Transcript Scaling-up harm reduction services towards universal access in

Scaling-up harm reduction services
towards universal access in Asia
Models of good practice
ICAAP IX
Bali, Indonesia
Nai Zindagi,
Pakistan
The Context
15% yearly shift to injecting
Majority men of which 50%
are married with 4 children
20% HIV prevalence among
persons injecting drugs and
up to 15% among their wives
Mostly poor and uneducated
Injecting drug use driven
epidemic in Pakistan
Coverage
Government financed- Civil
Society implemented
partnerships
15-18% have access to HIV
prevention services
Services include SEP, minus
OST
Quality of services varies
Mechanisms of engagement
and monitoring in place
Scale up is possible
Outcome and
Impact
Public-Private Partnerships work
Uninterrupted, at scale and consistent availability of
services reduces transmission and incidence of
HIV
Where programs exist coverage has been above
80%, resulting in a decrease and/or maintained
prevalence
Transmission of HIV among people using drugs
can be reduced with appropriate targeted
interventions if initiated timely
Some lessons
Trust and time to build partnerships
Ownership - essential to mobilize
Compensate for weaknesses and strength
Accountability and transparency
Inclusion - not exclusion
Avoid pilots if you know it works - go to scale
Proposed scale up
2010-2014
Province wide contracts to reach
60% coverage by 2012
Resource allocation expected
from Government and Global
Fund Round 9
Proposed program includes OST
and services for wives and
children
Access to HIV and AIDS services
included
Evidence based workable plan,
dependent on resources
Our approach
HIV prevention and AIDS
related services
(80%)
HIV & AIDS
Client
conceptualized
and client driven
Drug Use
Drug treatment services
(40%)
Poverty
Skills training and
employment
(20%)
Thank you