KHANA contributes to national goals in meeting Cambodia’s Universal Access Targets through two major programs. The Integrated Care and Prevention Program provides a comprehensive package of home-based care services to people at community level. This includes basic home care, psychosocial support, treatment referral, positive prevention, access to food support and livelihoods opportunities as well as support to orphans and vulnerable children (see below). The Focused Prevention Program reaches most at risk populations including sex workers and their clients, men who have sex with men, injecting and non-injecting drug users, youths out of school, married couples, migrant and factory workers. In addition to these groups, we also conduct prevention activities within the general community to ensure prevention information is available to all.

Both programs are implemented through different interventions guided by KHANA’s Standard Package of Activities (SPA). This represents our collected learning from our program, partners and communities and is informed by best practices in order to meet the changing needs of our target populations. To enable local partner organizations to carry out this work and flourish, KHANA supports capacity building. This includes strengthening their organizational and financial management and providing technical knowledge and skills through workshops and publications.

Participation of people from the groups we are working with through peer outreach and education is an integral part of prevention efforts with most at risk populations. KHANA’s partners also implement direct activities with target groups, including through Drop-in Centers. KHANA and our partners also work to improve the distribution, supply and social marketing of condoms, especially for sex workers and men who have sex with men.

Partners are supported by KHANA’s training-of-trainers to provide training to ensure the delivery of high-quality prevention activities at community level. Additional trainings are also held on preventing HIV infection through abstinence and being faithful programs and on condom use and other prevention methods.

As part of our efforts to improve services for drug users, one of our partners, KORSANG, develops and implements a full package of harm reduction activities. Some partners provide information to young people vulnerable to drug use and HIV. Ten of KHANA’s partners: SFODA, KDFO, OEC, SEADO, MHSS, CCASVA, KBA, CARAM, WMC and BSDA have programs focusing on drug use and HIV at the identified hotspots in Cambodia: Phnom Penh, Battambang, Banteay Meanchey, Prey Veng, Kampong Speu, Kampong Chhnaing, and Kampong Cham.

Five of our partner NGOs: MHSS, MHC, CUD, CCASVA and CARAM conduct outreach and peer education sessions targeting sex workers, including direct sex workers, entertainment workers and migrant sex workers. Additionally, our partners provide sex workers with a safe space to meet together, allowing them to build social capital among themselves. Some partners are also able to offer drop-in centers, which provide safe access to IEC materials, peer counseling, meeting space and clinical referrals. Finally, KHANA’s partners host awareness raising activities in their communities to reduce stigma towards sex and entertainment workers.

KHANA has established itself as one of the leading organizations reaching out to men who have sex with men in Cambodia. Three partners: MHC, MHSS and CUD, provide services specifically targeting men who have sex with men. Our partners’ work centers on outreach and peer education, and some also offer safe spaces and drop-in centers.

In order to provide essential prevention information to youth and married couple, many of KHANA’s partners are providing comprehensive life skills education. Life skills education includes information on HIV and drug prevention, negotiation and communication skills. In some cases vocational skills training is also included. HIV prevention activities, including life skills training, also reach young people aged 11-24 years. As part of our Strategic Plan 2008-2010, KHANA plans to increase the number of its partners offering this wide-ranging education program.

Additionally, KHANA collaborates with our partners, national networks of people living with HIV, and other organizations including the National AIDS Authority (NAA), National Authority for Combating Drugs (NACD) and the HIV/AIDS Coordinating Committee, to participate in national and international events such as Candlelight Memorial Day and World AIDS Day, International Day against Drug Abuse and Illicit Trafficking in June and the Water Festival Campaign in November every year.