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Monday, April 21, 2014
    Malayalam  
 
 
 

Information Education and Communication (IEC)

Youth Club
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In order to maintain sustainability of messaging and thereby result behaviour change for reversing the epidemic, the State takes lessons from the previous experiences and design strategies accordingly.

The IEC Strategy broadly focuses on:


  • HIV prevention
  • Service Uptake
  • Diminishing of Stigma and Discrimination towards PLHIV
  • Increase in VBD
  • Civil Society Mainstreaming
  • Management of Drop in Centres for PLHIV
  • Greater Involvement of People Living with AIDS


  • View 'Best Practices' related to Youth Affairs
    View 'Best Practices' related to Mainstreaming


    Situational analysis (Source; BSS, CNA


  • Lessons based on the background evidences
  • Effective medium to reach to the community:  Mass Media Vs IPC
  • Activities planned for the financial year 2009-10
  • Focal point of communication activities
  • Description of each focus
  • Life Skill Education programme
  • Zindagi Zindabad Campaign
  • Training
  • Empanelment of various agencies
  • Mainstreaming Civil Society
  • Activities proposed for 2009– 2010
  • Greater Involvement of People with AIDS
  • Management of DICs
  • Evaluation and Documentation

  • Situational analysis (Source; BSS, CNA)


  • 40% awareness on testing facility in the area
  • 50% awareness on STD
  • Last time condom use with non regular sex partners: 69.7%
  • Knowledge level on HIV/AIDS: 95%
  • Will community allow people living with HIV in the village:
  • Yes (43%)
  • No (50%)
  • Do not Know (7)
  • Will you isolate a member of your family who is HIV +ve
  • Yes (23)
  • No (77)
  • DK (1)
  • PLHIV suffers stigma from service providers.
  • Awareness concerning services & testing facility among adolescents: 51%
  • Awareness regarding the confidentiality of test result is 49%
  • Service uptake increased after branding of services, except STI clinics
  • Voluntary HIV test increased over the last two years, after branding of VCTC and PPTCT
  • Number of positive deliveries increased over last two years
  • Present data from service centers indicating that there are still hard to reach population at village level
  • Mass media and PRI involvement is very low
  • Voluntary Blood Donation (VBD) is very low

  • Lessons based on the background evidences


  • 60% of the community is unaware about testing facilities in their area.
  • 50% of people do not know about STD.
  • 31% have not used condom with non regular partner last time.
  • Knowledge on HIV/AIDS is higher but not translated into practice which further leads to prevention.
  • Stigma still persisting in the society. Most of the people are still under the conviction that PLHIV are people who are facing death. Most of them have not seen a positive person.
  • The reason for stigma towards PLHIV by service providers is mainly due to the fear of getting infecting through occupational hazards.
  • 49% of adolescents are unaware about services and testing facility. This is very crucial.
  • 51% of the people do not know test results are confidential.
  • Voluntary HIV tests have increased but very less when compared to the population having high-risk behaviour.
  • Number of positive deliveries increased, but percentage of pregnant women approaching PPTCT services is very low in the State.
  • There are fewer uptakes of services from rural areas of the State. Rural areas are more vulnerable towards the epidemic.
  • The service uptake in STI Clinics has become low.
  • Unless PRI leadership and involvement is ensured, sustainability of service deliveries cannot be ensured.
  • Increased VBD will reduce risk for infection.

  • Effective medium to reach to the community: Mass Media Vs IPC


    As such there is no effective medium to reach the community as a whole. It can be realized only through synchronizing the positive aspects of various media simultaneously. Kerala is a high literate state where more than 10 million people read newspapers. That also says that the balance 20 million people have no access to newspapers. Around 60% of the households have television sets and among them only 25% people have cable connection. It means that most of the people have access to terrestrial transmission leaving Doordarshan as the widely seen channel of the State. The satellite channels more or less share the same viewership in the State. Radio has the widest reach among all the mass media. Around 70% of the households have radio access.


    But the most effective media, which helps behaviour change, is the Interpersonal Communication (IPC) Methods. All those campaigns implemented focusing on IPC have delivered good results. For instance the polio campaign, the rainwater harvesting campaign, sanitation campaign, rural water supply campaign etc implemented by the Govt has resulted in behaviour change of the community through IPC. These messages are also sustainable as they are integrated with existing systems. Another good example of success of IPC in the state is its response to election campaigns, which is a very good example of implementing behaviour change communication campaign through interpersonal communication methods.


    Therefore the Kerala SACS focuses on IPC methods to reach out to the community to disseminate messages on HIV prevention, and change their behaviour to safe modes. The positive aspects of mid media, mass media and innovative media like server based SMS will be utilized for comprehensively implementing the communication strategy.


