1. ALGAF IV GHANA’S PRESENTATION Friday, December 19, 2003

2. What is the purpose of an HIV/AIDS Strategy? What is a strategy? Guideline Roadmap Work plan

3. Importance of HIV/AIDS strategy Because of spread Devastating effects of disease Social, economic and developmental impacts of HIV/AIDS Reduce and prevent spread

4. Why is mainstreaming an important element? A Everybody should be involved in integrating HIV/AIDS response in every sector of Ghanaian economy Become a social problem Security risk (without care it could wipe out a whole generation)

5. How non-health related departments can help. B Financial support Diverse expertise (educational) Seminars/teachings Advice market women, truck drivers, etc. volunteerism

6. Who is Responsible For Coordination? District bodies National level: Ghana AIDS Commission Special offices or desk for HIV/AIDS prevention

7. Challenges Short tenure of office Continuity of services Lack of dedicated resources (human & material)

8. Functional integration to improve service delivery Education of other diseases (e.g. Tuberculosis, Malaria, & STIs) Non-communicable diseases Education on good health (good diet, exercises) Proper refuse disposal Responsibility of media about information on locations of refuse disposals, washrooms, etc.

9. Functional integration to improve service delivery (Cont.) Education on usage of facilities Biomedical waste disposal system Government’s responsibility of providing facilities that are not existing for health improvement

10. Data collection Ghana AIDS Commission National AIDS Control Program District hospitals Local clinics/ health posts District Assemblies Unit Committees

11. Services provided Community, regional and district offices Education of people about the menace (Action AID) Co-ordination Awareness creation, VCT

12. Formal and Informal Relationship Between Organizations Poor relationship between LGAs and organizations responsible for HIV/AIDS Poor data of organizations by LGAs No accurate monitoring and supervision and evaluation

13. Gaps in service provision No accurate monitoring and inaccurate supervision Lack of innovations One sided method of education on HIV/AIDS (Awareness)

14. Proposal for Addressing Gaps Identified Capacity building (behavioural change counselors)

15. Some organizations in my municipality to be targeted Hairdressers and barbers Tailors and dressmakers Drivers (including truck drivers) Circumcisionists Hoteliers and bar operators Soldiers and police (Forces)

16. Departments in Local Government Authorities and Groups Associated Education (school children, students) Health (doctors, nurses, etc.) Agriculture (farmers) Social workers ( including street children, “Kayayos”) Interior (Forces, Fire Service)

17. Activities to be implemented Water and sanitation programs Behavioural changes Peer group training (Education) Community health Child welfare clinics Workshops

18. Services Provided to HIV/AIDS Prevention Counseling Educational talks Voluntary Counseling & Testing (VCT) Home base care Prevention of Mother To Child Transmission

19. Identifying Organizations Outside The Public Sector Religious bodies Barbers Hairdressers Traders Poultry farmers Ghana Midwifery/ Nurses Association

20. Where do HIV/AIDS Infected People go? Hospitals (Korle Bu, Noughuchi) Laboratories PPAG Clinics Accredited medical institutions

21. Where do People go if they are HIV Positive? NGOs Hospitals for counseling Office desk

22. Where do They Find Counseling On Nutrition & Healthy Lifestyle? NGOs Hospitals clinics, etc.

23. Where Can They Get Access To Condoms? Hospitals Clinics Pharmacies Drug stores NGOs Street vendors

24. Who Can They Turn To If They Loose Their Jobs And Family Income? CHRAG FBOs NGOs

25. When They Become Sick, Where Can Their Caregiver Turn To For Advice? Hospitals where victims were diagnosed Desks within District Assemblies, Unit committees, etc. FBOs NGOs

26. How Will Their Children Attend School? NGOs FBOs Scholarships from Central government, District Assemblies, Unit committees

27. Who Will Pay For Their Burial? Extended family Unit committees Ethnic associations

28. Where they will seek the service and mechanisms for referrals The following have been categorised according to service provision capacity Teaching/ Tertiary Regional hospitals Level C (District Hospital Status) Level B (Clinics, Health Centers)

29. THANK YOU !!! ASANTE SANA !!! YE DA MU AS ε !!!