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 Title of the project:
In support with : The Global Fund/Save the Children Supported Project
Duration: May 15, 2009 to till date

NANGAN has secured an TGF Round 7/ Save the Children supported project in order to strengthen its core secretariat thus enabling NANGAN to better service its member organizations.

Goals and Objectives of this project are as follows:
Objective: Build the capacity of the Government of Nepal and civil society to manage and implement HIV/AIDS activities
SDA: Strengthening civil society and institutional capacity building
Activity 1. Network Sensitization Workshop in Regional level
OBJECTIVES:
To build capacity of the leadership at the regional level in terms of effective networking through a networking sensitization workshop
Activity 2. Held NANGAN General Assembly
OBJECTIVES:
1.1 Share annual progress and pass the program and budget for next year
1.2 Formation of new executive board.
1.3 Endorsement of amendment constitution by the General
Activity 3. Publication of NANGAN SANDESH
OBJECTIVES
To advocate to the policy makers about the HIV& AIDS related burning issues and exchange information to the member organizations through the regular magazine
Activity 4. Monthly Sharing
OBJECTIVES
To Share and interact in various Health and HIV&AIDS related topics among the members and stakeholders
Activity 5. Sharing meeting at regional level
OBJECTIVES
Build capacities of the regional network members in addressing various issues related to HIV/AIDS through sharing
Activity 6. Resource Center Development
OBJECTIVES
To provide resource facility of relevant HIV & AIDS materials to member organizations and stakeholders
OBJECTIVES:
2.1. To build capacity of the leadership at the regional level in terms of effective networking through a networking capacity building workshop
2.2. To hold a minimum of 1 annual enabling /coordination meetings at the national levels for issues identification and advocacy of these issues

Title of the project: Creating PLHAs Friendly Hospital
(Improving the Hospital Environment for HIV-Positive Clients in Nepalese Regional Hospitals
In support with: World Bank/South Asia Regional Development Market Place)
Duration: July 2009 to December 2010
Project Completion Report - Executive Summary
Background:
National NGOs Network Group Against AIDS-Nepal (NANGAN) piloted its innovative ideas about"Creating PLHA Friendly Hospital Project" in 3 Hospitals i.e, Sukraj Infectious Diseases Hospital –Kathmandu in Central Level, Western Regional Level Hospital, Pokhara- in Regional Level and Bheri Zonal Hospital, Nepalgunj-in Zonal level from July 1, 2008 to December 2009 with the award from South Asia Regional Market Place (SARDM/World Bank). The project adopted the Safe and Friendly Health Facility model previously succeed in Vietnam.
Project Aim:
Improving the hospital environment for HIV positive clients in Nepalese regional Hospitals
Objectives:
1. To enable the Nepalese' government Health care system to provide quality care that is compassionate, confidential and non – discriminatory for PLHAs.
2. To address PLHA rights, including the rights to safe and quality hospital services, free from stigma and discrimination and the right to be treated with dignity, compassion and respect without discrimination from the regional to district hospitals to Out Patient Department levels.
3. To address the rights and needs of service providers to be safe from infection by training all staff to practice HIV Infection Prevention precautions throughout the government health system.
4. To ensure that hospital staff and workers have access to post exposure prophylaxis (PEP).
5. To reduce the HIV rate of transmission and other blood borne infection at government health care facilities.
6. To improve the quality of PLHA’s clinical services through a regular structured program of quality improvement activities.
Project milestones:
Baseline Attitude Survey, Development of IEC materials, Development of Training Package, Safe and Friendly Health Facility TOT for Service Providers, Regional and National level Workshop and Red Ribbon Award
Accomplishments Step-wise:
1. Secure collaboration with the Ministry of Health and Population (MOHP) 2.Formation of Working Task Team (WTT) 3.Baseline Attitude Survey 4.Formation of the Clients Satisfaction Committee 5. Develop Clients Satisfaction Survey 6. Conduct TOT on Safe and Friendly Health Facility 7.Training/Orientation for Service Providers 8. Develop stigma and discrimination related IEC materials 9. Develop PLHAs Friendly Hospital Checklists 10. Conduct Regional meetings 11. National Dissemination Workshop 12. M&E Visit program 13. End line Survey 14. Formation of the PLHAs Friendly Hospital Support Committee
Major findings:
1. From the service provider's attitude aspects: Awareness on HIV/AIDS is reached to universal (from 99% in baseline to 100% in end-line). Misconceptions (i.e, a person can get infected by HIV from mosquito bites) about HIV transmission are substantially reduced (13% in baseline to 3.5% in end-line. Comprehensive knowledge about HIV and AIDS (as per 5 UNGUESS Indicators) has increased from 59.2 in baseline to 78.9% in end-line survey.
2. From the clients satisfaction aspects: Results of Clients Satisfaction Survey from 1st to the 3rd survey reveals the satisfaction degree as; a. Feeling comfort to the waiting time for getting Hospital service from 70% to 92% b. Good behavior of Service Providers from 90% to 97% and c. Use of gloves while treating you from 59% to 80% and so on.
3. From the government and policy makers aspects; the friendly hospitals are more effective than the others because of the relation between the training and the Stigma and Discrimination, the definition and checklists of the PLHAs Friendly Hospital can be taken as a government policy upon the wider discussion; Safe and Friendly Health Facility TOT package can be scaled-up widely to the other service providers; Teku Hospital can be developed as a role model Hospital for leading in the national and international arena; The scaling up of the program can be done through the Public Private Partnership i.e, Precaution, Solid Waste Management, Education and IEC for blood safety The piloting is the good initiative and it should go into the implementation and translated into the policy level for wider application
Recommendations:
Based on the findings and suggestions from the above, NANGAN would like to recommend the future actions for ensuring the safe and friendly health facility as below:
1. Raise awareness about HIV &AIDS and the appropriate ways for prevention, treatment, care and support in general and develop capacity of the service providers for better response
2. Replicate the Safe and Friendly Health Facility training model in the other health care institutions as necessary
3. Expand institutional facilities for providing quality service and compassion for PLHAs for reducing stigma and discrimination
4. Expand hospital facilities and supplies and establish safety measures and facilities for ensuring staff safety
5. Extend piloting up to the district hospital for knowing the situation that are not aroused in the central and zonal hospital
6. Replicate learning to the other regional, zonal and central level hospitals
7. Share learning to the private hospitals and seek their opinion
8. Work-out and explore ways for Sukraraj Teku Hospital for developing the region and national level role model hospital