algaf iv ghana’s presentation friday, december 19, 2003
TRANSCRIPT
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ALGAF IVALGAF IV
GHANA’S PRESENTATIONGHANA’S PRESENTATION
Friday, December 19, 2003Friday, December 19, 2003
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What is the purpose of an HIV/AIDS Strategy?
What is a strategy?
• Guideline
• Roadmap
• Work plan
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Importance of HIV/AIDS strategy
• Because of spread
• Devastating effects of disease
• Social, economic and developmental impacts of HIV/AIDS
• Reduce and prevent spread
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Why is mainstreaming an important element?
A
• Everybody should be involved in integrating HIV/AIDS response in every sector of Ghanaian economy
• Become a social problem
• Security risk (without care it could wipe out a whole generation)
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How non-health related departments can help.
B
• Financial support
• Diverse expertise (educational)
• Seminars/teachings
• Advice market women, truck drivers, etc.
• volunteerism
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Who is Responsible For Coordination?
• District bodies
• National level: Ghana AIDS Commission
• Special offices or desk for HIV/AIDS prevention
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Challenges
• Short tenure of office
• Continuity of services
• Lack of dedicated resources (human & material)
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Functional integration to improve service delivery
• Education of other diseases (e.g. Tuberculosis, Malaria, & STIs)
• Non-communicable diseases• Education on good health (good diet,
exercises)• Proper refuse disposal• Responsibility of media about
information on locations of refuse disposals, washrooms, etc.
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Functional integration to improve service delivery (Cont.)
• Education on usage of facilities
• Biomedical waste disposal system
• Government’s responsibility of providing facilities that are not existing for health improvement
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Data collection
• Ghana AIDS Commission
• National AIDS Control Program
• District hospitals
• Local clinics/ health posts
• District Assemblies
• Unit Committees
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Services provided
• Community, regional and district offices
• Education of people about the menace (Action AID)
• Co-ordination
• Awareness creation, VCT
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Formal and Informal Relationship Between Organizations
• Poor relationship between LGAs and organizations responsible for HIV/AIDS
• Poor data of organizations by LGAs
• No accurate monitoring and supervision and evaluation
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Gaps in service provision
• No accurate monitoring and inaccurate supervision
• Lack of innovations
• One sided method of education on HIV/AIDS (Awareness)
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Proposal for Addressing Gaps Identified
• Capacity building (behavioural change counselors)
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Some organizations in my municipality to be targeted
• Hairdressers and barbers
• Tailors and dressmakers
• Drivers (including truck drivers)
• Circumcisionists
• Hoteliers and bar operators
• Soldiers and police (Forces)
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Departments in Local Government Departments in Local Government Authorities and Groups AssociatedAuthorities and Groups Associated
• Education (school children, students)
• Health (doctors, nurses, etc.)
• Agriculture (farmers)
• Social workers ( including street children, “Kayayos”)
• Interior (Forces, Fire Service)
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Activities to be implemented
• Water and sanitation programs
• Behavioural changes
• Peer group training (Education)
• Community health
• Child welfare clinics
• Workshops
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Services Provided to HIV/AIDS Prevention
• Counseling
• Educational talks
• Voluntary Counseling & Testing (VCT)
• Home base care
• Prevention of Mother To Child Transmission
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Identifying Organizations Outside The Public Sector
• Religious bodies
• Barbers
• Hairdressers
• Traders
• Poultry farmers
• Ghana Midwifery/ Nurses Association
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Where do HIV/AIDS Infected People go?
• Hospitals (Korle Bu, Noughuchi)
• Laboratories
• PPAG
• Clinics
• Accredited medical institutions
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Where do People go if they are HIV Positive?
• NGOs
• Hospitals for counseling
• Office desk
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Where do They Find Counseling On Nutrition & Healthy Lifestyle?
• NGOs
• Hospitals
• clinics, etc.
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Where Can They Get Access To Condoms?
• Hospitals
• Clinics
• Pharmacies
• Drug stores
• NGOs
• Street vendors
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Who Can They Turn To If They Loose Their Jobs And Family
Income?
• CHRAG
• FBOs
• NGOs
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When They Become Sick, Where Can Their Caregiver Turn To For
Advice?
• Hospitals where victims were diagnosed
• Desks within District Assemblies, Unit committees, etc.
• FBOs
• NGOs
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How Will Their Children Attend School?
• NGOs
• FBOs
• Scholarships from Central government, District Assemblies, Unit committees
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Who Will Pay For Their Burial?
• Extended family
• Unit committees
• Ethnic associations
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Where they will seek the service and mechanisms for referrals
• The following have been categorised according to service provision capacity
Teaching/ Tertiary
Regional hospitals
Level C (District Hospital Status)
Level B (Clinics, Health Centers)
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THANK YOU !!!THANK YOU !!!
ASANTE SANA !!!ASANTE SANA !!!
YE DA MU ASYE DA MU ASεε!!!!!!