aidstar-one case study: mobile clinics in india take to the road

8/3/2019 AIDSTAR-One Case Study: Mobile Clinics in India Take to the Road

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Zhdfhu thklz aez b|dja cslhk ht aez j`dzts|jte`d f`c dlhs

tal jetu `n Dhi}|s" ed tal zthtl `n Ghahshzatsh" Edoeh$ Algeishtlo alsl ed zlhsja `n y`sk ns`g aez a`gl ed tal

d`stalsd zthtl `n Ghoauh ]sholza$ Al ez 3: ulhsz `bo" zedibl"

hdo a`}lz t` lhsd ld`|ia t` ilt ghsselo" zthst h nhgebu" hdo alb}

aez }hsldtz chjk a`gl$ O|sedi aez cslhk" Zhdfhu !d`t aez slhb

dhgl% oljeolz t` ~ezet tal cei ~hd }hsklo dlhs tal j`dzts|jte`d

zetl" yalsl hd `|tslhja y`skls t`bo aeg al jhd ilt nsll tlztedi

n`s AE^ hdo `tals zlq|hbbu tshdzgettlo ednljte`dz !Z_Ez%$ Al ez

j|se`|z hdo h cet j`djlsdlo hc`|t aez AE^ ztht|z" cljh|zl al

kd`yz taht ~ezetedi zlq y`sklsz chjk ed t`yd" hz al hdo aez

nlbb`y y`sklsz `jjhze`dhbbu o`" }|tz aeg ht sezk n`s AE^$

Zhdfhu ldtlsz tal ~hd hdo ez islltlo cu tal j`|dzlb`s" ya` lq}bhedz

a`y AE^ hdo Z_Ez hsl tshdzgettlo hdo yaht al jhd o` t` h~èo talg$

_al j`|dzlb`s zahslz z`gl }hg}abltz" }sedtlo ed tal b`jhb bhdi|hil

` Ghshtae" taht ie~l aeg hooete`dhb ed`sghte`d hc`|t AE^ hdo Z_E

}sl~ldte`d$ Zal za`yz aeg a`y t` |zl h j`do`g hdo `lsz aeg z`gl$

Zhdfhu tald zeidz h j`dzldt `sg t` `cthed hd AE^ tlzt$

Dlqt" al yhbkz t` tal slhs ` tal ~hd t` ~ezet h o`jt`s" ya` i`lz tas`|ia

h jaljkbezt ` Z_E zug}t`gz hdo }s`~eolz h }auzejhb lqhg$ Nedhbbu" al

i`lz t` tal bhc`sht`su ed tal s`dt ` tal ~hd" yalsl cb`ò ez oshyd$

Al ez t`bo t` j`gl chjk ed `|s a`|sz `s tal tlzt slz|btz$ Ht tal ldo ` aez zaet" al slt|sdz t` tal ~hd hdo tal j`|dzlb`s tlbbz aeg" g|ja t` aez

slbel" taht al ez AE^'dlihte~l hdo o`lz d`t ah~l hd Z_E$ Zal slgedoz

aeg a`y al jhd zthu alhbtau hdo h~èo AE^ hdo Z_Ez hdo hdzylsz hbb

` aez hooete`dhb x|lzte`dz$

G`cebl Jbedejz ed Edoeh _hkl t` talS`ho

HEOZ_HS'@dl r JHZL Z_\OU ZLSELZ

HEOZ_HS'@dl

Fàd Zd`y" Edj$

8>8> D`sta Nt$ Guls Ose~l" 88ta Nb``s

Hsbedit`d" ^H 333=5 \ZH

_lb$6 +8 9=:'<31'9?9?

Nhq6 +8 9=:'<31'9?1=

yyy$heozths'`dl$j`g

_aez }|cbejhte`d yhz }sò|jlo cu tal HEOZ Z|}}`st hdo _ljadejhb Hzzezthdjl Slz`|sj!HEOZ_HS'@dl% ]s`fljt" Zljt`s 8" _hzk @sols 8$\ZHEO J`dtshjt * IAA'E'=='=9'===<5'==" |dolo Fhd|hsu :8" 3==1$

@jt`cls 3=88

Cu Loyhso Zja`bb hdo

Fhgedl ]ltlsz`d

Csediedi AE^ _lztedi hdo J`|dzlbedi hdo Zlq|hbbu_shdzgettlo Edljte`d Zls~ejlz t` _a`zl G`zt ht Sezk

G`cebl jbedej ed tal Dhi}|s Oeztsejt`n Ghahshzatsh" Edoeh$

L o Z j a ` b b

Oezjbhegls6 _al h|ta`s―z ~elyz lq}slzzlo ed taez }|cbejhte`d o` d`t dljlzzhsebu slbljt tal ~elyz ` tal \detlo Zth

