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the views or policies of the Asian Development Bank (ADB), or its Board of Governors, or the governments they represent. ADB does not guarantee the accuracy of the data included in this paper and accepts no responsibility for any consequence of their use. Terminology used may not necessarily be consistent with ADB official terms.

Gaps in capacities for service delivery
• Project Working Teams representing different sectors, therefore limited capacity and experience in: - Basic HIV/STI knowledge, - Behaviour Change Communication, - Research qualitative (baseline assessment) - Working with men who have sex with men - Working with private sector on health issues • Services: - Condoms - STI treatment services only in the hospital but low utlisiation. None at the casino (but a Chinese speaking clinic)

Activities undertaken
PWT level: • Provision of training on HIV/STI, BCC, data collection and analysis • Technical theory followed by supported practical application in the field and review • Initial baseline assessment, analysis and subsequent development of activity plans • Implementation led by PWTs in collaboration with Burnet technical team– practical ‘’on the job’’ training • Introduction on - men who have sex with men • Training on working with the private sector by TBCA. • PCCAs & Burnet staff approach the company management • All the PWT members have opportunities to be involved in the implementation

Activities undertaken
Community level: • Village volunteers have very limited formal education Required sessions on basic HIV/STI knowledge Supported with Peer Education strategies (tested in Laos) Monthly meetings with the PWTs are designed to assist these volunteers in dealing with the questions from their friends. Refresher training • Private sector peer educators have limited time Outreach activities are being supported by PWT as well as peer educators

Activities undertaken
Services (limited access to condoms & lack STI treatment at the company sites): • Training on STI treatment provided to health staff and from a mobile team to the project sites (casino and coal mine). • Mobile STI treatment and condom revolving funds are planned by the PCCA in these areas. • Need further discussions on how to improve access to condoms and STI treatment for village youth.

Post-training monitoring
• PWTs engaged in the initial qualitative baseline assessment • The quantitative baseline assessment was designed to be conducted by the peer educators/PWTs with Technical Assistance from ADB personnel. • Monthly and quarterly meetings of the PWTs serve as ongoing planning and monitoring of activities. • Monthly PE meetings to identify challenges and provide Q&A sessions. • The Mid-Term Assessment (March) workshop gave the PWT’s the opportunity to review their implementation and discussed possible improvements.

Enablers
• CHAS as National Coordinator is briefed and facilitates the coordination of project activities • Provincial authorities – Very supportive Provincial Health Services • PWTs established with support of PCCA identification of provincial/district stakeholders. • PWT passionate about their work and very committed. • Provincial/district PWTs lead role in the implementation

Constraints
External factors: • Capacity building is a long term process and project time lines are insufficient

Internal factors: • PWTs chose to increase members to provide opportunities for more people to develop skills and access project this requires rotation of team members and limits continuity • Limited availability and access to PEs in the private sector

Sustainability
• Skills developed during implementation of responses but limited time allocated in a 2 year timeline for the team to “practice” • Capacity will be there at all levels however funding is a problem Suggestion for improvement from the PWTs • District/provincial PWTs to take ownership in planning and implementing the activities

Thank

you