Presentation on theme: "Residential Support for HIV- Positive and Street-Involved Girls in Ukraine Living, Loving, Working: HIV and Sex Work July 21, 2014, Melbourne, Australia."— Presentation transcript:
Residential Support for HIV- Positive and Street-Involved Girls in Ukraine Living, Loving, Working: HIV and Sex Work July 21, 2014, Melbourne, Australia 20th International AIDS Conference Halyna Skipalska Ukraine Country Director, HealthRight International Executive Director, Ukrainian Foundation for Public Health
HealthRight International is a global health and human rights organization working to build lasting access to health for excluded communities. The Ukrainian Foundation for Public Health (UFPH) is a Ukrainian charitable organization, founded by HealthRight International in 2008, with the aim of building local sustainability. Overview
30 to 100 thousand youth live on the streets in Ukraine Donetsk, 2010
Street Youth and HIV 18.4% HIV prevalence among street youth (HealthRight/CDC 2009) Voly n Rivn e Zhytomyr Kyiv Chernigiv Sum y Poltava Kharkiv Donetsk Zaporizhia Kherson AR Crimea Kirovograd Mykolaiv Odessa Vinnytsi a Lviv Ternopi l Khmel - nytski y Iv.- Frank. Zakarpatska Chernivt si Cherkasy Dnipropetrovsk Luhansk Donetsk: 9.8% (N=307) Kyiv: 18.6% (N=311) Odesa: 26.7% (N=311) HIV prevalence rate in three cities 18.4%
Street-Involved Girls Street girls and young women are a small (25%), but highly vulnerable sub- group of the larger street youth population
In 2010, to respond to the extreme vulnerability of street-involved girls, and the high prevalence of HIV among them, HealthRight and UFPH launched a service model for street-involved women and girls in Kyiv. Continuum of Care for Street-involved and HIV-positive Women and Girls
Outreach Drop-in servicesHalfway House Independence or family Case Management Referral
Street Outreach Mapping of sites Psychosocial counseling Client referral Voluntary HIV counseling and testing STI, Hepatitis testing. In 4 years: 598 girls and women received services in outreach 313 were tested for HIV 11 HIV-positive.
Drop-in Center for Women and Girls Shower, laundry, food Legal, social, psychological Material support HIV, STIs and pregnancy testing Referrals (advanced medical care) STEPS HIV prevention and education trainings Case management Psychological intervention for survivors of VAW and partner perpetrators Services for children Basic services for client’s partners.
Drop-in Center for Women and Girls June 2010 – May 2014: 1 160 girls served 247 (21.3%) HIV-positive 98 pregnant (including 14 HIV- positive) 655 tested for STI, 30 with positive result 329 tested for Hepatitis, 13 with positive result 147 tested for pregnancy, 7 with positive results 744 children received services, including 152 HIV-positive 107 clients partners received services.
In 2013, HealthRight added a halfway house to the continuum of care for especially vulnerable women and girls. Residence Based Support at the Halfway House
Since May 2013, 17 women and 19 of their children have been engaged in residential care. 2 HIV-positive 5 had lived in an orphanage 10 had lived on the street 12 had abused substances All had survived abuse. All clients have kept parental rights for their children. Five clients with their children were supported to transition to independent living. Four returned to partners and family members, 3 were referred to rehabilitation centers and 5 continue to receive services. Residence Based Support at the Halfway House
HealthRight and UFPH intend to develop a career and financial literacy program to help clients improve their prospects for independence. Conclusions/Next Steps A residential program is a critical part of the continuum of care, allowing a secure transition to independence and prevention of child abandonment.