Hildju `s Edtlsdhte`dhb Ol~lb`}gldt `s tal \detlo Zthtlz I`~lsdgldt$



3 HEOZ_HS'@dl r @jt`cls 3=88


Zjldlz z|ja hz taez }bhu `|t l~lsu ohu ht tal

Dhi}|s g`cebl jbedej hdo tal ~l `tals g`cebl

jbedejz taht hsl }hst ` hd edd`~hte~l }sìshgz|}}`stlo cu tal \$Z$ ]slzeoldt―z Lglsildju

]bhd `s HEOZ Slbel !]L]NHS% tas`|ia tal \$Z$

Hildju `s Edtlsdhte`dhb Ol~lb`}gldt !\ZHEO%

hdo tal Dhte`dhb HEOZ J`dts`b @sihdevhte`d

!DHJ@%" ed j``soedhte`d yeta tal Ghahshzatsh

Zthtl HEOZ J`dts`b Z`jeltu !GZHJZ%$ @dl `

\ZHEOEdoeh―z klu }hstdlsz" tal G|gche'chzlo

H~lst Z`jeltu" eg}blgldtz tal }sìshg yeta `tals

d`di`~lsdgldthb `sihdevhte`dz !DI@z% ed ~l

oeztsejtz ` Ghahshzatsh" yaeja ylsl ja`zld `s

tales aeia shtlz ` AE^ }sl~hbldjl$ Yaebl g`cebljbedejz ah~l clld |zlo cl`sl ed Edoeh t` }s`~eol

alhbta zls~ejlz" tal H~lst Z`jeltu }sìshg ez `dl `

tal szt }sìshgz t` `ls c`ta AE^ tlztedi hdo Z_E

tlztedi hdo tslhtgldt t` g`zt'ht'sezk }`}|bhte`dz

!GHS]z%$ _al }sìshg ez hbz` edd`~hte~l ed tal yhu

taht et }hstdlsz yeta i`~lsdgldt hdo `tals DI@z

ya` y`sk jb`zlbu yeta tal }`}|bhte`dz g`zt hljtlo

cu AE^ hdo Z_Ez$

Edoeh―z L}eolgejIe~ld tal dht|sl ` tal AE^ l}eolgej ed Edoeh" yeta

g`zt edljte`dz j`djldtshtlo ed z}ljej is`|}z

yetaed tal }`}|bhte`d hdo ed jlsthed hslhz ` tal

j`|dtsu" \ZHEOEdoeh z|}}`stz edtls~ldte dz

`j|zlo `d GHS]z" z|ja hz lghbl zlq y`sklsz

!NZYz%" gld ya` ah~l zlq yeta gld !GZG%"

tshdzildols !_I% edoe~eo|hbz" hdo }l`}bl ya`

edfljt os|iz !]YEO%$ Hbz` thsiltlo hsl ‒cseoil

}`}|bhte`dz"‗ ya` ah~l edteghtl j`dthjt yetaGHS]z$ _alzl ghu edjb|ol tal jbeldtz ` zlq

y`sklsz" ghdu ` ya`g" bekl Zhdfhu" hsl geishdtz"

`s tal ye~lz ` GZG$

_al zthtl ` Ghahshzatsh" ldj`g}hzzedi Edoeh―z

bhsilzt jetu" G|gche" ez `dl ` tal zthtlz g`zt

hljtlo cu AE^ ed tal j`|dtsu$ _a`|ia AE^

}sl~hbldjl ed hdtldhthb jbedejz ez `dbu =$<< }lsjldt"

tal zthtl ahz tal aeialzt sl}`stlo shtlz ` AE^

hg`di NZYz !9$? }lsjldt%$ Zegebhsbu" aeia shtlz

hsl `|do hg`di ]YEO !3= }lsjldt%" GZG !88$3}lsjldt%" hdo _I }l`}bl !8>$? }lsjldt; Ghahshzatsh

Zthtl HEOZ J`dts`b Z`jeltu 3==5%$ _al Edoehd

I`~lsdgldt j`dzeolsz gld ya` c|u zlq t` cl tal

zedibl g`zt }`yls|b ose~edi `sjl ed Edoeh―z AE^

l}eolgej !\$D$ Ildlshb Hzzlgcbu Z}ljehb Zlzze`d

3=8=%" ie~ld tales s`bl ed AE^ tshdzgezze`d t` tal

ildlshb }`}|bhte`d$

Bh|djaedi G`cebl JbedejzSljìdevedi tal aeia AE^ }sl~hbldjl hg`di

GHS]z ed Ghahshzatsh hdo tal eg}`sthdjl `

thsiltedi cseoil }`}|bhte`dz z|ja hz geishdtz hdo

ts|jklsz" \ZHEOEdoeh" ed j`bbhc`shte`d yeta tal

I`~lsdgldt ` Ghahshzatsh hdo DHJ@" z`|iat t`

lq}hdo AE^ tlztedi hdo j`|dzlbedi hdo }sl~ldte`d'

