Update about NANGAN and HIV Situation
- Introduction :
National NGOs Network Group Against AIDS Nepal (NANGAN), a national umbrella network of NGOs, was registered in 1995 at the District Administrative Office, Kathmandu under registration # 603-052/053 and Social Welfare Council’s affiliated # 16105. NANGAN, an autonomous non-profit network, is governed by 12 Executive member (11 elected and 1 Immediate Past President- non voting member) General Assembly is NANGAN’s supreme body which meets generally once in a year.
NANGAN leads towards its vision for a society without AIDS by mobilizing its member organization. NANGAN mobilizes its nationwide member organization throughout all of Nepal’s 7 Federal States. In order to complement the National Strategy developed by the NCASC/GoN; NANGAN through its own member organizations has been implementing program and projects in various parts of the country. To ensure that NANGAN’s work is more systematic and sustainable, NANGAN has developed its strategic plan. The strategic plan (2019-2023) of NANGAN directs the current HIV/AIDS response and contributes eventually to achieve the overarching goal of Nepal’s National Strategy.
- HIV/AIDS Situation:
Since the first case of AIDS was detected in Nepal in 1988, the epidemic has progressed at a rather alarming rate. Nepal has already progressed from a ‘low prevalence’ country to one with a so-called concentrated epidemic among certain subgroups of the population. The pre dominant mode of transmission is sexual, presumably heterosexuals and injecting drug use. As per the NCASC report of July 15th 2018, a total of 32,747 cases of HIV infections is in Nepal, where 16,428 PLHIV are currently in ARV. This very large difference between reported and ARV enrollment figures may be attributed mainly to the lack of VCT services, stigma and discrimination associated with HIV/AIDS, fear of being exposed, denial and the poor surveillance and reporting system in Nepal.
Compared to other countries in Asia and rest of the world, available epidemiological data suggest that Nepal can be considered a low prevalence country. Studies reveal that there is wide spread high risk behavior among Commercial Sex Workers and their Clients, IDU, youth, migrant population and their families. The HIV prevalence among various high risk groups as of July 15, 2018 Includes; 10.3 % of the infected population is male labor migrant going to India. 5.3 % Sex Workers, 32.9% in Clients of Sex Workers. Similarly, 9.9 % in PWID. 2.1% in MSM and 7.2% for the spouse/partners of Migrants. Likewise 32.0% belongs to the other category including House wives, Male partners, Prison Inmates, Children and not identified sub-groups. HIV prevalence among adult population has been declined from 0.34% in 2005 to 0.15% in 2017.
- National Trends:
The strategic plan considers the demographic and programmatic dynamics of HIV and AIDS in terms of its spread among key affected populations and approach of the interventions over the years. Below are some of the summarized insights to be noted.
• The epidemic is shifting from high risk population groups to low risk population groups through mobile population
• The concentration of the disease is shifting on the young people (especially migrant population)
• Prevailing stigma and discrimination are impending factors for increasing access to available services.
• Inclusive advocacy approach at all levels ( community to policy) is critically important to be able to appreciate the gravity of the problem
• Nepal is experiencing the increased rate of HIV/AIDS in 15-49 age groups.
The current HIV&AIDS situation shows that efforts made in the recent past to address HIV problem is not adequate in Nepal. A focused intervention to some extent was able to combat HIV spread among high risk groups. However, more efforts are needed to safeguard bridge population especially migrants and their family, Injecting Drug Users, transport workers and clients of Commercial Sex Workers.
- NANGAN’s Vision:
A society without AIDS
- NANGAN’s Mission:
NANGAN stands as an effective and vibrant Civil Society Organization for supporting to the national HIV Strategy and committed to:
• Support its members to prevent, HIV treatment and care for infected/affected people and most at risk population including migrants and their families (in Nepal and destination) with values of solidarity, empathy and prospect for rights in the context of multidimensional effects of HIV/AIDS and prevailing adjacent issues like livelihood, inclusion, representation and fair trade as well as SRHR and its comprehensive interventions in relation to HIV infection and risk.
