Health action with informed and engaged societies
After nearly 28 years, The Communication Initiative (The CI) Global is entering a new chapter. Following a period of transition, the global website has been transferred to the University of the Witwatersrand (Wits) in South Africa, where it will be administered by the Social and Behaviour Change Communication Division. Wits' commitment to social change and justice makes it a trusted steward for The CI's legacy and future.
 
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Addressing HIV/AIDS through Partnership

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Recognising the importance of the private health sector in the response to the HIV epidemic in Guatemala, the United States (US) Agency for International Development (USAID)/Guatemala launched a communication-centred project under the leadership of the US-based Abt Associates and the USAID-funded PSP [Private Sector Partnerships for Better Health]-One project. The Guatemala Medical Association and Abt Associates signed a declaration that supports the growing role of private providers and laboratory owners in addressing HIV/AIDS in an effort to work together to make high-quality, private-sector HIV/AIDS voluntary counselling and testing (VCT) services more accessible to most-at-risk populations (MARPs).
Communication Strategies

This initiative draws on the power of partnership to make change. The official signing of the Declaration happened at the opening ceremony of the National Medical Association's 50th Anniversary Congress, which took place November 28 to December 1 2007 (World AIDS Day). The United States (US) Ambassador in Guatemala joined with other high-level officials in the Guatemala medical community to announce and explain the partnership between USAID's PSP-One project and the Guatemala Medical Association to mobilise and train private providers to deliver quality HIV/AIDS counselling and testing. In addition to the official signing of the declaration in support of private providers' participation in HIV/AIDS prevention, all Congress attendants were encouraged to sign an online version.

As part of the specialised courses offered at that conference, the Medical Association and PSP-One Guatemala organised training courses, such as one designed for private physicians on HIV/AIDS counselling and testing. As part of this particular event, 55 private physicians attended a 5-hour training course taught by several of Guatemala's professionals from the country's HIV/AIDS integrated treatment centres. The curriculum was designed specially to address the challenges private providers encounter in their daily private practice. Topics focused on the epidemiology of HIV/AIDS in Guatemala, clinical suspicion and diagnostic approaches, an introduction to HIV/AIDS tests and national diagnostic algorithms, and an overview of the HIV/AIDS law and national counselling guidelines. An automated person-response system was designed to facilitate the monitoring of the acquired knowledge on these key topics throughout the training activity.

Development Issues

HIV/AIDS.

Key Points

Abt Associates reports that HIV prevalence in Guatemala is estimated at just under 1%, with MARPs such as commercial sex workers (CSW) and men who have sex with men (MSM) making up 36% of the total number of people living with HIV and AIDS. Organisers note that the private sector plays an important role in this fight, with many clients getting tested for HIV in private clinics and private labs; however, "there is evidence of serious weaknesses in this sector, such as the lack of counseling for patients getting tested and little or no knowledge by private providers about national laws and protocols regarding HIV/AIDS."

Sources

Email from Angela Milton to The Communication Initiative on January 28 2008 and May 16 2008; and PSP-One website.

Teaser Image
http://psp-one.com/files/4762_image_lab_guatemala_resize.JPG