`seldtlo `|tslhja t` talzl }`}|bhte`dz tas`|ia tal

|zl ` g`cebl jbedejz$ H g`cebl jbedej olg`dztshte`d

}sìshg yhz h}}s`~lo `s eg}blgldthte`d cu tal

H~lst Z`jeltu !hd DI@ chzlo ed G|gche%" yeta

|doedi }s`~eolo cu ]L]NHS$ DHJ@ }bhdz t`

ho`}t tal blzz`dz blhsdlo s`g tal olg`dztshte`d

}sìshg hdo zjhbl et |} dhte`dhbbu$

_al shte`dhbl `s |zedi g`cebl jbedejz" edztlho

` sllssedi jbeldtz t` lqeztedi AE^ tlztedi hdo

j`|dzlbedi jldtlsz" yhz chzlo `d zl~lshb

hzz|g}te`dz$ @dl yhz taht et y`|bo cl lhzels `s

GHS]z hdo cseoil }`}|bhte`dz !c`ta is`|}z hsl

alslhtls sllsslo t` hz ‒ thsiltlo }`}|bhte`dz‗% t`

hjjlzz zls~ejlz e h g`cebl jbedej jhgl t` zlbljt

b`jhte`dz dlhs talg !l$i$" dlhs cs`talbz" js|ezedi

z}`tz" ts|jk zt`}z" hdo geishdt y`sk}bhjlz" z|ja

hz j`dzts|jte`d zetlz" csejk kebdz" hdo zghbb zjhbl

edo|ztselz% hdo o|sedi j`d~ldeldt teglz !l$i$"

l~ldedi a`|sz `s GZG hdo geo'g`sdedi `s

ts|jklsz%$ Hd`tals yhz taht thsiltlo }`}|bhte`dz

y`|bo do et g`sl hjjl}thcbl t` ~ezet g`cebl

jbedejz yalsl talu j`|bo cl hzz|slo ` islhtls



G`cebl Jbedejz ed Edoeh _hkl t` tal S`ho6 Csediedi AE^ _lztedi hdo J`|dzlbedi hdo Z_E Zls~ejlz t` _a`zl G`zt ht Sezk :


hd`dugetu" slz}ljt" hdo httldte`d tahd ht ~ld|lz

z|ja hz i`~lsdgldt a`z}ethbz$ Z_E zjslldedi hdo

tslhtgldt ylsl hbz` hoolo t` tal g`cebl jbedejzls~ejl }hjkhil" cljh|zl talzl hsl d`t `lslo ht

i`~lsdgldt AE^ tlztedi hdo j`|dzlbedi jldtlsz$

_` eg}blgldt tal g`cebl jbedej }sìshg" tal H~lst

Z`jeltu }s`j|slo zeq bhsil ~hdz s`g Lejals G`t`sz"

hd Edoehd ghd|hjt|sls ` ~hdz" ts|jkz" hdo c|zlz$

Lhja ~hd yhz slgòlblo hdo z|coe~eolo edt`

tasll s``gz6 `dl `s j`|dzlbedi" `dl `s gloejhb

lqhgz" hdo `dl `s j`bbljtedi hdo }s`jlzzedi cb`ò

zhg}blz |zedi AE^ sh}eo tlztz hdo sh}eo }bhzgh

slhied !S]S% tlztz `s zu}aebez$

Htls }s`j|sedi hdo lx|e}}edi tal g`cebl jbedejz"

tal H~lst Z`jeltu zlbljtlo h z|c'ishdtll ed lhja

` tal ~l }se`setu oeztsejtz !Dhi}|s" _ahdl" Fhbdh"

H|shdihcho" hdo Z`bh}|s% t` `}lshtl tal g`cebl

jbedej$ _alzl z|c'ishdtll DI@z tald aeslo tal zth

`s lhja g`cebl jbedej" edjb|oedi h |bb'tegl o`jt`s"

j`|dzlb`s" bhc tljadejehd" hdo ose~ls$ _shededi

yhz }s`~eolo cu GZHJZ `s tal j`|dzlb`sz hdo

bhc tljadejehdz hdo cu tal H~lst Z`jeltu `s tal

o`jt`sz$ Hbb zth hbz` sljle~lo }lseòej slslzals tshedediz$

_al g`cebl jbedej }sìshg ed Ghahshzatsh `jehbbu

clihd ed F|bu 3=8= ed tal oeztsejt ` H|shdihcho$

Cu Zl}tlgcls" h t`thb ` ~l g`cebl jbedejz ylsl

`}lshtedi" `dl ed lhja ` tal ~l }se`setu oeztsejtz$

H zeqta g`cebl jbedej yhz edh|i|shtlo ed F|dl 3=88

ed _ahdl oeztsejt" yaeja d`y ahz ty` g`cebl jbedejz

ie~ld etz bhsil ilìsh}aej hslh$

Eg}blgldthte`d]bhddedi hdo }s`g`te`d6 Jhsl|b zjalo|bedi

hdo ho~hdjl `|tslhja hdo }s`g`te`d hg`di tal

thsiltlo }`}|bhte`dz hsl klu t` tal z|jjlzz|b

eg}blgldthte`d ` tal g`cebl jbedejz$ Ht tal

clieddedi ` lhja g`dta" tal DI@ slz}`dzecbl

`s tal g`cebl jbedej ed lhja oeztsejt j`d~ldlz h

HC@\_ _AL H^LS_ Z@JEL_U

Ed 8555" tal I`~lsdgldt ` Edoeh zeidlo h cebhtlshb hisllgldt yeta tal \$Z$ I`~lsdgldt t` lzthcbeza tal H~lst ]s`fljt"

t` j`g}blgldt tal HEOZ j`dts`b l`stz ` tal I`~lsdgldt ` Ghahshzatsh$ _al H~lst Z`jeltu z|}}`stz tal Dhte`dhb