    Activities planned for the financial year 2009-10


    Based on the situational analysis and extracted lessons based on background evidences, the State proposes to realize the following activities under the IEC Strategy


    Prevention

  • Prevention messages focusing vulnerable population through IPC methods
  • Ayurdhalam programme, the IPC campaign programme will be continued in selected GPs.
  • BCC for Targeted Intervention
  • Mass media interventions
  • Mid media interventions
  • New media interventions like advt in websites and Web based SMS

  • Service uptake

  • Service uptake campaign through IPC methods
  • Branding of new service centres like ICTCs, Blood Banks etc
  • Mass media interventions
  • Mid media interventions
  • Specific focus on STI service uptake (Key message: Any STI symptom, consult any Doctor!)
  • ART adherence messages through SMS

  • Stigma and Discrimination Reduction

  • Thejaswini Yathra, visit of PLHIV to all the GPs for positive talk
  • Stigma free Grama Panchayaths (GP) campaign in selected GPs of the State
  • Stigma free Schools, a visit of PLHIV including children to schools for positive talk
  • IEC campaign for Post Exposure Prophylaxis targeting service providers.
  • Spread of Positive Speaking to all possible areas
  • Setting up of permanent Positive Speaking corners in a prominent public places with the permission of Dept of Culture, PWD or relevant Departments.

  • Voluntary Blood Donation (VBD)

  • Strengthening the activities of Red Ribbon Clubs (RRC) in the Colleges
  • Encourage VBD among school drop outs through RRCs formed under Nehru Yuva Kendra
  • Encourage voluntary blood donation through promoting registration in the website www.keralablood.com
  • Mid media campaigns in colleges to promote VBD

  • Zindagi Zindabad Campaign (Life Bus Campaign)

  • Implementation of the Zindagi Zindagi campaign in more districts of the State.

  • Publications and Websites

  • For disseminating information about the HIV prevention programme the monthly newsletter in Malayalam - Ariyuka will be continued.
  • The quarterly English News letter - HIV News Kerala will be continued with highlights of the programme. This newsletter will be disseminated among State level/National and International level partners and policy makers
  • The academic journal - The Response - will be published to share academic information among the key players
  • The website of Kerala State AIDS Control Society - www.ksacs.in will be developed to a portal to provide latest information on HIV/AIDS

  • Training

  • Training of Journalists for having an understanding of reporting on HIV/AIDS
  • Exposure visit of Journalists to have a hands on experience of best practices on Stigma and Discrimination reduction
  • Training of I&PRD, to act as the official tongue of Government on HIV/AIDS issues and handle training of journalists at Taluk level
  • Training of Mass Media Division of Health department to integrate IEC activities in their routine activities and monitor the activities happening at the grass root level
  • Training of DDK, AIR, DFP, DAVP, SDD for better clarity while doing programmes on HIV/AIDS
  • Training of Journalism Students to ensure they are upholding the rights of PLHIVs while becoming journalists in their future career. Also aiming to bring in academic talents in HIV communications by providing opportunities for internships, dissertation etc.
  • Training of ICTC Counselors for Outreach activities for service uptake
  • Training for RRE Campaign
  • Training for RRC Coordinators
  • Training of empanelled Documentation Consultants to ensure quality output
  • Training of Folk Team for uniformity in messaging
  • Training under Red Ribbon Clubs
  • Training under Civil Society Mainstreaming

  • Empanelment of various agencies

  • Empanelment of Communication Agencies to realize the communication strategy
  • Empanelment of Small Designing Agencies to do designing of small items
  • Empanelment of IT Solution Providers to do Website Management, AV materials
  • Empanelment of Printers for printing
  • Empanelment of Organizations for monitoring RR Clubs and to impart training
  • Empanelment of Documentation Consultants to document best practices
  • Empanelment of Folk Group to do folk programmes across the State

  • Civil Society Mainstreaming

  • Advocate with ministries/departments directly and through other platforms, e.g. SCA (State Council on AIDS), to constitute a focal unit and to allocate time and resources for mainstreaming HIV in their core strategies.
  • Work with the focal unit to analyse the relationship between HIV and the sector managed by the ministry/departments (how activities in the sector affect spread of HIV and how HIV could impact the core businesses of the sector). Based on the analysis, KSACS support developing/modifying action plans for integration of HIV in their core work.
  • Work with the faculty of the training institutions under the ministry to add HIV/AIDS related information to their training curriculum (e.g. KILA).
  • Work with the ministry/departments in developing workplace policies for institutions under their management.
  • Advocate with Planning Board to prevail upon ministries/ departments for earmarking specific outlays for HIV/AIDS.
  • Work with CSOs and Faith Based Organizations and their state coalitions to integrate HIV/AIDS in their activities.
  • Document and disseminate good practices, and create a forum for ministries to share information and learn from each other.

