1. HIV Prevention and Sexual Violence Protection among PWDs, Cambodia Dr. Vivath CHOU - Project Manager pm-hiv@hicambodia.org Regional Workshop, Feb 21 st 2011

2. Towards Mainstreaming the discriminated populations in the HIV and AIDS response in Cambodia, Vietnam and Lao Project title and main donors Total budget for 3 years (for Cambodia): 308, 626 EURO

3. Project Duration and Location Duration: September 2008 to August 2011 + 10 months NCE Location: 13 districts of Battambang and Kampong Cham provinces

4. Project Objectives Overall Objective: To contribute to the recognition of and access to rights of discriminated groups; and contribute to the decrease of HIV and AIDS impacts among groups of vulnerable populations Specific Objective: Different discriminated groups of population in Cambodia, Vietnam and Lao have a better access to HIV and AIDS prevention, care, protection and support system through the capacity building of existing and emerging organizations

5. Expected Results 1. In 13 districts of Battambang and Kampong Cham provinces, PWDs’ access to HIV prevention and sexual violence protection is enhanced through inclusive approach with the active participation of community based organizations of PWDs and local stakeholders (Cambodia) 2. The operational and strategic frameworks of the main national stakeholders involved into HIV and AIDS response and/or the promotion of gender becomes more inclusive (Cambodia) 3. Experiences and innovative practices developed by the project, in relation with cultural minorities and PWDs’ inclusion are promoted and disseminated among local, national and regional HIV-AIDS and gender organizations (3 countries)

6. Achievements at the level of target Beneficiaries Age:18-25 Age:14-18 F:45% Age:22-49 F:53%

7. Main Project Partners/Stakeholders State actors: Ministry of Health and its provincial departments of Battambang and Kampong Cham National AIDS Authority and its provincial AIDS offices National AIDS Authority and its provincial AIDS offices Commune Councils Polices Provincial Departments of Women’s Affairs HIV-AIDS actors from civil society: HIV and AIDS Coordinating Committee HIV and AIDS Coordinating Committee Reproductive Health Alliance of Cambodia Reproductive Health Alliance of Cambodia A B C S

8. ... continued Disability actors from civil society: Krusar Thmey (specialized schools for children with hearing and visual impairments) Deaf Development Program - Maryknoll Action for Disability and Development Association of Blinds of Cambodia Battambang DPO Legal, psychosocial and other actors: Bantey Srey-Gender based violence organization Bantey Srey-Gender based violence organization LICADHO-Human rights organization LICADHO-Human rights organization Transcultural Psychosocial Organization Transcultural Psychosocial Organization

9. Main Activities Awareness raising, training and technical support to HIV and AIDS actors for disability inclusion Awareness raising, training and technical support to HIV and AIDS actors for disability inclusion –Development of studies –Training curriculum and IEC tools development and adaptation –Training of health workers, volunteer health support groups/traditional birth attendants Promotion of the rights related to Sexual Violence protection in cooperation with specialized organizations –Dissemination and consultative workshop with relevant actors on sexual violence referral system –Training of focal persons from partners/stakeholders organizations –Elaboration of a referral guideline for survivors of sexual violence

10. ... continued Referral of survivors of sexual violence to support system – –Identification of survivors – –Referral and monitoring Support to DPOs and Self-help Groups for HIV and AIDS mainstreaming –Training and Awareness Raising to local groups of PWDs –Training of teachers and students with hearing and visual impairments at the schools of Krusar Thmey –Cambodian sign language training and awareness-raising to women with hearing impairment in community –Coordination and support to members of local DPO and self help groups to participate in HIV and AIDS and disability events

11. ... continued Other advocacy and lobbying action for disability inclusion –Project presentation and workshop with commune council and other NGOs network –Conducting participatory learning action –Local mass media campaign to general population –Participation to the review of the 3 rd national HIV and AIDS responses strategy-2011-215 –Trainings of focal points from partners/stakeholders/organizations at national level

12. Achievements at activities level 1. Awareness raising, training and technical support to HIV and AIDS actors for disability mainstreaming Study development 2 nd study on the vulnerabilities of deaf persons to be finalized by Jan 2011 following the 1 st study on access to health and SV protection services 2 nd study on the vulnerabilities of deaf persons to be finalized by Jan 2011 following the 1 st study on access to health and SV protection services Training curriculum and IEC tools development Posters on HIV, VCCT, PMTCT and SV produced and distributed Posters on HIV, VCCT, PMTCT and SV produced and distributed Training curriculum on RH, HIV and AIDS for deaf and PWPI with support IEC tools updated Training curriculum on RH, HIV and AIDS for deaf and PWPI with support IEC tools updated Training of 100 TBA/VHSG 50 VHSG/TBA received training on disability, reproductive health, HIV/AIDS and sexual violence protection 50 VHSG/TBA received training on disability, reproductive health, HIV/AIDS and sexual violence protection