HEOZ J`dts`b ]sìshg hdo y`skz ed j`bbhc`shte`d yeta tal Ghahshzatsh Zthtl HEOZ J`dts`b Z`jeltu !GZHJZ%$ GZHJZ

ez eg}blgldtedi h j`g}slaldze~l AE^ }sl~ldte`d" jhsl" hdo tslhtgldt }sìshg tas`|ia`|t tal zthtl ` Ghahshzatsh

hdo ez z|}}`stlo cu tal G|gche Oeztsejt HEOZ J`dts`b Z`jeltu$

_al H~lst Z`jeltu `j|zlz `d g`zt'ht'sezk }`}|bhte`dz" z|ja hz lghbl zlq y`sklsz" gld ya` ah~l zlq yeta gld" hdo

tshdzildols edoe~eo|hbz" hz ylbb hz `d cseoil }`}|bhte`dz z|ja hz geishdtz$ _alu eg}blgldt j`gg|detu g`cebevhte`d

hjte~etelz t` edjslhzl AE^ tlztedi hdo j`|dzlbedi" }sl~ldte`d ` }hsldt't`'jaebo tshdzgezze`d" hdo tslhtgldt zls~ejlz ed

~l aeia'}sl~hbldjl oeztsejtz$ Hooete`dhbbu" talu eg}blgldt y`sk}bhjl edtls~ldte`dz tas`|ia`|t tal zthtl ` Ghahshzatsh$

_al }s`fljt z|}}`stz tal _ljadejhb Z|}}`st \det ed Ghahshzatsh hdo I`h zthtlz" z|}}`stedi tal zjhbl'|} hdoztslditaldedi ` AE^ }sìshgz ed hjj`sohdjl yeta tal ztshtlielz `|tbedlo ed tal taeso Dhte`dhb HEOZ J`dts`b ]sìshg$

_al Dhte`dhb HEOZ J`dts`b @sihdevhte`d !DHJ@% zlbljtlo tal H~lst ]s`fljt hz tal blho hildju t` eg}blgldt tal

S`|do Zl~ld ishdt s`g tal Ib`chb N|do t` Neiat HEOZ" _|clsj|b`zez hdo Ghbhseh t` lq}hdo hd `|tslhja y`skls !‒bedk

y`sklsz‗% }sìshg ed tal zthtl ` Ghahshzatsh$ Ed hooete`d" tal H~lst ]s`fljt yhz eoldtelo cu DHJ@ hz tal Zthtl

_shededi Slz`|sjl Jldtls `s tshededi d`di`~lsdgldthb `sihdevhte`dz `d j`sl zkebbz ed thsiltlo edtls~ldte`d }sìshgz

`s g`zt'ht'sezk }`}|bhte`dz$



? HEOZ_HS'@dl r @jt`cls 3=88


zjalo|bedi glltedi `s hbb ` tal DI@z y`skedi

yeta tal thsiltlo }`}|bhte`dz ed taht oeztsejt$

_ìltals" talu y`sk `|t h zjalo|bl yeta h oltheblobezt ` b`jhte`dz" ohuz" hdo a`|sz yald tal g`cebl

jbedej yebb hsse~l ht h ie~ld b`jhte`d hdo tal tu}l `

thsilt is`|} lq}ljtlo t` httldo$ N`s lqhg}bl" ed

_ahdl oeztsejt" tal DI@ \ohhd _s|zt" yaeja zls~lz

tal GZG j`gg|detu" }s`}`zlo zjalo|bedi hdo

b`jhte`dz taht y`|bo clzt zls~l taht j`gg|detu;

dhglbu l~ldedi a`|sz dlhs GZG js|ezedi z}`tz$

DI@z zls~edi `tals thsiltlo }`}|bhte`dz hbz`

}s`}`zl ohtlz" teglz" hdo b`jhte`dz |dteb tal

g`dtabu zjalo|bl ez j`g}bltl$

N`bb`yedi j`g}blte`d ` tal zjalo|bl" lhja DI@―z

`|tslhja y`sklsz hdo }lls lo|jht`sz z}slho tal

y`so hdo ldj`|shil tales j`dthjtz t` ~ezet tal

g`cebl jbedej `s AE^ hdo Z_E tlztedi `d tal ohtlz

zlbljtlo$ E tal DI@ ahz o`dl etz ho~hdjl y`sk

}s`}lsbu" talsl yebb cl jbeldtz yhetedi yald tal

g`cebl jbedej hsse~lz ed h j`gg|detu$ Z`glteglz"

