RBHraCaNacRkkmltuacuteCa

Cati sasna RBHmhakSRt

RksYgsuxaPi)al

niyamEbbbTsIthornBIkarGnuvtthornn_ skmμPaBmitthornCYymitthorn sMrabkumarpTHORNuacutek

emeraKeGds_ enAkntildeuacutegRBHraCaNacRkkmltuacuteCa

mCAumlmNETHlCatiRbyuTsectnwgCMgWeGds_ esIEsk nigkameraK

PMntildeeBjgt Ex tula qntildeaM 2009

z

~h ~Wl~~Y YU3ljWUURLHsHnBn~LYLY~tYlru~~ Rfruamp~~ LfJB~ljWaru~ljyenYU11~ Rf-Fllru~l~B BtnlUfJ[Ra1 LYW~~ ru51Yfi1fmB~

~U3ru~Rfruamp~B ruH~U3Brn~~U-dJ~unJ1 $Rr~rumlJll rufiHlJlllR1Y~lBWrufi ~Rm~ o bull (11 lOti Q~ ~ fQ ~ bull Q

~Rrulhmnllru 5nnmRLffiBB~~BHLYrufi51~~B ljWYQBtn rutnJL8ru~fuY1 Q bull 0 ~ ~~ 0 0 Q

h rufiHlJlllR1 Y~YHwurun~~ (rutn~LflmR~B~LY~H )ruWR~ru-~lrllrln1LDru LY~Hl~W-mB~

~~~UJ BLRfif~H~IH1fi~mRlrl 5~~~~~LYLDru~m JlllRLY~~ Yrru~~n pound1JfiH1

~~~~5mn1~lrlruLruRmR ~1f1furu~5ruBtnru55mLHl gm5nnn~RLffi~~tBH[Ral

hLRW~fi pound1JfiHl~~rutnLflj~~

U3~lY~l ljWUUWB~1fLYrufiYUUmRfruamp~B gmru1UlJ5m hYn~n1yru1~B YalYli o P P (Q pO ~ Q Q Q I

-~lrll~~l~~~lHlLHrufi~ mRru1UlJ5mlrl~ lrl~yru51f1~t~1 LRW~llfJ ~~m~Y~ ru~I1R~tElHnllru 5nnnlRLffiBB1BL8ruUlJtBru~ru~YBtn rumJL8ru~fuY1 lOp Q~ 0 bull 0 I Q

t~~dbw

z

~h ~Wl~~Y YU3ljWUURLHsHnBn~LYLY~tYlru~~ Rfruamp~~ LfJB~ljWaru~ljyenYU11~ Rf-Fllru~l~B BtnlUfJ[Ra1 LYW~~ ru51Yfi1fmB~

~U3ru~Rfruamp~B ruH~U3Brn~~U-dJ~unJ1 $Rr~rumlJll rufiHlJlllR1Y~lBWrufi ~Rm~ o bull (11 lOti Q~ ~ fQ ~ bull Q

~Rrulhmnllru 5nnmRLffiBB~~BHLYrufi51~~B ljWYQBtn rutnJL8ru~fuY1 Q bull 0 ~ ~~ 0 0 Q

h rufiHlJlllR1 Y~YHwurun~~ (rutn~LflmR~B~LY~H )ruWR~ru-~lrllrln1LDru LY~Hl~W-mB~

~~~UJ BLRfif~H~IH1fi~mRlrl 5~~~~~LYLDru~m JlllRLY~~ Yrru~~n pound1JfiH1

~~~~5mn1~lrlruLruRmR ~1f1furu~5ruBtnru55mLHl gm5nnn~RLffi~~tBH[Ral

hLRW~fi pound1JfiHl~~rutnLflj~~

U3~lY~l ljWUUWB~1fLYrufiYUUmRfruamp~B gmru1UlJ5m hYn~n1yru1~B YalYli o P P (Q pO ~ Q Q Q I

-~lrll~~l~~~lHlLHrufi~ mRru1UlJ5mlrl~ lrl~yru51f1~t~1 LRW~llfJ ~~m~Y~ ru~I1R~tElHnllru 5nnnlRLffiBB1BL8ruUlJtBru~ru~YBtn rumJL8ru~fuY1 lOp Q~ 0 bull 0 I Q

t~~dbw

HilitHllrn~l~lutIt~Si1~~tHtl~ t~in1Jfi Si1fi1HtdlTI ~Hi~i1Hrrm~llil ihmgltl~

mi1md mms Hi1fi11 UNICEF WHO CHAI FHI MARYKNOLL MAGNA WVC CARE

US-CDC NHCC AHF H~mlgJrym1~1~ H~Hbl9Jui~m3~vmi11m~s Si1H~HblgJrym1

H~1 (t3~tn1jmlU) itlrnmS~rnlH~illilfiUjU~ui1lfii1SmlHiUUUg GJnuH~r~n1fiipilms4

HllilrnH~~mlhi GJnufimH~mHtnritHtl~ 1 B n J n 1 ~

o 01 0 0 0 cl 0 0 craquo I) 1 0 ~ 0 0 ~

lUn1SmITlSfi~3~3lUi1tlUi1 Si1t~~lu~bln1llil1fittl~HrrruS91i1tSgt9 SmlHmUUg

GJnu H~r~HrrJrnH~~mH~ GJnurymnSg Si1HSmuUb1Jumst~m 1

3

bBaIcopyeacutenBakuumlbMRBYj

AIDS Acquired Immunodeficiency Syndrome ART Anti-retroviral Treatment CBO Community-based Organizations CHBC Community and Home Based Care

CoC Continuum of Care

CoCCC Continuum of Care Coordination Committee

CPN+ Cambodian People Living with HIV and AIDS Network

DPN+ District People Living with HIV and AIDS Network

HIV Human Immunodeficiency Virus MCH Maternal amp Child Health Mmm Pediatric Mondul Mith Chuoy Mith (Friends Helping Friends) Support Group MMM Mondul Mith Chuoy Mith (Friends Helping Friends) Support Group

MoH Ministry of Health

NCHADS National Center for HIVAIDS Dermatology and STD

NGO Non-Governmental Organization OD Operational District OI Opportunistic Infection PAO Provincial AIDS Office PHD Provincial Health Department PMTCT Prevention of Mother-to-Child Transmission

SHG Support Health Group SOP Standard Operating Procedure

TB Tuberculosis VCCT Voluntary Confidential Counseling and Testing

4

1gt esckIthornepIthornm lTsectpleacutensikccedilasalaEsVgrkkiccopyRBmeRBog edImIeFIVkar)ansμan nUvkarqoslashgemeraKeGds_ enARbeTskmltuacuteCaeyIg )anbgethajfa GRtaeRbvaLgeacutenkarqoslashgemeraKeGds_ )anfycuHBI 2deg enAqntildeaM 1998 mkRtwm 0gt9deg enAqntildeaM 2006 cMnYnGntildekEdlpTHORNuacutekemeraKeGds_ nigCMgWeGds_ EdlRtUvkar karEfTaM nigBuumla)almankarekIneLIg kar)anRbmaN)anbgethajeGayeXIjfa mnusSeBjvfrac12y cMnYn 67200nak EdlmanGayuBI15-49 manpTHORNuacutekemeraKeGds_ ehIykntildeuacutegenaH GntildekCMgWeGds_ cMnYnRbmaNCag 30000nak RtUvkarBuumla)aledayraquosfRbqaMgemeraKeGds_ RbcaMqntildeaM nigman kumar GayucenoslashaH BI0-14qntildeaM cMnYn 3780nak EdlmanpTHORNuacutekemeraKeGds_ edaysarkarekIneLIgnUvtMrUvkar eacutenkarEfTaMGntildekCMgWeGds_ RksYgsuxaPi)al)an Gnumtfrac12nUv KMeragEfTaM nigBuumla)albnthorn dlGntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ enAEx emsa qntildeaM 2003 karEfTaM nigBuumla)albnthorndlGntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ RtUv)anGnuvtthorn nigBRgIkCalMdab enAtambNthornaextthorn nigraCFanI kntildeuacutegRbeTskmltuacuteCa enAEx mifuna qntildeaM 2009 GntildekCMgWeGds_ cMnYn 34384nak kntildeuacutegenaH mankumarcMnYn 3366nak Edl)anTTYlkarBuumla)aledayraquosfRbqaMg emeraKeGds_ EdlpthornledayesvaEfTaMCMgWeGds_ elIkumar TaMg 29kEnoslashg kiccopyshRbtibtithornkar rvag NCHADS nigkmμviFICatiRbyuTsectnwg CMgWrebg-mCAumlmNETHlCati KaMBarmata nigTark RtUv)anBRgwg nigesvaEfTaMtampTHORNH nigshKmn_ RkumKaMRTdl GntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ nigesvaeFVI etsthornQamrkemeraKeGds_ edaysμRKfrac12citthorn nigrkSakarsMgat (VCCT) RtUv)anBRgwg nigBRgIk eTAdlfntildeakextthorn nigRsukRbtibtithorn TUTaMgRbeTskmltuacuteCa edaysarkarekIneLIgtMrUvkarnUvesvaEfTaMBuumla)al nigKaMRT GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ enAEtCYb]bsKAacutexoslashHsup2kntildeuacutegkarTTYlesvaTaMgenaH CaBiess karKaMRTfvika poslashUacutevcitthorn nigsgAacutem ]bsKAacuteTaMgenH kfrac34)anCYbRbTHpgEdr kntildeuacutegkarpthornlkarEfTaMBuumla)al dlkumarpTHORNuacutekemeraK eGds_ nigCMgWeGds_ skmμPaBenAmNETHlmitthornCYymitthorn sMrabkumarpTHORNuacutekemeraKeGds_ KWRtUv)ankMNtCayuTsectsaRsthorn mYy edImIpthornlraquokas sMrabkumar EdlpTHORNuacutekemeraKeGds_ nigCMgWeGds_ eGayTTYl)ankarEfTaM suxPaB poslashasbthornUacuterbTBiesaFn_ nigKaMRT BIKntildeaeTAvijeTAmk nigkatbnszligyPaBeGonxμas nigerIseGIg

5

edImIeFIV[RbesIreLIgesvaEfTaMsuxPaB nigkarBRgwgPaBCaeacutedKU enAfntildeakRsukRbtibtithorn KWcaM)acRtUv BRgIktYnaTI rbsmNETHlmitthornCYymitthorn enAtammnITHORNreBTuumlbEgyenk EdlkntildeuacutegenaH manesvaEfTaMCMgWeGds_ elIkumarpgEdr fIVebIknoslashgmkenH manGgAacutekarCati nigGnthornrCatimYycMnYn )an]btszligmOumldlskmμPaB mitthornCYymitthorn sMrabkumarehIykIthorn kfrac34buEnthornviFIsaRsthornEdl)anGnuvtthorn KWepSgsup2Kntildea

2gt eKalbMNg niyamEbbbTenH KWCaEacuteksarCMnYybeccopykeTs dlGntildekEfTaMsuxPaBsaFarNsup3 nigeacutedKU BakBnsectfrac12epSgeTot EdlkMBugGnuvtthornskm μPaBenH enAkntildeuacutegRbeTskmltuacuteCa EdlCaEpntildek mYyeacutenkarBRgIk karTTYl)an CasklnUvkarbgaacutear karEfTaM-Buumla)al nigkarKaMRT dlGntildekCMgWeGds_ enAqntildeaM 2010 niyamEbbbTenH )anbgethajBICaCMhan eacutenkarGnuvtthornn_ kntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn enAfntildeakRsuk Rbtibtithorn nigbgethajBIsMnMuskmμPaB CaklakEdlRtUvpthornl

3gt dMNakkalkntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn sMrabkumar 3gt1gt karvaytMeacutel nigkarerobcMEpnkar - dMNakkaleacutenkarBinituuml-vaytMeacutelsszliganPaB 1gt Binituuml-vaytMeacutelsup3

