1. www.ifrc.org Saving lives, changing minds. Fragile States: Boosting community systems for effective HIV response Dr Syed Jamal Shah IFRC Pakistan 20 th July 2014 International AIDS conference 2014

2. www.ifrc.org Saving lives, changing minds. Session Brief  HIV Status in Pakistan  Community& Home based Care.  Community based health programming.  Challenges.  Way Forward.

3. www.ifrc.org Saving lives, changing minds.  low prevalence, high risk to “concentrated "epidemic  People who inject drugs (PWID), 27.2%  Transgender sex workers (HSW) at 5.2%,  Male sex workers (MSW 1.6%  Female sex workers (FSW) 0.6%.  Estimated 105 161 people living with HIV by the end of 2013 HIV Statistics

4. www.ifrc.org Saving lives, changing minds.  7568 PLHIV registered in 18 HIV centres  Out of these, 3211 adult PLHIV and 70 children were on ART.  HIV treatment, care and support facilities are available through  18 HIV treatment centres,  5 paediatric AIDS centres,  16 VCCT  11 (PPTCT/PMTCT) sites.  Under Global Fund Round 9 till now 11 CHBC sites have been established. HIV Statistics

5. www.ifrc.org Saving lives, changing minds. Global Fund Round 9:Community and Home Based Care.(CHBC) CHBC Package includes;  VCT  Travel costs for ART.  Nutritional Support.  Diagnostic services.  Referral  School fess for children  Funeral costs  Vocational Training Communities can play an effective role in prevention and care if properly trained & oriented. Increased the access to care and support. Out reach workers and councillors are PLHIVs.

6. www.ifrc.org Saving lives, changing minds. Red Cross: Community based health programming.  Community based health & First Aid(CBHFA)  Community based volunteers and coaches.  HIV/AIDS response is integrated - Pilot phase  Awareness about HIV/AIDS  Stigma and Discrimination  Referral Services.

7. www.ifrc.org Saving lives, changing minds. Model of community programming  10-20 House Holds are catered by one volunteer.  8-10 Volunteers are supervised by coaches.  Coaches are supervised by Health educators based in basic health units of that community.  Linking it to formal health system.  Training of volunteers, coaches and community.

8. www.ifrc.org Saving lives, changing minds. Challenges  Integration.  Limited budget and delay in fund transfers  Turn over of volunteers.  Access to high risk groups.  Security issues & Law and order situation  Frequency of natural disasters.

9. www.ifrc.org Saving lives, changing minds. Way Forward.  Trainings of communities.  Involvement of PLHIVs as volunteers.  Linkage development with APLHIV  Strengthening of referral hospitals and services.

10. www.ifrc.org Saving lives, changing minds. THANKS