Consilierea Pre Si Post Test Hiv Mic1

CONSILIEREA
pre- ºi post-test HIV
MINISTERUL
SÃNÃTÃÞII
PUBLICE
CONSILIEREA
pre- ºi post-test HIV
MINISTERUL
SÃNÃTÃÞII
PUBLICE
2006
Autor:
Liana Velica
Colaboratori:
Galina Muºat, Mihaela Blejan, Costin Militaru
Copyright: © [2006] ARAS Asociaþia Românã Anti-SIDA
Acest material a fost realizat de ARAS Asociaþia Românã Anti-SIDA, în cadrul proiectului „Iniþiativa
pentru Sãnãtatea Reproducerii în România“, cu sprijinul tehnic al JSI Research & Training Institute,
Inc. - Reprezentanþa România.
Documentul poate fi reprodus parþial ºi/sau adaptat cu condiþia ca: textul reprodus sau adaptat sã
fie trimis la ARAS – Asociaþia Românã Anti-SIDA; sã se obþinã acordul scris din partea ARAS –
Asociaþia Românã Anti-SIDA; sã se menþioneze sursa. Vã rugãm sã trimiteþi copii ale tuturor
materialelor realizate dupã acest manual la:
ARAS – Asociaþia Românã Anti-SIDA

Bd. Gãrii Obor nr. 23, et. 2, ap. 8, sect. 2
Bucureºti, România
www.arasnet.ro; email : aras@arasnet.ro
ºi
JSI Research & Training Institute, Inc.
44 Farnsworth Street
Boston, MA 02210-1211, U.S.A.
Realizarea acestei publicaþii a fost posibilã datoritã generosului suport din partea poporului
american prin Agenþia Statelor Unite pentru Dezvoltare Internaþionalã (USAID), în cadrul acordului
de cooperare 186-A-00-01-00103-00. Opiniile exprimate aparþin autorilor ºi nu reflectã neapãrat
punctele de vedere ale USAID sau ale Guvernului Statelor Unite.
Corecturã ºi redactare: Gabriela Ciubuc
Ilustraþii: Mihai Georgescu
Editura: Speed Promotion, Bucureºti
ISBN: 10: 973-8942-03-9

ISBN: 13: 978-973-8942-03-5
MINISTERUL
SÃNÃTÃÞII
PUBLICE
Descrierea CIP a Bibliotecii Naþionale a României

Consilierea pre- ºi post-test HIV - Asociaþia Românã Anti-SIDA -
ARAS. - Bucureºti: Speed Promotion, 2006
Bibliogr.
ISBN: 10: 973-8942-03-9; ISBN: 13: 978-973-8942-03-5
I. Asociaþia Românã Anti-SIDA (Bucureºti)
159.9:578.828 HIV
ARAS – Asocia]ia Român\ Anti-SIDA
ARAS este o organizaþie neguvernamentalã care îºi propune informarea ºi educarea tuturor categoriilor
de populaþie asupra pericolului reprezentat de infecþia cu HIV, cu accent pe protejarea drepturilor omului.
A fost înfiinþatã în Bucureºti, în aprilie 1992, de cãtre un grup de tineri voluntari, în special studenþi, care
considerau cã domeniul prevenirii HIV/SIDA beneficiazã, în România, de o atenþie insuficientã. ARAS a
dezvoltat o reþea de 10 filiale: Bucureºti, Arad, Bacãu, Braºov, Constanþa, Craiova, Cluj-Napoca, Iaºi,
Piatra-Neamþ, Timiºoara ºi a devenit membrã sau iniþiatoare a numeroase parteneriate cu reþele naþionale
ºi internaþionale. Între programele sale principale se numãrã:
Prevenirea HIV/SIDA:
• Cursuri de instruire: educaþie pentru prevenirea HIV, consiliere înainte ºi dupã efectuarea testului HIV,
destinate personalului specializat (medici, asistenþi sociali, asistenþi medicali, profesori, educatori),
educatorilor din rândul membrilor grupurilor-þintã, echipei ARAS
• Activitãþi de schimbare a comportamentului prin comunicare (educaþie pentru prevenirea HIV,
campanii publice):
– Educaþie pentru elevi din ºcoli ºi licee, copii ºi adolescenþi care trãiesc în centre de plasament sau
centre de zi, prin metode inovative de informare/educare, bazate pe mijloace artistice: educaþie prin
teatru, concerte, campanii mediatice, site web de informare, Proiectul Numelor, Ziua Mondialã a
Lumânãrilor Aprinse
– Elaborarea de materiale de informare/educare pentru diferite grupuri-þintã
• SIDA HelpLine - informare ºi consiliere prin telefon cu privire la SIDA ºi ITS (apel gratuit din orice localitate
a þãrii)
• Activitãþi de outreach destinate grupurilor vulnerabile ºi greu de abordat: persoane care practicã
prostituþia, persoane fãrã adãpost, rromi din comunitãþile sãrace, utilizatori de droguri injectabile, copii
ºi adolescenþi instituþionalizaþi, persoane cu deficienþe de auz
• Centre de consiliere ºi diagnostic HIV deschise in parteneriat cu Direcþiile de Sãnãtate Publicã din trei
judeþe
Serviciile de asistenþã socialã:

