The proposal is to develop a program to help prevent the development of HIV/AIDS in the community. This social health program would not only involve the functioning of the healthcare sector but also mental health services, the government, religious organizations, private bodies, family welfare organizations, etc. The main aim of the program is to help prevent the development of HIV/AIDS in the population belonging to the local community. As there is no treatment currently available to help treat the disease, and no vaccine manufactured, it is even the more difficult to control the spread of the disease.
Steps that should be performed to help prevent the disease include: – 1. Educating and creating awareness in the community about the disease 2. Having counseling services 3. Including HIV testing 4. Having mandatory testing for certain groups such as pregnant and breastfeeding women and healthcare workers 5. Providing condoms to help prevent the spread of the disease (safe sex) 6. Advanced help during the pregnancy period for women 7. Introduction of pre-test and post-test counseling 8. Introduction of screening services in blood banks 9. Educating the local barbers and government workers
HIV infection is a viral infection that is caused by the human immunodeficiency virus. The HIV virus can cause AIDS, which is a serious form of HIV infection. The HIV virus attacks the immune system of the body resulting in the development of infections and various malignancies in the body. The HIV virus tends to attack the CD4 cells present in the body thus making the body finding it difficult to handle infections. Acquired immunodeficiency syndrome is a serious form of HIV infection, and is considered to be the terminal stage. A drop in the CD4 count below 200 characterizes it.
The infection was first discovered in the year 1981 in homosexual men in the US. These individuals developed a viral infection and later developed rare forms of cancer. The time interval between the development of infection and the development of AIDS took a long time. During the 1980’s, about 150, 000 individuals got infected with the virus each year. Following in the early 1990’s, due to the increased awareness, the number of new cases fell to about 40, 000 a year. However, as more and more people are getting infected with the disease, the number of cases is increasingly significantly.
From the year 1996 onwards, the use of Zidouvidine significantly helped to control the symptoms of HIV/AIDS and prevent the development of the disease in the newborn (from infected mothers). In the US, about 1 million people are affected with the disease, and about 25 % of this number is not aware that they are infected, as the symptoms remain silent for several years following infection. There are many ways through which HIV/AIDS gets transmitted. Some of the common ways through which the virus include: – ? Exposure to infected body fluids such as anal, vagnial or oral fluids (especially during sexual contact).
? Using infected needles that may harbor the virus (especially amongst IV drug abusers). ? Transmission of the disease from the infected mother to her fetus during the pregnancy period, during birth or during breast-feeding. Besides, the virus can also be transmitted through infected blood. Most of the blood banks throughout the world have developed a policy to handle the HIV infection only after the year 1985 following increased awareness. In many countries of the world, only voluntary blood donation is encouraged and thorough screening is performed.
Following these measures, the transmission of HIV/AIDS through blood transfusion has fallen significantly. However, improper testing has been a problem especially in the developing countries. The main proposal of this program is to develop a community program to help prevent the transmission of HIV/AIDS. The community is based in a rural area and more than 100, 000 people are the residents of this town. The main occupation of the people includes farming and animal husbandry, although some have taken up various other occupations such as retailing, operation of transport system, mining, etc.
The town is located on a major highway of the country and one of the issues concerning has been of truckers frequently using the town as a resting area. This has led to several problems including running of the flesh trade, illegal drug trade, etc. The residents of the town initially had been caught unaware during the early stages of the HIV epidemic. Following the setting-up of a local health center, things have improved to some extent, by the education and the awareness created by the healthcare staff. However, the HIV/AIDS infection is still on the rise and continues to seriously affect the population.
In this paper I would be proposing to set-up a clinic or shall we call it as a house to help prevent the transmission of HIV/AIDS in the local population. The requirement of setting up this clinic is immediate. In the year 1996, about 20 people had been infected with HIV/AIDS. Ten year down the line, about 45 people have been infected with the virus. The public health center offers several facilities such as distribution of condoms, counseling, screening, educational services, etc. But, still the public does not establish the public health center as a place, which could effectively control the spread of the disease.
Hence, a clinic offering specialized and dedicated services in controlling HIV/AIDS and other STD’s is urgently required. However, due to understandable constraints, I propose a two-year period for the clinic to actually become fully functional. The actual timeline for developing this public welfare setup is as follows: – 1. Developing a plan – 3 months from now. 2. Setting up the proposals for the funds – 5 months from now 3. Acquiring about 40 % of the funds in order to initiate construction of the infrastructure – 8 months from now. 4. Complication of the building – 14 months from now.
5. Acquiring about 75 % of the funds – 15 months from now. 6. Acquiring the furniture, equipment, etc – 18 months from now. 7. Completion of the internal furnishing, etc – 21 months now. 8. Acquiring the human resources, support systems, etc – 24 months from now. The high incidence of HIV/AIDS is due to several reasons including: – 1. Poor education of the locals 2. Truckers using the village for sexual purposes. 3. Trafficking of Drugs and usage of them through intravenously utilizing contaminated syringes. 4. Remoteness of the village from specialized medical and counseling facilities.