tal j`bbhc`shtedi DI@z hbz` zlt |} h tldt ht tal

b`jhte`d t` }s`g`tl tal zls~ejlz ` tal g`cebl jbedej"

slieztls jbeldtz yeta tal DI@" hdo o` ho~hdjl

j`|dzlbedi |zedi tal DI@―z `yd j`|dzlb`sz hdo}lls lo|jht`sz$

Jbeldt n`y6 Y`sk cliedz eggloehtlbu `d hsse~hb

` tal g`cebl jbedej ed h j`gg|detu$ Jbeldtz" ldtlsedi

tal ~hd `dl cu `dl" `s ed zghbb is`|}z e tal jbeldt

b`ho ez aeia" hsl zlld szt cu tal j`|dzlb`s$ _al

j`|dzlb`s islltz tal jbeldt" lq}bhedz tal zls~ejlz

h~hebhcbl" `cthedz j`dzldt `s AE^ tlztedi" }s`~eolz

}sl'tlzt j`|dzlbedi hdo ed`sghte`d hc`|t AE^ hdo

Z_E }sl~ldte`d" j`do|jtz j`do`g olg`dztshte`dz"

hdo zahslz ed`sghte`dhb cs`ja|slz$

Dlqt" tal jbeldt ghu zll tal o`jt`s `s i` oesljtbu

t` zll tal bhc tljadejehd$ Hbb NZYz" GZG" _I

}l`}bl" hdo ]YEO !sllsslo t` ed tal }sìshg hz

‒j`sl is`|}z"‗ hz `}}`zlo t` `tals thsiltlo is`|}z"

z|ja hz ts|jklsz hdo geishdtz" ya` hsl }slz|glo

t` cl ht blzz sezk ` hd Z_E% hsl ldj`|shilo t`

zll tal o`jt`s `s h sli|bhs gloejhb jaljk|} hdo

hd lqhg t` b``k `s zeidz ` Z_Ez$ J|ssldtbu" tal

iudlj`bìejhb lqhgz hsl lqtlsdhb `dbu$ A`yl~ls"

tal H~lst Z`jeltu ahz `solslo z}lj|bh t` hbb`y

`s edtlsdhb ~hiedhbjls~ejhb lqhgedhte`dz" yaeja

tal o`jt`sz yebb clied }ls`sgedi `bb`yedi

tshededi$ _a`|ia geishdtz hdo ts|jklsz hsl d`t

h|t`ghtejhbbu zlld cu tal o`jt`s" talu hsl ie~ld

h gloejhb lqhgedhte`d e talu lqaecet hdu zeidz

`s zug}t`gz ` hd Z_E$ Yald h dly jbeldt s`gh j`sl is`|} ez zlld cu h o`jt`s" al `s zal ez

hbz` ie~ld }slz|g}te~l tslhtgldt `s Z_Ez" ed

hjj`sohdjl yeta DHJ@ d`sgz$ _al o`jt`s ie~lz

`tals jbeldtz h }slzjse}te`d `s Z_E tslhtgldt e talu

ah~l zug}t`gz j`dzeztldt yeta hd Z_E zudos`gl

!h oezjahsil" hd |bjls ` tal ildethb tshjt" `s b`yls

hco`gedhb }hed ed y`gld%$ _slhtgldt !letals

oesljtbu cu tal g`cebl jbedej o`jt`s `s j`sl is`|}z

`s tas`|ia h }slzjse}te`d `s geishdtz `s ts|jklsz%

ez `dl ` zl~ld }sl}hjkhilo Z_E ketz taht j`dthed

gloejedl z}ljej t` tal Z_E zudos`gl oltljtlo$

Htls j`|dzlbedi hdo }`zzecbu h gloejhb lqhg"

tal jbeldt i`lz t` tal bhc`sht`su s``g `s AE^ hdo

Z_E tlztedi$ Cb`ò ez j`bbljtlo" hjj`soedi t` DHJ@

i|eolbedlz" tas`|ia ~lde}|djt|sl; ? gB ez zt`slo ed

h cb`ò j`bbljte`d t|cl `s bhtls tlztedi$ _al jbeldt

ez hzklo t` slt|sd `s tal slz|btz" tu}ejhbbu tasll

G`cebl jbedej yeta ose~ls hdo }s`g`te`dhb ghtlsehbz hth j`dzts|jte`d zetl ed Dhi}|s$ Ghdu geishdt y`sklszhttldo tal jbedej o|sedi tales b|dja cslhk$

