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STD Strategy
Health Care Component of the TAI program

TAI evolved the strategies for the STD program in consultation with a group of experts in the field of STI / HIV / AIDS from both private and government sectors of the state. The Avahan-supported capacity building agency, FHI / WHO
renders its expertise from time to time to strengthen the strategy and give feedbacks. A multi-pronged approach was adopted by TAI to implement the STD program. It includes providing services through program-owned clinics, provider referral clinics and static expanded clinics. While TAI set up clinics initially with the objective of providing quality STI treatment, this has now evolved to include a hub of services for more comprehensive health care keeping the needs of the community in mind.
The health care program of TAI includes:

  increasing the accessibility of the community to the clinic services,

  early detection, diagnosis and treatment of STIs

  rendering quality STI care in a confidential, non-stigmatized, environment

  motivating the community to undergo HIV screening

  linking up with referral networks for ICTC, pre-ART testing, ART services, community
   care centers, RNTCP including DOTS and psychiatric services including de-addiction

Strong outreach work formed the basis for driving the community to access the services. The clinics were given a brand identity as “TAI” and “SESA” clinics. The TAI clinic is exclusively for women, and the SESA clinic is for male sex workers and combined clinics provide services for male and female sex workers. The clinic staff is adequately trained, both at the central level and also through on-the-job training. The training includes areas such as developing the right attitude and communication skills, to disease management, treatment and counseling. TAI places on record its appreciation for the commitment of the doctors and nurses who are involved in creating a model health care delivery system for the marginalized community.

Ensuring non-stigmatized environment

The training of doctors to provide services for a marginalized community, involves not just technical expertise but also the right attitude. Therefore, TAI concentrated on enabling the doctors to adopt an empathetic approach through:

  Attitude and personality development training

  Sharing of testimonials from the community

  Participating in social events of sex workers

  Monitoring and feedback by the community

This has resulted in a high level of commitment and dedication from doctors and the clinic staff in serving the marginalized groups.