- karBinituuml nigvaytMeacuteldMbUg KbIRtUvGnuvtthorneGay)anqabrhfrac12s ehIyvaCaEpntildekmYy eacutenkar vaytMeacutelBIKMeragEfTaMbnthorn eRkamkarsMrbsMrYl BIkmμviFIRbyuTsectnwgCMgWeGds_fntildeakRsuk Rbtibtithorn eRkamkarKaMRTbeccopykeTs rbskmμviFIRbyuTsectnwgCMgWeGds_extthorn nig NCHADS

2gt Bfrac12trsquomanKnwoslashHEdlRtUvRbmUlsup3 - kMNtbBaethaenAfntildeakRsukRbtibtithorn sup3 )anRbmaNnUvcMnYn nigkrNIkumar EdlpTHORNuacutekemeraK

eGds_ nigCMgWeGds_ - kMNtTItaMgeacutenmNETHlmitthornCYymitthorn sup3 etIRtUvsgGKarfIμ bcurrenRtUvCYsCulgt etIbnTHORNbenaH man

TMhMbuNNtildea CadMbUg RkumGntildekvaytMeacutel RtUveFIVkarGegaacuteteTAelIbnTHORNb bcurrenGKarEdlman Rsab enAmnITHORNreBTuumlbEgyenk

- kMNtcMnYnsmaCikRkumkargareacutenmNETHlmitthornCYymitthorn sup3 cMnYnGntildekpthornlRbwkSa nigGntildeks μRKcitthorn

6

- kMNtesckIthornRtUvkarrbskumar EdlpTHORNuacutekemeraKeGds_ sup3 siTisectkumar nigbBaethananaEdl TakTg nwgkarCYjdUrkumar-GaharUbtszligmOuml l

- FnFanEdlcaM)ac nig)anRbmaNtMeacutelsup3 etImanFnFanEdlmanRsabEdrrWeT etIman FnFan epSgeTot EdrrWeT

- kMNtnUvcMnYneacutedKU-GgAacutekarepSgsup2EdlKaMRT-rdaeligGMNac notRkumRbwkSaXMugtgtgtgtbrvbar r)aykarNfrac34eacutenkarvaytMeacutelenHnotlTsectpl-Gnusasn_brvbar RtUvbgethaj nigBiPakSa edImIEsVgrk

karEacutekPaB BIKNkmμakarEfTaM nigBuumla)albnthornfntildeakRsukRbtibtithorn nigeacutedKUEdlBakBnfrac12sect rYmbBacopyUacutelTaMgtMNagGntildekpTHORNuacutekemeraKeGds_ karerobcMEpnkarskm μPaBsMrabGnuvtthornrYmTaMg fvika nwgRtUvbegIaacuteteLIg edayEpyenkelIGnusasn_rbsKNkmμakarEfTaM nigBuumla)albnthorn r)aykarN_ nigGnusasn_ Edl)anmkBIkarvaytMeacutel KbIepIJmkmCAumlmNETHlCati RbyuTsectnwgCMgWeGds_ esIEsk nigkameraK tamrysup3kmμviFIRbyuTsectnwgCMgW eGds_extthorn nigmnITHORNrsuxaPi)alextthorn

3gt2gt karGnuvtthornn_skmμPaB enAmNETHlmitthornCYymitthorn sMrabkumar (mmm) mNETHlmitthornCYymitthorn sMrabkumar RtUvbegIaacuteteLIg edaymankarcUlrYmrbskumarpTHORNuacutek

emeraKeGds_ nigGaNaBuumla)al mNETHlmitthornCYymitthorn RtUverobcMeFIVenAGKarBuumla)alCMgWeGds_kumar bcurrenkEnoslashgNamYyEdlsiszligtkntildeuacutegbrievNmnITHORNr eBTuumlbEgyenk Edlmanesva OIART sMrabkumarkiccopyRbCMu mmm enHKbIGnuvtthornerogralEx bcurren erogral 2 rW 3 Ex ebIFnFanmankMNt karGnuvtthornn_ skmμPaB enA mmm RtUvsMrbsMrYledaybNthornajGntildekpTHORNuacutekemeraKeGds_ (Network of PLHA)

buEnthorneBlcabepIthornmkarGnuvtthornn_ skmμPaBeacutenmNETHlmitthornCYymitthorn KWRtUvmankarcUlrYmrbsmRnIthorn suxaPi)alCMnaj nigGgAacutekarminEmnrdaeligaPi)alCaeacutedKU

3gt2gt1gt karbegIaacutet nigTItaMgrbsmNETHlmitthornCYymitthorn sMrabkumar - RtUvFana[)an nUvnirnthornPaBeacutenesvamitthornCYymitthorn sMrabkumar nigR)akdfa kumarpTHORNuacutekemeraK

eGds_)anTTYlesvaRKbRCugeRCay rYmmanTaMgesvaKaMRT nig esvasuxPaBepSg eTot mNETHlmitthornCYymitthorn sMrabkumar RtUvmanTItaMgenAkntildeuacutegGKarBuumla)alCMgWkumar bcurrenkEnoslashgNaEdlsmRsb

7

- RtUvmanbnTHORNbsmRsb enAkntildeuacutegGKarBuumla)alCMgWkumar bcurren kEnoslashgEdlsmRsbepSgeTot sMrabGnuvtthorn skm μPaBrbs mmm karCYsCulbnTHORNbEdlmanRsab bcurrenkarksag bnTHORNbfIμ sMrab mmm RtUvGnuvtthorn RbsinebIcaM)ac bnTHORNb mmm KbIman TMhMGacTTYl )an kumar BI 30 eTA 60 nak edayEpyenkelI cMnYnEdl)anmkTTYlesvaBuumla)al

- RtUvpthornlpgEdr nUv]bkrN_ekμgelg EdlmanlkccedilNsup3GbrM enAbnTHORNb mmm - RtUvmankarGnuBaOslashatiBI kariyalfrac12yRsukRbtibtithorn mnITHORNrsuxaPi)alextthorn NCHADS

nigRksYgsuxaPi)al munnwgcabepIthornmCYsCul bcurrensagsgfI μ bnTHORNbmNETHlmitthornCYymitthorn sMrabkumar

3gt2gt2gt rcnasmltnfrac12sectrbsRkum mmm smaCikRkum mmm sMrabkumar rYmmansup3 - GntildeksMrbsMrYl cMnYn 1rUb EdlCabuKAacutelikenAmnITHORNreBTuumlbEgyenknotCaRKUeBTuuml bcurrenGntildekpthornl

RbwkSaEpntildekkumarbrvbar - GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ cMnYn 1-2rUb EdlCasmaCikeacutenbNthornaj

bcurrenRkumKaMRTGntildekpTHORNuacutekemeraKeGds_ - Gntildek]eTTHORNsnam cMnYn 02rUb notkntildeuacutegkrNIcaM)acbrvbar - tMNageacutedKUGPivDAElign_epSgeTot

smaCik Parsup3kiccopy GntildeksMrbsMrYl notRKUeBTuumlgtGntildekpthornlRbwkSa dlkumargt Kilanubdaeligak-KilanudaeligakyikaqμbEdl eFIVkar enAesvaBuumla)alCMgWkumar

- karsMrbsMrYlTUeTA eacuten mmm - CasmaCikeacuten CoC-CC - erobcMRbCMuRbcaMEx rYmTaMgsMrbsMrYlkiccopyRbCMugt

erobcMrebobvarsup3 nigrkSaTukEacuteksarnotrYmbBacopyUacutel notbBaIcentkumar EdlpTHORNuacutekemeraKeGds_ enA mmmbrvbar

- karpthornlkarRbwkSaKaMRT - karbBacopyUacuteneTAkanesvaEdlsmRsbRbsin

ebIRtUvkar

8

CMnYykar not1-2 nak GaRsfrac12yelIcMnYn kumarEdl mkcUlrYmbrvbar - CaGntildekpTHORNuacutekemeraKeGs_ EdlEfTaMkumar pTHORNuacutekemeraKeGds_kumarpTHORNuacutekemeraKeGds_ vfrac12yCMTg

karcUlrYmrbsGntildekpTHORNuacutekemeraKeGds_ nigGaNaBuumla)al enAkntildeuacutegskmμPaB mmm KWRtUv )ankMNteday GntildeksMrbsMrYl

- karerobcMRbCMuRbcaMEx - karcUlrYmsMrbsMrYlkiccopyRbCMu mmm - karbBacopyUacutenenAkanesvasmRsb - kareFIVr)aykarN_ sIthornBIskm μPaBRbCMu

- smaCikRkum RtUv)anbNthornuacuteHbNthornal BIcMeNHdwg nigCMnajepSgsup2 RbsinebIcaM)ac edImI GnuvtthornskmμPaB mmm eTAtamParsup3kiccopy nigkarTTYlxusRtUvrbsBYkeK karbNthornuacuteHbNthornal nwgRtUv)anpthornl[ edayGntildeksMrbsMrYl RsukRbtibtithorn nigCMnYybeccopykeTsBIkm μviFIRbyuTsectnwg CMgWeGds_extthorn CamYYynwgeacutedKUepSgeTot EdleFVIkar enAkntildeuacutegRsukRbtibtithornenaH kareFIVkmμsikSa elIesva mmm epSgeTot nwgRtUv)anerobcM KWCacMENkmYyeacutenkarksagsmtszligPaB

- kiccopyRbCMu mmm sMrabkumar RtUv)anbMEbkCabIRkum eTAtamGayurbskumar nigtMrUvkar rbskumar edImITTYl)annUvkarKaMRT tamGayu rbsBYkeK RkumkumartUc GayuBI 0- 4qntildeaM nwgRtUv)anEfTaMedayKilanubdaeligak-Kilanudaeligakyika

GntildeksμRKfrac12citthorn karelgElg karpthornlRbwkSa karGbrMsuxPaB kareRbIR)asraquosf ARV edayRtwmRtUv Cablab nigeTogTat-karciBawcentmTark-bgethajGMBIGaharUbtszligmOuml dlekμg-karcakfntildeaMbgaacutearRkumkumartUcsup2enH RtUvmanGaNaBuumla)alenACab CamYy

Rkumkumar GayuBI 5- 10 qntildeaM RtUvelgElg EdlbgaacutebeTAedaysar sIthornBI adherence nigGnamfrac12y notkarKUrrUb-karniTanerOgbrvbar

RkumkumarEdlmanGayuelIsBI 10qntildeaM RtUvelIkTwkcitthorneGaycUlrYmkntildeuacutegkarBiPakSa nigTTYlkarGbrMBIsuxPaB elIkTwkcitthorn nigCMrujeGayeKbegIaacutetskmμPaB edayxoslashUumln eKpTHORNal

9

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

bBaIcopyeacutenBakuumlbMRBYj

AIDS Acquired Immunodeficiency Syndrome ART Anti-retroviral Treatment CBO Community-based Organizations CHBC Community and Home Based Care

CoC Continuum of Care

CoCCC Continuum of Care Coordination Committee

CPN+ Cambodian People Living with HIV and AIDS Network

DPN+ District People Living with HIV and AIDS Network

HIV Human Immunodeficiency Virus MCH Maternal amp Child Health Mmm Pediatric Mondul Mith Chuoy Mith (Friends Helping Friends) Support Group MMM Mondul Mith Chuoy Mith (Friends Helping Friends) Support Group

MoH Ministry of Health

NCHADS National Center for HIVAIDS Dermatology and STD

NGO Non-Governmental Organization OD Operational District OI Opportunistic Infection PAO Provincial AIDS Office PHD Provincial Health Department PMTCT Prevention of Mother-to-Child Transmission