F h g e d l ] l t l s z ` d



G`cebl Jbedejz ed Edoeh _hkl t` tal S`ho6 Csediedi AE^ _lztedi hdo J`|dzlbedi hdo Z_E Zls~ejlz t` _a`zl G`zt ht Sezk <


t` `|s a`|sz bhtls$ _al bhc tljadejehd |z|hbbu yhetz

|dteb hbb ` tal jbeldtz ah~l clld zlld cl`sl al `s

zal cliedz tlztedi hbb ` tal zhg}blz j`bbljtlo$ _alcb`ò ez szt zl}hshtlo ed h jldtse|il hdo tal zls|g

ez |zlo t` }ls`sg c`ta zu}aebez hdo AE^ tlztedi$

Zu}aebez tlztedi ez }ls`sglo |zedi tal S]S tlzt hdo

AE^ tlztedi ez o`dl |zedi tal Zthdohso Oehid`ztejz

Ce`'bedl AE^ · :$= sh}eo tlzt$ J`dsght`su tlztz ghu

~hsu" c|t hsl hbz` sh}eo tlztz$

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}s`~eolz edoe~eo|hb }`zt'tlzt j`|dzlbedi$ E h jbeldt

hebz t` slt|sd `s tlzt slz|btz `s e zls~ejlz ylsl}s`~eolo ed tal l~ldedi" tal slz|btz hsl ie~ld t` tal

j`|dzlb`s ` tal j`bbhc`shtedi DI@ ya` `seiedhbbu

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J`ggòetu }s`j|slgldt6 G`zt ` tal

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Slz|btz

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L o Z j a ` b b



> HEOZ_HS'@dl r @jt`cls 3=88


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sljldtbu cli|d hzkedi g`cebl jbedej zthnn t` lgheb

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_al H~lst Z`jeltu hdo etz DI@ j`bbhc`sht`sz

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sl}`stz$

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h~hebhcbl hdo ah~edi h bhsils lqhg s``g$

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taht edjb|ol AE^ tlztedi hdo j`|dzlbedi" ez tal

x|hbetu `n tal bhc`sht`su hdo hjj|shju `n tal slz|btz_` hzz|sl bhc`sht`su x|hbetu j`dts`b" tal g`cebl

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_HCBL 8$ G@CEBL JBEDEJ ZLSÊJLZ CU OEZ_SEJ_" F\BU 3=8= _@ F\DL 3=88

H|shdihcho Dhi}|s Z`bh}|s Fhbdh _ahdl _`thbJbeldtz taht httldolog`cebl jbedejz

>"=?> 3"15: <1 3">?1 <":91 89"=3:

Sli|bhs gloejhbjaljk|}z j`do|jtlo

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AE '}`zete~l tlztz :< !=$9,% 19 !8$=,% 3? !=$9,% 33 !=$<,% 8=: !3$8,% 398 !8$=,%

S]S tlztz ie~ld 3"9:= 8"<11 :9 3"1?3 3"<9= 5"9>9

]`zete~l `s zu}aebez ?= !8$<,% > !=$?,% = !=,% 3< !=$5,% 89 !=$9,% 11 !=$5,%

&]ls zudos`gej ghdhilgldt ` Z_E i|eolbedlz$



G`cebl Jbedejz ed Edoeh _hkl t` tal S`ho6 Csediedi AE^ _lztedi hdo J`|dzlbedi hdo Z_E Zls~ejlz t` _a`zl G`zt ht Sezk 9


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tal g`cebl jbedejz$

_al o`jt`s y`skedi n`s tal g`cebl jbedej ed

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g`cebl jbedej ed H|shdihcho j`g}hslo t` zthte`dhsu

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za`y tal j`zt }ls AE^ tlzt t` cl /8$=? n`s h g`cebl

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tal edoesljt j`ztz c`sdl cu tal jbeldt hsl slg`~lo

ns`g tal jhbj|bhte`dz" tal tasll g`ohbetelz hsl g|ja

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slghedz tal g`zt j`zt'lnnljte~l$

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tlztedi hdo j`|dzlbedi ah~edi b`yls j`ztz }ls jbeldt

tlztlo !Ishccl lt hb$ 3=8=%$

Yaht Ahz Y`sklo Ylbb

DI@ j``soedhte`d6 Klu t` tal z|jjlzz ` tal

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_HCBL 3$ EBB\Z_SH_E^L G@D_ABU

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]lsz`ddlb

O`jt`s ?=5

J`|dzlb`s& 85:

Bhc tljadejehd† 89=

Ose~ls 88?

Z|ct`thb }lsz`ddlb 11>

N|lb ?3>

_sh~lb }s`fljt zth ?<

@tals 3>

Z|ct`thb 8":1:

DI@ j`dtsec|te`dz‡ 89=

_ thb 8"<<:& ]ls DHJ@ i|eolbedlz" j`|dzlb`sz sljle~l h ~hsehcbl zhbhsu ` /8?1'/339g`dta chzlo `d }ls`sghdjl hz glhz|slo cu tal d|gcls ` jbeldtz j`|dzlblohdo tlztlo" tal }lsjldthil ` jbeldtz ya` slt|sd `s }`zt'tlzt j`|dzlbedi" hdotal slz|btz ` h kd`ybloil" httet|olz" hdo zkebbz tlzt ie~ld l~lsu zlglztls$