• Support for mainstreaming the HIV issues into development sectors in coordinating with the government line agencies, external development partners, donors focusing to the Public Private Partnership model
• Sharing of information and capacity building of member organizations for knowledge management of all through an effective communications
• Ensure service access of all risk population through gap analysis, policy advocacy, and coordination
• Ensure quality services through need based plan , effective monitoring and support for the Sustainable Development Goals
- NANGAN’s Goal:
Contribute effectively to the reduction of current HIV& AIDS prevalence rate in line with a new vision of ending the AIDS epidemic by 2030 and goals to achieve optimized Identify, Reach, Recommend, and Test, Treat and Retain (IRRTTR) for 90-90-90 and combination prevention by 2020.
- NANGAN’s Objectives:
7.1 Identify gaps and advocate for an effective policy at national/local level in order to ensure the rights of the PLWHA, Risk population including Migrants cross broader issues, SRHR and other vulnerable groups and support for implementing the program for addressing their issues effectively
7.2 Promote social protection and service integration in SRH, TB and Malaria sector and linked with livelihood and capacitate its member organizations through training and establishing effective network in all 7 provinces and support for regularize effective monitoring systems in 77 districts.
7.3 Establish a knowledge resources facility in the HIV/AIDS sector in smoothing and strengthening network, update profile and best practices information sharing and capacity building among member organizations and other stakeholders
7.4 Coordinate, collaborate and cooperate with GO/I/NGOs, civil society and private sectors working for HIV/AIDS, TB and Malaria preventing, control care and support by mainstreaming the development sector in HIV for its sustainable solution
- NANGAN’s Strategies:
NANGAN’s multi-pronged strategic actions:
8.1 As a national network, conduct public advocacy and networking with a range of partners for effective policy and strategic interventions related to HIV/AIDS at various levels by analyzing existing gaps and opportunities as well as mainstreaming HIV into sectoral plans with the support from Government, civil society organizations, development partners, media, academia and private sectors.
8.2 Lobbying for national level policy formulation on HIV & AIDS and service integration in associated diseases (i.e Reproductive Health, Tuberculosis, Hepatitis and Malaria) by creating access to opportunity on resources by using networks recognition and image.
8.3 Building capacity of NANGAN and its member organizations through trainings, exposure visits, technical support and experience sharing at central as well as province and local level through utilizing the experiences of members and resources of partner organizations in creating a sensitive critical base at grassroots level to address the issues relating to HIV/AIDS.
8.4 Establishing a national resource facility for HIV data hub, policy analysis, update profile and good practices, advocacy works and capacity building of the member organizations utilizing the strengthened network of NANGAN with the support of government and development partners.
8.5 Building and strengthening the networks in national and province level through a process of democratic election/nomination by the registered members of NANGAN, and providing membership to eminent organizations and effective monitoring of the HIV&AIDS program coordinating with Province, Districts and Urban/Rural Palikas
8.6 Coordinating with stakeholders through its national and decentralized units to access resources for effective planning and implementation of initiatives against HIV & AIDS and resource sharing for achieving the sustainable development goals.
- Program Areas
9.1 Gap identification at all levels through its member organizations, INGOs, donors and the policy maker on the ongoing programs and document them all for reference and further program formulations
9.2 Advocacy: NANGAN will do two pronged advocacy, one to the policy makers, INGOs, donors and external development partners on the issues raised by implementers and second to the implementers on the issues raised by other stakeholders in order to make the implementation smooth and effective in line with the National Strategy 2016-2021 in relation to HIV and AIDs and stigma discrimination.
9.3 Capacity Building: This is one among the most prioritized program as NANGAN has a realization that there are many organizations who have not been able to join our drive of “A society without AIDs” because of their ability to access the information and also build on that. So NANGAN would divide in three parts:
- Build the capacity of the NGOs and the CBOs who are yet not into the mainstream
- Link them to the resources available locally and nationally based on their capacity
- Develop a sustainable network owned and managed by local member organizations
9.4 A National Resource Facility: NANGAN already has a Resource Center and aims to expand it as a KNOWLEDGE SHARING Center where all the members can get the required information. A regular system of information dissemination is already established through its Secretariat. This will also have data base of all of its member organizations based on its work in different Province and districts for reference.