Коллекция ЮНЭЙДС «Лучшая практика»

The Far Away From Home Club is an example of success in the response to HIV in Viet Nam. A combination of dedicated, energetic, and forward-looking individuals and

Burnout is not a single event but a process in which everyday stresses and anxieties that are not addressed gradually undermine carers mental and physical health, so that eventually caregiving and personal relationships suffer. Burnout is the fi nal stage in the stress process when everything falls apart. As a medical condition, burnout has no clear defi nition, but as a psychological condition it has been well defi ned and is increasingly recognized by people in the caring professions. Burnout has long been identifi ed as a crucial issue in HIV care and support; yet there is relatively little known about what measures can be taken to prevent or mitigate it.This document looks at how carer burnout can be avoided. It focuses on the approach used by a faith-based organization, IMCARES, Mumbai, India, to care for their staff and volunteers employed in their programmes and as carers in the community. Their strategy and practice may provide useful lessons in caring for carers for both secular and faith-based organizations working with people living with and affected by HIV.

Как показывают доказательные данные из сообществ в разных частях земного шара, мужчины, имеющие половые контакты с мужчинами, зачастую с высокой степенью вероятности подвержены риску ВИЧ-инфекции, и могут являться своего рода мостиком для перехода вируса в широкие слои населения. В данном докладе представлена информация об успешных инициативах, предпринятых для мужчин – и вместе с мужчинами, имеющими половые контакты с мужчинами, в шести различных странах Азии и Тихоокенского региона. Описанные программы демонстрируют тот факт, что даже в консервативных обществах и в странах с ограничительным законодательством, мужчинам, имеющим половые контакты с мужчинами, не нужно прятаться, и что они могут играть важную роль в общих усилиях по противодействию ВИЧ.

This publication gives a brief overview of the national response to AIDS in Morocco. The Moroccan AIDS response gave rise to the National Strategic Plan, which now serves as a reference throughout Africa. The National Strategic Plan has contributed to keeping the national seroprevalence at a low level. In a population of 32 million, prevalence of 0.1% among pregnant women has been found and an aggregate number of 1878 cases of AIDS were declared at the end of 2005.

В Таиланде осуществляется новый инновационный проект, который непосредственно направлен на устранение таких препятствий. Этот проект – Программа позитивного партнерства (ППП) – имеет две самостоятельных и в то же время взаимодополняющих цели. Реализация первой цели – дать людям, живущим с ВИЧ, возможность выбраться из бедности – обеспечивается за счет выделения микрокредитов, что помогает им начинать малый бизнес в своих общинах. Вторая цель направлена на снижение уровня стигмы и дискриминации в отношении людей, живущих с ВИЧ. В основе проекта лежит обманчиво простая концепция – деловое партнерство между одним ВИЧ-позитивным и одним ВИЧ-негативным человеком.

The All-Ukrainian Network of People Living with HIV was founded in the late 1990s by people alarmed by the rapidly growing epidemic in their country, and the lack of resources and support for themselves and others affected by HIV. Since then the Network has grown to provide services throughout the country. Key strategy components are: increasing access to care and support; lobbying and advocating protecting the rights of people living with HIV; seeking to increase social acceptance of people living with HIV; and enhancing the organizational capacity of the Network. This short document outlines the development of the Network and highlights lessons learnt, a longer study providing more information about the Network is available on UNAIDS’ website.

UNAIDS best practice collection: an innovative new project in Thailand - the Positive Partnership Program (PPP) - has two goals: 1) to enable people living with HIV to lift themselves out of poverty, achieved through the provision of microcredit loans that allow people to set up small businesses in their communities; 2) the second goal is to reduce HIV-related stigma and discrimination against people living with HIV.

Tanzania has made substantial progress in strengthening the national response to HIV in recent years. This case study describes different aspects of the response made in the Mbeya region over the last 20 years. More than 2 million people live in the region and it was, and continues to be one of the worst-affected parts of the country. However, HIV prevalence which reached an estimated high of 20% in the mid-1990s has been in decline since then. It is very likely that the work of the Mbeya Regional AIDS Control Programme which began in 1988 has made an important contribution to reversing the trend of the epidemic.

In 2003 UNHCR, WFP, and UNICEF launched a joint effort to develop, through multi-site field research in refugee communities in Africa, a set of strategies for using food and nutrition-based interventions to support HIV transmission prevention, impact mitigation, and care, treatment, and support for people living with HIV. This important collaborative initiative grew out of the recognition that refugee settings are unique. It was recognized also that specific research is required conducted among and with refugees. This Best Practice document discusses the research process and findings of this interagency initiative.

This study describes the work of the Choose to Care initiative of the Catholic Church in Southern Africa which began in 2000. It shows that effective scaling-up of programmes in the response to HIV does not necessarily have to be the expansion of a single central service. Working through the diocesan and parish system, coordinated by the AIDS Office Southern African Catholic Bishops’ Conference, and originally funded by the Catholic Mission Medical Board and other Catholic funding agencies, the Catholic Church scaled up service provision by the replication of smaller scale programmes rooted in and responsive to the needs expressed by local communities in this five-country area. This study shows that such an approach is effective when undertaken within common guidelines and given central support.