† ]ls DHJ@ i|eolbedlz" bhc tljadejehdz sljle~l h ~hsehcbl zhbhsu ` /8?1'/813g`dta chzlo `d }ls`sghdjl hz glhz|slo cu tal d|gcls ` jbeldtz tlztlo }lsohu" tal hjj|shju ` tlzt slz|btz j`g}hslo t` tal sllsldjl bhc`sht`su" hdo talslz|btz ` h ysettld hdo }shjtejhb tlzt ie~ld l~lsu zlglztls$

‡ N`s lqhg}bl" }s`fljt oesljt`s ~ezetz" g`cebl jbedej }hskedi" thqchdk jahsilzt`bbz" lbljtsejetu" DI@ `njl z}hjl" `njl lq}ldzlz$





zth" hdo tal DI@z taht y`sk yeta GHS]z ed lhjaoeztsejt hdo slls jbeldtz t` tal g`cebl jbedej$ Et yhz

`czls~lo taht i`ò j`gg|dejhte`d hdo slbhte`dz

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oeztsejt$

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zjalo|blz slnljt l`stz t` ldz|sl taht tal g`cebl

jbedej―z ~ezetz hsl teglo t` ghqegevl j`d~ldeldjl `s tales jbeldtlbl$

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cltylld tal DI@z ya` slls jbeldtz hdo tal

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ed tal ~ejedetu ` tal g`cebl jbedej$ Hz gldte`dlo

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s`g tal sllssedi DI@ z`glteglz ghkl a`gl

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slt|sd t` tal g`cebl jbedej t` sljle~l talg$

I`~lsdgldt z|}}`st hdo j``soedhte`d6

J``soedhte`d hg`di tal H~lst Z`jeltu" tal

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!hz `}}`zlo t` glslbu oshyedi jbeldtz hyhu s`g

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_s|jk zt`} ed Dhi}|s$ B`di oezthdjl ts|jklsz hsl `dlis`|} thsiltlo cu tal g`cebl jbedejz$

L o Z j a ` b b





g`cebl jbedejz hsl ildlshtedi dly jbeldtz" }seghsebu

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jbedejz" tal hd`dugetu talu h`so" hdo tal

j`|stl`|z tslhtgldt }s`~eolo cu zth glgclsz$

Jahbbldilz

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cl o|l t` h j`gcedhte`d ` hjt`sz" edjb|oedi zth

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3=8= yhz AE^ sh}eo tlzt ketz$ _alzl hsl o`dhtlo

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j`g}bejhtlo oeztsec|te`d zuztlg$

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zt`jk`|tz o` d`t `jj|s$

]lsz`ddlb j`g}ldzhte`d hdo y`skedi

j`doete`dz6 C`ta DI@z `}lshtedi tal g`cebl

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sljle~l talg tas`|ia tal sllssedi DI@z; hdo tald

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zth y`skz b`dils tahd leiat a`|sz lhja ohu hdo

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g`dtaz ` tal }sìshg yald talu b`zt hc`|t 9=

}lsjldt ` tales }lsz`ddlb" t` c`ta b`y zth zhbhselz

hdo ahso y`skedi j`doete`dz$



8= HEOZ_HS'@dl r @jt`cls 3=88


N|t|sl ]sìshggedi hdo

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_lztedi }s`t`j`bz6 _al }s`t`j`b `s AE^

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hdo eggloehtlbu tlzt `s AE^ !sh}eo tlztz hsl

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]s`fljt" z|}}`stlo cu \ZHEOEdoeh s`g 3==3 t`

3==>" hbz` }s`~eolo AE^ tlztedi hdo j`|dzlbedi

~eh g`cebl jbedejz c|t jahdilo tales }s`jlo|slz t`

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Clzeolz `lsedi tlzt slz|btz z``dls" dilsztejk

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y`|bo za|t o`yd tlztedi$

DHJ@ za`|bo lq}b`sl taez ezz|l |stals hdo

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tlzt%$ _al Y`sbo Alhbta @sihdevhte`d ahz }sò|jlo

h ~lsu |zl|b z|gghsu ` tal }s`z hdo j`dz ` S]S

tlztedi ~lsz|z sh}eo zu}aebez tlztedi !Y`sbo Alhbta

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_shededi ed _s`}ejhb Oezlhzlz 3==>%$

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`s Z_Ez |zedi tal zudos`gej ghdhilgldt

Bhc tljadejehd oshyedi cb`ò ed h g`cebl jbedej ed Fhbdh$ L o Z j a ` b b





h}}s`hja" j`g}blgldtlo yeta S]S tlztedi `s

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s`g d`dj`sl is`|}z !geishdtz hdo ts|jklsz% ah~l

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ketz talgzlb~lz$ DHJ@ }`beju ez t` ghkl talzl ketz

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jbedejz hsl geishdtz hdo ts|jklsz" ghdu ` ya`g

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ghol h~hebhcbl t` ta`zl ya` ah~l Z_E zudos`glz$_aez yebb alb} tal g`cebl jbedej }sìshg edjslhzl etz

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j`hjt`sz ed AE^ tshdzgezze`d$