SHG Support Health Group SOP Standard Operating Procedure

TB Tuberculosis VCCT Voluntary Confidential Counseling and Testing

4

1gt esckIthornepIthornm lTsectpleacutensikccedilasalaEsVgrkkiccopyRBmeRBog edImIeFIVkar)ansμan nUvkarqoslashgemeraKeGds_ enARbeTskmltuacuteCaeyIg )anbgethajfa GRtaeRbvaLgeacutenkarqoslashgemeraKeGds_ )anfycuHBI 2deg enAqntildeaM 1998 mkRtwm 0gt9deg enAqntildeaM 2006 cMnYnGntildekEdlpTHORNuacutekemeraKeGds_ nigCMgWeGds_ EdlRtUvkar karEfTaM nigBuumla)almankarekIneLIg kar)anRbmaN)anbgethajeGayeXIjfa mnusSeBjvfrac12y cMnYn 67200nak EdlmanGayuBI15-49 manpTHORNuacutekemeraKeGds_ ehIykntildeuacutegenaH GntildekCMgWeGds_ cMnYnRbmaNCag 30000nak RtUvkarBuumla)aledayraquosfRbqaMgemeraKeGds_ RbcaMqntildeaM nigman kumar GayucenoslashaH BI0-14qntildeaM cMnYn 3780nak EdlmanpTHORNuacutekemeraKeGds_ edaysarkarekIneLIgnUvtMrUvkar eacutenkarEfTaMGntildekCMgWeGds_ RksYgsuxaPi)al)an Gnumtfrac12nUv KMeragEfTaM nigBuumla)albnthorn dlGntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ enAEx emsa qntildeaM 2003 karEfTaM nigBuumla)albnthorndlGntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ RtUv)anGnuvtthorn nigBRgIkCalMdab enAtambNthornaextthorn nigraCFanI kntildeuacutegRbeTskmltuacuteCa enAEx mifuna qntildeaM 2009 GntildekCMgWeGds_ cMnYn 34384nak kntildeuacutegenaH mankumarcMnYn 3366nak Edl)anTTYlkarBuumla)aledayraquosfRbqaMg emeraKeGds_ EdlpthornledayesvaEfTaMCMgWeGds_ elIkumar TaMg 29kEnoslashg kiccopyshRbtibtithornkar rvag NCHADS nigkmμviFICatiRbyuTsectnwg CMgWrebg-mCAumlmNETHlCati KaMBarmata nigTark RtUv)anBRgwg nigesvaEfTaMtampTHORNH nigshKmn_ RkumKaMRTdl GntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ nigesvaeFVI etsthornQamrkemeraKeGds_ edaysμRKfrac12citthorn nigrkSakarsMgat (VCCT) RtUv)anBRgwg nigBRgIk eTAdlfntildeakextthorn nigRsukRbtibtithorn TUTaMgRbeTskmltuacuteCa edaysarkarekIneLIgtMrUvkarnUvesvaEfTaMBuumla)al nigKaMRT GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ enAEtCYb]bsKAacutexoslashHsup2kntildeuacutegkarTTYlesvaTaMgenaH CaBiess karKaMRTfvika poslashUacutevcitthorn nigsgAacutem ]bsKAacuteTaMgenH kfrac34)anCYbRbTHpgEdr kntildeuacutegkarpthornlkarEfTaMBuumla)al dlkumarpTHORNuacutekemeraK eGds_ nigCMgWeGds_ skmμPaBenAmNETHlmitthornCYymitthorn sMrabkumarpTHORNuacutekemeraKeGds_ KWRtUv)ankMNtCayuTsectsaRsthorn mYy edImIpthornlraquokas sMrabkumar EdlpTHORNuacutekemeraKeGds_ nigCMgWeGds_ eGayTTYl)ankarEfTaM suxPaB poslashasbthornUacuterbTBiesaFn_ nigKaMRT BIKntildeaeTAvijeTAmk nigkatbnszligyPaBeGonxμas nigerIseGIg

5

edImIeFIV[RbesIreLIgesvaEfTaMsuxPaB nigkarBRgwgPaBCaeacutedKU enAfntildeakRsukRbtibtithorn KWcaM)acRtUv BRgIktYnaTI rbsmNETHlmitthornCYymitthorn enAtammnITHORNreBTuumlbEgyenk EdlkntildeuacutegenaH manesvaEfTaMCMgWeGds_ elIkumarpgEdr fIVebIknoslashgmkenH manGgAacutekarCati nigGnthornrCatimYycMnYn )an]btszligmOumldlskmμPaB mitthornCYymitthorn sMrabkumarehIykIthorn kfrac34buEnthornviFIsaRsthornEdl)anGnuvtthorn KWepSgsup2Kntildea

2gt eKalbMNg niyamEbbbTenH KWCaEacuteksarCMnYybeccopykeTs dlGntildekEfTaMsuxPaBsaFarNsup3 nigeacutedKU BakBnsectfrac12epSgeTot EdlkMBugGnuvtthornskm μPaBenH enAkntildeuacutegRbeTskmltuacuteCa EdlCaEpntildek mYyeacutenkarBRgIk karTTYl)an CasklnUvkarbgaacutear karEfTaM-Buumla)al nigkarKaMRT dlGntildekCMgWeGds_ enAqntildeaM 2010 niyamEbbbTenH )anbgethajBICaCMhan eacutenkarGnuvtthornn_ kntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn enAfntildeakRsuk Rbtibtithorn nigbgethajBIsMnMuskmμPaB CaklakEdlRtUvpthornl

3gt dMNakkalkntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn sMrabkumar 3gt1gt karvaytMeacutel nigkarerobcMEpnkar - dMNakkaleacutenkarBinituuml-vaytMeacutelsszliganPaB 1gt Binituuml-vaytMeacutelsup3

- karBinituuml nigvaytMeacuteldMbUg KbIRtUvGnuvtthorneGay)anqabrhfrac12s ehIyvaCaEpntildekmYy eacutenkar vaytMeacutelBIKMeragEfTaMbnthorn eRkamkarsMrbsMrYl BIkmμviFIRbyuTsectnwgCMgWeGds_fntildeakRsuk Rbtibtithorn eRkamkarKaMRTbeccopykeTs rbskmμviFIRbyuTsectnwgCMgWeGds_extthorn nig NCHADS

2gt Bfrac12trsquomanKnwoslashHEdlRtUvRbmUlsup3 - kMNtbBaethaenAfntildeakRsukRbtibtithorn sup3 )anRbmaNnUvcMnYn nigkrNIkumar EdlpTHORNuacutekemeraK

eGds_ nigCMgWeGds_ - kMNtTItaMgeacutenmNETHlmitthornCYymitthorn sup3 etIRtUvsgGKarfIμ bcurrenRtUvCYsCulgt etIbnTHORNbenaH man

TMhMbuNNtildea CadMbUg RkumGntildekvaytMeacutel RtUveFIVkarGegaacuteteTAelIbnTHORNb bcurrenGKarEdlman Rsab enAmnITHORNreBTuumlbEgyenk

- kMNtcMnYnsmaCikRkumkargareacutenmNETHlmitthornCYymitthorn sup3 cMnYnGntildekpthornlRbwkSa nigGntildeks μRKcitthorn

6

- kMNtesckIthornRtUvkarrbskumar EdlpTHORNuacutekemeraKeGds_ sup3 siTisectkumar nigbBaethananaEdl TakTg nwgkarCYjdUrkumar-GaharUbtszligmOuml l

- FnFanEdlcaM)ac nig)anRbmaNtMeacutelsup3 etImanFnFanEdlmanRsabEdrrWeT etIman FnFan epSgeTot EdrrWeT

- kMNtnUvcMnYneacutedKU-GgAacutekarepSgsup2EdlKaMRT-rdaeligGMNac notRkumRbwkSaXMugtgtgtgtbrvbar r)aykarNfrac34eacutenkarvaytMeacutelenHnotlTsectpl-Gnusasn_brvbar RtUvbgethaj nigBiPakSa edImIEsVgrk

karEacutekPaB BIKNkmμakarEfTaM nigBuumla)albnthornfntildeakRsukRbtibtithorn nigeacutedKUEdlBakBnfrac12sect rYmbBacopyUacutelTaMgtMNagGntildekpTHORNuacutekemeraKeGds_ karerobcMEpnkarskm μPaBsMrabGnuvtthornrYmTaMg fvika nwgRtUvbegIaacuteteLIg edayEpyenkelIGnusasn_rbsKNkmμakarEfTaM nigBuumla)albnthorn r)aykarN_ nigGnusasn_ Edl)anmkBIkarvaytMeacutel KbIepIJmkmCAumlmNETHlCati RbyuTsectnwgCMgWeGds_ esIEsk nigkameraK tamrysup3kmμviFIRbyuTsectnwgCMgW eGds_extthorn nigmnITHORNrsuxaPi)alextthorn

3gt2gt karGnuvtthornn_skmμPaB enAmNETHlmitthornCYymitthorn sMrabkumar (mmm) mNETHlmitthornCYymitthorn sMrabkumar RtUvbegIaacuteteLIg edaymankarcUlrYmrbskumarpTHORNuacutek

emeraKeGds_ nigGaNaBuumla)al mNETHlmitthornCYymitthorn RtUverobcMeFIVenAGKarBuumla)alCMgWeGds_kumar bcurrenkEnoslashgNamYyEdlsiszligtkntildeuacutegbrievNmnITHORNr eBTuumlbEgyenk Edlmanesva OIART sMrabkumarkiccopyRbCMu mmm enHKbIGnuvtthornerogralEx bcurren erogral 2 rW 3 Ex ebIFnFanmankMNt karGnuvtthornn_ skmμPaB enA mmm RtUvsMrbsMrYledaybNthornajGntildekpTHORNuacutekemeraKeGds_ (Network of PLHA)

buEnthorneBlcabepIthornmkarGnuvtthornn_ skmμPaBeacutenmNETHlmitthornCYymitthorn KWRtUvmankarcUlrYmrbsmRnIthorn suxaPi)alCMnaj nigGgAacutekarminEmnrdaeligaPi)alCaeacutedKU

3gt2gt1gt karbegIaacutet nigTItaMgrbsmNETHlmitthornCYymitthorn sMrabkumar - RtUvFana[)an nUvnirnthornPaBeacutenesvamitthornCYymitthorn sMrabkumar nigR)akdfa kumarpTHORNuacutekemeraK

eGds_)anTTYlesvaRKbRCugeRCay rYmmanTaMgesvaKaMRT nig esvasuxPaBepSg eTot mNETHlmitthornCYymitthorn sMrabkumar RtUvmanTItaMgenAkntildeuacutegGKarBuumla)alCMgWkumar bcurrenkEnoslashgNaEdlsmRsb

7

- RtUvmanbnTHORNbsmRsb enAkntildeuacutegGKarBuumla)alCMgWkumar bcurren kEnoslashgEdlsmRsbepSgeTot sMrabGnuvtthorn skm μPaBrbs mmm karCYsCulbnTHORNbEdlmanRsab bcurrenkarksag bnTHORNbfIμ sMrab mmm RtUvGnuvtthorn RbsinebIcaM)ac bnTHORNb mmm KbIman TMhMGacTTYl )an kumar BI 30 eTA 60 nak edayEpyenkelI cMnYnEdl)anmkTTYlesvaBuumla)al

- RtUvpthornlpgEdr nUv]bkrN_ekμgelg EdlmanlkccedilNsup3GbrM enAbnTHORNb mmm - RtUvmankarGnuBaOslashatiBI kariyalfrac12yRsukRbtibtithorn mnITHORNrsuxaPi)alextthorn NCHADS

nigRksYgsuxaPi)al munnwgcabepIthornmCYsCul bcurrensagsgfI μ bnTHORNbmNETHlmitthornCYymitthorn sMrabkumar

3gt2gt2gt rcnasmltnfrac12sectrbsRkum mmm smaCikRkum mmm sMrabkumar rYmmansup3 - GntildeksMrbsMrYl cMnYn 1rUb EdlCabuKAacutelikenAmnITHORNreBTuumlbEgyenknotCaRKUeBTuuml bcurrenGntildekpthornl

