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| CANADA – PAKISTAN - HIV / AIDS Surveillance Project (HASP) |
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HIV/AIDS Surveillance Project (2004-2008)
National AIDS Control Program, Ministry of Health
Government of Pakistan |
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| HASP is a CIDA funded 8 million CAD (US $6.5M), 5 years Project. HASP is a capacity building project that involves working with the National AIDS Control Program (NACP), provincial AIDS Control Programs (PACPs) and other stakeholders including NGOs, Research Institutes and laboratories to develop a sustainable Second Generation Surveillance system for HIV/AIDS. The project has following components: |
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- NACP/PACP Capacity Building
- Research Institution and NGO Capacity Building
- Biological Surveillance and Laboratory Support
- Behavioural Surveillance
- Information Management and Communications
- Project Management
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| Project Goal |
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| “To collect, analyze and disseminate accurate information on the prevalence of key risk behaviours and of HIV in selected vulnerable groups in order to guide the development of prevention and care programmes and policies in Pakistan” |
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| Project Objectives |
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- To conduct geographic mapping of Female Sex Workers (FSWs), Male Sex Workers (MSWs), Hijras and Injecting Drug Users (IDUs) in selected sites.
- To draw a representative sample of FSWs, MSWs, Hijras and IDUs in selected sites for the conduct if Integrated Behavioural and Biological Surveillance.
- To collect socio demographic and behavioural information and Dried Blood Spot specimen from selected samples of FSWs, MSWs, Hijras and IDUs in selected sites.
- To analyze integrated behavioural and bilological data and disseminate it to inform policy and programme development.
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| Implementation Status |
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- HASP completed its pilot study in Karachi and Rawalpindi in 2004.
- First round of surveillance was conducted in 8 cities during September-December 2005. Cities covered in the study were: Karachi, Hyderabad, Sukkur (Sindh), Lahore, Faisalabad, Multan (Punjab), Peshawar (NWFP) & Quetta (Balochistan).
- Second round was conducted during August 2006 – February 2007 in 12 cities. In addition to the 8 cities from first round, 4 cities added this year were: Larkana in Sindh, Sargodha and Gujranwala in Punjab and Bannu in NWFP.
- HASP has entered its fifth and last year of operations, the project would be closing down in November 2008.
- HASP carried out the third round of surveillance during March-June 2008 in 8 cities including: Lahore, Faisalabad, DG Khan and Sargodha in Punjab, Karachi, Hyderabad and Larkana in Sindh and Peshawar in NWFP.
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Structure of HASP Team |
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| Generation or Routine Surveillance System |
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First generation or routine surveillance systems collect and monitor data for disease trends and/or outbreaks so that health personnel can protect a country’s health. These systems largely rely on the passive collection and analysis of data from cases of disease diagnosed by the health care system, usually based on analysis of a biological sample (e.g. blood). In contrast, Second Generation Surveillance (SGS) systems include the active collection of both biological and behavioral data. An effective SGS system: 1) contributes to understanding the dynamics of HIV in the country context (e.g., who is at risk for or vulnerable to HIV infection); 2) provides basic information for focusing and designing interventions proposed within a national strategic plan such as levels and trends in HIV infection; and, 3) provides information for decision makers to help them understand the impact of prevention activities in different populations leading to informed policies and program development. The HIV/AIDS Surveillance Project, HASP (2004-2008) supported the establishment of a second generation HIV/AIDS surveillance system under the National AIDS Control Program’s (NACP’s) capacity building and program management component. The project is implemented by a consortium consisting of Agriteam Canada Consulting Ltd, University of Manitoba and Pro Action: Partners for Community Health, Inc.
Generation Surveillance (SGS) systems include the active collection of both biological and behavioral data. An effective SGS system: 1) contributes to understanding the dynamics of HIV in the country context (e.g., who is at risk for or vulnerable to HIV infection); 2) provides basic information for focusing and designing interventions proposed within a national strategic plan such as levels and trends in HIV infection; and 3) provides information for decision makers to help them understand the impact of prevention activities in different populations leading to informed policies and program development. |
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HIV Second Generation Surveillance in Pakistan - National report Round III 2008 |
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HIV Second Generation Surveillance in Pakistan - National report Round II 2006-07 |
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HIV Second Generation Surveillance in Pakistan - National report Round I 2005 |
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IBBS Field operations and monitoring manual English |
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IBBS Training Of Master Trainers (Trainers Manual) |
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Mapping - A Field Manual (Urdu) |
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Mapping - A Field Manual (English) |
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Project Monitoring Toolkit |