5. Difficulties of the public health center to handle the HIV/AIDS epidemic. Having a HIV/AIDS specialized center in the town would be beneficial for everybody including: – 1. The government as the health of the people would improve and the spending on managing HIV infected people would reduce. 2. The truckers as the incidence of HIV/AIDS would decrease. 3. The people as they would be getting better healthcare facilities. 4. Sponsors and other interested parties such as MNC’s, NGO’s, etc, as their interests would be promoted through public good will.
Thus, the entire project would seem to be a win-win situation from all the involved parties. The main aims of the program include: – ? To improve the health of the population by providing healthcare and counseling services. ? To reduce the incidence of HIV/AIDS through education and increasing awareness. ? To provide testing and screening facilities. ? To provide counseling facilities. ? To coordinate with the government and other organizations any other program that would promote the interest of controlling the infection in the population.
Some of the services that the center would be offering include: – ? Counseling services ? Referral services ? Consultation services ? Screening services ? Help to the blood banks ? Phone-consultation ? Provision of educational material ? Provision of condoms ? Others services connected with reduction of the HIV infection The budget for the project is huge as it involves acau4ring several resources including: – ? Infrastructure ? Support systems ? Equipment ? Logistics ? Human resources Some of the major sponsors for the project include: –
? The Federal government ? The state government ? Governmental organizations concerned with reduction of HIV/AIDS infection ? MNC’s ? The local community ? Insurance companies ? Health packages ? Paying for the use of several services Most the services provided in the program would be offered free of cost for the general public. However, some of the specialized services would be provided as healthcare packages, or insurance program. The public would also implement introduction of usage fees depending on the ability to pay for the services.
The strategies that would be employed to help reduce the incidence of HIV/AIDS include: – ? Educating the people about safe sex and using infected syringes and needles ? Encouraging the pregnant women for voluntary testing and inclusion of infected women in preventive programs to help reduce the chances of infection in the child. ? Prevent the policy of exchanging sex for drugs or money ? Treating HIV/AIDS through counseling and drug therapy ? Monitoring the quality of blood in the local blood banks ? Screening regularly ? Having counseling services before and after the test irrespective of the results
? Encouragement of talks between the sex partners about HIV/AIDS. ? Educating other people about HIV? AIDS and other STD’s. ? Vaccinating against some of the STD’s such as hepatitis B. ? Abstaining from IV drug usage. ? Encouragement of frequent testing in high-risk groups of the population. ? Avoiding sex following consumption of alcohol or drugs. The funding of the program can be monitored through several means such as: – 1. Having detailed records of how the money was spend on specific resources. 2. Having observers from the government and other stakeholders. 3.
Greater amount of communication between the program staff and the stakeholders. The various professionals required in this program include: – 1. Physicians 2. Nurses 3. Counselors 4. Public health workers 5. Psychiatrists 6. Psychologists 7. Social workers 8. Management professionals 9. Laboratory technicians 10. Epidemiologists 11. Others The employers for the program would be appointed on a contract basis. Depending on the extension of the program, the employed staff members would continue working in the organization. The staff would be appointed on a full-time and a part-time basis.
Some of the staff from the cities would be working in the center for certain period of time. Besides, interns would also be hired. The program would be evaluated frequently through several means including:- 1. The extent to which the program has reduced the incidence of the disease 2. The use of the program material by the general public 3. Popularity of the program with the general public 4. The mortality rate before and after the program initiation due to HIV/AIDS and associated conditions 5. The incidence rates and after the program initiation due to HIV/AIDS and associated conditions
6. Practice of safe sex statistics before and after the implementation of the program 7. Number of positive blood samples detected following testing. 8. Number of positive cases detected in pregnant women and the use of antiviral drugs in these groups to prevent mother-fetal transmission. References: CDC (2007). “A Glance at the HIV/AIDS Epidemic. ” Retrieved on February 7, 2008, from CDC Web site: http://www. cdc. gov/hiv/resources/factsheets/At-A-Glance. htm CDC (2007). “AIDS Community Demonstration Projects: A Successful Community-Level Intervention to Reduce HIV Risk.
” Retrieved on February 7, 2008, from CDC Web site: http://www. cdc. gov/hiv/topics/prev_prog/acdp/index. htm CDC (2007). “Basic Information. ” Retrieved on February 7, 2008, from CDC Web site: http://www. cdc. gov/hiv/topics/basic/index. htm CDC (2007). “Comprehensive Risk Counseling and Services. ” Retrieved on February 7, 2008, from CDC Web site: http://www. cdc. gov/hiv/topics/prev_prog/CRCS/index. htm CDC (2007). “HIV Prevention among Injection Drug Users. ” Retrieved on February 7, 2008, from CDC Web site: http://www. cdc. gov/idu/default. htm