  • Management of Drop in Centres for PLHIV

  • Assessment of the DiCs
  • Contract extension of DICs / Finding organisations to run DiCs
  • Empanelment of new positive speakers panel
  • Establishing Treatment Care Team
  • Legal Aid Support

  • Greater Involvement of People Living with AIDS

  • Formation of Coordination committee of various networks of PLHIV
  • Strengthening the coordination of various service centers of KSACS
  • Empanelment and Training of Advocates for Legal Aid Support for PLHIV

  • Youth Specific Interventions

  • Developing a strategy for youth interventions in the State
  • Red Ribbon Clubs in colleges
  • Red Ribbon Clubs in Rural Settings
  • Interventions for tribal youth
  • Life Skill Education Programme: Technical/Financial Support for the LSEP programme, as per the action plan
  • LSEP in Vocational Higher Secondary Schools

  • Focal point of communication activities


    The objectives for this year were formulated based on the IEC Impact Study and Communication Needs Assessment conducted by KSACS during 2006. The entire programme is designed with an aim of involving community in ongoing debates and dialogue on the issue. It is in this context the activities mentioned in the financial year 2009-10 are proposed. It is also expected that this method of working will lead to mobilize community support and greater sense of ownership among the general population. Advocacy with religious leaders, opinion leaders and other significant members of the population will be done to energize the social mobilization and also service linkages.


    Campaign for this phase will be developed with specific objectives for segments such as:


  • Generic campaign to spread awareness on HIV prevention
  • Reduction of stigma and discrimination
  • Focused campaign for demand generation of services
  • Voluntary blood donation

  • All the activities in IPC, Mass media, mid media and ground activities will be synchronized. Apart from this, the communication plans will be mainstreamed by strengthening the Mass Media wing of the Health Department and the Information of the Public Relation Departments at state level and district levels to involve them meaningfully in the HIV awareness activities implementation.


    Description of each focus


    Focus 1: Campaign for HIV prevention

    The State still continues to be a low prevalence State. The prevalence is seen stable over the years. Still it is highly vulnerable due to its proximity to the high prevalence states like Tamilnadu, Andhra Pradesh and Karnataka. Therefore the prevention campaigns envisaged and realized during previous years should have continuum and effectiveness this year also. The prevention campaigns will be done mainly through Interpersonal Communication methods.


    It targets the following vulnerable communities:


  • Core Risk Populations including the High Risk Groups (CSW, IDU and MSM)
  • Bridge Population Groups (Clients of Sex Workers: Truck Drivers and Migrants)
  • Youth
  • Women
  • PLHIV
  • Children
  • Tribal population
  • Activities envisaged are for TGs other than core risk population

  • Identifying the target groups
  • Developing modules and action plan
  • Developing messages and tools for IPC interventions
  • Capacity building for GPs and campaign coordinators
  • Rolling out of the IPC campaigns
  • Supported by mid media campaigns and mass media campaigns.
  • Monitoring and Evaluation

  • IEC Intervention among core risk populations

    In Kerala, the Targeted Interventions (TI) project is being implemented since 8-10 years (different projects are under different stages of implementation). The IEC materials used by these projects are either being developed by the NGOs themselves or have been developed by Kerala State AIDS Control Society. These materials are in printed and multi media formats.

    In the past the awareness on HIV/AIDS issues has become universal but the factors influencing behavior change indicators are also varying due to the influence of different dependent and independent variables. The key communication challenge is "I know everything, but I am not able to perform the desired behavior. " Thus, there is a need to shift from information dissemination mode to dialogue based communication to generate action amongst target group.


    Steps initiated so far:


  • A state level workshop was arranged with primary stakeholders and project functionaries to develop a communication vision plan.
  • A comprehensive study on communication needs assessment was conducted.
  • As a follow-up of the State level workshop with project partners to identify the communication needs and four regional workshops were conducted among primary stakeholders to identify gaps and specific issues faced by the stakeholders.
  • Based on the information gauged through above said three processes, a vision plan document was prepared.
  • A creative brief had been developed by PSU as an outcome of the workshop. This includes specific gaps/issues related to safe sex practices, service uptake and advocacy initiatives.
  • Based on the specific issues and gaps identified, three parallel intervention packages had been devised and are in the process of implementation.
  • The intervention packages are Small group events based on specific issues, Community involved cultural package for BCC, Multimedia BCC packages.
  • In this phase, KSACS will take effort to develop following tools and the capacity building of partners.

  • BCC tools to enhance the condom usage skill
  • Community mobilization
  • Tool to address the myths and misconception related HIV/AIDS/STD
  • Tools to enhance the knowledge on available social development schemes.

  • Campaign to increase voluntary testing

    The state will implement a focused campaign to increase voluntary HIV testing. This campaign will be supported by various organizations, Political leaders etc. ICTC services will also be outreached to far-flung areas, where there is difficulty to reach out to the service centres.


    Focus 2: Focused campaigns for demand generation of services

    The branding of the service centres and the IEC interventions implemented post branding has increased the service uptake in service centres like VCTC, PPTCT, DiC, ART. But service uptake was reduced in STI Clinics. But it is understood that the data from service centers like ICTC, PPTCT, STI, ART indicates that there are still hard to reach population at village level. This is because of various different reasons such as no knowledge about the service outlets and lack of awareness, myths and misconception about service centers etc. To solve these issues, efforts have been taken by KSACS. The re positioning of services were done in such a way that all these centers are health service outlets and HIV service outlets. Counseling is positioned as a health improvement mechanism. However, the service centres do not have activities to mobilize service uptake and as the IEC efforts are not integrated into the ongoing activities of the mass media division of the health department, there is a lack of messaging through the existing system, which results in low uptake.

