Goal 1: Contribute to eliminating new HIV infections, strengthening health systems, and achieving universal health coverage (UHC).

Objectives and Strategies:

1.

Prevent new HIV infections and transmission.

a.           Intensify the implementation of Treatment as Prevention (TasP) among PLHIV, especially sero-discordant couples and HIV-positive pregnant women.

b.           Ensure effective mechanisms to virtually eliminate mother to child transmission (MTCT) to reach an AIDS-free generation (such as Option B+).

c.            Maximize the use of ICT, including the use of social media, for emerging KP at higher risk of HIV.

2.

Improve HIV case detection, treatment, and adherence.

   a.        Identify KPs at higher risk of HIV and reach them using innovative approaches.

b.        Support the expansion of Boosted Integrated Active Case Management (B-IACM).

c.        Support point-of-care service quality.

 

3.

Increase health service utilization.

a.           Ensure functioning feedback platforms for users and service providers.

b.           Create service demand at the community level (through quality assurance and quality improvement).

c.            Strengthen evidence-based health information to contribute toward more harmonized and aligned systems.

4.

Improve equitable access to healthcare.

a.           Promote the understanding of clients’ and providers’ rights and responsibilities in healthcare and with social protection mechanisms (such as ID Poor and Health Equity Fund (HEF) under the   Community-Based Prevention, Care and Support (CBPCS) model).

b.           Optimize the use of existing community health and non-health structures to increase access to healthcare for all.

c.            Mobilize and work with key partners and stakeholders in order to scale up affordable healthcare initiatives and social health protection mechanisms.

 

Areas of Contribution

KHANA will extend previous work and achievements, and as a priority response, will support Cambodia 3.0; the elimination of new HIV infections as well as reduction of HIV related morbidity and mortality in Cambodia by 2025. The team will offer a package of services in alignment with national policies including in particular the B-IACM. Technological Innovations will be utilized[1], along with other innovative approaches, including risk tracing, risk screening, case profiling, snowballing, and others initiated by the USAID-funded HIV Project. These will be further utilized and enhanced to  find new cases of HIV, expand outreach for prevention and testing, intensify treatment and care, and retain individuals in order to get to viral suppression. The proven models will be put at scale through the Global Fund.

 

To contribute to the strengthening of health systems, KHANA will continue to play a supporting role through technical assistance, and will further develop initiatives that enhance quality in an effort to increase both client numbers and levels of satisfaction for those utilizing health services. To complement this work, KHANA will develop programs to promote the understanding of rights and responsibilities for both clients and providers within the healthcare setting, and will map PLHIV with greatest need, stabilized PLHIV, and ID Poor, and further support the identification of poor households eligible to receive financial and social support to better access government health services. With continued funding reductions to HIV programs, KHANA will explore ways to integrate the Health Equity Fund (not currently funded at a level that can provide for the chronic care needs of PLHIV), with the parallel HIV system, into the streamlined CBPCS[2]model.

 

Selected Indicators:

·        % of entertainment workers (EW) reported maintaining correct and consistent condom use

with clients in the past 3 months

·        % of men who have sex with men (MSM) and transgender (TG) reported maintaining correct and consistent condom use with male partners in the past 3 months

·        % of adult PLHIV retained in care and treatment after 12 months on ART

·        % of PLHIV on ART with viral load <1000 copies /ml in the last 12 months

·        % of eligible beneficiaries in KHANA programs that have received ID poor card