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Report_for_Meetings_with_All_key_stakeholders_in_Rakhine_State_for_ARV_ revised

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					     Report on Meetings with All key stakeholders in Rakhine State for ARV

Reported to          -       UNDP (HIV Program)
Reported by          -       Than Htoon (Area Focal Person-MPG)
Reporting Date       -       27 August, 2012

Objectives

   (1) To study and reduce worry among PLHIV for ARV treatment because of closing MSF’s
       clinic related to riots caused in Rakhine
   (2) To advocate to all key stakeholders to smooth problems away for their treatment
   (3) To advocate to all key stakeholders to form a referral system for PLHIV who are getting
       treatment from MSF’s clinic
   (4) To study worry among communities related to riots caused in Rakhine

Background
       In July 2012, there was a riot in Rakhine State. That event caused many negative
consequences to community. As one of the effects, MSF (Holland) closed their Clinics for
temporary. Those clinics are only source of ART. So, all patients who were getting treatment from
MSF’s clinics were worrying for their treatment. They were facing with many fears for their drugs,
laboratory tests, and referrals. So, Utopia SHG connected to MPG and MSF (National Coordination
Team) via Area Focal Person of MPG to distribute ARV drugs for patients who were getting
treatment from MSF’s clinics. Utopia SHG collected patient record booklets and sent to Yangon.
And then, MPG took ARV drugs from MSF with patient record booklets and sent to Sittwe. But, not
only Members of Utopia SHG but also most patients were worried for the consequences of treatment
and continuum of care. So, the area focal person of MPG did an assessment among PLHIV and
conducted advocacy meetings with all key stakeholders such as Political Parties, NAP, DoH, General
Hospital and some CBOs in Rakhine to form a good referral system for PLHIV.

Key Findings
       (1) All patients who were getting treatment from MSF’s clinics are still worrying about their
           treatment, when the clinics will be reopened, how they get laboratory tests such as CD4,
           SGPT.
       (2) Among (333) patients from Sittwe Thazin Clinic (MSF), Utopia SHG helped (310)
           patients for ARV drugs, (4) patients are referred to Yangon Clinics. But, 20 patients were
           not contacted by Utopia SHG for ARV. 3 patients are stopping Treatment because they
           can’t take drugs more than two weeks. So, they will not restart with their original
           regimen. Some patients must consult with Physicians because they feel side effects of
           their regimen.
       (3) Most patients need psychosocial support such as counselling, ART counselling. Some
           especially women and children feel fears related to riots.
       (4) Most patients who are not taking ARV drugs are worried for regular laboratory tests,
           ARV drugs, and when the clinics will open.
       (5) Most members from Utopia SHG are demoralized because they are serving long time as
           volunteers and they didn’t get any supporting from any organization. They are delivering
           ARV at a small place behind a teashop. This place is not good for confidentiality but they
           have no other place. And then, this place is not good for weather condition especially
           when it gets rain because its roof is damaged.
Situation Analysis Report for Rakhine                                                        Page 1
Achievements

      1. The area Focal Person can advocate to Political Parties such as RNDP, USDP and
         Monasteries such as Shwe Zedi Monk for the difficulties of ARV getting patients. They
         discuss to open a clinic for them organized by Local community and collaborated with
         INGOs, LNGOs.
      2. The area Focal Person can advocate and negotiate with Physician from Sittwe General
         Hospital to consult some patients from Thazin Clinic who are feeling side effects of their
         regimen. So, the physician gives two hours per day and three days per week to treat side
         effects and provide OI treatment for the patients who are getting treatment from Thazin
         Clinics.
      3. The area Focal Person can discuss with MSF’s Emergency Team and Project Coordinator
         how to go on with Utopia SHG and what to do next plan.

Threats

      1. The area Focal Person wants to meet with many patients but the Government ordered
         Curfew or Martial Law in this region.
      2. Some patients do not want to meet with the area Focal Person because they are worried
         for Stigma and confidentiality.
      3. The area Focal Person should meet with patients from NRS (Buthidaung, Maungdaw),
         but he could not meet with them because of many constraints such as security, funding
         and so on.

Recommendations

      1. MPG needs to advocate MSF to open the clinic as soon as possible and also we should
         advocate to Authorities, NAP, DoH and Political Parties to solve treatment problems for
         PLHIV together.
      2. MPG needs to advocate to donors and organizations to support to local CBO (Utopia
         SHG) in terms of technical and financial to deliver drugs and to give psychosocial support
         systematically.
      3. MPG needs to advocate to NAP, DoH (central level) to take care of the barriers of PLHIV
         in Rakhine for their treatment such as drugs, laboratory tests and continuum of care.
      4. It needs to do an assessment of the impact of the crisis on access of ART for PLHIV who
         were getting treatment from MSF’s clinics not only from Sittwe (ERS) but also from
         Buthidaung and Maungdaw (NRS).


Reported by




Than Htoon
Area Focal Person
Myanmar Positive Group
Situation Analysis Report for Rakhine                                                       Page 2
(National PLHIV Network)




Situation Analysis Report for Rakhine   Page 3

				
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