OF "cry of the crane" "PLWH"

OF "cry of the crane" "PLWH"

Project number: KGZ-00101079

Cash SP: 044 287 KGS 2, 00., 923 918 KGS 1, 00., KGS 1 797 562, 50.,

The financial part:

Funds to NGOs are timely, after the date of the quarterly report. According to NGO staff agreements are signed in a timely manner. NGO workers receive their salaries without delay in addition to reporting period.

For 2018, the funds have not been received. From the principal recipient (UNDP/SF) there was a notice about the delay in funding pending the receipt of funds from gfdm. The software part requires financing is debt (transportation, Z/P)

Funds are allocated mainly on the following areas:

  • Wages for project staff.
  • Transport costs
  • Bank charges
  • Communication services
  • The provision of food and care items
  • Payment of rent of premises and office expenses

The software part:

Psychosocial support of PLHIV (equal consultant/social worker/psychologist and other staff) to ensure timely initiation of antiretroviral therapy (ART) and support adherence to ART. Promotion open an account to receive the incentive payments. During the reporting period, the second half of 2017. NGOs by number of PLHIV reached by prevention programmes amounted to 1612 PLHIV and LPV. Performance indicators is more than 150% of target. The coverage area of Osh, Jalal-Abad and Batken oblasts. Working closely with OIPBS to work with PLHIV. With the consent of the patient clients are sent to NGO staff, OIPBS and UCM. 80% of PLHIV who are registered in OIPBS, GIBBS and BOOBS covered by NGO services.

All staff are regularly trained to provide services to clients PLHIV and LPV.

Material part:

In 2017, IOM NGOs was timely.

Medical devices are timely, with sufficient shelf life.

Be the issuance of incentive packages.

Storage conditions for medical devices meet the requirements. The remains of the warehouse corresponds to the log of the issuance and expenditure.

Problem:

Delays in incentive payments for clients receiving ART in connection with a transfer of financing, OIPBS in the fracture SCR.

No medical institutions where it is possible to provide palliative care for heavy patients.

There are no clear criteria for the payment of incentive payments for children receiving ART.

Assessment of adherence to confirm the payment is carried out by the attending physician PLHIV based on objective evaluations, such as the patient regularly comes to the preparations, said that taking regularly. Not confirmed by laboratory parameters as EXT. Difficulties in obtaining survey results on the CD4 EXT and program customers to monitor their treatment from attending physicians.

The majority of children and adolescents not covered by the services of a psychologist. Don't know about their HIV status. Insufficient work status disclosure among adolescents and children.

According to employees of the frequent complaints of pregnant PLHIV on stigma and discrimination while receiving services in maternity wards. The requirement of funds on the part of medical staff.

Recommendations:

OIPBS, together with the coordinator of health to address the issue of palliative care for heavy patients. To work with health organizations to provide services to pregnant PLHIV.

OIPBS, to assist in obtaining research results on EXT and CD4 customers are in the program of social support of the project.

To consider the delay incentive payments. To develop criteria for incentive payments for children PLHIV receiving ART.

Develop straneva level, the plan of measures on disclosure of status in children and adolescents with HIV.