Name of the ProjectAddressing Stigma and Positive Prevention among PLHIV and Key Population

Supported / funded by: JTF

Duration: 1st April 2010 to 31st March 2012

Goals          : People living with HIV among Key Population lead healthy lives

Objectives:      To increase the utilization of Positive Prevention services by PLHIV from Key Population by 50% in four locations (Chennai, Mumbai, Kolkata and Nagaland) of FPA India.

To reduce the barriers to accessing (SRH) services for PLHIV particularly from among MSM,TG,IDU and Sex workers , in four locations of FPA India Branches by March 2012

 

Locations / Branches involved   : Chennai in Tamil Nadu, Mumbai in Maharashtra, Kolkata in West Bengal and Nagaland in Kohima

Brief description (100 words)

Family Planning Association of India, has implemented a two year JTF/IPPF funded project, “Positive prevention and addressing stigma, discrimination and gender inequality- for people living with HIV and Key Population” in four locations viz. Chennai ,Mumbai, Kolkata and Kohima. In India, social, legal and health barriers often prevent the provision and access of care and support services for PLHIV among the Key Populations (KPs).  Stigma and discrimination among KP is doubled if they are sero-positive. Exclusion and lack of support from friends, colleges, family and partners, as well as pressure from the family to get married are other social barriers. Many MSM fear the loss of their jobs: being HIV positive doubles the risk of losing their livelihood. In the health care setting, many MSM, sex workers and IDUs shy away from testing due to the fear of being identified without informed consent.  Stigma and discrimination from healthcare providers at various levels, and lack of support services, like homes and hospices, makes the situation worse. Thus, promoting “positive prevention” strategies among PLHIV helped them to live longer and healthier lives as it contributed to the full enjoyment of sexual and reproductive health and rights and promoted new ways to live in sero-discordant or concordant relationships[1]; it also averted unnecessary illnesses and ensured timely access to treatment, care and support and promoted adherence to ART. It also helped HIV positive people to be empowered to make decisions about their lives without the burden of feeling guilt or shame as a result of their HIV status. This, in turn, will contribute to the well-being of their partners, families and communities.

 

Any noteworthy / special comment or case studies/ stories

30 years old Sunil, a MSM lives with his family in Mumbai. During the college days he felt attracted toward the boys but he was a confused with whom to discuss all this with. He dropout from the college then some of his friend went with him at MSM site and he started involving in sex work activities. Throughout this period he has unaware about the use of condom and got HIV infection. Today he is working with social organization during this work he feels to work for positive peoples and he started his own organization.

He came to our clinic for Hepatitis B testing. Counselor gave information about all services of FPAI. After testing he came to know that he was also Hepatitis B positive. Being the lone male child, his mother started pressurizing him for marriage. He took a decision marry a HIV positive woman. He brought his wife to the clinic to get her Hep B testing done and fortunately, she was found to be non-reactive for Hep B. She started her vaccination for Hep B at clinic that time.

After one month client came again to the DIC and he shared about his family discrimination. His family was not ready to accept his wife she even does not allow her to enter in the kitchen. That’s why his wife went to her mother’s home. He felt very confusing about his life too. He also afraid about the key population because if they spread that he is MSM he will be in trouble with his wife. The FPA In counselors and staff helped him to overcome this situation and today his wife comes to this clinic for all her services as well as accepted his bi-sexual status.

 

…….. He is role model for many others Married MSMs who are currently availing the services from FPAI Mumbai.

 

Result/ progress/ impact ( if any) ( 100 words)

The project was able to reach out 7695 KPs with various services as against a target of 5000 (154% achievement). The project was also able to bring down the barriers to accessing SRH services in KPs – a total of 1284 families had accepted their family member and had accompanied them to accessing SRH services including 372 families of KP living with HIV. The project has also build the capacity of 582 peer volunteers and 261 health care providers during the project period.

One special photo

 

 

 

(Whether donor logo needs to be included; any hyperlink with donor website etc.)

 

 

 



[1]Sero-discordant relationship is used when one member of a couple is HIV positive and the other is HIV negative, while concordant relationship is used when both members of a couple are HIV positive.