RbwkSaEpntildekkumarbrvbar - GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ cMnYn 1-2rUb EdlCasmaCikeacutenbNthornaj

bcurrenRkumKaMRTGntildekpTHORNuacutekemeraKeGds_ - Gntildek]eTTHORNsnam cMnYn 02rUb notkntildeuacutegkrNIcaM)acbrvbar - tMNageacutedKUGPivDAElign_epSgeTot

smaCik Parsup3kiccopy GntildeksMrbsMrYl notRKUeBTuumlgtGntildekpthornlRbwkSa dlkumargt Kilanubdaeligak-KilanudaeligakyikaqμbEdl eFIVkar enAesvaBuumla)alCMgWkumar

- karsMrbsMrYlTUeTA eacuten mmm - CasmaCikeacuten CoC-CC - erobcMRbCMuRbcaMEx rYmTaMgsMrbsMrYlkiccopyRbCMugt

erobcMrebobvarsup3 nigrkSaTukEacuteksarnotrYmbBacopyUacutel notbBaIcentkumar EdlpTHORNuacutekemeraKeGds_ enA mmmbrvbar

- karpthornlkarRbwkSaKaMRT - karbBacopyUacuteneTAkanesvaEdlsmRsbRbsin

ebIRtUvkar

8

CMnYykar not1-2 nak GaRsfrac12yelIcMnYn kumarEdl mkcUlrYmbrvbar - CaGntildekpTHORNuacutekemeraKeGs_ EdlEfTaMkumar pTHORNuacutekemeraKeGds_kumarpTHORNuacutekemeraKeGds_ vfrac12yCMTg

karcUlrYmrbsGntildekpTHORNuacutekemeraKeGds_ nigGaNaBuumla)al enAkntildeuacutegskmμPaB mmm KWRtUv )ankMNteday GntildeksMrbsMrYl

- karerobcMRbCMuRbcaMEx - karcUlrYmsMrbsMrYlkiccopyRbCMu mmm - karbBacopyUacutenenAkanesvasmRsb - kareFIVr)aykarN_ sIthornBIskm μPaBRbCMu

- smaCikRkum RtUv)anbNthornuacuteHbNthornal BIcMeNHdwg nigCMnajepSgsup2 RbsinebIcaM)ac edImI GnuvtthornskmμPaB mmm eTAtamParsup3kiccopy nigkarTTYlxusRtUvrbsBYkeK karbNthornuacuteHbNthornal nwgRtUv)anpthornl[ edayGntildeksMrbsMrYl RsukRbtibtithorn nigCMnYybeccopykeTsBIkm μviFIRbyuTsectnwg CMgWeGds_extthorn CamYYynwgeacutedKUepSgeTot EdleFVIkar enAkntildeuacutegRsukRbtibtithornenaH kareFIVkmμsikSa elIesva mmm epSgeTot nwgRtUv)anerobcM KWCacMENkmYyeacutenkarksagsmtszligPaB

- kiccopyRbCMu mmm sMrabkumar RtUv)anbMEbkCabIRkum eTAtamGayurbskumar nigtMrUvkar rbskumar edImITTYl)annUvkarKaMRT tamGayu rbsBYkeK RkumkumartUc GayuBI 0- 4qntildeaM nwgRtUv)anEfTaMedayKilanubdaeligak-Kilanudaeligakyika

GntildeksμRKfrac12citthorn karelgElg karpthornlRbwkSa karGbrMsuxPaB kareRbIR)asraquosf ARV edayRtwmRtUv Cablab nigeTogTat-karciBawcentmTark-bgethajGMBIGaharUbtszligmOuml dlekμg-karcakfntildeaMbgaacutearRkumkumartUcsup2enH RtUvmanGaNaBuumla)alenACab CamYy

Rkumkumar GayuBI 5- 10 qntildeaM RtUvelgElg EdlbgaacutebeTAedaysar sIthornBI adherence nigGnamfrac12y notkarKUrrUb-karniTanerOgbrvbar

RkumkumarEdlmanGayuelIsBI 10qntildeaM RtUvelIkTwkcitthorneGaycUlrYmkntildeuacutegkarBiPakSa nigTTYlkarGbrMBIsuxPaB elIkTwkcitthorn nigCMrujeGayeKbegIaacutetskmμPaB edayxoslashUumln eKpTHORNal

9

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

1gt esckIthornepIthornm lTsectpleacutensikccedilasalaEsVgrkkiccopyRBmeRBog edImIeFIVkar)ansμan nUvkarqoslashgemeraKeGds_ enARbeTskmltuacuteCaeyIg )anbgethajfa GRtaeRbvaLgeacutenkarqoslashgemeraKeGds_ )anfycuHBI 2deg enAqntildeaM 1998 mkRtwm 0gt9deg enAqntildeaM 2006 cMnYnGntildekEdlpTHORNuacutekemeraKeGds_ nigCMgWeGds_ EdlRtUvkar karEfTaM nigBuumla)almankarekIneLIg kar)anRbmaN)anbgethajeGayeXIjfa mnusSeBjvfrac12y cMnYn 67200nak EdlmanGayuBI15-49 manpTHORNuacutekemeraKeGds_ ehIykntildeuacutegenaH GntildekCMgWeGds_ cMnYnRbmaNCag 30000nak RtUvkarBuumla)aledayraquosfRbqaMgemeraKeGds_ RbcaMqntildeaM nigman kumar GayucenoslashaH BI0-14qntildeaM cMnYn 3780nak EdlmanpTHORNuacutekemeraKeGds_ edaysarkarekIneLIgnUvtMrUvkar eacutenkarEfTaMGntildekCMgWeGds_ RksYgsuxaPi)al)an Gnumtfrac12nUv KMeragEfTaM nigBuumla)albnthorn dlGntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ enAEx emsa qntildeaM 2003 karEfTaM nigBuumla)albnthorndlGntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ RtUv)anGnuvtthorn nigBRgIkCalMdab enAtambNthornaextthorn nigraCFanI kntildeuacutegRbeTskmltuacuteCa enAEx mifuna qntildeaM 2009 GntildekCMgWeGds_ cMnYn 34384nak kntildeuacutegenaH mankumarcMnYn 3366nak Edl)anTTYlkarBuumla)aledayraquosfRbqaMg emeraKeGds_ EdlpthornledayesvaEfTaMCMgWeGds_ elIkumar TaMg 29kEnoslashg kiccopyshRbtibtithornkar rvag NCHADS nigkmμviFICatiRbyuTsectnwg CMgWrebg-mCAumlmNETHlCati KaMBarmata nigTark RtUv)anBRgwg nigesvaEfTaMtampTHORNH nigshKmn_ RkumKaMRTdl GntildekpTHORNuacutekemeraKeGds_ nigCMgWeGds_ nigesvaeFVI etsthornQamrkemeraKeGds_ edaysμRKfrac12citthorn nigrkSakarsMgat (VCCT) RtUv)anBRgwg nigBRgIk eTAdlfntildeakextthorn nigRsukRbtibtithorn TUTaMgRbeTskmltuacuteCa edaysarkarekIneLIgtMrUvkarnUvesvaEfTaMBuumla)al nigKaMRT GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ enAEtCYb]bsKAacutexoslashHsup2kntildeuacutegkarTTYlesvaTaMgenaH CaBiess karKaMRTfvika poslashUacutevcitthorn nigsgAacutem ]bsKAacuteTaMgenH kfrac34)anCYbRbTHpgEdr kntildeuacutegkarpthornlkarEfTaMBuumla)al dlkumarpTHORNuacutekemeraK eGds_ nigCMgWeGds_ skmμPaBenAmNETHlmitthornCYymitthorn sMrabkumarpTHORNuacutekemeraKeGds_ KWRtUv)ankMNtCayuTsectsaRsthorn mYy edImIpthornlraquokas sMrabkumar EdlpTHORNuacutekemeraKeGds_ nigCMgWeGds_ eGayTTYl)ankarEfTaM suxPaB poslashasbthornUacuterbTBiesaFn_ nigKaMRT BIKntildeaeTAvijeTAmk nigkatbnszligyPaBeGonxμas nigerIseGIg

5

edImIeFIV[RbesIreLIgesvaEfTaMsuxPaB nigkarBRgwgPaBCaeacutedKU enAfntildeakRsukRbtibtithorn KWcaM)acRtUv BRgIktYnaTI rbsmNETHlmitthornCYymitthorn enAtammnITHORNreBTuumlbEgyenk EdlkntildeuacutegenaH manesvaEfTaMCMgWeGds_ elIkumarpgEdr fIVebIknoslashgmkenH manGgAacutekarCati nigGnthornrCatimYycMnYn )an]btszligmOumldlskmμPaB mitthornCYymitthorn sMrabkumarehIykIthorn kfrac34buEnthornviFIsaRsthornEdl)anGnuvtthorn KWepSgsup2Kntildea

2gt eKalbMNg niyamEbbbTenH KWCaEacuteksarCMnYybeccopykeTs dlGntildekEfTaMsuxPaBsaFarNsup3 nigeacutedKU BakBnsectfrac12epSgeTot EdlkMBugGnuvtthornskm μPaBenH enAkntildeuacutegRbeTskmltuacuteCa EdlCaEpntildek mYyeacutenkarBRgIk karTTYl)an CasklnUvkarbgaacutear karEfTaM-Buumla)al nigkarKaMRT dlGntildekCMgWeGds_ enAqntildeaM 2010 niyamEbbbTenH )anbgethajBICaCMhan eacutenkarGnuvtthornn_ kntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn enAfntildeakRsuk Rbtibtithorn nigbgethajBIsMnMuskmμPaB CaklakEdlRtUvpthornl

3gt dMNakkalkntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn sMrabkumar 3gt1gt karvaytMeacutel nigkarerobcMEpnkar - dMNakkaleacutenkarBinituuml-vaytMeacutelsszliganPaB 1gt Binituuml-vaytMeacutelsup3

- karBinituuml nigvaytMeacuteldMbUg KbIRtUvGnuvtthorneGay)anqabrhfrac12s ehIyvaCaEpntildekmYy eacutenkar vaytMeacutelBIKMeragEfTaMbnthorn eRkamkarsMrbsMrYl BIkmμviFIRbyuTsectnwgCMgWeGds_fntildeakRsuk Rbtibtithorn eRkamkarKaMRTbeccopykeTs rbskmμviFIRbyuTsectnwgCMgWeGds_extthorn nig NCHADS

2gt Bfrac12trsquomanKnwoslashHEdlRtUvRbmUlsup3 - kMNtbBaethaenAfntildeakRsukRbtibtithorn sup3 )anRbmaNnUvcMnYn nigkrNIkumar EdlpTHORNuacutekemeraK

eGds_ nigCMgWeGds_ - kMNtTItaMgeacutenmNETHlmitthornCYymitthorn sup3 etIRtUvsgGKarfIμ bcurrenRtUvCYsCulgt etIbnTHORNbenaH man

TMhMbuNNtildea CadMbUg RkumGntildekvaytMeacutel RtUveFIVkarGegaacuteteTAelIbnTHORNb bcurrenGKarEdlman Rsab enAmnITHORNreBTuumlbEgyenk

- kMNtcMnYnsmaCikRkumkargareacutenmNETHlmitthornCYymitthorn sup3 cMnYnGntildekpthornlRbwkSa nigGntildeks μRKcitthorn

6

- kMNtesckIthornRtUvkarrbskumar EdlpTHORNuacutekemeraKeGds_ sup3 siTisectkumar nigbBaethananaEdl TakTg nwgkarCYjdUrkumar-GaharUbtszligmOuml l

- FnFanEdlcaM)ac nig)anRbmaNtMeacutelsup3 etImanFnFanEdlmanRsabEdrrWeT etIman FnFan epSgeTot EdrrWeT

