HIVAIDS

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HIV/AIDS
building communities of
Hope
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Why is
HIV/AIDS
a critical issue?
a critical issue?
a critical issue?
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HIV/AIDS
a global crisis

• More than 22 million people have died from
  AIDS-related causes, and more than 40 million are
  currently infected

4.8 million children have died from AIDS-related
causes, and more than 2.5 million are currently
infected
95 percent of those infected live in developing
countries, with over 65 in Sub Saharan Africa
Statistics from UNAIDS
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Number of adults and children
living with HIV/AIDS
As of the end of 2003
Total 40 Million
Statistics from UNAIDS
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Orphans and Vulnerable Children
a looming crisis
Nearly 90 of AIDS cases occur among people
between 20-40 years of age, depriving children of
love and nurture

• By 2010, the effect of AIDS is estimated to leave
  25 million orphans and 50 million vulnerable
  children

• If the Orphans Vulnerable Children (OVC) crisis
  is left unattended, a recent World Bank report
  projects that South Africa could experience
  economic collapse in less than three generations

Statistics from UNAIDS
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HIV/AIDS
an African timeline
1984 to 1999
16 countries on the continent of Africa went from
HIV prevalence rates between 1 and 5 to rates
between 10 and 40
Estimated of adults infected with HIV
Graphics and Statistics from UNAIDS
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HIV/AIDS
a global timeline
Latin America
Asia The Pacific
Asia, Latin America, and Eastern Europe are
currently experiencing the prevalence rates that
Africa experienced only 15 years ago
Graphics from UNAIDS
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What
Is
World
Visions
Response?
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World Vision
Who We Are

• Christian humanitarian relief and development
  organization founded in 1950 by Dr. Bob Pierce
• Serves the worlds poorest children and families
  regardless of race, gender, ethnic background, or
  religious belief
• In 2003, World Vision served 100 million people
  in 99 nations, directly benefited 2.2 million
  children through child sponsorship, raised 1.25
  billion (US) in cash and goods for its work, and
  employed 20,000 staff members
• Focus on holistic development and building
  community capacity
• Five fingers of development
• Area Development Programs
• Ten to fifteen year timeframe

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World Vision
Role in Health Care

• Build community capacity to ensure sustainable
  healthcare
• Communities helped to build clinics tailored to
  their specific needs
• Mothers receive health and nutrition education
• Birth attendants, herbalists, and others trained
  as community health workers
• Specific interventions include
• Vaccinations against childhood diseases and
  treatment of common ailments
• Use of cereal-based oral rehydration therapy to
  manage diarrhea
• Positive health impacts from development
  activities
• Water and sanitation programs reduce incidence of
  childhood diarrhea
• Food and agriculture security guard against
  malnutrition
• HIV/AIDS Hope Initiative Prevention, Care, and
  Advocacy

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How Is World Vision Responding to HIV/AIDS?
The HIV/AIDS Hope InitiativeWorld Visions
commitment to extend tangible hope to those
affected by HIV/AIDS

• Goal
• To reduce the global impact of HIV/AIDS through
  the enhancement and expansion of World Vision
  programs and collaborations focused on HIV/AIDS
  prevention, care, and advocacy

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World Visions
HIV/AIDS Hope Initiative

• Low Prevalence Environments
• Prevention for High Risk Groups
• Prevention for 5 to 15 year olds

• High Prevalence Environments
• Care for orphans and vulnerable children
• Home based care for chronically ill adults

• Distinctive Program Elements
• Harnessing the power of churches and Faith-Based
  Organizations (FBOs)
• Documenting and applying best practice through
  the Models of Learning program
• Integrating prevention, care, and advocacy
  programs into current development work

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World Visions
HIV/AIDS Hope Initiative
Target Beneficiaries
Prevention
Care
Advocacy

• Children orphaned and made vulnerable by
  HIV/AIDS
• Family members living with HIV/AIDS

• Children, age 5-15
• years old
• Pregnant lactating
• mothers
• High risk population
• groups

Policy makers (local, national, international)
Primary Strategy
Partnering with churches and Faith Based
Organizations to maximize their overall capacity
to respond to HIV/AIDS
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Prevention
A Holistic Approach

• Values-based life skills training for children
  5-15 years
• Zambia and Uganda - Adventure Unlimited
  curriculum used to teach children and young
  adolescents about topics such as self-esteem,
  friendship, sexuality, HIV/AIDS prevention, and
  choices and consequences.
• India Women and AIDS project provides AIDS
  prevention education to adolescent girls in the
  poorest parts of Mumbai.
• Dominican Republic Peer educators trained to
  teach youth about risk of HIV-infection and to
  promote healthy behavior.
• Expansion of VCT and PMTCT in World Vision Area
  Development Programs

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Prevention
A Holistic Approach

