Nepal’s first HIV case was detected in 1988. The country has a concentrated HIV epidemic with the highest adult HIV prevalence among countries in South Asia. The existing National HIV and AIDS Strategy identifies people who inject drugs, female sex workers and their clients, migrant workers and their spouses, and men who have sex with other men as key at-risk populations. The 2011 national HIV estimates released by the National Center for AIDS and STD Control projected 50,287 adults and children in Nepal as infected with HIV, with an estimated overall adult HIV prevalence (15-49 years) of 0.3 percent.
In 2013, USAID/Nepal is commemorating 20 years of continued support and partnership to the Government of Nepal’s (GoN) national HIV response. USAID’s contributions have resulted in the development of epidemic-tailored programs for Nepal’s key population groups and people living with HIV and their families. USAID’s efforts have improved access to services designed to prevent and manage sexually transmitted infections. At the same time, USAID’s programs have led to improved HIV-related prevention, care, support, and treatment services in Nepal, supporting the Millennium Development Goal 6: Combat HIV/AIDS, malaria and other diseases.
The $27.5 million Saath-Saath Project builds on the successes and lessons of the highly successful Advancing Surveillance, Policies, Prevention, Care and Support to Fight HIV/AIDS (ASHA) Project – USAID’s previous activity to combat HIV and AIDS in Nepal. The primary goal of Saath-Saath is to reduce the transmission and impact of HIV/AIDS and improve reproductive health among selected key populations.
The program is guided by four key principles: strengthening host-country and local ownership; increasing effectiveness; institutionalizing coordination and collaboration; and building local capacity.
Saath-Saath will deliver results in five outcome areas:
- Decrease HIV prevalence among selected key populations, primarily female sex workers.
- Improve reproductive health among key populations, especially labor migrants.
- Increase GON and civil society capacity to plan, collect and use strategic information in order to increase evidence based programming and ensure optimal impact of collective efforts.
- Increase the quality and use of HIV services, such as home-based care and the clinical management of people living with HIV and AIDS.
- Strengthen coordination among all HIV/AIDS partners to ensure streamlined and high-impact efforts across all key populations.
By 2016, Saath-Saath will achieve the following results:
- Reduce new HIV infections among female sex workers.
- Reach 43,000 female sex workers through targeted HIV prevention services.
- Increase family planning use among migrant couples to 35% in four migrant-focused districts.
- Reach 150,000 migrants and their spouses through targeted HIV prevention services.
- Fully integrated family planning services into HIV services for key population. Treat 19,000 key populations for sexually transmitted infections.
- Provide testing and counseling services to 100,000 people in key population groups.
- Provide care and support services to 10,000 people living with HIV/AIDS.
Last updated: December 04, 2013