- kMNtnUvcMnYneacutedKU-GgAacutekarepSgsup2EdlKaMRT-rdaeligGMNac notRkumRbwkSaXMugtgtgtgtbrvbar r)aykarNfrac34eacutenkarvaytMeacutelenHnotlTsectpl-Gnusasn_brvbar RtUvbgethaj nigBiPakSa edImIEsVgrk

karEacutekPaB BIKNkmμakarEfTaM nigBuumla)albnthornfntildeakRsukRbtibtithorn nigeacutedKUEdlBakBnfrac12sect rYmbBacopyUacutelTaMgtMNagGntildekpTHORNuacutekemeraKeGds_ karerobcMEpnkarskm μPaBsMrabGnuvtthornrYmTaMg fvika nwgRtUvbegIaacuteteLIg edayEpyenkelIGnusasn_rbsKNkmμakarEfTaM nigBuumla)albnthorn r)aykarN_ nigGnusasn_ Edl)anmkBIkarvaytMeacutel KbIepIJmkmCAumlmNETHlCati RbyuTsectnwgCMgWeGds_ esIEsk nigkameraK tamrysup3kmμviFIRbyuTsectnwgCMgW eGds_extthorn nigmnITHORNrsuxaPi)alextthorn

3gt2gt karGnuvtthornn_skmμPaB enAmNETHlmitthornCYymitthorn sMrabkumar (mmm) mNETHlmitthornCYymitthorn sMrabkumar RtUvbegIaacuteteLIg edaymankarcUlrYmrbskumarpTHORNuacutek

emeraKeGds_ nigGaNaBuumla)al mNETHlmitthornCYymitthorn RtUverobcMeFIVenAGKarBuumla)alCMgWeGds_kumar bcurrenkEnoslashgNamYyEdlsiszligtkntildeuacutegbrievNmnITHORNr eBTuumlbEgyenk Edlmanesva OIART sMrabkumarkiccopyRbCMu mmm enHKbIGnuvtthornerogralEx bcurren erogral 2 rW 3 Ex ebIFnFanmankMNt karGnuvtthornn_ skmμPaB enA mmm RtUvsMrbsMrYledaybNthornajGntildekpTHORNuacutekemeraKeGds_ (Network of PLHA)

buEnthorneBlcabepIthornmkarGnuvtthornn_ skmμPaBeacutenmNETHlmitthornCYymitthorn KWRtUvmankarcUlrYmrbsmRnIthorn suxaPi)alCMnaj nigGgAacutekarminEmnrdaeligaPi)alCaeacutedKU

3gt2gt1gt karbegIaacutet nigTItaMgrbsmNETHlmitthornCYymitthorn sMrabkumar - RtUvFana[)an nUvnirnthornPaBeacutenesvamitthornCYymitthorn sMrabkumar nigR)akdfa kumarpTHORNuacutekemeraK

eGds_)anTTYlesvaRKbRCugeRCay rYmmanTaMgesvaKaMRT nig esvasuxPaBepSg eTot mNETHlmitthornCYymitthorn sMrabkumar RtUvmanTItaMgenAkntildeuacutegGKarBuumla)alCMgWkumar bcurrenkEnoslashgNaEdlsmRsb

7

- RtUvmanbnTHORNbsmRsb enAkntildeuacutegGKarBuumla)alCMgWkumar bcurren kEnoslashgEdlsmRsbepSgeTot sMrabGnuvtthorn skm μPaBrbs mmm karCYsCulbnTHORNbEdlmanRsab bcurrenkarksag bnTHORNbfIμ sMrab mmm RtUvGnuvtthorn RbsinebIcaM)ac bnTHORNb mmm KbIman TMhMGacTTYl )an kumar BI 30 eTA 60 nak edayEpyenkelI cMnYnEdl)anmkTTYlesvaBuumla)al

- RtUvpthornlpgEdr nUv]bkrN_ekμgelg EdlmanlkccedilNsup3GbrM enAbnTHORNb mmm - RtUvmankarGnuBaOslashatiBI kariyalfrac12yRsukRbtibtithorn mnITHORNrsuxaPi)alextthorn NCHADS

nigRksYgsuxaPi)al munnwgcabepIthornmCYsCul bcurrensagsgfI μ bnTHORNbmNETHlmitthornCYymitthorn sMrabkumar

3gt2gt2gt rcnasmltnfrac12sectrbsRkum mmm smaCikRkum mmm sMrabkumar rYmmansup3 - GntildeksMrbsMrYl cMnYn 1rUb EdlCabuKAacutelikenAmnITHORNreBTuumlbEgyenknotCaRKUeBTuuml bcurrenGntildekpthornl

RbwkSaEpntildekkumarbrvbar - GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ cMnYn 1-2rUb EdlCasmaCikeacutenbNthornaj

bcurrenRkumKaMRTGntildekpTHORNuacutekemeraKeGds_ - Gntildek]eTTHORNsnam cMnYn 02rUb notkntildeuacutegkrNIcaM)acbrvbar - tMNageacutedKUGPivDAElign_epSgeTot

smaCik Parsup3kiccopy GntildeksMrbsMrYl notRKUeBTuumlgtGntildekpthornlRbwkSa dlkumargt Kilanubdaeligak-KilanudaeligakyikaqμbEdl eFIVkar enAesvaBuumla)alCMgWkumar

- karsMrbsMrYlTUeTA eacuten mmm - CasmaCikeacuten CoC-CC - erobcMRbCMuRbcaMEx rYmTaMgsMrbsMrYlkiccopyRbCMugt

erobcMrebobvarsup3 nigrkSaTukEacuteksarnotrYmbBacopyUacutel notbBaIcentkumar EdlpTHORNuacutekemeraKeGds_ enA mmmbrvbar

- karpthornlkarRbwkSaKaMRT - karbBacopyUacuteneTAkanesvaEdlsmRsbRbsin

ebIRtUvkar

8

CMnYykar not1-2 nak GaRsfrac12yelIcMnYn kumarEdl mkcUlrYmbrvbar - CaGntildekpTHORNuacutekemeraKeGs_ EdlEfTaMkumar pTHORNuacutekemeraKeGds_kumarpTHORNuacutekemeraKeGds_ vfrac12yCMTg

karcUlrYmrbsGntildekpTHORNuacutekemeraKeGds_ nigGaNaBuumla)al enAkntildeuacutegskmμPaB mmm KWRtUv )ankMNteday GntildeksMrbsMrYl

- karerobcMRbCMuRbcaMEx - karcUlrYmsMrbsMrYlkiccopyRbCMu mmm - karbBacopyUacutenenAkanesvasmRsb - kareFIVr)aykarN_ sIthornBIskm μPaBRbCMu

- smaCikRkum RtUv)anbNthornuacuteHbNthornal BIcMeNHdwg nigCMnajepSgsup2 RbsinebIcaM)ac edImI GnuvtthornskmμPaB mmm eTAtamParsup3kiccopy nigkarTTYlxusRtUvrbsBYkeK karbNthornuacuteHbNthornal nwgRtUv)anpthornl[ edayGntildeksMrbsMrYl RsukRbtibtithorn nigCMnYybeccopykeTsBIkm μviFIRbyuTsectnwg CMgWeGds_extthorn CamYYynwgeacutedKUepSgeTot EdleFVIkar enAkntildeuacutegRsukRbtibtithornenaH kareFIVkmμsikSa elIesva mmm epSgeTot nwgRtUv)anerobcM KWCacMENkmYyeacutenkarksagsmtszligPaB

- kiccopyRbCMu mmm sMrabkumar RtUv)anbMEbkCabIRkum eTAtamGayurbskumar nigtMrUvkar rbskumar edImITTYl)annUvkarKaMRT tamGayu rbsBYkeK RkumkumartUc GayuBI 0- 4qntildeaM nwgRtUv)anEfTaMedayKilanubdaeligak-Kilanudaeligakyika

GntildeksμRKfrac12citthorn karelgElg karpthornlRbwkSa karGbrMsuxPaB kareRbIR)asraquosf ARV edayRtwmRtUv Cablab nigeTogTat-karciBawcentmTark-bgethajGMBIGaharUbtszligmOuml dlekμg-karcakfntildeaMbgaacutearRkumkumartUcsup2enH RtUvmanGaNaBuumla)alenACab CamYy

Rkumkumar GayuBI 5- 10 qntildeaM RtUvelgElg EdlbgaacutebeTAedaysar sIthornBI adherence nigGnamfrac12y notkarKUrrUb-karniTanerOgbrvbar

RkumkumarEdlmanGayuelIsBI 10qntildeaM RtUvelIkTwkcitthorneGaycUlrYmkntildeuacutegkarBiPakSa nigTTYlkarGbrMBIsuxPaB elIkTwkcitthorn nigCMrujeGayeKbegIaacutetskmμPaB edayxoslashUumln eKpTHORNal

9

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

edImIeFIV[RbesIreLIgesvaEfTaMsuxPaB nigkarBRgwgPaBCaeacutedKU enAfntildeakRsukRbtibtithorn KWcaM)acRtUv BRgIktYnaTI rbsmNETHlmitthornCYymitthorn enAtammnITHORNreBTuumlbEgyenk EdlkntildeuacutegenaH manesvaEfTaMCMgWeGds_ elIkumarpgEdr fIVebIknoslashgmkenH manGgAacutekarCati nigGnthornrCatimYycMnYn )an]btszligmOumldlskmμPaB mitthornCYymitthorn sMrabkumarehIykIthorn kfrac34buEnthornviFIsaRsthornEdl)anGnuvtthorn KWepSgsup2Kntildea

2gt eKalbMNg niyamEbbbTenH KWCaEacuteksarCMnYybeccopykeTs dlGntildekEfTaMsuxPaBsaFarNsup3 nigeacutedKU BakBnsectfrac12epSgeTot EdlkMBugGnuvtthornskm μPaBenH enAkntildeuacutegRbeTskmltuacuteCa EdlCaEpntildek mYyeacutenkarBRgIk karTTYl)an CasklnUvkarbgaacutear karEfTaM-Buumla)al nigkarKaMRT dlGntildekCMgWeGds_ enAqntildeaM 2010 niyamEbbbTenH )anbgethajBICaCMhan eacutenkarGnuvtthornn_ kntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn enAfntildeakRsuk Rbtibtithorn nigbgethajBIsMnMuskmμPaB CaklakEdlRtUvpthornl

3gt dMNakkalkntildeuacutegkarbegIaacutetmNETHlmitthornCYymitthorn sMrabkumar 3gt1gt karvaytMeacutel nigkarerobcMEpnkar - dMNakkaleacutenkarBinituuml-vaytMeacutelsszliganPaB 1gt Binituuml-vaytMeacutelsup3

- karBinituuml nigvaytMeacuteldMbUg KbIRtUvGnuvtthorneGay)anqabrhfrac12s ehIyvaCaEpntildekmYy eacutenkar vaytMeacutelBIKMeragEfTaMbnthorn eRkamkarsMrbsMrYl BIkmμviFIRbyuTsectnwgCMgWeGds_fntildeakRsuk Rbtibtithorn eRkamkarKaMRTbeccopykeTs rbskmμviFIRbyuTsectnwgCMgWeGds_extthorn nig NCHADS

2gt Bfrac12trsquomanKnwoslashHEdlRtUvRbmUlsup3 - kMNtbBaethaenAfntildeakRsukRbtibtithorn sup3 )anRbmaNnUvcMnYn nigkrNIkumar EdlpTHORNuacutekemeraK

eGds_ nigCMgWeGds_ - kMNtTItaMgeacutenmNETHlmitthornCYymitthorn sup3 etIRtUvsgGKarfIμ bcurrenRtUvCYsCulgt etIbnTHORNbenaH man

