Health and Development Service HANDS
HIV
i
ii
iii
iv
v
vi
vii
viii
ix
x
xi
xii
xiii
1. 2. 3. 4. 5. 6. 4
1-1 Semi-structured Interview 3 VCT 1-6
HIV/AIDS VCT HIV HIV/AIDS 4 5 7 NGO HIV/AIDS VCT NGO 8 NGO
1
2 AIDS Epidemic Update, UNAIDS/WHO, 2002 3 HIV HIV HIV 4 AIDS Epidemic Update, UNAIDS/WHO, 2002 5 15 24 young people 15 19 (adolescent) 6 1997 20-24 30-39 HIV WHO, 1997 7 HIV
17 AIDS Epidemic Update, UNAIDS/WHO, 2002
HIV/AIDS HIV/AIDS. HIV/AIDS HIV/AIDS
UNAIDS, 2000
HIV/AIDS PLWHA VCTPLWHA VCT HIV/AIDS VCT HIV ( )
HIV The Impact of Voluntary Counseling and Testing: A global review of the benefits and challenges (UNAIDS, 2001)
Caring for Carers: Managing Stress in Those Who Care for People with HIV and AIDS (UNAIDS, 2000)
HIV
VCT 2-3
HIV HIV VCT
World Health Organization (WHO). Weekly Epidemiological Record, 1998, 73: pp321-328. Center for Disease Control & Prevention (CDC). HIV Counseling with Rapid Tests, 2002, Atlanta, USA. The United States Agency for International Development (USAID). Voluntary HIV/AIDS Counseling and Testing - Many Africans Do Want to Know, USAID Fact Sheet, Press Release, 2000: <http://www.usaid.gov/press/releases/2000/fs000712_2.html> World Health Organization (WHO). Weekly Epidemiological Record, 1998, 73: pp321-328.
WHO Operational Characteristics of Commercially Available Assays to Determine Antibodies to HIV-1 and/or HIV-2 in Human Sera WHOBlood Safety Unit Web World Health Organization (WHO). Guidelines for Organizing National External Quality Assessment Scheme for HIV Serological Testing, 1996.
HIV AIDS UNAIDS, Knowledge is power: Voluntary HIV counseling and testing in Uganda, June 1999. HIV 3 8
VCT NGOAIDS Information Centre HIV
How to Establish VCT Services: Voluntary Counseling and Testing Guidelines (National Health Dept., RSA)
Tools for Evaluating HIV Voluntary Counseling and Testing (UNAIDS, 2000)
*1 2002 *2 GNI *2 / *2 15 / *2 *2
1984 1986 1987 1988-1992 1 1994-1998 2 2000 20012003 2002
Clinical Guidelines for Managing HIV/AIDS Infection in Adults at Hospitals (2001)
HIV HIV VCT HIV/AIDS HIV/AIDS PLWHA HIV/AIDS
1983 1985 HIV/AIDS NACP 1985 1986 1987-1991 1 1992-1996 2 1998-2002 3 2000 2001 TACAIDS HIV/AIDS 2002
Joint United Nations Programme on HIV/AIDS and World Health Organization, Epidemiological Fact Sheets on HIV/AIDS and STIs Kenya, 2002 Update
1984 1996 National HIV/AIDS Policy 1999 National AIDS Control Council (NACC) 1999 Kenya National HIV/AIDS Strategic Plan 2000 2005 (NACC, 2000) 1992 National AIDS and STD Control Programme National HIV/AIDS & STD Programme (NASCOP, 1999-2994
VCT VCT MOH/ACU HIV HIV HIV NPHLS HIV VCT NASCOP ACU HIV VCT VCT VCT Province VCT District VCT VCT VCT
HIV HIV test kits ELIZA ELIZA Reagents and controls for ELISA testing, if appropriate to the Quality Assurance strategy Centrifuges Refrigerators Test tube racks Timers Consumables, such as pipettes, pipette tips and specimen tubes Supplies to collect specimens, such as lancets, needles, syringes and plasters Disposable gloves Disinfectants and cleaning supplies Sharps disposal bins for needles and lancet Waste disposal (biohazard) bags for blood contaminated non-sharps, such as gauze, swabs, gloves and testing cards Male and female condoms and water-based lubricants Tissues Safe drinking water and cups TV/video equipment and Health Education Videos Information leaflets
HIV VCT VS. 2000 HIV HIV HIV VCT VCT VCT VCT VCT HIV VCT VCT VCT VCT
VCT VCT VCT VCT VCT Medical Store Limited VCT
VCT 1,000 30 Determine Uni-Gold Determine Genie II Genie II Bionor
NZP+ PLWHA Horizon Project ZAMBART NZP+
Policy Survey on Best Practices on HIV/AIDS and VCT in sub-saharan Africa: Issues and Potential Areas for Assistance List of Questions for semi-structured Interview HIV/AIDS interventions 1) Policies/strategies/action plans/guidelines & laws related to HIV/AIDS and VCT; 2) Research findings related to HIV/AIDS and VCT 3) Modality of coordination and implementation of HIV/AIDS/VCT interventions in the country; 4) National priority areas in HIV/AIDS interventions 5) Issues in HIV/AIDS interventions 6) Gap and needs in HIV/AIDS interventions (human, policy/institutional, material and technical resource gaps) VCT interventions 7) Coverage of VCT services in the country 8) Contents of VCT services 9) Existing follow-up services for VCT 10) Best practices on VCT and contacts of relevant institutions/organizations; National priority areas in HIV/AIDS and VCT interventions 11) Issues in VCT interventions 12) Gap and needs in VCT interventions (human, policy/institutional, material and technical resource gaps)
HIV/AIDS JICA 1. HIV/AIDS 2. NGO HIV/AIDS 3. VCT HIV/AIDS 4. HIV/AIDS NGO 5. ODA VCT HIV/AIDS JICA
HIV/AIDS