New For Tot

Mai nstr eaming HI V

Ashok Raisinghani Project officer State Mainstreaming Unit

Mainstreaming is “the concept of addressing HIV & AIDS both internally and externally in all sectors, at all levels, particularly where the pandemic might not ordinarily be addressed.”

Contents… 

Vulnerability factors in Rajasthan

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Role of Govt. Sector in Mainstreaming HIV

Rajasthan has a low prevalence but high vulnerability in terms of HIV HIV already exists large population of Rajasthan (56.4 million) HIV and AIDS is equally as rural as an urban epidemic Out-migration Rajasthan accounts for 19 percent of all mines in India 25,000 trucks travel daily on NH 8 alone Tourist Destination

Case Study 

Background: Mr. Gupta is a District Level Govt. Officer and has been working in same Dept at various levels and in different Districts for last 12 years. Today he is the Head of Dept in his District and is really busy with waves of monthly meetings and further reports and official visits. He has no time to think or plan of some new

Issue at hand 

There has been lot of talk going on about HIV awareness, education etc. He came to know of a term recently in this respect i.e. ‘Mainstreaming’, whatever it means. Every other departmental head in his District is coming up with some new plans to include HIV in Departmental issues.

Cont.. He is quite surprised with the efforts taken by his colleagues as he can not find a single HIV affected person or dependent family in his office. On top of all, now the Govt is asking again and again from all Dept Heads to take an initiative and participate in National efforts to mainstream, halt and reverse the epidemic of HIV / AIDS.

Problem: Now with all the above mentioned pressure to act against HIV what should Mr. Gupta do? What can he do to mainstream? Also consider there is no separate budget for this, lots of regular work pressure, non cooperation or disinterest or cold shoulders or simple ignorance from subordinates, lack of time, challenge of complicated Govt. policies and a delicate subject matter of HIV / AIDS in Indian context.

Response 

I am sure every one has been in shoes of Mr. Gupta at one point or other in our lives, so everyone can relate to this case study. We need to find a solution from the list of good, bad and most appropriate one as it is our responsibility to be proactive and decision maker. Let’s discuss……

THE BIG DECISION: 

Decide if Mr. Gupta needs to and want to Incorporate Mainstreaming in Dept…

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YES: Contribution in national Efforts, Proactive Image, Act as per State/National Govt. frame of mind, Sooner or later it needs to act upon. NO: Easy way out, It is not time yet

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YES > HOW? 

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Can plan some activities without budget or can collaborate in on going activities. Examples… Sensitization of Subordinates/Employees. Identification and then Sensitization of key. stakeholders with special attention to vulnerable stakeholders. Set up a Nodal Person / Anti Stigma Counselor in the Dept. Condom vending Machine.

Cont.. 

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Stigma and discrimination free environment with equal or more opportunities to HIV +ives. Support and Motivate for Counseling and testing facilities with providing for Anti retroviral treatment to HIV positive employees. TOT Request Budget from the Department to effectively plan and implement the abovementioned. Provide Financial support to the national response against HIV.

Programmatic Entry Points… Workplace HIV/AIDS Policy & Programme

Integrated Prevention

BCC

Traditional Vulnerable Groups

ICTC

STI Prevention treatments

ARV/OI Treatment

Thank -You