TMhMbuNNtildea CadMbUg RkumGntildekvaytMeacutel RtUveFIVkarGegaacuteteTAelIbnTHORNb bcurrenGKarEdlman Rsab enAmnITHORNreBTuumlbEgyenk

- kMNtcMnYnsmaCikRkumkargareacutenmNETHlmitthornCYymitthorn sup3 cMnYnGntildekpthornlRbwkSa nigGntildeks μRKcitthorn

6

- kMNtesckIthornRtUvkarrbskumar EdlpTHORNuacutekemeraKeGds_ sup3 siTisectkumar nigbBaethananaEdl TakTg nwgkarCYjdUrkumar-GaharUbtszligmOuml l

- FnFanEdlcaM)ac nig)anRbmaNtMeacutelsup3 etImanFnFanEdlmanRsabEdrrWeT etIman FnFan epSgeTot EdrrWeT

- kMNtnUvcMnYneacutedKU-GgAacutekarepSgsup2EdlKaMRT-rdaeligGMNac notRkumRbwkSaXMugtgtgtgtbrvbar r)aykarNfrac34eacutenkarvaytMeacutelenHnotlTsectpl-Gnusasn_brvbar RtUvbgethaj nigBiPakSa edImIEsVgrk

karEacutekPaB BIKNkmμakarEfTaM nigBuumla)albnthornfntildeakRsukRbtibtithorn nigeacutedKUEdlBakBnfrac12sect rYmbBacopyUacutelTaMgtMNagGntildekpTHORNuacutekemeraKeGds_ karerobcMEpnkarskm μPaBsMrabGnuvtthornrYmTaMg fvika nwgRtUvbegIaacuteteLIg edayEpyenkelIGnusasn_rbsKNkmμakarEfTaM nigBuumla)albnthorn r)aykarN_ nigGnusasn_ Edl)anmkBIkarvaytMeacutel KbIepIJmkmCAumlmNETHlCati RbyuTsectnwgCMgWeGds_ esIEsk nigkameraK tamrysup3kmμviFIRbyuTsectnwgCMgW eGds_extthorn nigmnITHORNrsuxaPi)alextthorn

3gt2gt karGnuvtthornn_skmμPaB enAmNETHlmitthornCYymitthorn sMrabkumar (mmm) mNETHlmitthornCYymitthorn sMrabkumar RtUvbegIaacuteteLIg edaymankarcUlrYmrbskumarpTHORNuacutek

emeraKeGds_ nigGaNaBuumla)al mNETHlmitthornCYymitthorn RtUverobcMeFIVenAGKarBuumla)alCMgWeGds_kumar bcurrenkEnoslashgNamYyEdlsiszligtkntildeuacutegbrievNmnITHORNr eBTuumlbEgyenk Edlmanesva OIART sMrabkumarkiccopyRbCMu mmm enHKbIGnuvtthornerogralEx bcurren erogral 2 rW 3 Ex ebIFnFanmankMNt karGnuvtthornn_ skmμPaB enA mmm RtUvsMrbsMrYledaybNthornajGntildekpTHORNuacutekemeraKeGds_ (Network of PLHA)

buEnthorneBlcabepIthornmkarGnuvtthornn_ skmμPaBeacutenmNETHlmitthornCYymitthorn KWRtUvmankarcUlrYmrbsmRnIthorn suxaPi)alCMnaj nigGgAacutekarminEmnrdaeligaPi)alCaeacutedKU

3gt2gt1gt karbegIaacutet nigTItaMgrbsmNETHlmitthornCYymitthorn sMrabkumar - RtUvFana[)an nUvnirnthornPaBeacutenesvamitthornCYymitthorn sMrabkumar nigR)akdfa kumarpTHORNuacutekemeraK

eGds_)anTTYlesvaRKbRCugeRCay rYmmanTaMgesvaKaMRT nig esvasuxPaBepSg eTot mNETHlmitthornCYymitthorn sMrabkumar RtUvmanTItaMgenAkntildeuacutegGKarBuumla)alCMgWkumar bcurrenkEnoslashgNaEdlsmRsb

7

- RtUvmanbnTHORNbsmRsb enAkntildeuacutegGKarBuumla)alCMgWkumar bcurren kEnoslashgEdlsmRsbepSgeTot sMrabGnuvtthorn skm μPaBrbs mmm karCYsCulbnTHORNbEdlmanRsab bcurrenkarksag bnTHORNbfIμ sMrab mmm RtUvGnuvtthorn RbsinebIcaM)ac bnTHORNb mmm KbIman TMhMGacTTYl )an kumar BI 30 eTA 60 nak edayEpyenkelI cMnYnEdl)anmkTTYlesvaBuumla)al

- RtUvpthornlpgEdr nUv]bkrN_ekμgelg EdlmanlkccedilNsup3GbrM enAbnTHORNb mmm - RtUvmankarGnuBaOslashatiBI kariyalfrac12yRsukRbtibtithorn mnITHORNrsuxaPi)alextthorn NCHADS

nigRksYgsuxaPi)al munnwgcabepIthornmCYsCul bcurrensagsgfI μ bnTHORNbmNETHlmitthornCYymitthorn sMrabkumar

3gt2gt2gt rcnasmltnfrac12sectrbsRkum mmm smaCikRkum mmm sMrabkumar rYmmansup3 - GntildeksMrbsMrYl cMnYn 1rUb EdlCabuKAacutelikenAmnITHORNreBTuumlbEgyenknotCaRKUeBTuuml bcurrenGntildekpthornl

RbwkSaEpntildekkumarbrvbar - GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ cMnYn 1-2rUb EdlCasmaCikeacutenbNthornaj

bcurrenRkumKaMRTGntildekpTHORNuacutekemeraKeGds_ - Gntildek]eTTHORNsnam cMnYn 02rUb notkntildeuacutegkrNIcaM)acbrvbar - tMNageacutedKUGPivDAElign_epSgeTot

smaCik Parsup3kiccopy GntildeksMrbsMrYl notRKUeBTuumlgtGntildekpthornlRbwkSa dlkumargt Kilanubdaeligak-KilanudaeligakyikaqμbEdl eFIVkar enAesvaBuumla)alCMgWkumar

- karsMrbsMrYlTUeTA eacuten mmm - CasmaCikeacuten CoC-CC - erobcMRbCMuRbcaMEx rYmTaMgsMrbsMrYlkiccopyRbCMugt

erobcMrebobvarsup3 nigrkSaTukEacuteksarnotrYmbBacopyUacutel notbBaIcentkumar EdlpTHORNuacutekemeraKeGds_ enA mmmbrvbar

- karpthornlkarRbwkSaKaMRT - karbBacopyUacuteneTAkanesvaEdlsmRsbRbsin

ebIRtUvkar

8

CMnYykar not1-2 nak GaRsfrac12yelIcMnYn kumarEdl mkcUlrYmbrvbar - CaGntildekpTHORNuacutekemeraKeGs_ EdlEfTaMkumar pTHORNuacutekemeraKeGds_kumarpTHORNuacutekemeraKeGds_ vfrac12yCMTg

karcUlrYmrbsGntildekpTHORNuacutekemeraKeGds_ nigGaNaBuumla)al enAkntildeuacutegskmμPaB mmm KWRtUv )ankMNteday GntildeksMrbsMrYl

- karerobcMRbCMuRbcaMEx - karcUlrYmsMrbsMrYlkiccopyRbCMu mmm - karbBacopyUacutenenAkanesvasmRsb - kareFIVr)aykarN_ sIthornBIskm μPaBRbCMu

- smaCikRkum RtUv)anbNthornuacuteHbNthornal BIcMeNHdwg nigCMnajepSgsup2 RbsinebIcaM)ac edImI GnuvtthornskmμPaB mmm eTAtamParsup3kiccopy nigkarTTYlxusRtUvrbsBYkeK karbNthornuacuteHbNthornal nwgRtUv)anpthornl[ edayGntildeksMrbsMrYl RsukRbtibtithorn nigCMnYybeccopykeTsBIkm μviFIRbyuTsectnwg CMgWeGds_extthorn CamYYynwgeacutedKUepSgeTot EdleFVIkar enAkntildeuacutegRsukRbtibtithornenaH kareFIVkmμsikSa elIesva mmm epSgeTot nwgRtUv)anerobcM KWCacMENkmYyeacutenkarksagsmtszligPaB

- kiccopyRbCMu mmm sMrabkumar RtUv)anbMEbkCabIRkum eTAtamGayurbskumar nigtMrUvkar rbskumar edImITTYl)annUvkarKaMRT tamGayu rbsBYkeK RkumkumartUc GayuBI 0- 4qntildeaM nwgRtUv)anEfTaMedayKilanubdaeligak-Kilanudaeligakyika

GntildeksμRKfrac12citthorn karelgElg karpthornlRbwkSa karGbrMsuxPaB kareRbIR)asraquosf ARV edayRtwmRtUv Cablab nigeTogTat-karciBawcentmTark-bgethajGMBIGaharUbtszligmOuml dlekμg-karcakfntildeaMbgaacutearRkumkumartUcsup2enH RtUvmanGaNaBuumla)alenACab CamYy

Rkumkumar GayuBI 5- 10 qntildeaM RtUvelgElg EdlbgaacutebeTAedaysar sIthornBI adherence nigGnamfrac12y notkarKUrrUb-karniTanerOgbrvbar

RkumkumarEdlmanGayuelIsBI 10qntildeaM RtUvelIkTwkcitthorneGaycUlrYmkntildeuacutegkarBiPakSa nigTTYlkarGbrMBIsuxPaB elIkTwkcitthorn nigCMrujeGayeKbegIaacutetskmμPaB edayxoslashUumln eKpTHORNal

9

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

- kMNtesckIthornRtUvkarrbskumar EdlpTHORNuacutekemeraKeGds_ sup3 siTisectkumar nigbBaethananaEdl TakTg nwgkarCYjdUrkumar-GaharUbtszligmOuml l

- FnFanEdlcaM)ac nig)anRbmaNtMeacutelsup3 etImanFnFanEdlmanRsabEdrrWeT etIman FnFan epSgeTot EdrrWeT

- kMNtnUvcMnYneacutedKU-GgAacutekarepSgsup2EdlKaMRT-rdaeligGMNac notRkumRbwkSaXMugtgtgtgtbrvbar r)aykarNfrac34eacutenkarvaytMeacutelenHnotlTsectpl-Gnusasn_brvbar RtUvbgethaj nigBiPakSa edImIEsVgrk

karEacutekPaB BIKNkmμakarEfTaM nigBuumla)albnthornfntildeakRsukRbtibtithorn nigeacutedKUEdlBakBnfrac12sect rYmbBacopyUacutelTaMgtMNagGntildekpTHORNuacutekemeraKeGds_ karerobcMEpnkarskm μPaBsMrabGnuvtthornrYmTaMg fvika nwgRtUvbegIaacuteteLIg edayEpyenkelIGnusasn_rbsKNkmμakarEfTaM nigBuumla)albnthorn r)aykarN_ nigGnusasn_ Edl)anmkBIkarvaytMeacutel KbIepIJmkmCAumlmNETHlCati RbyuTsectnwgCMgWeGds_ esIEsk nigkameraK tamrysup3kmμviFIRbyuTsectnwgCMgW eGds_extthorn nigmnITHORNrsuxaPi)alextthorn

