Related links:
Program Approach
Sex Worker Model
The "ADARA" model was first developed and introduced to the Central Asia region under the USAID Drug Demand Reduction Program where it was established as a regional best practice. Adara is an intervention targeting sex workers (SWs) with traditional outreach activities, but adds a special focus on opiate injection using SWs and drug users who sell sex. Adaraprevents initiating injecting drug use among SWs, decreases risk behaviours among SWs, and increases SW use of health and social services. Adarafills an important gap in HIV prevention programming as rarely do IDU prevention programs target women or SW prevention programs focus on drug use prevention activities.
Under the USAID Dialogue on HIV and TB Project, the project offers a Targeted Outreach Package of Services (TOPS) to SWs based on their individual needs. TOPS is a comprehensive, multiple contact approach which provides detailed health information, commodities, health service referrals with escort when needed, as well as follow-up to testing services in the event that added social support is needed.
Outreach Services
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COMPONENT:
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MINI-SESSION
10-20 minute informational sessions
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IEC MATERIAL DISTRIBUTION
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N/S DISTRIBUTION
Supplies donated by GFATM and other donors
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CONDOM DISTRIBUTION
Supplies donated by GFATM and other donors
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VCT REFERRAL
If client has not been tested in previous 12 months
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TB REFERRAL
If client is displaying symptoms or has not been tested in previous 12 months
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DRUG TREATMENT REFERRAL
If client has expressed desire to receive services or to learn more
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OTHER SERVICE REFERRALS
Including STI/Hep C testing, family planning services, etc.
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TRAINING SESSIONS
Series of trainings including following knowledge topics: HIV/AIDS (VCT, condom use), STI, alcohol and drug use
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CASE MANAGEMENT
Focus is put on adherence support for TB and/or ARV treatment, drug treatment
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EDUTAINMENT EVENTS
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Training and materials used to target SWs under the project may be found in the "Training and Materials" section of the website.
USAID DIALOGUE ON HIV AND TB PROJECT | 2009 – 2014
USAID Dialogue on HIV and TB Project is one of the many assistance projects supported by the American people through the United States Agency for International Development (USAID). Since 1992, the American people through USAID have provided more than $1.5 billion in programs that support democratic institutions, health care system, education system and economic growth in the Central Asian countries.
This website is made possible by the support of the American people through USAID. The contents are the sole responsibility of PSI and do not necessarily reflect the views of USAID or the United States Government.