    Regarding STI Clinics, even though KSACS rolled out IEC interventions after branding the service, there was a low uptake seen when data was analyzed. The probable reasons for low uptake are:


  • Lack of doctor. Mostly a doctor is given charge
  • Lack of counseling
  • Lack of Confidentiality.
  • Confusion among the positioning of STI clinics
  • In order to address these issues this time the focus to STI clinics is changed. The messaging will urge the Target group to visit any doctor if he/she has symptoms of STI/RTI.

    In order to overcome these issues of low service uptake in rural areas, key activities envisaged are:

  • Map out the low performing districts and develop district specific plan will be developed with concerned units and PRI.
  • IPC campaigns through various agencies and mass media division of health department.
  • TV, Radio campaigns highlighting the benefit in utilizing the services
  • Use of traditional media for village programmes and more focus will be given in the district where ICTC services up take is very low.
  • TV, Radio spot development by involving celebrities and opinion leaders.
  • Place 1000 "tip" boards at Panchayat level
  • Preparation and display of cinema slides
  • Formation of panchayat level monitoring committees to oversee the activities
  • Linkages among the different services will be established to monitor referral and track patients.
  • Linkages from grass root level community to the service centers will be established through SHGs, Saksharata Mission, NYK, PHCs, and CHCs.
  • Monitoring and Evaluation 

  • Focus 3: Campaign to reduce stigma and discrimination towards PLHIV


    The prevailing stigma and discrimination against PLHIVs in Kerala has already captured global attention, following denial of facilities for education to some of the children infected with HIV and some others who are children of HIV infected parents. The follow up interventions done during 2008-09, has made results. During this period no such incidents were reported. To address the issue of stigma and discrimination, the involvement of individuals from different walks of life and different functional levels have to be brought on the same platform and motivated to take lead role in community motivation programs in collaboration with PLHIVs. Ongoing interactive programs of this nature will be conducted with the help of NGOs and CBOs.

    Earlier it was noticed that all communication efforts are towards giving messages regarding HIV AIDS prevention, services etc but there is hardly any concentrated efforts to give information regarding positive living. It was in this scenario, KSACS had planned specific campaign to give information to HIV positives and to the community regarding Positive living. Hundreds of positive speaking sessions were conducted during 2008-09, which has enabled the society to meet PLHIV and thereby reduce their prejudices. During 2009-10 also, such campaigns will be undertaken with the involvement of DiCs. This will enable the reduction of stigma and discrimination and help in removing a lot of wrong notions and misconceptions regarding PLHIVs.


    Taking experiences from activities of previous years, the second leg of Thejaswini Yathra will be conducted. In this journey of positive women, they will visit all the GPs of the State and address a gathering of the people in each GP and give messages on positive living.


    Stigma free GP campaign will be continued, in which activities will be taken in a particular GP to see that there is no stigma and discrimination towards PLHIV in the GP. The activities will be carried out in a campaign mode and the GP will be declared as stigma free GP


    Similarly a journey of positive community to the Schools will be conducted to address the ignorance of the people regarding about positive living.


    PLHIV usually experience stigma from service providers due to ignorance of the service providers. The reason for stigmatizing PLHIV is the fear inside the service providers that they will get infected through occupational hazards. In this background an IEC plan for PEP is developed and will be implemented in the State. Along with the training programme imparted for the service providers, IEC interventions will be carried out to take the service providers into confidence.


    The key activities envisaged are:


  • Thejaswini Yathra phase II
  • Stigma free GP
  • Positive speaking in schools
  • IEC plan for PEP
  • Organize programmes by involving opinion leaders, celebrities, religious leaders, media, political leaders etc.
  • Organize workshops faith based organization, media and positive net works
  • Media capacity building by selecting district level reporters and regular public relation activities. More focus will be given for the districts where the issue is high.
  • Repeated telecast of "Mohan Lal" on Stigma and discrimination through major electronic media and cinema theaters as "add clips".
  • PRI capacity building to roll out grass root level programmes and enhance their capacity to address issues related to stigma discrimination towards PLHIV. (Activities and budget incorporated in Mainstreaming)
  • Capacity building to Kudumbashree units to carry out stigma discrimination activities. Health volunteers of each unit of Kudumbashree will be trained to address the issues related stigma discrimination.