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z|ctshjt tal zt`jk slghededi ht tal ldo ` tal g`dta

s`g tal dlqt g`dta―z slx|lzt$

Hd`tals slj`ggldohte`d ez `s DHJ@ t`

j`dzeols zeg}beuedi tal z|}}bu jahed `s o`dhtlo

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hdo slz|bt ed lyls zt`jk`|tz e DHJ@ o`dhtlo talj`ggòetelz oesljtbu t` talg edztlho$ i

SLNLSLDJLZ

Cldvhkld" H$ Z$" L$ Ihbchd Ihsjeh" F$ J$ I`glzZhsoedah" F$ J$ O|tsh F|de`s" hdo S$ ]llbedi$ 3==9$Sh}eo _lztz n`s Oehid`zedi Zu}aebez6 ^hbeohte`d ed hdZ_O Jbedej ed tal Hghv`d Slie`d" Cshveb$ Jholsd`z

ol Zh|ol ]|cbejh 3:!Z|}} :%6Z?<>‚Z?>?$

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\$D$ Ildlshb Hzzlgcbu Z}ljehb Zlzze`d$ 3=8=$

Edoeh‚3=8= J`|dtsu ]sìslzz Sl}`st $ H~hebhcbl htyyy$|dheoz$`sildohthhdhbuzezg`det`sedij`|dts u}sìslzz3=8=}sìslzzsl}`stzz|cgettlocuj`|dtselzedoehP3=8=Pj`|dtsuP}sìslzzPsl}`stPld$}on !hjjlzzlo Ghu 3=88%

Y`sbo Alhbta @sihdevhte`dZ}ljehb ]sìshggln`s Slzlhsja hdo _shededi ed _s`}ejhb Oezlhzlz$3==>$ _al \zl `n Sh}eo Zu}aebez _lztz$ Ildl~h"Zyetvlsbhdo6 Y`sbo Alhbta @sihdevhte`d$

http://www.unaids.org/en/dataanalysis/monitoringcountryprogress/2010progressreportssubmittedbycountries/india_2010_country_progress_report_en.pdf










HJKD@YBLOIGLD_Z

HEOZ_HS'@dl y`|bo bekl t` tahdk tal zthnn `n tal H~lst Z`jeltu ya` ildls`|zbu }s`~eolo tales

tegl hdo edzeiatz ed tal ol~lb`}gldt `n taez jhzl

zt|ou" }hstej|bhsbu Zgsete Hsjahuh" Hddh Fù"

Hgeth Hcejahdohde" Shfshtthd B`kahdol" hecah~e

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tahdkz t` tal Oesljt`s `n tal Ghahshzatsh Zthtl

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Yhzaedit`d n`s tales sl~ely `n tal jhzl zt|ou$

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Edoeh Gezze`d n`s tales z|}}`st hdo i|eohdjl"

edjb|oedi Zhdfhu Kh}|s hdo Zhdillth Kh|b" hdo t`Zhg}hta K|ghs n`s aez tljadejhb sl~ely hdo loetedi

SLJ@GGLDOLO JE_H_E@D

Zja`bb" Loyhso" hdo Fhgedl ]ltlsz`d$ 3=88$ G`cebl

Jbedejz ed Edoeh _hkl t` tal S`ho6 Csediedi AE^

_lztedi hdo J`|dzlbedi hdo Zlq|hbbu _shdzgettlo

Ednljte`d Zls~ejlz t` _a`zl G`zt ht Sezk $ Jhzl

Zt|ou Zlselz$ Hsbedit`d" ^H6 \ZHEO―z HEOZ Z|}}`st

hdo _ljadejhb Hzzezthdjl Slz`|sjlz" HEOZ_HS'

@dl" _hzk @sols 8$

HEOZ_HS'@dl―z Jhzl Zt|oelz }s`~eol edzeiat edt` edd`~hte~l AE^ }sìshgz hdo h}}s`hjalz

hs`|do tal y`sbo$ _alzl ldihiedi jhzl zt|oelz hsl olzeidlo n`s AE^ }sìshg }bhddlsz hdo

eg}blgldtlsz" o`j|gldtedi tal ztl}z ns`g eolh t` edtls~ldte`d hdo ns`g slzlhsja t` }shjtejl$

]blhzl zeid |} ht yyy$HEOZ_HS'@dl$j`g t` sljle~l d`tenejhte`d `n AE^'slbhtlo slz`|sjlz"

edjb|oedi hooete`dhb jhzl zt|oelz n`j|zlo `d lglsiedi ezz|lz ed AE^ }sl~ldte`d" tslhtgldt"

tlztedi hdo j`|dzlbedi" jhsl hdo z|}}`st" ildols edtlishte`d hdo g`sl$

http://c/Users/sbergman/AppData/Local/Adobe/InDesign/Version%207.0/en_US/Caches/InDesign%20ClipboardScrap1.pdf

http://c/Users/sbergman/AppData/Local/Adobe/InDesign/Version%207.0/en_US/Caches/InDesign%20ClipboardScrap1.pdf

aidstar-one case study: mobile clinics in india take to the road

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