background on the hiv and disability project
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Capitalisation of good practices on HIV programming for persons with disabilities in Rwanda from 2008 to 2013 Muriel Mac-Seing and Elie Mugabowishema Handicap International. Background on the HIV and disability project. - PowerPoint PPT PresentationTRANSCRIPT
Capitalisation of good practices on HIV programming for persons with disabilities in Rwanda from 2008 to 2013
Muriel Mac-Seing and Elie MugabowishemaHandicap International
Background on the HIV and disability project
Title: Strengthening communities to integrate persons with disabilities in the HIV and AIDS response in Rwanda
Period: 2008 to 2013 Funding: Health Resources and Services Administration (HRSA)
of the US Government (New Partner Initiative) Technical assistance from: JSI and CDC Rwanda Main partners: Seven disabled people’s organisations (DPOs),
two CBOs, the Rwanda Biomedical Centre (RBC) and the Ministry of Health
Location: 19 of 30 districts of Rwanda
Expected project results ER1: The national AIDS programme, Umbrella of People with
disabilities in the Fight of HIV/AIDS (UPHLS), seven DPOs and CBOs and five health facilities/VCT centres are capacitated and their involvement in the national response to HIV increased
ER2: HIV prevention services are scale up to include at least 65,700 persons with disabilities and 187,570 family members
ER3: HIV care and support to people living with HIV is strengthened and scaled up to include at least 2,200 persons with disabilities infected and affected by HIV
ER4: Sexual and gender-based violence (SGBV) services are accessible to 6,000 women and men with disabilities and 70 persons with disabilities who are SGBV survivors have appropriate care and treatment
Main achievements• 93,393 persons with disabilities (57% women) and 246,100
community members (69% women) have been sensitized on HIV prevention
• 2,090 persons with disabilities living with HIV (61% women) received care and treatment services
• 4,903 persons with disabilities (54% women) and 8,715 community members were sensitized on SGBV
• 53 persons with disabilities (56% women) received SGBV care and treatment services
• Nine DPOs and CBOs received organisational development strengthening
• Three national forums on HIV and disability have been co-organised with the Rwanda Biomedical Centre and UPHLS.
Good practice 1: Strengthening of disabled people’s organisations
The process Technical and
organisational capacityassessment
Technical and organisational capacity
assessment
Technical support from JSI and follow-up from Handicap International
Technical support from JSI and follow-up from Handicap International
Increased institutional capacity of DPOs and
CBOs
Increased institutional capacity of DPOs and
CBOs
The results
Increased coverage
in selected districts
Increased coverage
in selected districts
Ownership and empowerment
of PWD
Ownership and empowerment
of PWD
Set up of association and support groups
for PWD
Set up of association and support groups
for PWD
Reinforced relationship between
organisations and their constituency
Reinforced relationship between
organisations and their constituency
Good practice 2: Involvement of persons with disabilities as peer educators in HIV prevention
The process
TOT of DPOs and CBOsTOT of DPOs and CBOs
Training of peer educators
Training of peer educators
Peer education to people, families and
community members
Peer education to people, families and
community members
The results
Family level
•Decreased stigma and discrimination•Increased knowledge•Formation of support groups•Increased involvement of CHW
Family level
•Decreased stigma and discrimination•Increased knowledge•Formation of support groups•Increased involvement of CHW
Individual level
•Increased demand for inclusive health services•Increased knowledge•Increased self-esteem and confidence•Sense of ownership
Individual level
•Increased demand for inclusive health services•Increased knowledge•Increased self-esteem and confidence•Sense of ownership
Good practice 3: Use of tailored advocacy to include disability at national level
The process Close collaboration with
RBC and UPHLSClose collaboration with
RBC and UPHLS
Technical working group of HIV and disability
Technical working group of HIV and disability
National forums on HIV and disability
National forums on HIV and disability
Training workshops at national and district
levels
Training workshops at national and district
levels
The results
Advocacy Advocacy
Production by RBC of disability sensitive IEC
material (sign language, images, large fonts)
Production by RBC of disability sensitive IEC
material (sign language, images, large fonts)
Disability inclusion
guideline in health
system at community
level
Disability inclusion
guideline in health
system at community
level
Inclusion of disability in national policies, e.g.
most recent NSP on HIV
Inclusion of disability in national policies, e.g.
most recent NSP on HIV
Inclusion of disability type in VCT registry
books
Inclusion of disability type in VCT registry
books
Good practice 4: Mainstreaming of disability at HIV service provision level
The process Disability accessibility audit with corrective
measures
Disability accessibility audit with corrective
measures
Training of health staffTraining of health staff
Adaptation of IEC material accessible to
PWD
Adaptation of IEC material accessible to
PWD
Support groups of PWD at health facilities
Support groups of PWD at health facilities
The results
Advocacy Advocacy
More PWD seeking HIV and SGBV services
More PWD seeking HIV and SGBV services
Increased knowledge
and changed attitudes among
health staff
Increased knowledge
and changed attitudes among
health staff
Identification of PWD by CHWs and follow-up
Identification of PWD by CHWs and follow-up
Mobile VCT services for
PWD
Mobile VCT services for
PWD
Selected health
facilities accessible to
PWD
Selected health
facilities accessible to
PWD
Good practice 5: Integration of SGBV protection in HIV programming
The process Participation in the MOH
SGBV technical groupParticipation in the MOH
SGBV technical group
Peer education and mass awareness
creation
Peer education and mass awareness
creation
Training of service providers and institutional
strengthening of CBOs
Training of service providers and institutional
strengthening of CBOs
District monthly consultative meetings
District monthly consultative meetings
The results
Advocacy Advocacy
Improved coordination and working relations among HIV and SGBV
actors
Improved coordination and working relations among HIV and SGBV
actors
Increased SGBV
seeking services
from PWD
Increased SGBV
seeking services
from PWD
Integration of SGBV in UPHLS’ HIV programming
Integration of SGBV in UPHLS’ HIV programming
Increased knowledge
among health staff, CHWs, police and
judiciary staff for providing
services to PWD
Increased knowledge
among health staff, CHWs, police and
judiciary staff for providing
services to PWD
Thank youMurakoze