• High Risk Groups
• Harm reduction programs to limit spread of HIV
• Alternatives to high risk lifestyles
• Cambodia S.T.A.R. program reaches sex workers
  and transportation workers along major
  transportation routes. Includes formal and
  informal education sessions, leaflets on HIV/AIDS
  and health services, and advertising
• Zambia Sanduka (change) project gives sex
  workers the opportunity to either return to
  school or receive vocational training and micro
  credit to start their own businesses. Women are
  also provided with one-on-one counseling and
  support groups to ease their transition to a new
  life

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Care
Community Care for OVC and PLWHA
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Care
Target Groups of Vulnerable Children
Infected, Affected At Risk
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\
Care
Community Care Coalitions

• World Vision Other Sources of Support

Community Care Coalition
Volunteer Caregiver
Volunteer Caregiver
Volunteer Caregiver
OVC
OVC
OVC
OVC
OVC
OVC
OVC
OVC
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Care
Role of Community Caregivers

• Continuous monitoring of child well-being
  (including health, nutrition, education, and
  psychosocial status)
• Home-Based Care for chronically ill family
  members
• Protection against abuse and neglect (through
  prevention, negotiation, advocacy, and referrals)
• Training on life-sustaining skills (negotiation
  and decision-making skills for HIV prevention,
  household management skills, home repair skills,
  basic agricultural skills, etc.)
• Ensuring access to age-appropriate education
• Overcoming barriers to primary school attendance
  (e.g. fees, uniforms, supplies, stigma and
  discrimination, etc.)
• Arranging apprenticeships/vocational education
  for older OVC

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Care
Examples From the Field

• Uganda - Masaka Kaswa ADP has formed CCCs in all
  12 parishes in the ADP and trained 108 peer
  trainers. The CCCs have recruited 1,350 community
  members to be home visitors and currently reach
  10,800 OVC with psychosocial care and limited
  material support.
• Malawi Twenty-nine ADPs are forming or
  strengthening CCCs. ADPs have partnered with 43
  churches and 52 other FBOs to support a total of
  86 coalitions. CCCs have paid the school fees of
  598 school children and improved the food
  security of 3,115 OVC.
• Swaziland - Eighteen CCCs active in 11 ADPs. The
  CCCs have over 300 caregivers providing 1,300 OVC
  with school fee assistance, 1,230 with
  psychosocial support, 150 with life skills
  training, and 3,820 terminally ill adults with
  medical supplies. Sixty child-headed households
  were also provided with one milk cow each through
  food security programs.
• India Program in Imphal area provides widows
  living with HIV/AIDS with counseling, home
  visits, nutritional supplements, and referrals to
  health-care services.

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Advocacy
Systems Supporting AIDS Response

• Local, national, regional and global efforts to
  change policies, structures and systems that help
  spread HIV
• Strengthening care for orphans and vulnerable
  children
• Uganda - Worked closely with Ugandan government
  to draft National OVC Policy. Funded workshops,
  provided experts for program steering committee,
  and helped draft Global Fund proposal
• Reducing the vulnerability of girls and women to
  HIV
• Cambodia - Promoting legal protection for
  sexually exploited and trafficked children.
  Working with Cambodian police and other NGOs to
  increase the reporting, investigation, and
  prosecution of exploitation
• Increasing access to treatment and care
• Mobilizing resources for expanded HIV/AIDS
  response

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Church/FBO Partnerships
Mobilizing the Faith Community

• Core Strategy
• Sensitize Reduce stigma by educating religious
  leaders about the needs of PLHA and OVC
• Strategize - Mobilize churches to form Hope
  Teams and participate in Community Care
  Coalitions
• Empower Provide skills training and resources
  to build the capacity of community groups
• Working with religious leaders on the local,
  national, regional and global level

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Church/FBO Partnerships
Examples From the Field

• Channels of Hope Twenty workshops have been
  held so far in FY04. These workshops have reached
  663 attendees from 163 churches in 25 African
  countries. Over 91 of participants reported
  changed attitudes about people living with
  HIV/AIDS. (see next slide)
• ANERELA Supporting the establishment of a
  network of HIV-positive African religious
  leaders. Formally organized in 2002, the group of
  over 40 leaders from 10 African countries is
  providing a crucial voice in the reduction of
  stigma toward OVC and PLWHA
• Haiti Organized national pastors conference in
  July 2003, bringing together over 500 religious
  leaders. Covered widely in national media and led
  to initiation of responses by over 200 churches

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Sensitize
Pastors sensitizing workshop
Defrost destigmatizeSelect AIDS team
Strategize
CongregationalAIDS Hope teams workshops
Empower
Hope
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What remains to be done.

• Mainstream HIV/AIDS into all of our programs
• Expand resource development efforts with
  private, bilateral and multilateral donors
• Implement programs to address the needs of
  staff affected and infected by HIV/AIDS
• Capture learning and improve technical competency
  through MoL research products

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Religion that God our Father accepts as pure
and faultless is this to look after the orphans
and widows in their distress
James 127