17/24 provinces and municipalities
KHANA is the largest local non-governmental organisation implementing HIV/AIDS programmes in Cambodia.
Cambodia is one of the few countries to achieve the Millennium Development Goal of halting and reversing the spread of HIV, with prevalence falling from 3% in 1997 to 0.5% in 2009. This is a major achievement especially given high levels of poverty and inequality, devastation of infrastructure during decades of war and heavy reliance on foreign aid.
Cambodia's decline in HIV prevalence was due to a rapid and coordinated response by the government in collaboration with non-governmental organisations and civil society. Infections among direct and indirect sex workers fell after the promotion of 100% condom use.
The main mode of HIV transmission remains heterosexual sex, but many infections also occur among injecting drug users and men who have sex with men. Poverty, gender inequality and changes in sexual behaviour continue to drive the epidemic. There is a need for more prevention services for couples and key populations including young people, men who have sex with men, injecting drug users, amphetamine-type substance users, park-based sex workers and truck drivers.
WHAT WE DO
A national reach
KHANA grew out of an Alliance project in 1997 and was officially registered as an independent organisation in 2000.
KHANA is now the largest local non-governmental organisation implementing HIV/AIDS programmes in Cambodia. It supports 63 partners to implement prevention, treatment, care and support programmes in 17 of the country’s 24 provinces and municipalities.
Through technical support visits, training, workshops and exchange visits KHANA builds the capacity of its partners to implement programmes, carry out evaluations and manage resources.
Integrated Care and Prevention
The Integrated Care and Prevention Program (ICP) is KHANA’s largest. It focuses on the provision of home-based care services by trained teams to people living with HIV, orphans and vulnerable children and their families. Services include referrals to health care, positive prevention information, access to income generating activities, nutritional assistance, support for antiretroviral treatment adherence, self help groups and support for school attendance.
Through the ICP, KHANA is making a significant contribution to achieving universal access to HIV-related services. It provides critical services to more than 13,757 people living with HIV (15% of all those in the country) and 21,670 orphans and vulnerable children (over 17% of the national total).
The ICP is implemented in collaboration with the government and is considered a flagship programme, influencing the development and implementation of the government’s continuum of care model.
KHANA’s Focused Prevention (FP) Program prioritises the needs of those most at risk of infection. Most of the 14,000 people reached are sex workers, injecting drug users or men who have sex with men. Other beneficiaries include youth, mobile populations, married couples, people living with HIV, and orphans and vulnerable children.
The programme provides outreach and peer education, and challenges community norms and stigma. Specific tools and training materials have been developed by KHANA in collaboration with its community partners and members of the key populations. KHANA reaches 25,784 men who have sex with men, drug users and entertainment and sex workers.
KHANA works in close cooperation with the government’s national AIDS programme. It has staff on seven government HIV/AIDS technical working groups and two regional committees.
Through these bodies, KHANA advocates for improved policies and influences the development and implementation of Cambodia’s National Strategic Plans. The organisation has supported the establishment of national networks of people living with HIV and men who have sex with men.
Regional Technical Support Hub
KHANA also hosts the Alliance Regional Technical Support Hub in South East Asia and the Pacific. The creation of this Hub marks KHANA’s transition from a national to a regional provider of technical support for civil society organisations.
KHANA will continue to implement its Integrated Care and Support and Focused Prevention programmes, while adapting to the changing needs of people living with HIV (due to greater access to treatment) and shifts in the groups most at risk of infection. The organisation plans to expand its work with injecting drug users, and will address factors that prevent marginalised people accessing antiretroviral treatment and health and community care services.