![Page 1: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/1.jpg)
Office of Overseas Programming & Training Support (OPATS)
Positive Health, Dignity, and Prevention HIV Prevention
![Page 2: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/2.jpg)
Session Objectives
Participants name three appropriate and two inappropriate PCV roles in PHDP programming.
Participants describe PHDP’s contributions to HIV prevention.
![Page 3: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/3.jpg)
Background
35.3 million PLHIV (UNAIDS 2013) WHO 2013 guidelines expanded treatment
eligibility. – Old guidelines: 61% eligible received ART– New guidelines: ~34% eligible received ART
GIPA “Secondary prevention” or “Prevention with
positives”
![Page 4: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/4.jpg)
PHDP Framework
An approach that embraces GIPA, moves beyond prevention with positives (PwP)
Recognize and appreciate power of PLHIV Engagement of PLHIV and community –
shared responsibilities Holistic approach Rights-based, including harm reduction
![Page 5: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/5.jpg)
PHDP Categories
Protect your health Protect your partner(s) Protect your family
![Page 6: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/6.jpg)
PEPFAR PWP Components
Treatment adherence Positive living counseling Risk reduction counseling Diagnosis and treatment of STIs Condom promotion Support to disclosure PMTCT, including family planning Information about alcohol abuse
![Page 7: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/7.jpg)
PHDP Priorities1
Disclosure support needs Rights violations Couple discordancy/Couple concordancy Pregnancy/fertility intentions Depressive feelings Child HIV status, disclosure to children Death of a child Limiting factors for adherence (e.g., food intake,
transportation)1 Parker, W. & Rogers, S.J. 2012. Perspectives of People Living with HIV on HIV Prevention: Opportunities and Challenges for Strengthening the Response in Eastern and Southern Africa. Washington, DC: C‐Change/FHI 360.
![Page 8: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/8.jpg)
PHDP and PCVs
Provide support to encourage adherence Work with partners to provide PLHIV with minimum
package of services Improved referral and service linkages Incentives and social support programs that address
barriers such as lack of food, child care, transport Help with the formation and functioning of support
groups Organize focused activities for children and youth
living with HIV
![Page 9: Office of Overseas Programming & Training Support (OPATS) Positive Health, Dignity, and Prevention HIV Prevention](https://reader036.vdocuments.mx/reader036/viewer/2022082711/56649e9d5503460f94b9ecc1/html5/thumbnails/9.jpg)
Adolescents Living with HIV (ALHIV) ~5 million young people (aged 15–24) and ~2
million adolescents (10–19) were living with HIV in 2009.2
Perinatal vs. behavioral infection Mental health – grief and loss Lack of agency Youth and SRH Young key populations
2 Unicef. June 2011. Opportunity in Crisis