  • Focus 4: Focused campaigns to increase voluntary blood donation


    Evidence shows that the supply of safe blood is very low in the State is very low (32%) and this needs to be addressed with high priority. Therefore, more systematic IEC interventions on voluntary blood donation needs to be launched at grass root level


    The key activities envisaged are:


  • Strengthening of red ribbon clubs at college level
  • Formation of red ribbon clubs at Panchayat level with the involvement of NYK. More focus will be given to districts where the availability of voluntary blood donors is low.
  • TV, Radio campaign to reduce the myths and misconceptions related to blood donation.
  • Preparation and display of cinema slides
  • Promoting the formation of panel of rare groups in colleges and Panchayats
  • Recognition of those who have donated blood numerous times.
  • Develop and telecast campaign to increase VBD with famous cinema artist.
  • Constitute co ordination committees in low performing districts with religious leaders, existing blood donors forum etc.
  • Noted stars to be brought in as brand ambassadors

  • Focus 5: Social mobilization and Advocacy campaigns


    Awareness on the problem of HIV/AIDS and options for solutions are the primary responsibility of communication. Instead of a one-way channel of communication, Kerala SACS proposes that the community will be involved in on going debates and dialogue in the issue relating to prevention and care. Thus, community mobilization is expected to evolve from this process. Another expected output of this strategic direction is this kind of working model will help to ensure the continuity of the programme impact in the filed.


    In Kerala there are strong community and social mobilization platforms like Kudumbashree, Water User Groups, bodies created under State Literacy Mission etc. , which provide effective vehicles for community mobilization involving the general population. KSACS, is planning to bring them into the HIV prevention network. It will be useful to draw such agencies into the HIV prevention campaign where the focus is very strongly on demand generation of services. It is also suggested that some of the identified agencies should be empowered to undertake behaviour change communication focused on sexual health, which has been identified by NFHS 2 as a neglected area. It is of vital importance to note that communication through mass media is one of the factors that contributes to social mobilization. It is the capacity created and sustained within the community to design the message and disseminate that brings about mobilization.


    The suggested activities are:


  • Advocacy programmes with religious and faith based organizations, political leaders, and opinion leaders in the community.
  • Advocacy material development and designing interventions
  • Special day observances such world AIDS day, Blood donation day etc will be held in association with these identified groups.
  • Formation of state level coordination committees
  • Using the potential of mass media to publish success stories.

  • Life Skill Education programme


    Studies done across the state show that the majority of young people have little or no idea about sexuality, HIV/AIDS, and how to protect themselves from HIV/STD infection. Reaching youngsters at an impressionable age before they become sexually active can lay the foundation for a responsible life style, including sex and marriage. Developing life skills in adolescents to resist peer pressure, to develop assertive skills to say "no" to the potentially harmful actions and situations are important in the focused efforts intended for children.


    Children who are vulnerable to HIV/AIDS due to the existing situations like street children, children of sex workers and IDUs have been dealt with in the ambit of TIs or soft supported programmes. The efforts in other directions would be to integrate the HIV/AIDS issues in their programmes. In these initiatives Kerala had been the first state to formulate educational policy for children against stigma and discrimination.


    The curriculum for LSEP has been approved in Kerala. The Govt. has drawn the action plan for the implementation of LSEP. Based on the action plan KSACS will provide technical and financial support to implement the LSEP. Moreover, the LSEP will be implemented directly in Vocational Higher Secondary Schools also.


    Zindagi Zindabad Campaign


    The bus caravan is branded as Life Bus in Kerala. Initially it was implemented in four districts. Next year it will be implemented in other districts also.


    Training


    Training is planned for various groups for capacitating them to handle various issues pertaining to HIV/AIDS. This will increase the quality of the programme in the State. Following are the training scheduled for various Departments/Groups


  • Training of Journalists for having an understanding of reporting on HIV/AIDS
  • Training of I&PRD, to act as the official tongue of Government on HIV/AIDS issues and handle training of journalists at Taluk level
  • Training of Mass Media Division of Health department to integrate IEC activities in their routine activities and monitor the activities happening at the grass root level
  • Training of DDK, AIR, DFP, DAVP, SDD for better clarity while doing programmes on HIV/AIDS
  • Training of Journalism Students to ensure they are upholding the rights of PLHIVs while becoming journalists in their future career. Also aiming to bring in academic talents in HIV communications by providing opportunities for internships, dissertation etc.
  • Training of ICTC Counselors for Outreach activities for service uptake
  • Training for RRE Campaign
  • Training for RRC Coordinators
  • Training of empanelled Documentation Consultants to ensure quality output
  • Training of Folk Team for uniformity in messaging
  • Training under Red Ribbon Clubs
  • Training under Civil Society Mainstreaming

  • Empanelment of various agencies


    IEC activities go through various process of hiring services, procuring goods etc. Most of them will be of urgent nature. In order to maintain quality of the outputs, we have empanelled various agencies, which are technically sound in their area of work. This year also the empanelment process will be conducted for various groups. Following are the empanelment to be done in the current year.


  • Empanelment of Communication Agencies to realize the communication strategy
  • Empanelment of Small Designing Agencies to do designing of small items
  • Empanelment of IT Solution Providers to do Website Management, AV materials
  • Empanelment of Printers for printing
  • Empanelment of Organizations for monitoring RR Clubs and to impart training
  • Empanelment of Documentation Consultants to document best practices
  • Empanelment of Folk Group to do folk programmes across the State

  • Mainstreaming Civil Society


    With the constitution of the National Council on AIDS, there is now an opportunity to upscale the dissemination of HIV prevention messages by mainstreaming them into all government offices, organized private sector and civil society organisations. Socio-economic determinants that increase vulnerabilities to HIV will receive special attention and the related ministries will be assisted to establish a HIV unit within their departments to integrate HIV prevention into their ongoing activities.