• Asistenþã socialã ºi psihologicã pentru persoanele afectate de HIV/SIDA ºi familiile acestora (ºi sprijin
material)
• Grupuri de autosuport pentru persoanele afectate de HIV/SIDA
• Sensibilizarea comunitãþii cu privire la drepturile ºi nevoile speciale ale persoanelor cu hIV/SIDA,
pentru a crea astfel un mediu protector ºi a facilita integrarea
• Centre de zi pentru copii infectaþi cu HIV
• Cabinet stomatologic, finanþat din surse proprii, deschis publicului (inclusiv persoanelor cu HIV/SIDA),
model de bunã practicã în prevenirea HIV/SIDA, prin aplicarea precauþiilor universale
Advocacy pentru:
• Drepturile omului (acces la servicii medicale, educaþie, asistenþã socialã fãrã discriminare, în special
pentru grupurile vulnerabile)
• O reacþie corespunzãtoare a societãþii româneºti faþã de problema SIDA (strategia naþionalã SIDA, cu
implementare la nivel naþional ºi local, coordonare).
JSI Research & Training Institute Inc (JSI) [i
Ini]iativa pentru S\n\tatea Familiei în România (ISFR)
JSI Research & Training Institute, Inc. (JSI) este o organizaþie internaþionalã cu sediul la Boston, SUA,
având peste 60 birouri regionale în toatã lumea. Misiunea JSI este îmbunãtãþirea calitãþii serviciilor
medicale în lume ºi facilitarea accesului populaþiei la acestea. Incepând din anul 1978, JSI a oferit
asistenþã tehnicã în 84 þãri pentru rezolvarea unor probleme presante de sãnãtate, implementând peste
300 proiecte în valoare de peste 324 milioane de dolari SUA. Acest lucru a fost posibil prin identificarea ºi
aplicarea unor soluþii inovative ºi prin oferirea asistenþei tehnice necesare pentru dezvoltarea capacitãþii
organizaþiilor guvernamentale ºi non-guvernamentale din diverse þãri.
Principiile ºi valorile JSI sunt:

• Facilitarea parteneriatului guvernamental - neguvernamental
• Coordonare între diverºi donatori ºi instituþiile româneºti
• Asigurarea viabilitãþii programelor prin întãrirea structurilor publice
• Dezvoltarea capacitãþii organizaþiilor non-guvernamentale pentru a rãspunde nevoilor societãþii.
JSI este prezent în România din anul 2000. La 4 noiembrie 2001 a fost semnatã Convenþia de Parteneriat
prin care JSI Research & Training Institute, Inc. (JSI), în parteneriat cu Ministerul Sãnãtãþii (MS) ºi
Guvernul SUA prin Agenþia Statelor Unite pentru Dezvoltare Internaþionalã (USAID), implementeazã
în perioada 2001 – 2006 “Iniþiativa pentru Sãnãtatea Familiei în România” (ISFR).
Obiectivele generale ale ISFR sunt creºterea accesului la serviciile de sãnãtatea reproducerii de calitate,
orientate cãtre client; crearea unui cadru legislativ ºi normativ adecvat; mobilizarea resurselor cãtre
asistenþa medicalã primarã; creºterea gradului de informare al populaþiei ºi implicarea comunitãþii în
rezolvarea problemelor ce privesc sãnãtatea reproducerii.
Principalele abordãri ale „Iniþiativei pentru sãnãtatea familiei în România” sunt:

§ Integrarea serviciilor de sãnãtatea reproducerii la nivelul asistenþei medicale primare (planificare
familialã, asistenþã pre ºi postnatalã, depistarea precoce a cancerului de col uterin ºi sân, prevenirea
infecþiilor cu transmitere sexualã, inclusiv HIV/SIDA ºi combaterea fenomenului de violenþã
domesticã);
§ Dezvoltarea unui sistem integrat, eficient ºi durabil de furnizare a serviciilor de sãnãtatea reproducerii;
§ Promovarea utilizãrii serviciilor de sãnãtatea reproducerii.
Cele mai importante rezultate anticipate ca urmare a implementãrii acestui program sunt:
§ Creºterea numãrului de unitãþi sanitare din asistenþa medicalã primarã care furnizeazã servicii de bazã
în sãnãtatea reproducerii, precum ºi a gradului lor de utilizare;
§ Creºterea gradului de informare al populaþiei cu privire la serviciile de planificare familialã, prevenirea
ºi depistarea precoce a cancerului de col uterin ºi de sân, precum ºi metodele de prevenire a infecþiilor
cu transmitere sexualã, inclusiv HIV;
§ Creºterea utilizãrii metodelor moderne de contracepþie în rândul populaþiei de vârstã reproductivã din
România;
§ Reducerea mortalitãþii materne, a mortalitãþii infantile ºi a numãrului de avorturi.

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CONSILIEREA

pre- ºi post-test HIV

Copyright: © [2006] ARAS Asociaþia Românã Anti-SIDA

ARAS – Asociaþia Românã Anti-SIDA

Corecturã ºi redactare: Gabriela Ciubuc

Ilustraþii: Mihai Georgescu

Editura: Speed Promotion, Bucureºti

ISBN: 10: 973-8942-03-9

Descrierea CIP a Bibliotecii Naþionale a României

I. Asociaþia Românã Anti-SIDA (Bucureºti)

Serviciile de asistenþã socialã:

Principiile ºi valorile JSI sunt:

Principalele abordãri ale „Iniþiativei pentru sãnãtatea familiei în România” sunt:

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