Community-based strategic plan to curb spread of HIV/AIDS
Thursday, 14 January 2010
Anirudha Alam
Curbing the spread of HIV/AIDS is a human rights issue. A commitment to solidarity, hope and compassion promotes comprehensive campaign for HIV/AIDS prevention. It may result in a holistic effort to strengthen community based network through advocacy, capacity building and behavioural change communication (BCC). Having no minimal amenities, people in the community are exposed to vulnerabilities to HIV/AIDS enormously. They are mostly disadvantaged due to having no access to basic rights. If there is any community based common plan in support of the local response to the HIV epidemic the reasons for vulnerability may be removed gradually and effectively.
Community based strategic plan to address HIV/AIDS should be outlined to prevent escalation of epidemic through action research in ways that recognize human rights and self-respect. In this aspect, it is essential to organize social mobilization and accelerate support form local stakeholders and development partners involved in the community based response to HIV. There is no doubt that community based approach is a fundamental mechanism to stimulate the local contribution to deal with HIV/AIDS. To gather maximum support for community based efforts on HIV/AIDS, at first programs have to emphasize on coming in close contact with the local people. This is the effective means to be familiar with the values and perception of local people. Then they will be made to understand and perform the desired responsibility in response to HIV/AIDS.
Community based strategic plan encompassing local expertise and constructive commitment should be initiated to subvert the prevalence of HIV/AIDS in the light of national HIV policy framework and Millennium Development Goals (MDGs). It would allow a profound and greater understanding of the nature of the epidemic, its spread and eventuality.
According to UNAIDS estimates, over half of new HIV infections are occurring among young people (15-24 years) - or over 7,000 new infections a day worldwide. Around 95% of people with HIV/AIDS live in the communities of developing countries. Nowadays HIV is a common threat to men, women and children in all communities throughout the world. The challenges in responding to HIV/AIDS may vary enormously from community to community owing to geographical location, livelihood status, social infrastructure and so on. Cross border movement, women trafficking, neighbouring to high prevalent communities, gaps in health care delivery, low levels of HIV/AIDS awareness and sexual bondage because of poverty make the communities vulnerable, affecting the public health systems. To combat this vulnerability with regard to HIV/AIDS, there is no single solution. But integrated community approach may play an influential role in protecting people against sexually transmitted infections (STIs). This is why adopting a gender sensitive and human rights based approach, community oriented strategic plan will be well-equipped and groomed with a wide range of local stakeholders' support and participation to address HIV/AIDS. Side by side, community people will be efficient to discuss and develop norms, values and practice as to 'safe' sexual behaviour.
Community focused strategic plan for HIV/AIDS has to be based on the reality of the epidemic engendered from thorough case studies. The prevalence of HIV may remain low in communities. But there are some considerable factors that can play a vital role to fuel its rapid spread extensively. As per the findings of the survey on 'Reasons of Vulnerability to HIV/AIDS in Bangladesh' recently conducted by Bangladesh Extension Education Services (BEES), 'Polygamy, dowry, gender violence & discrimination, beliefs in superstitions as well as lack of safe health practice are kindling the spread of HIV/AIDS drastically in rural areas. If the awareness is not shaped fruitfully community wise in integrated way, all of the programs to undermine the spread of HIV/AIDS will fail.' HIV/AIDS prevalence was low for many years in Indonesia even with lots of risky behaviour. But in the past two or three years, circumstances have been changed. At present, HIV/AIDS prevalence is growing severely in several communities of the country.
We may infer from the above that any kind of community based strategic plan should be comprehensive, consistent, coordinated, constructive, consequence oriented and above all committed to community exclusively. By capitalizing on these key characteristics known as the six C's, it will be possible to attain a high watermark of success to combat skyrocketing vulnerability to HIV/AIDS.
(Anirudha Alam is Deputy Director (Information & Development Communication) & Trainer BEES [Bangladesh Extension Education Services])
Curbing the spread of HIV/AIDS is a human rights issue. A commitment to solidarity, hope and compassion promotes comprehensive campaign for HIV/AIDS prevention. It may result in a holistic effort to strengthen community based network through advocacy, capacity building and behavioural change communication (BCC). Having no minimal amenities, people in the community are exposed to vulnerabilities to HIV/AIDS enormously. They are mostly disadvantaged due to having no access to basic rights. If there is any community based common plan in support of the local response to the HIV epidemic the reasons for vulnerability may be removed gradually and effectively.
Community based strategic plan to address HIV/AIDS should be outlined to prevent escalation of epidemic through action research in ways that recognize human rights and self-respect. In this aspect, it is essential to organize social mobilization and accelerate support form local stakeholders and development partners involved in the community based response to HIV. There is no doubt that community based approach is a fundamental mechanism to stimulate the local contribution to deal with HIV/AIDS. To gather maximum support for community based efforts on HIV/AIDS, at first programs have to emphasize on coming in close contact with the local people. This is the effective means to be familiar with the values and perception of local people. Then they will be made to understand and perform the desired responsibility in response to HIV/AIDS.
Community based strategic plan encompassing local expertise and constructive commitment should be initiated to subvert the prevalence of HIV/AIDS in the light of national HIV policy framework and Millennium Development Goals (MDGs). It would allow a profound and greater understanding of the nature of the epidemic, its spread and eventuality.
According to UNAIDS estimates, over half of new HIV infections are occurring among young people (15-24 years) - or over 7,000 new infections a day worldwide. Around 95% of people with HIV/AIDS live in the communities of developing countries. Nowadays HIV is a common threat to men, women and children in all communities throughout the world. The challenges in responding to HIV/AIDS may vary enormously from community to community owing to geographical location, livelihood status, social infrastructure and so on. Cross border movement, women trafficking, neighbouring to high prevalent communities, gaps in health care delivery, low levels of HIV/AIDS awareness and sexual bondage because of poverty make the communities vulnerable, affecting the public health systems. To combat this vulnerability with regard to HIV/AIDS, there is no single solution. But integrated community approach may play an influential role in protecting people against sexually transmitted infections (STIs). This is why adopting a gender sensitive and human rights based approach, community oriented strategic plan will be well-equipped and groomed with a wide range of local stakeholders' support and participation to address HIV/AIDS. Side by side, community people will be efficient to discuss and develop norms, values and practice as to 'safe' sexual behaviour.
Community focused strategic plan for HIV/AIDS has to be based on the reality of the epidemic engendered from thorough case studies. The prevalence of HIV may remain low in communities. But there are some considerable factors that can play a vital role to fuel its rapid spread extensively. As per the findings of the survey on 'Reasons of Vulnerability to HIV/AIDS in Bangladesh' recently conducted by Bangladesh Extension Education Services (BEES), 'Polygamy, dowry, gender violence & discrimination, beliefs in superstitions as well as lack of safe health practice are kindling the spread of HIV/AIDS drastically in rural areas. If the awareness is not shaped fruitfully community wise in integrated way, all of the programs to undermine the spread of HIV/AIDS will fail.' HIV/AIDS prevalence was low for many years in Indonesia even with lots of risky behaviour. But in the past two or three years, circumstances have been changed. At present, HIV/AIDS prevalence is growing severely in several communities of the country.
We may infer from the above that any kind of community based strategic plan should be comprehensive, consistent, coordinated, constructive, consequence oriented and above all committed to community exclusively. By capitalizing on these key characteristics known as the six C's, it will be possible to attain a high watermark of success to combat skyrocketing vulnerability to HIV/AIDS.
(Anirudha Alam is Deputy Director (Information & Development Communication) & Trainer BEES [Bangladesh Extension Education Services])