    The following strategies will be followed:


    • Advocate with ministries/departments directly and through other platforms, e.g. SCA (State Council on AIDS), to constitute a focal unit and to allocate time and resources for mainstreaming HIV in their core strategies.
    • Work with the focal unit to analyse the relationship between HIV and the sector managed by the ministry/departments (how activities in the sector affect spread of HIV and how HIV could impact the core businesses of the sector). Based on the analysis, KSACS support developing/modifying action plans for integration of HIV in their core work.
    • Work with the faculty of the training institutions under the ministry to add HIV/AIDS related information to their training curriculum. (e.g. KILA) .
    • Work with the ministry/departments in developing workplace policies for institutions under their management.
    • Advocate with Planning Board to prevail upon ministries/ departments for earmarking specific outlays for HIV/AIDS.
    • Work with CSOs and Faith Based Organizations and their state coalitions to integrate HIV/AIDS in their activities.
    • Document and disseminate good practices, and create a forum for ministries to share information and learn from each other.

    • Activities proposed for 2009 - 2010


      1. Formation of state level forum (committee/council) for mainstreaming


    • Periodic meeting of State AIDS Council
    • Meeting with secretaries of different ministries¬† and other officials
    • Sensitization meeting with all representatives of the ministries and SACS officials
    • Review and planning meeting of Nodal officers

    • 2. Identification of focal persons and programmes with the following departments


      Departments identified for mainstreaming with justification

      Out of the various departments identified following are given priority for the current year.

    • Local Self Government - KILA, Kudumbashree
    • Police
    • Prison
    • Tourism
    • Labour
    • Industries
    • Transport
    • Social Welfare

    • LSG - The LSG department is catering to the Grama Panchayats and other grass root level planning process. KILA (Kerala Institute for Local Administration) and Kudumbashree are the major institutions identified under this ministry for mainstreaming.


      KILA is the only institute in the state, which is training the elected LSG members. On going training programmes are conducted for the members of the 3-tire system of governance. Almost 30,000 elected members are trained in different programmes batch by batch. Here we are planning to integrate HIV/AIDS in their regular training module. To ensure this initiative we need to develop a pool of trainers with in KILA through TOT. KSACS will provide the technical support and other resource for the TOT and technical support for the preparation of training module. The expected out come of this programme is greater involvement of PRIs in the prevention and control of HIV/AIDS and they also provide support to the PLHIV.


      Kudumbashree is also one agency under the LSG which is catering to the vulnerability issues (poverty eradication programme) and which has already mobilized more tan 1.6 lakhs of SHGs under its net. Here we are planning to integrate HIV/AIDS issues mainstreamed in to their activity, especially to address the issue of PLHIV and stigma discrimination through their health volunteers. TOT for the trainers of the Kudumbashree and integration of HIV issues in the programmes of Kudumbashree. Kudumbashree has involved in Grass root level IEC campaigns, as part of it more than 36000 Kudumbashree health volunteers are trained. They can also support the formation and strengthening of Self-Help Groups of PLHIV and high risk groups.


      Police department - mainstreaming is done for having an enabling environment for the smooth conduct of the TI programmes especially IDU. So initially the programme will be conducted in 5 districts, the districts are Trivandrum, Calicut and Ernakulam Alleppy and Malappuram where IDU programmes are being implemented. Also we are planning to integrate HIV/AIDS in the training curriculum of Police academy.


      Prison- we have already established ICTCs in six prisons. It is the fact that many inmates of the prison are having high risk behaviour. Some of they are HIV positive. Promotion of peer education, counseling and testing will help to prevent and control HIV infection.


      Tourism - tourism is a fast growing industry in Kerala. Many agencies/institutions such as tourism promotion council, hotels, catering and hotel management institutions, tour operators association etc. are working in this industry. Integration of HIV/AIDS programs to the activities of these institutions will help to control the infection.


      Labour department is identified because of the large in and out migration from and to Kerala. HIV related issues will be included in the Training programmes of the labour departments. One sensitization programme will be conducted for the district as well as state level officials.


      Transport: Advocacy with the transport department for free transportation of PLHIV for ART. Also for space in the buses and bus-stands for display of hoardings and boards for displaying prevention messages and IEC campaigns.

      Social Welfare depart can be approached for integrating HIV in the training module for Anganwadi workers. With them we also advocate for the exclusive schemes for the PLHIV and sex workers.


      NRHM integration can be effected, through converging at the state and district level programmes for integration of HIV in the state and district level programmes of the NRHM. It can be made possible by making joint committees for SACS and NRHM for convergence.