3gt2gt karGnuvtthornn_skmμPaB enAmNETHlmitthornCYymitthorn sMrabkumar (mmm) mNETHlmitthornCYymitthorn sMrabkumar RtUvbegIaacuteteLIg edaymankarcUlrYmrbskumarpTHORNuacutek

emeraKeGds_ nigGaNaBuumla)al mNETHlmitthornCYymitthorn RtUverobcMeFIVenAGKarBuumla)alCMgWeGds_kumar bcurrenkEnoslashgNamYyEdlsiszligtkntildeuacutegbrievNmnITHORNr eBTuumlbEgyenk Edlmanesva OIART sMrabkumarkiccopyRbCMu mmm enHKbIGnuvtthornerogralEx bcurren erogral 2 rW 3 Ex ebIFnFanmankMNt karGnuvtthornn_ skmμPaB enA mmm RtUvsMrbsMrYledaybNthornajGntildekpTHORNuacutekemeraKeGds_ (Network of PLHA)

buEnthorneBlcabepIthornmkarGnuvtthornn_ skmμPaBeacutenmNETHlmitthornCYymitthorn KWRtUvmankarcUlrYmrbsmRnIthorn suxaPi)alCMnaj nigGgAacutekarminEmnrdaeligaPi)alCaeacutedKU

3gt2gt1gt karbegIaacutet nigTItaMgrbsmNETHlmitthornCYymitthorn sMrabkumar - RtUvFana[)an nUvnirnthornPaBeacutenesvamitthornCYymitthorn sMrabkumar nigR)akdfa kumarpTHORNuacutekemeraK

eGds_)anTTYlesvaRKbRCugeRCay rYmmanTaMgesvaKaMRT nig esvasuxPaBepSg eTot mNETHlmitthornCYymitthorn sMrabkumar RtUvmanTItaMgenAkntildeuacutegGKarBuumla)alCMgWkumar bcurrenkEnoslashgNaEdlsmRsb

7

- RtUvmanbnTHORNbsmRsb enAkntildeuacutegGKarBuumla)alCMgWkumar bcurren kEnoslashgEdlsmRsbepSgeTot sMrabGnuvtthorn skm μPaBrbs mmm karCYsCulbnTHORNbEdlmanRsab bcurrenkarksag bnTHORNbfIμ sMrab mmm RtUvGnuvtthorn RbsinebIcaM)ac bnTHORNb mmm KbIman TMhMGacTTYl )an kumar BI 30 eTA 60 nak edayEpyenkelI cMnYnEdl)anmkTTYlesvaBuumla)al

- RtUvpthornlpgEdr nUv]bkrN_ekμgelg EdlmanlkccedilNsup3GbrM enAbnTHORNb mmm - RtUvmankarGnuBaOslashatiBI kariyalfrac12yRsukRbtibtithorn mnITHORNrsuxaPi)alextthorn NCHADS

nigRksYgsuxaPi)al munnwgcabepIthornmCYsCul bcurrensagsgfI μ bnTHORNbmNETHlmitthornCYymitthorn sMrabkumar

3gt2gt2gt rcnasmltnfrac12sectrbsRkum mmm smaCikRkum mmm sMrabkumar rYmmansup3 - GntildeksMrbsMrYl cMnYn 1rUb EdlCabuKAacutelikenAmnITHORNreBTuumlbEgyenknotCaRKUeBTuuml bcurrenGntildekpthornl

RbwkSaEpntildekkumarbrvbar - GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ cMnYn 1-2rUb EdlCasmaCikeacutenbNthornaj

bcurrenRkumKaMRTGntildekpTHORNuacutekemeraKeGds_ - Gntildek]eTTHORNsnam cMnYn 02rUb notkntildeuacutegkrNIcaM)acbrvbar - tMNageacutedKUGPivDAElign_epSgeTot

smaCik Parsup3kiccopy GntildeksMrbsMrYl notRKUeBTuumlgtGntildekpthornlRbwkSa dlkumargt Kilanubdaeligak-KilanudaeligakyikaqμbEdl eFIVkar enAesvaBuumla)alCMgWkumar

- karsMrbsMrYlTUeTA eacuten mmm - CasmaCikeacuten CoC-CC - erobcMRbCMuRbcaMEx rYmTaMgsMrbsMrYlkiccopyRbCMugt

erobcMrebobvarsup3 nigrkSaTukEacuteksarnotrYmbBacopyUacutel notbBaIcentkumar EdlpTHORNuacutekemeraKeGds_ enA mmmbrvbar

- karpthornlkarRbwkSaKaMRT - karbBacopyUacuteneTAkanesvaEdlsmRsbRbsin

ebIRtUvkar

8

CMnYykar not1-2 nak GaRsfrac12yelIcMnYn kumarEdl mkcUlrYmbrvbar - CaGntildekpTHORNuacutekemeraKeGs_ EdlEfTaMkumar pTHORNuacutekemeraKeGds_kumarpTHORNuacutekemeraKeGds_ vfrac12yCMTg

karcUlrYmrbsGntildekpTHORNuacutekemeraKeGds_ nigGaNaBuumla)al enAkntildeuacutegskmμPaB mmm KWRtUv )ankMNteday GntildeksMrbsMrYl

- karerobcMRbCMuRbcaMEx - karcUlrYmsMrbsMrYlkiccopyRbCMu mmm - karbBacopyUacutenenAkanesvasmRsb - kareFIVr)aykarN_ sIthornBIskm μPaBRbCMu

- smaCikRkum RtUv)anbNthornuacuteHbNthornal BIcMeNHdwg nigCMnajepSgsup2 RbsinebIcaM)ac edImI GnuvtthornskmμPaB mmm eTAtamParsup3kiccopy nigkarTTYlxusRtUvrbsBYkeK karbNthornuacuteHbNthornal nwgRtUv)anpthornl[ edayGntildeksMrbsMrYl RsukRbtibtithorn nigCMnYybeccopykeTsBIkm μviFIRbyuTsectnwg CMgWeGds_extthorn CamYYynwgeacutedKUepSgeTot EdleFVIkar enAkntildeuacutegRsukRbtibtithornenaH kareFIVkmμsikSa elIesva mmm epSgeTot nwgRtUv)anerobcM KWCacMENkmYyeacutenkarksagsmtszligPaB

- kiccopyRbCMu mmm sMrabkumar RtUv)anbMEbkCabIRkum eTAtamGayurbskumar nigtMrUvkar rbskumar edImITTYl)annUvkarKaMRT tamGayu rbsBYkeK RkumkumartUc GayuBI 0- 4qntildeaM nwgRtUv)anEfTaMedayKilanubdaeligak-Kilanudaeligakyika

GntildeksμRKfrac12citthorn karelgElg karpthornlRbwkSa karGbrMsuxPaB kareRbIR)asraquosf ARV edayRtwmRtUv Cablab nigeTogTat-karciBawcentmTark-bgethajGMBIGaharUbtszligmOuml dlekμg-karcakfntildeaMbgaacutearRkumkumartUcsup2enH RtUvmanGaNaBuumla)alenACab CamYy

Rkumkumar GayuBI 5- 10 qntildeaM RtUvelgElg EdlbgaacutebeTAedaysar sIthornBI adherence nigGnamfrac12y notkarKUrrUb-karniTanerOgbrvbar

RkumkumarEdlmanGayuelIsBI 10qntildeaM RtUvelIkTwkcitthorneGaycUlrYmkntildeuacutegkarBiPakSa nigTTYlkarGbrMBIsuxPaB elIkTwkcitthorn nigCMrujeGayeKbegIaacutetskmμPaB edayxoslashUumln eKpTHORNal

9

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

- RtUvmanbnTHORNbsmRsb enAkntildeuacutegGKarBuumla)alCMgWkumar bcurren kEnoslashgEdlsmRsbepSgeTot sMrabGnuvtthorn skm μPaBrbs mmm karCYsCulbnTHORNbEdlmanRsab bcurrenkarksag bnTHORNbfIμ sMrab mmm RtUvGnuvtthorn RbsinebIcaM)ac bnTHORNb mmm KbIman TMhMGacTTYl )an kumar BI 30 eTA 60 nak edayEpyenkelI cMnYnEdl)anmkTTYlesvaBuumla)al

- RtUvpthornlpgEdr nUv]bkrN_ekμgelg EdlmanlkccedilNsup3GbrM enAbnTHORNb mmm - RtUvmankarGnuBaOslashatiBI kariyalfrac12yRsukRbtibtithorn mnITHORNrsuxaPi)alextthorn NCHADS

nigRksYgsuxaPi)al munnwgcabepIthornmCYsCul bcurrensagsgfI μ bnTHORNbmNETHlmitthornCYymitthorn sMrabkumar

3gt2gt2gt rcnasmltnfrac12sectrbsRkum mmm smaCikRkum mmm sMrabkumar rYmmansup3 - GntildeksMrbsMrYl cMnYn 1rUb EdlCabuKAacutelikenAmnITHORNreBTuumlbEgyenknotCaRKUeBTuuml bcurrenGntildekpthornl

RbwkSaEpntildekkumarbrvbar - GntildekrsenACamYyemeraKeGds_ nigCMgWeGds_ cMnYn 1-2rUb EdlCasmaCikeacutenbNthornaj

bcurrenRkumKaMRTGntildekpTHORNuacutekemeraKeGds_ - Gntildek]eTTHORNsnam cMnYn 02rUb notkntildeuacutegkrNIcaM)acbrvbar - tMNageacutedKUGPivDAElign_epSgeTot

smaCik Parsup3kiccopy GntildeksMrbsMrYl notRKUeBTuumlgtGntildekpthornlRbwkSa dlkumargt Kilanubdaeligak-KilanudaeligakyikaqμbEdl eFIVkar enAesvaBuumla)alCMgWkumar

- karsMrbsMrYlTUeTA eacuten mmm - CasmaCikeacuten CoC-CC - erobcMRbCMuRbcaMEx rYmTaMgsMrbsMrYlkiccopyRbCMugt

erobcMrebobvarsup3 nigrkSaTukEacuteksarnotrYmbBacopyUacutel notbBaIcentkumar EdlpTHORNuacutekemeraKeGds_ enA mmmbrvbar

- karpthornlkarRbwkSaKaMRT - karbBacopyUacuteneTAkanesvaEdlsmRsbRbsin

ebIRtUvkar

8

CMnYykar not1-2 nak GaRsfrac12yelIcMnYn kumarEdl mkcUlrYmbrvbar - CaGntildekpTHORNuacutekemeraKeGs_ EdlEfTaMkumar pTHORNuacutekemeraKeGds_kumarpTHORNuacutekemeraKeGds_ vfrac12yCMTg

karcUlrYmrbsGntildekpTHORNuacutekemeraKeGds_ nigGaNaBuumla)al enAkntildeuacutegskmμPaB mmm KWRtUv )ankMNteday GntildeksMrbsMrYl

- karerobcMRbCMuRbcaMEx - karcUlrYmsMrbsMrYlkiccopyRbCMu mmm - karbBacopyUacutenenAkanesvasmRsb - kareFIVr)aykarN_ sIthornBIskm μPaBRbCMu

- smaCikRkum RtUv)anbNthornuacuteHbNthornal BIcMeNHdwg nigCMnajepSgsup2 RbsinebIcaM)ac edImI GnuvtthornskmμPaB mmm eTAtamParsup3kiccopy nigkarTTYlxusRtUvrbsBYkeK karbNthornuacuteHbNthornal nwgRtUv)anpthornl[ edayGntildeksMrbsMrYl RsukRbtibtithorn nigCMnYybeccopykeTsBIkm μviFIRbyuTsectnwg CMgWeGds_extthorn CamYYynwgeacutedKUepSgeTot EdleFVIkar enAkntildeuacutegRsukRbtibtithornenaH kareFIVkmμsikSa elIesva mmm epSgeTot nwgRtUv)anerobcM KWCacMENkmYyeacutenkarksagsmtszligPaB

- kiccopyRbCMu mmm sMrabkumar RtUv)anbMEbkCabIRkum eTAtamGayurbskumar nigtMrUvkar rbskumar edImITTYl)annUvkarKaMRT tamGayu rbsBYkeK RkumkumartUc GayuBI 0- 4qntildeaM nwgRtUv)anEfTaMedayKilanubdaeligak-Kilanudaeligakyika

