دافغانستان لپاره دمرستی او پرمختیا مؤسسه
HIV Prevention and Harm Reduction project in Kunduz
Although prevalence of HIV in Afghanistan is currently low, a rapid increase can be anticipated due to a number of risk factors. These risk factors include: weak public health infrastructure and health system (with competing priorities), drug and sex trafficking, intravenous drug use, poor blood screening practices, truck routes, current prison situation, large populations of refugees, poor education and literacy, poor infrastructure due to state of conflict, and the low status/poor access to education for women. On top of these factors, Afghanistan’s close proximity to Iran and Pakistan (85,000 estimated cases of HIV/AIDS) is likely to impact the epidemic.
People Who Inject Drugs (PWID), in particular, are high risk groups that have the potential to spread the disease further, through unsafe paid sex (which then can spread to other clients as well as their partners) and MSMs. Afghanistan is responding to the HIV issue through government, NGO and donor driven planning and programming. Despite the progress made up-to-date in Afghanistan, there is a need to scale-up the HIV/AIDS interventions through organized efforts in provinces.
AADA started implementation of HIV prevention and harm reduction project in Kunduz province under the name of SPHP (Strengthening HIV/AIDS Provincial Program) funded by GTZ/Global fund. These efforts includes; HIV/STI center, VCCT, Community-based Drop-In Center, prison-based center, peer-led community outreach services, support to PLHIV(People Living with HIV/AIDS) with their involvement and meaningful participation, peer education center in the boarder of Afghanistan and Tajikistatan, outreach program for street children and TB/HIV collaborative activities. The above package of services are called HIV Urban Base (HUB). The targets should encountered significant number of individuals of most at risk of HIV, and other vulnerable population i.e. injecting drug users, and their partners, prisoners, returnees, sex workers, MSMs. people living with HIV/AIDS (PLWHA) are also the target for this project with settled activities for this group. General Public, including Religious Leaders, to mitigate the social impact of the epidemics, is also targeted through the project. The contract for this project finished by the end of September 2013. Since October 2013, the National AIDS Control Program took the lead of this project and GIZ was responsible for supply of kits and AADA continued implementation of this project in Kunduz province.
The overall goal of the project is “to reduce the spread of HIV, reduce morbidity and mortality of AIDS, and mitigate the social impact of the epidemic in Afghanistan” with the following objectives.
- To strengthen the health system as it relates to HIV;
- To create a supporting and enabling environment for an Effective National Response to HIV;
- To prevent the transmission of HIV among most at risk and other vulnerable populations;
- To provide treatment, care and support to People Living with HIV and AIDS
- To effectively address TB/HIV diagnosis and co-morbidity