      3. Preparation of action plan for individual ministries and departments for mainstreaming (It is with respect to the external mainstreaming)


    • Facilitate constitution, periodic meetings of mainstream units
    • Conduct baseline assessment of the consequences of HIV in the department/ ministry
    • Initiate discussions with SACS and the Ministries/departments for developing a shared understanding of mainstreaming HIV/AIDS.
    • Develop a situational assessment report for each select ministry/organisation
    • Identify HIV/AIDS vulnerability factors and entry points for each ministry's work.
    • Dissemination of these situation assessments within each Ministry.
    • Identification of overarching objectives and priorities regarding mainstreaming of HIV/AIDS in each ministry.
    • Development of a gender-sensitive communication and advocacy strategy for mobilizing the ministries.
    • Technical support for formulating implementation plans and for setting up dedicated
    • Mainstreaming units in Ministries.
    • Support to facilitate SCA review meetings
    • Develop an implementation plan for each ministry.
    • Undertake budget resource allocation for each ministry plan
    • Conduct periodic reviews

    • 4. Integration of HIV/AIDS in the training programmes conducted by KILA


    • Meeting with the faculty and director of the organisation
    • Finalization of the modus operandi
    • Situational analysis and study on scope of intervention in PRIs
    • Help in preparation of the training module for training different categories of PRI representatives
    • Implementing the programme.

    • 5. Integration of HIV/AIDS in the on going programmes of Kudumbashree


    • Identification of vulnerabilities of the beneficiary groups and their susceptibility to HIV
    • Preparation of an action plan for mainstreaming
    • Integration of HIV/AIDS in the training programmes of all category of staff and SHG officials
    • Help preparation of the module for training different levels of staff and beneficiary groups
    • Facilitate the formation and strengthening of self-help groups for PLHIV and high risk groups.

    • 6. Strategy development for coalitions of faith based organizations


      An institutional platform to share faith perspectives and approaches in working for HIV/AIDS;


    • To mobilize its membership and streamline the ethical dimensions of working for AIDS and to produce faith specific and Inter-faith advocacy materials;
    • The Coalition will allow the possibility of FBOs and faith leadership to focus and work together on HIV/AIDS.
    • Identifying successful FBOs working at state and grass root level and share the success stories for providing recognition and credibility;
    • To position religious faith voices in public, governance and media at various levels;
    • Liaison with state level Inter-Faith movements and Forum for sharing the experiences and integrate the lessons for greater advocacy and networking;
    • All religions, faith movements and faith based organizations will be members of the Coalition.

    • 7. Civil Society Organizations intervention planning


      • Introduce Workplace policies within the organisation
      • Act as a depository of knowledge and awareness building on HIV / AIDS issues in the areas where they are functioning
      • Communication and awareness generation on HIV / AIDS
      • Working on the issues which are drivers of the epidemic such as gender, poverty and migration etc
      • Working on economic empowerment issues of those vulnerable affected and infected.
      • Working on the issues of stigma and discrimination.
      • Working as advocacy groups with local governance and political leadership.
      • Working with youth and adolescents in out of school settings for life skills education.
      • Youth Camps on Healthy Sexual Behaviour

      • 8. Integration with NRHM and convergence at the district and state level


        Joint meeting of SACS and NRHM officials
        Formation of a SACS and NRHM joint committee for convergence
        Preparation of road map for the mainstreaming
        Identification of programmes for integration
        Integrating HIV/AIDS in the training programmes of NRHM
        help preparation of the HIV/AIDS training module


        9. Other Govt. departments


        Labour

      • Training of Labour officers
      • Sensitisation meeting with trade union leaders

      • Police


      • Sensitization program for police personnel.
      • Integrate HIV / AIDS in the training programme of police personnel
      • TOT to the faculty members of the police training collage

      • Transport


      • Advocate for free transportation of PLHA for ART
      • Free space in transport buses and bus stands to place hoardings / information boards

      • Social Welfare


      • HIV sensitized ICDS village
      • Training of Anganwadi workers in B category districts
      • Nutrition support program for PLHIV
      • Capacity building of staff
      • Orientation program for counsellors of de-addiction and family counseling center.
      • Integrating HIV/AIDS in the Anganwadi workers training programme
      • Advocate for exclusive Welfare schemes for PLHA

      • C-Dit


      • Include HIV/AIDS topics in the web based training programs of C-Dit.

      • Output of the proposed programme


      • HIV / AIDS mainstreamed in to the departments identified
      • More people with knowledge on HIV/AID and service out lets
      • Increased service uptake
      • More CSOs working for the cause
      • HIV/AIDS integrated in to the faith based institutions
      • HIV workplace policy implemented in 10 institutions

      • Monitoring


      • State level monitoring committee will be formed under the chairmanship of the Chief Secretary
      • Other members will be secretaries/directors of the selected departments, representatives from PLHA, CSO
      • KSACS - the member secretary of the committee
      • Monthly Review by the KSACS TSU team
      • Quarterly review by the committee
      • Monthly reports from the concerned mainstream focal person in the format prescribed


      • Greater Involvement of People with AIDS


        Kerala State AIDS Control Society (KSACS) has given prior importance to the involvement of PLHIV in their programmes. The programme implementation in the State has succeeded in having inputs from the positive community during the past three/four years. Now Kerala SACS has appointed GIPA coordinator who is from the PLHIV Community. This initiative will boost the involvement of PLHIV-perspective in the programme. Through strengthened GIPA we focus to provide quality of services to the PLHIVs in all the districts and establish good networking with the PLHIV networks across the state. Participatory mechanisms also will be set up to assess the progress of the programme and capacity building programme are designed to support the programme. All these initiatives are planned and implemented based on the GIPA principles. In order to strengthen GIPA initiatives in the state, various activities are rolled out.


