Community and Home Based Care – Reaching Out to Women and Children in Pakistan KP province and the tribal belt, bordering with Afghanistan HIV prone province because of migration /deportations Women and children - discrimination and neglect Known PLHIVs, 70 % males, seldom declare their HIV status at home - stigma War affected zone T r i b a l A r e a s A f g h a n i s t a n Pakistan Khyber Pakhtunkhwa (KP)

Community and Home Based Care – Reaching Out to Women and Children in Pakistan CHBC project targeted the women and children of the enrolled male PLHIVs Home based testing with rapid diagnostic kits through trained female outreach workers / Voluntary Counseling & Testing (VCT) Referral for Anti Retroviral Therapy (ART) Referral for Prevention from Mother to Child Transmission (PMTCT) services Socio-economic support to PLHIVs and their family members

In year 2013, a total of 962 women partners of the enrolled male PLHIVs were tested: Among them 102 (11%) were HIV positive and were referred for further care at the ART sites Similarly 281 children were tested in one year time, 31 (11%) among them were positive for HIV Community and Home Based Care – Reaching Out to Women and Children in Pakistan

CHBC approach raised the number of women and children in HIV treatment, care and support facilities Addressed the gap / gender imbalance Facilitated access to most at risk communities and brought them into mainstream continuum of care Replicable and scalable in similar situations of marginalized communities and hardest to reach areas Community and Home Based Care – Reaching Out to Women and Children in Pakistan