13. ... Continued 2. 2. Support to DPOs and Self-help Groups for HIV and AIDS mainstreaming Training and Awareness Raising to local DPO/SHGs 32 focal persons were trained on HIV and AIDS, and Reproductive Health 32 focal persons were trained on HIV and AIDS, and Reproductive Health 331 (176F) members of DPO/SHGs received awareness-raising sessions on RH, HIV and AIDS, SV protection and disability facilitated by SHG 331 (176F) members of DPO/SHGs received awareness-raising sessions on RH, HIV and AIDS, SV protection and disability facilitated by SHG Training of teachers and student at KT’s special schools 83 (39F) deaf students and 92 (39F) blind students aged 14-18 years and 32 teachers received awareness-raising sessions on RH, HIV and AIDS and sexual violence facilitated by project staff 83 (39F) deaf students and 92 (39F) blind students aged 14-18 years and 32 teachers received awareness-raising sessions on RH, HIV and AIDS and sexual violence facilitated by project staff

14. ... Continued 2. 2. Support to DPOs and Self-help Groups for HIV and AIDS mainstreaming (continued) Working with Deaf women in community 10 groups of 64 deaf women were trained on Cambodian Sign Language (CSL) and received awareness-raising sessions on project related topics 10 groups of 64 deaf women were trained on Cambodian Sign Language (CSL) and received awareness-raising sessions on project related topics Development of key vocabularies in CSL for the topics addressed under the project Development of key vocabularies in CSL for the topics addressed under the project 12 new groups of 84 deaf women were trained on CSL and key vocabularies 12 new groups of 84 deaf women were trained on CSL and key vocabularies Participation in HIV and AIDS and disability events Deaf women, DPO and SHG representatives were invited to the WAD and IDPD at national and local levels Deaf women, DPO and SHG representatives were invited to the WAD and IDPD at national and local levels

15. ... Continued 3. Promotion of the rights related to Sexual Violence protection through DPO/SHGs Workshop with specialized organizations Two consultation workshops on SV referral system organized with concerned stakeholders Two consultation workshops on SV referral system organized with concerned stakeholders Training of focal persons 32 focal persons at local level trained on Gender, Rights related to SV protection and Commune development process 32 focal persons at local level trained on Gender, Rights related to SV protection and Commune development process Referral to support services 57 PWDs (including 5 survivors of rape) were referred to support services (health, psychosocial and legal counseling) 57 PWDs (including 5 survivors of rape) were referred to support services (health, psychosocial and legal counseling) 2 survivors of sexual violence were identified early and referred to support services 2 survivors of sexual violence were identified early and referred to support services

16. ... Continued 4. Other advocacy and lobbying action for disability inclusion Activities with commune council 28 (9F) commune chiefs were trained on disability and gender 28 (9F) commune chiefs were trained on disability and gender Project presentation was disseminated to 41 communes at their monthly meeting Project presentation was disseminated to 41 communes at their monthly meeting Workshops Three project annual review workshops organized at national and provincial levels Three project annual review workshops organized at national and provincial levels Dissemination workshop of the project’s study presented at international and national levels Dissemination workshop of the project’s study presented at international and national levels Local mass campaign to general population One quiz show on SV and HIV/AIDS organized at community level with attendance of more than 400 people One quiz show on SV and HIV/AIDS organized at community level with attendance of more than 400 people

17. Main obstacles and Challenges Delayed field implementation due to high number of trainings as well as high staff turn over Level of involvement of partners is limited and there is a lack of ownership The scope of the project is wide geographically and there are many topics Limited knowledge and no clear strategic orientation on mainstreaming among project team A lot of activities remain to be done to achieve expected results Very limited budget allocation

18. ... continued Lack of knowledge on disability among decision makers and service providers in HIV and AIDS and gender sectors Limited data available on HIV and AIDS among PWDs No coordination between Disability sector / HIV and AIDS sector / gender sector Limited interest of national PWDs organizations about the project topics Only 45% of the total budget is supported by AFD and no new funding found for the next phase

19. Lessons Learned Situation analysis related to beneficiaries and partners must be well defined to better identify the scope of the work Positioning of HIF should be well defined since the beginning in order to adjust the approach Training materials for deaf persons must be concrete, simple with clear message Importance of trustful relations with both families and local authorities: information, regular visit, female team members Need for evidence-based information for advocating towards decision makers and key national stakeholders

20. Main Documentation Produced Title of documentTypeYearLanguage Qualitative study on the access to health and sexual violence protection services among PWDs Hand- book 2009English Qualitative study on the vulnerabilities among women and men with hearing impairments Hand- book 2011English HIV and AIDS, Reproductive Health Training curriculum and IEC tools for persons with hearing and physical impairment Hand- book, posters 2010Khmer

21. Ways Forward No cost extension till June 2012 Withdrawal from double mainstreaming at national level. Focus on mainstreaming disability into HIV AIDS and Gender organizations at national level response only. One pilot approach with 1 DPO maintained Focus on disability mainstreaming into existing local system for the protection of sexual violence survivors Develop primary prevention for sexual violence protection to all women and support for referral of all women with disabilities instead of deaf women only Phase out from partnership with ADD and from direct implementation at Krusar Thmey’s schools Minimized the geographical areas from 13 to 6 districts and topics (RH, HIV and AIDS, SV and Disability)

22. Thank You!