COMMUNITY HEALTH & EMPOWERMENT (CHE)

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The Community Health and Empowerment Programme promotes the healthy physical, social, and emotional well-being of migrants by empowering them to make changes in both personal behavior and societal attitudes on sex, relationships, HIV/AIDS and gender.  


Background:

The Prevention of HIV/AIDS Among Migrant Workers in Thailand Project (PHAMIT), is a collaborative project of eight NGOs, including MAP Foundation, funded by the Global Fund to Fight AIDS, TB and Malaria (GFATM). In partnership with the Ministry of Public Health and local health providers, this program is designed to help prevent the transmission of HIV/AIDS and to improve the quality of life among migrant workers, their families and sex workers.  The goal of the PHAMIT Project is to reduce the number of new HIV infections among migrant workers in Thailand and to contribute towards the reduction of HIV/AIDS in the countries of Thailand, Laos, Cambodia and Burma. MAP implements the PHAMIT Project in Chiang Mai with the Shan and Lahu community and in Mae Sot with Burmese-speaking migrants.

From 2003-2008, MAP Foundation implemented the first phase of the PHAMIT Project and is now currently beginning the second five-year phase.    In the first phase MAP focused on trust-building and responding to the gender dimensions of HIV/AIDS within the community through its outreach.  The second phase will further efforts to support people living with HIV/AIDS with referrals to hospitals, training methods for home based care, and access to antiretroviral drugs and treatment.  The project hopes to increase collaboration between employers, health care providers, and community leaders.

MAP conducts its activities by training and employing a team of outreach workers and peer educators who visit migrant workers at their workplaces and gathering areas to provide health information on HIV/AIDS and distribute condoms.  The peer educators and volunteers perform basic counseling, make referrals and link migrants with state provisions of ARVs.  CHE works with MAP Multimedia to produce materials on health including a focus on HIV/AIDs, ARVs, family planning, reproductive health and sanitation in Shan, Karen, Burmese and Lahu, which are distributed through outreach.  MAP has also assisted migrant workers set up community resource centers and drop-in centres according to their needs in each area where literacy classes, basic education for children of migrants, trainings and special activities are held. The centers have a library and are spaces where migrant workers can relax, learn, exchange their experiences and have fun during their leisure time.

PHAMIT 2-  CHAMPION

The Comprehensive HIV Prevention Among MARPs by Promoting
Integrated Outreach and Networking -

The PHAMIT 2 Project intends to scale up comprehensive HIV prevention activities targeting "most at risk populations" (MARPs) in 155 districts in 36 provinces of Thailand, including sex workers(SW), men who have sex with men(MSM), injecting drug users(IDU) and migrant workers.  The overarching goal is to reduce new infections by providing universal access to HIV prevention services.  PHAMIT will link migrant populations to government health service providers, who will be trained and sensitized to respond to the needs of migrants. The program activities will also advocate for the practical policy changes by engaging officials at the highest level to support these efforts and ensure their sustainability.

Current activities in the second phase include:

  • Workshops and Outreach on Behavior change communication (BCC) to decrease stigmatization of PHAs in the community.
  • Distribution of condoms
  • Counseling and referrals for Voluntary Confidential & Testing (VCT) of HIV and STIs (Sexually Transmitted Infections)
  • Strengthening outreach channels and Drop-in centers
  • Developing modules to train and sensitize health providers on HIV/AIDS.
  • Media campaigns to reduce stigma
  • Advocacy for:
  1. The approval of migrant health workers as an eligible occupation for work permits
  2. VCCT in migrant languages
  3. Health insurance for all migrants
  4. The expansion of treatment for OIs (Opportunity Infections) and provisions for ARVs in the government budget

PHAMIT CARE - RCC-R1 - ACHIEVE

Aligning Care and Prevention of HIV/AIDS with Government
Decentralization to Achieve and Impact:
The goal of the PHAMIT CARE Project is to facilitate care for PHAs and reduce transmissions of the HIV infections by integrating effective HIV/AIDS Care and Prevention strategies into provincial and central sector programs designed for youth in four main settings: communities, schools, and workplace and health services. PHAMIT Care strives to provide support for people living with HIV/AIDS (PHAs) by organizing self-help groups, providing referrals and follow up to access ARV and OIs treatment and conducting home visits.  The project also performs community-based outreach, mobile health education, stigma reduction activities and distributes condoms for prevention.

Adolescent Reproductive Health:

MAP is a partner in the network ARHZ (Adolescent Reproductive Health Zone) Chiang Mai together with eight other ethnic "Community Base Organizations" (CBOs), which are supported by American Jewish World Service (AJWS) and Women Refugee Commission. The goal of the project is to promote sexual and reproductive health among young people from Burma ages 12-24. The network trains youth focal points and peers, conducts awareness-raising activities in the community on the issues of adolescent reproductive health, sexual and reproductive rights, gender, HIV/AIDS, family planning as well as distributes condom and OC pills to prevent unintended teenage pregnancy and unsafe abortion. Last Updated ( Tuesday, 06 October 2009 06:46 )

HI-Exchange and HAPPY Group:

MAP has created private forums for HIV-positive migrants, held monthly for Lahu (HAPPY GROUP) and Shan (HI-EXCHANGE) migrants. The groups share their experiences, learn how to live positively with HIV, discuss how to reduce discrimination/ stigmatization in their communities and examine their own role in awareness and prevention programs.

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