which must be addressed on war footing to avoid reoccurrence of Jalalpur Jattan case; Strict enforcement of Injection safety, hospital waste management and infection control measures Service delivery packages providing services in the provinces are limited and sometimes even are not available- no national standardized guidelines protocols/ SoPs for Service Delivery Packages for Key Populations Service delivery models should be tailored to the community settings particular to each key population. Where possible, testing services are to be integrated into existing community led/based prevention programmes that address behavioral risk. National guidelines/SoPs should be developed for comprehensive service delivery packages should be develop. with these services need to be sustained through domestic resources. Currently across the country the services are being provided only through GF grant. The provinces need to implement provincial Strategies in true spirit and litter. Government ownership at federal and provincial level is required. Community engagement need to be ensured at level and their capacities need to be strengthened for provision of services Increase the number of service outlets in identified prioritized / high risk districts, with active engagement of CBOs NACP, & APLHIV, CBOS through technical support of UN partners by Last quarter of 2018 Community engagement need to be ensured at every step Except for PWIDs, there is no service delivery for any other key population except under GFATM grant and even in Punjab since 2016 these services (including HIV Prevention and testing services in KPs, care and support services for PLHA Service delivery packages approved under the PC1s need to implemented and monitored on urgent basis. , PACPs to operationalize PC1 and its ongoing process
are not available) are not available. Even in rest of the provinces through PC1s or other domestic resources no services are available for any KP. Services are available only through GF grant. PC1 are available but releases are not on time and in full as per approved budgets, which needs to be highlighted. are not being released on time for PC-1s and if released then not implementation due to (amount reduced from what agreed in PC-1) Robust advocacy with relevant decision makers (P&D) for timely releases of PC-1s Timely execution of provincial strategies and release and implementation of funds under PC1s has always been an issue. The provincial programs need to be more assertive in their provinces in this regard. Services under PC1s need to be in line with AIDS Strategies and through a transparent process. Identified KPs as per HIV prevalence and available evidence need to be targeted. Weak institutional capacities at federal and provincial level to fastest growing HIV response Strong institutional capacity to ensure implementation of Provincial and National Strategies and programs. NACP as an umbrella organization at the National needs to be strengthened with enhanced mandate, role, responsibilities and capacities. Technical capacity of Provincial Programs in terms of implementation, monitoring, evaluation, data management and directing the resources in right direction needs to be enhanced. . NACP & PACPs through technical support of UN partners between last and 1st quarter of 2019 TOR 3: ENABLING ENVIRONMENT IN THE LIGHT OF BASIC HUMAN RIGHTS IMPLEMENTATION TOR 4: NON-STIGMATISED & EVIDENCES BASED AWARENESS CAMPAIGN THROUGH PRINT ELECTRONIC & SOCIAL MEDIA