CATHOLIC HIV/AIDS SERVICES INC Sr. Arnolda Kavanamur, SSpS HCT/Training Program Officer

Response of the Catholic Church to HIV/AIDS in PNG Thank you to Katherine and the team for inviting me to attend to important symposium. I’ve worked in the field of HIV for five years in both an implementation and co-ordination capacity at the local and national level. Over that time I have worked with people who have been involved in the HIV response from the beginning in PNG. I believe many of you would know people like Sr. Rose Bernard, Sr. Gaudentia and Sr. Taricisia. I would like to share with you my experience of working with discordant couples over that time. CATHOLIC HIV/AIDS SERVICES INC

CHASI Organizational Structure in the dioceses BISHOP HEALTH BOARD HIV/AIDS BOARD EDUCATION FAMILY LIFE HIV/AIDS SECRETARY HEALTH PAC PROVINCIAL AIDS COMMITTEE CHURCH SCHOOL HOSPITAL PARISH AIDS COMMITTEE CARE CENTRES COUNSELLING TEAM LEGION OF MARY JUSTICE & PEACE GROUPS CLINIC Centre SCHOOLS AID POSTS/ HEALTH CLINIC AID POSTS PLWHV PARISH AIDS COORDINATOR ORPHANS YOUTH PEER MARIMARI MEN Text 1 Text 2 Text 3 I will begin by giving us a background on how the office was created. In 2004 the Catholic Bishops responded to a need which was emerging through the HIV epidemic. The office started on a small scale but it is now a registered influential organization. The Bishops believed that a dedicated Commission responsible for the co-ordination and management of HIV activities within the Catholic network was of great of great important. Text 4 Text 5 Text 6 Text 8 Text 9 CATHOLIC HIV/AIDS SERVICES INC

National Strategic Plan 2010-2015 PNG National HIV & AIDS Strategy Catholic HIV/AIDS Services Strategy FOCUS AREAS PRIORITY AREAS 1. Service Delivery 2. Good Effective Administration 3. Monitoring & Evaluation 1. Prevention 2. HCT, Treatment, Care & Support 3. System Strengthening CATHOLIC HIV/AIDS SERVICES INC

CHASI – PROGRAM COMPONENT Total of 126 VCCT Sites 92 Functional Integrated 24 Standalone 18 ART Sites located in 12 Provinces/Dioceses HCT ART 45 PPTCT Sites SERVICES PICT, CHCT, VCCT & Advance Counseling The Catholic HIV/AIDS Services manage and support 126 VCT Sites. 92 are Health Integrated and 24 Standalone. The Hausman Sambai long ol mama project is new project which we have been asked by the Department of Health to introduce into the country in order to get men involve and help them advocate for women and children health issues especially HIV positive mothers. TRAINING PPTCT CATHOLIC HIV/AIDS SERVICES INC

Elimination of paediatric HIV/AIDS by 2015 CATHOLIC HIV/AIDS SERVICES INC

TRAINING OF HCWs Collection of DBS HIV Algorithm Testing Couple HIV Counselling & Testing Advance Counselling

Other Services Provided Antenatal Testing Provide Initiated Counseling & Testing (PICT) Support of youth & Men’s clinics Confirmatory sites Public Awareness & Education Training ART Monitoring Visit by Doctors from the Australian Society for HIV Medicine (ASHM) Text 2 Text 3 Text 4 Text 5 We encouraging all antenatal mothers to be tested for HIV and Syphilis in order to achieve the UN Goal to eliminate paediatric HIV/AIDS by 2015 We train and provide Initiated counselling and testing in all Health Care facilities. CATHOLIC HIV/AIDS SERVICES INC

Catholic HIV/AIDS coverage areas

Success In corporation of the office legal status – New Name: Catholic HIV/AIDS Services Incorporated Charity status - TAX EXEMPTION Continuous support from: AUSAID CARITAS AUSTRALIA Global fund CATHOLIC HIV/AIDS SERVICES INC

EMPHASIS ON COUPLE COUNSELLING TRAINING IN 2012. INVOLMENT IN THE NATIONAL INTEGRATED BIO-BEHAVIOURAL SURVEY (IBBS) AND THE NATIONAL PREVENTION STRATEGY WHICH RUNS FROM SEPTEMBER TO END OF NOVERMBER EMPHASIS ON COUPLE COUNSELLING TRAINING IN 2012. 80 STAFF HAVE BEEN QUALIFIED – - reducing gender violence - HIV test together - HIV Prevention - Behaviour change issues can be addressed CATHOLIC HIV/AIDS SERVICES INC

CONSTRAINTS STOCK OUT OF VITAL ART FOR MORE THAN 4 MONTHS STOCK OUT OF HIV TEST KITS AND CONSUMABLES LACK OF CAPACITY SECURITY ISSUES CATHOLIC HIV/AIDS SERVICES INC

WAY FORWARD PROGRESIVE INTEGRATION OF HIV SERVICES INTO EXISTING HEALTH FACILITIES HAVE INNOVATIVE APPROACH (business houses involved in promoting HCT services, eg. Hair saloons) PALLATIVE CARE CENTRE IN THE CITY AUSAID OFFERED US TWO HOUSES IN A PROVINCE CLOSE TO THE BORDER OF PNG & INDONESEA - LOOKING AT POSSIBILITIES CATHOLIC HIV/AIDS SERVICES IN

CATHOLIC HIV/AIDS SERVICES INC Family life is still very important in PNG, and is still the preferred societal norms. Male and a female creating a family We see our ministry as a contribution to keep family together and provide a secure palace where children can develop socially adjusted to the challenging times which PNG faces at present. CATHOLIC HIV/AIDS SERVICES INC

PLHIV MONTLY MEETINGS CATHOLIC HIV/AIDS SERVICES IN

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