nutrition Health Days Community based Health and Nutrition Program (HNP) Support: PEPFAR- LEPRA Society: HNP staff training SL, ZS, MS level and joint M & E SERP: Infra- structure, HR, training cascade Joint M & E AP State AIDS Control Society: Guidance & services (HIV) Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India METHODOLOGY

PEPFAR RESULTS 438,622 /511,555 (86%) of SHG women trained on HIV prevention, >40,000 got tested for HIV and >150 case studies were shared by women 3,244 HNP state/district level staff trained on HIV Prevention District wise (all 23 districts) HIV/AIDs health resource directories developed and distributed IKP-SERP has planned a phased scale up of this project across AP in 2012 CONCLUSION With reductions in funding globally for HIV/AIDs programs, integration of HIV prevention within existing community-based programs will support sustainability, community ownership, address gender issues and contribute towards the achievement of Millennium Development Goals Integration of HIV Prevention with Health and Nutrition Program involving SHG Women in AP, India

PEPFAR Acknowledgements Dr. Pauline Harvey, Centers for Disease Control and Prevention (CDC), Center for Global Health, Division of Global HIV/AIDS, New Delhi, India Centers for Disease Control and Prevention (CDC), Center for Global Health, Division of Global HIV/AIDS (USA & India) National AIDS Control Organization (NACO), New Delhi, India Andhra Pradesh State AIDS Control Society (APSACS), Andhra Pradesh, India LEPRA Society, Implementation Partner, Andhra Pradesh, India Indira Kranthi Padham-Society for Elimination of Rural Poverty (SERP), Government of Andhra Pradesh, India Rural Self Help Group Women, Andhra Pradesh, India Thank you for your attention