Prevention

SCC monks and field staff provide HIV/AIDS prevention education through a variety of mediums, including small group discussion sessions, individual visits and larger group events. A variety of materials are also used, including educational videos, booklets and visual cards, which are particularly useful for working with people who are illiterate. In the last year SCC has reached over 6,000 households with educational messages.

Care and Support

SCC encourages and educates people through the support of the monks to take care of their loved ones in their own homes and communities. The monks provide counselling services, meditation, social and spiritual support to over 1,400 people living with or affected by HIV/AIDS at every stage of the disease. This includes: providing counselling when a person has just discovered their HIV status; providing home based care if they become ill; offering spiritual support and blessings when they are very ill; undertaking funeral ceremonies when a person dies; and supporting surviving family members after the death of a loved one. SCC monks also try to meet some of the basic needs of people living with and affected by HIV/AIDS, such as food, clothing, shelter, and access to basic drugs.

SCC also operates shelters in Siem Reap and Battambang to provide people living with HIV/AIDS temporary accommodation for when they travel from outlying areas for medical treatment at provincial hospitals.

Orphans and Vulnerable Children

The HIV/AIDS epidemic in Cambodia has created thousands of orphans and vulnerable children and their numbers are increasing. SCC is supporting over 700 children who have been affected by HIV/AIDS by visiting them regularly and providing counselling and psychosocial support. In addition, SCC also provides basic supplies such as food and clothing to over 400 of these children, advocates on their behalf to ensure that they are adequately cared for in their own communities and have access to education. This involves working with local schools and the families and neighbours of orphans and vulnerable children, usually whilst one or both parents are still alive, to plan for their future.

Stigma and Discrimination

The involvement of monks in the response to HIV/AIDS is also important in addressing the stigma and discrimination that is often faced by many people living with HIV/AIDS, and their families. As monks hold a position of respect in Cambodian culture, their involvement in HIV/AIDS activities is influential on the attitudes and practices of the community towards people living with HIV/AIDS. The monks often advocate on behalf of people living with HIV/AIDS, by working with and educating their families, neighbours and communities, to reduce any stigma or ignorance related to HIV/AIDS. This has resulted in people living with HIV/AIDS and AIDS orphans being able to remain living in their communities, instead of being forced to leave, which has occurred the past.

Income Generation

People living with HIV/AIDS and their families often live in very poor conditions, especially if their health makes regular work difficult and requires expensive treatment. Children often suffer the most, and many have to leave school to care for their sick parents or to earn an income to support the family. SCC is piloting some small income generation projects for people living with HIV/AIDS and their families, in an attempt to avoid these situations. Examples of income generating activities undertaken include vegetable production, motorbike repairs, sewing and making products from recycled paper.

Collaboration

Initially it was difficult for SCC to gain the support of key stakeholders, such as national and provincial Head Monks and community leaders. However, for the past few years SCC has worked closely with these stakeholders and now enjoys full support from Head Monks, the Ministry of Health and the Ministry of Culture and Religious Affairs. SCC also works in collaboration with home based care teams, hospitals, clinics and other HIV/AIDS organisations, and has established an effective referral system and network. In Phnom Penh, for example, SCC works closely with home based care and support group teams such as the Cambodian People Living with AIDS Network (CPN+), Women’s Organisation for Modern Economy and Nursing (WOMEN), and Key of Social Health Education Road (KOSHER). These groups will often invite SCC monks to participate in home care visits, community education activities and support group meetings.

Scale Up and Organisational Strengthening

After much consolidation of these activities, SCC is now in a position to scale up its work, particularly in the new province of Siem Reap. SCC is also investing in organisational strengthening, focusing on the broad areas of organisational management and governance; administration and finance; program management; and external relations. This also includes building the capacity of its staff and monks to continually enhance the quality of services provided and to ensure effective scale up of activities.

Cambodia is one of the countries in Asia most severely affected by the HIV/AIDS epidemic, with a prevalence rate of approximately 2.6%.

Currently, it is estimated that Cambodia has over 160,000 people living with HIV/AIDS and more than 60,000 orphans because of the disease .

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