GntildeksμRKfrac12citthorn karelgElg karpthornlRbwkSa karGbrMsuxPaB kareRbIR)asraquosf ARV edayRtwmRtUv Cablab nigeTogTat-karciBawcentmTark-bgethajGMBIGaharUbtszligmOuml dlekμg-karcakfntildeaMbgaacutearRkumkumartUcsup2enH RtUvmanGaNaBuumla)alenACab CamYy

Rkumkumar GayuBI 5- 10 qntildeaM RtUvelgElg EdlbgaacutebeTAedaysar sIthornBI adherence nigGnamfrac12y notkarKUrrUb-karniTanerOgbrvbar

RkumkumarEdlmanGayuelIsBI 10qntildeaM RtUvelIkTwkcitthorneGaycUlrYmkntildeuacutegkarBiPakSa nigTTYlkarGbrMBIsuxPaB elIkTwkcitthorn nigCMrujeGayeKbegIaacutetskmμPaB edayxoslashUumln eKpTHORNal

9

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

CMnYykar not1-2 nak GaRsfrac12yelIcMnYn kumarEdl mkcUlrYmbrvbar - CaGntildekpTHORNuacutekemeraKeGs_ EdlEfTaMkumar pTHORNuacutekemeraKeGds_kumarpTHORNuacutekemeraKeGds_ vfrac12yCMTg

karcUlrYmrbsGntildekpTHORNuacutekemeraKeGds_ nigGaNaBuumla)al enAkntildeuacutegskmμPaB mmm KWRtUv )ankMNteday GntildeksMrbsMrYl

- karerobcMRbCMuRbcaMEx - karcUlrYmsMrbsMrYlkiccopyRbCMu mmm - karbBacopyUacutenenAkanesvasmRsb - kareFIVr)aykarN_ sIthornBIskm μPaBRbCMu

- smaCikRkum RtUv)anbNthornuacuteHbNthornal BIcMeNHdwg nigCMnajepSgsup2 RbsinebIcaM)ac edImI GnuvtthornskmμPaB mmm eTAtamParsup3kiccopy nigkarTTYlxusRtUvrbsBYkeK karbNthornuacuteHbNthornal nwgRtUv)anpthornl[ edayGntildeksMrbsMrYl RsukRbtibtithorn nigCMnYybeccopykeTsBIkm μviFIRbyuTsectnwg CMgWeGds_extthorn CamYYynwgeacutedKUepSgeTot EdleFVIkar enAkntildeuacutegRsukRbtibtithornenaH kareFIVkmμsikSa elIesva mmm epSgeTot nwgRtUv)anerobcM KWCacMENkmYyeacutenkarksagsmtszligPaB

- kiccopyRbCMu mmm sMrabkumar RtUv)anbMEbkCabIRkum eTAtamGayurbskumar nigtMrUvkar rbskumar edImITTYl)annUvkarKaMRT tamGayu rbsBYkeK RkumkumartUc GayuBI 0- 4qntildeaM nwgRtUv)anEfTaMedayKilanubdaeligak-Kilanudaeligakyika

GntildeksμRKfrac12citthorn karelgElg karpthornlRbwkSa karGbrMsuxPaB kareRbIR)asraquosf ARV edayRtwmRtUv Cablab nigeTogTat-karciBawcentmTark-bgethajGMBIGaharUbtszligmOuml dlekμg-karcakfntildeaMbgaacutearRkumkumartUcsup2enH RtUvmanGaNaBuumla)alenACab CamYy

Rkumkumar GayuBI 5- 10 qntildeaM RtUvelgElg EdlbgaacutebeTAedaysar sIthornBI adherence nigGnamfrac12y notkarKUrrUb-karniTanerOgbrvbar

RkumkumarEdlmanGayuelIsBI 10qntildeaM RtUvelIkTwkcitthorneGaycUlrYmkntildeuacutegkarBiPakSa nigTTYlkarGbrMBIsuxPaB elIkTwkcitthorn nigCMrujeGayeKbegIaacutetskmμPaB edayxoslashUumln eKpTHORNal

9

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

- RbsinebIGaceFIVeTA)an kiccopyRbCMu MMM nig mmm RtUvEterobcMeFIVeLIgkntildeuacutegeacutefparaEtmYYy kntildeuacutegeKalbMNgedImIkatbnszligyeacutefoslasheFIVdMeNIr elIsBIenHeTot mmm RtUvpthornlElgek μgelg nigElgGbrMnanaedImIbegIaacutetnUvbriyakaslyenEdleFIV[kumar cgRtLbmkelIkeRkayeTot

4gt sMnuMskmμPaBeacuten mmm - skmμPaBKaMRTRkum sup3 ]bkrN_EdlmanRbsiTisectPaB GacRtUveRbI dUcCa memory book nig

memory boxes edImICMrujkarBiPakSa rvagGaNaBuumla)al nigkumar GMBIGIVEdlkMBug ekIteLIg nigfaetI nrNaCaGntildekEfTaMkumar naeBlbccopyuacutebnntilde nigGnaKt

- karGbrMsuxPaB sMrabkumar nigRKYsar BIkarEfTaMxoslashUumlnEacutegsup3 edaybNthornajGntildekpTHORNuacutekemeraKeGds_ GntildekEfTaMtampTHORNHgt karelIkkMBs suxPaBgt GaharrUbtszligmOumlgt karcakfntildeaMbgaacutear nigkarbgaacutearkar cMlgemeraKeGds_

- karGbrMBIGaharrUbtszligmOuml sMrabkumar nigGntildekEfTaM - karGbrMBI Adherence nigkarpthornlRbwkSa sMrabkumar EdlTTYlkarBuumla)aleday

raquosfRbqaMgemeraKeGds_ karpthornlRbwkSa GacRtUvbegIaacuteteLIgCalkccedilNsup3buKAacutel bcurren CaRkum - karbNthornuacuteHbNthornal GMBIsiTisect nigkarCYjdUrkumar notRbsinebIcaM)acbrvbar - karKaMRTEpntildekposlashUacutevcitthorn rYmbBacopyUacutelTaMgkarbnRsn nigtaMgsmaFiCamYyRBHsgCcedil - km μviFIeFIVlMhatR)aN notkarelgElgbrvbar - karbNthornuacuteHbNthornalCMnaj dlGntildekEfTaM sIthornBIemeraKeGds_ nigCMgWeGds_ edImIedaHRsaybBaetha

erIseGIg nigkarerobcMeFIVmethUacutebrGahar bcurrenGaharbMbn edImIbgaacutearkarxVHGaharrUbtszligmOuml - bBacopyUacuteneTAesva OI enAkntildeuacutegmnITHORNreBTuumlbEgyenk RbsinebIcaM)ac - karBinituumlsuxPaB-karBuumla)alCMgWraquokasniym RbsinebIcaM)ac - EpyenkeTAelIGayurbskumar nigtMrUvkarrbsBYkeKgt bBacopyUacuteneTAesvaEdlBakBnfrac12sect

esvasuxPaBbnthornBUC notEpnkarRKYsarbrvbargt km μviFI PMTCT notcMeBaHyuvvfrac12ybrvbar karKaMRTEpntildekfvika nigsgAacutemesvaR)akkmcopyI nigCMrujkargar sMrabkumar Edlman

GayuticCagcabkargar - karbMe)AedaH cMeBaHek μgEdlRbQmmuxnwgkarqoslashgemeraKemeraKeGds_

10

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

5gt fvika karbgethajBIKMeragfvikaxageRkam sMrabkiccopyRbCMu mmm kiccopyRbCMuenH nigRtUv erobcMeLIgxusBIkiccopyRbCMu MMM sup3

karcMNayelI GRtacMNay kMNtsMKal GaharsMrabkiccopyRbCMu mmm

3 duloslasha sMrabRbCMumthorng sMrab GaNaBuumla)al nigkumar not2 duloslasha sMrabGaNaBuumla)al nig 1 duloslasha sMrabkumarbrvbar ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCaPsthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

eacutefoslasheFIVdMeNIr rbsGntildekEfTaM nigkumar mkkEnoslashgRbCMu

EpyenkelItMeacutelCakEsthorng RbEhlCa 3 duloslasha sMrab kumar nig GaNaBuumla)al ERbRbYleTAtamRbPBFnFan

bBaIcentvtthornman RtUvpthornlCa Psthornuacutetag GntildekcUlrYm eRcInbMput 50nak rYmbBacopyUacutelTaMg GaNaBuumla)al pgEdr

R)ak]btszligmOuml sMrabGntildek sMrbsMrYl nigCMnYykar

30 duloslashafrac14mntildeakfrac141Ex ERbRbYleTAtamRbPBFnFan

RtUv)anKaMRTeday NGOs CBOs

R)ak]btszligmOuml sMrabvaKi μn 12gt5 duloslashafrac14mntildeak ERbRbYl eTAtamRbPBFnFan

cMNayelIkar]eTTHORNsnamrbsGntildekCMnaj edImIbgethajBIGIVmYYy elIkElg buKAacutelikrbs GgAacutekarminEmnrdaeligaPi)al

sMParsup3 sMrabkiccopyRbCMu 5 duloslasha frac14RbCMumthorng NCHADS minpAacutetpAacuteg eT RbsinebI NGOs CBOs pthornlkar]btszligmOumlehIy

cMNayepSgsup2 EpyenkelItMeacutelCakEsthorng RbEhl 5 duloslashasMrabRbCMumthorng

]gt GeBaIcentjRBHsgCcedil edImIKaMRT EpntildekposlashUacutevcitthorn enAeBlRbCMu

11

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

KMrUbBaIcentvtthornmankiccopyRbCMu mmm

eacutefparaTIgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT bBacopyUacuteneday

notRkumCHBCSHGNGOsbrvbar cMnYnGntildekEfTaM mkCamYy

htszligelxa bcurrensntildeamemeacuted

sszliganPaB GaharrUbtszligmOuml

12

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

KMrUbBaIcentsmaCik mmm sMrabkumar

eQμaHextthorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt eQμaHRsukRbtibtithorngtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt lgtr eQμaH ePT Gasfrac12ydaeligan BinituumledaynotRkumHBC

SHGNGOsbrvbar eQμaH

GaNaBuumla)al sszliganPaB

GaharrUbtszligmOuml cMNaMsup3 bBaIcentenH RtUvEt Update eGay)aneTogTat smaCikcUlfI μ RtUvEtdakbBacopyUacutel nigGntildekEdlsoslashab bcurrencakecj RtUvEtdkecj

13

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay

14

KMrUr)aykarN_ sMrabkiccopyRbCMu mmm

eacutefparaTIsup3 gtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgtgt cMnYnsmaCikcUlrYmsup3 ekμg nigmnusScas GntildeksMrbsMrYl nigvaKiμnsup3 eQ μaH tYnaTI nigkEnoslashgeFIVkar skmμPaBRbCMu

o RbFanbT Edl)anBiPakSa kntildeuacutegkiccopyRbCMu eKalbMNgeacutenRbFanbTnimYysup2 cMnucsMxaneacutenRbFanbTnimYysup2 rebobkntildeuacutegbgethaj

skmμPaBepSgsup2eTot o ]TahrN_ karBinituumlemIlraquosfsup3 etIkumarbun μannak )anmkBinituuml nigtamdan

enAkntildeuacutegesva OIsART karbBacopyUacuteneTAesvaepSgsup2eTotsup3 etIkumar bcurrenGaNaBuumla)al bunμannak

Edl)anbBacopyUacuteneTAkanesva rebg PMTCT l snntildeidaeligan

o etIRbFanbTEdl)anbgethaj enAkntildeuacutegkiccopyRbCMu )aneqIoslashytb eTAnwgtMrUvkarrbs GntildekcUlrYmEdr rWeT

o bBaetha dMeNaHRsay nigGnusasn_ Edl)anelIkeLIgkntildeuacutegkiccopyRbCMu karkMnt eacutefpara Ex nigrebobvarsup3 sMrabkiccopyRbCMuelIkeRkay