        Formation of Coordination committee of various networks of PLHIVs

        For creating a common platform for addressing the issues and an opportunity for sharing the findings of the existing programs for PLHIVs, we have to develop a coordination committee of various networks of PLHIVs. It should be convene on a quarterly basis.


        Strengthening the coordination of various service centers of KSACS

        Developing a coordination committee including various service centers of KSACS for analyzing the activities of existing service centers especially referral flow from the centers to DICs. For analyzing the activities of these centers we can convene this committee review meeting periodically.


        Recommendations to Govt

        Systems will be developed to understand the issues of the positive community and bring it to the notice of the Govt, with necessary recommendations.


        Management of DICs


        There are 14 Drop in Centres in Kerala. One for each district. The coordinators (one per DiC) and two counselors are HIV infected. The DiCs are run by CBOs of PLHIVs. Around 4,000 HIV infected adults and children have registered in the DICs of Kerala .In order to reach the whole infected population, it is very essential to develop various types of strategies and activities effectively. The estimated HIV population of Kerala is 55167.


        Infected population can also take a major role in the reduction of stigma and discrimination activities by conducting positive speaking sessions in the awareness campaigns. For improving the quality of life of PLHIVs and ensure to create an enabling environment to the infected population in the society, we can implement some qualitative and innovative programs in the society.


        Objectives of DiCs


        • To improve the quality of services rendered to the infected population
        • To create a common platform for sharing the views of PLHIVs
        • Strengthening the activities of Drop-in-centers
        • To ensure legal aid support to PLHIVs
        • Developing Volunteers for providing quality care to the hospitalized PLHIVs.
        • To improve the quality of life of PLHIVs by providing marketing support to their IGP products.

        • Activities Proposed


        • Assessment of the existing DiCs and ranking these as A, B and C categories
        • Contract extension of DICs/Finding new organisations to run DiCs
        • Formation of Coordination committee of various networks of PLHIVs
        • For creating a common platform to address the issues of positive community and to provide them an opportunity for sharing the findings of the existing programs for PLHIVs, we have to develop a coordination committee of various networks of PLHIVs. It should be convene on a quarterly basis.

        • Strengthening the coordination of various service centers of KSACS
        • Developing a coordination committee including various service centers of KSACS for analyzing the activities of existing service centers especially referral flow from the centers to DICs. For analyzing the activities of these centers we can convene this committee review meeting periodically.

        • Management of DICs
        • Staff appointment and trainings will be provided periodically for good management and proper functioning of DICs

        • Empanelment of new positive speakers/Updating the existing list
        • For strengthening the positive speakers panel / Update the panel.

        • Establishing Treatment Care Team
        • A panel of volunteers will be selected, trained and maintained by DiCs to give bystander service to needy AIDS infected people admitted in the hospitals. A per day compensation will be provided to them from the DiC funds for the days of service rendered by them.

        • Setting up of permanent Positive Speaking corner
        • To develop permanent positive speaking corners in potential public places with the consent of respective Govt Departments.

        • Legal Aid Support
        • Addressing so many issues regarding the denial of rights, job, treatment, property of PLHIVs. At present almost all Prathyasa centers have developed friendly advocates for giving services to the PLHIVs at free of cost. A panel of friendly advocates will be developed and trainings will be imparted to them.

        • Marketing strategies for products developed by PLHIV
        • Almost in all Prathysa Kendras, members are doing IGP activities or they are wiling to do this activity. But one major drawback is that they have no scope for marketing these products or they have no idea about the marketing strategies for marketing these products. With the cooperation of Kudumbasree, a marketing strategy will be drawn for marketing the products.

        • Quarterly review and planning meetings of DICs

        • 1.2.14 Youth Specific Interventions


        • Developing a strategy for youth interventions in the State
        • It is for the first time, a Consultant (Youth Affairs) has joined Kerala SACs. This will expedite the process of youth focussed interventions. In order to assess the situation of youth in the State dn plan interventions accordingly, a youth strategy need to de developed.

        • Red Ribbon Clubs in colleges
        • Red Ribbon Clubs in Rural Settings
        • Interventions for tribal youth
        • Life Skill Education Programme:Technical/Financial Support for the LSEP programme, as per the action plan
        • LSEP in Vocational Higher Secondary Schools

        • Evaluation and Documentation


          An IEC impact assessment study will be done to assess the impact of the IEC activities conducted during the last two years. This will be a way marker for the initiatives to be designed for the coming years. As assessment of Life Bus campaign is also scheduled. The best practices of Kerala SACS will be documented this year.

           

     
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