Case Studies‎ > ‎

Case Studies

1. a.Published in Newspaper.

 
 

2.Case Studies from GWP Field


A HIV positive husband have safe sex with his wife
GWP has mobilized a peer educator in the Laxmipur VDC, Dhanusha. The peer educator name Okil Jha reached to inform about VCT service among the target audience in the village. Where he found, a group of villagers who were preparing for migration for work, were chatting among themselves. He also participated in the chatting and during talk peers started sharing among themselves that they have to migrant for work because they are unemployed here and do not have any livelihood. Peer educator asked who is going to which country? And found now most of the people are interested to go to third country.

After chatting some time slowly people get dispersed and in this process when most of the peers where dispersed one guy shared with our peer educator that he has already made his passport and when he visited a doctor for the medical certificate the doctor informed him that he is medically unfit for working abroad. When he asked doctor why? Then the doctor said to him that there is defect in his blood and suggested him not to share food with other members in the family, do not sleep in the same bed, keep distance with other family members. He then share his anxiety that after hearing this he was quite disturbed and said with our peer educator that he fit enough and do not feel any weakness. I have checked my blood not because of any health problem rather because only for the purpose of making medical certificate for going aboard. I was thinking to go aboard with my soon and working 2 years, hoping to come back with some money and built house in the village. But now I am confused.

Hearing all his concern peer educator ask the service center where he has tested his blood but he could not named the center. Then peer educator suggested him to come to our VCT center with his wife and fixed date and time also.They guy came to the center with his wife. With pre test counseling there blood where tested. In the process husband was found positive and wife was negative. During the process of pre and post test counseling it was found that husband was unaware about risk behaviour and practicing it.

When wife was found negative both husband and wife feel relieved that at least one is safe and enjoyed it and accepted to lead non-penetrative sex in the future life.  
Story of Angrita Kishori Samuha
Residence of Padampokhari -05, Makwanpur & Member of Angrita Kishori Samuha Miss Asmita Darlami illustrated that being a member of group taught her   to deposit some of her saving. She didn’t have any knowledge that her positive opinion & positive attitude can contribute to her community to boost up her role and liabilities towards community. As she started listening Radio Program, she found some of the changes on her. She didn’t have any information about politics at that time. But after listening the program it encourage her to know more and listen interestingly. It helped her to know that youth are the backbone of the country. “If youth of the nation think positively and act positively, it certainly brings the positive results.” explains Asmita. Now she can solve some of the small problem in her and community & she is also involved in cleaning the surroundings in support of community people.

Convincing a denying husband for partner treatment.
This is about Mahendranagar ICC center,Dhanusha a female patient, who was suffering from STI like vaginal discharge, lower abdomen pain and Itching, came to check up about STI in the center. Her husband used to work in Delhi and visit home on holidays. After the examination the ICC service center provided some medicine and suggested for partner treatment. When she requested her husband to visit the center for treatment, she was even beaten by her husband and by her mother-in-low too.  Then without having full course of medicine she came back to the center with her remaining medicine. But luckily at that time her husband came to center following her to find exactly where she is visiting. Where he was introduced as her husband then service center employees coolly interacted with him and explain about the STIs, its cause and consequences as well as the meaning and importance of partner treatment. During all this process he was impressed by the dealing and the service over their. Eventually he agreed for the treatment along with his wife and both of them were participated in couple treatment. They both presented in the next follow up and told about their improvement and took medicine for remaining period.
STI treatment in a dignified manner and with a very nominal cost.
Eeklash Devi Mahato, Yegabhumi V.D.C ward No.8, Dhanusha settled with her brother in law when his husband left for foreign empowerment before three years. She was suffered STI through his brother in law because STI symptoms appeared on him too. She knew that her brother in law was affected by STI.Yeklash Devi was getting terrified and could not think what to do.  Suddenly, she got GWP ICC center through the local people. She completely cured and suggested to have only safe sex with correct use of condom. Now, she using condom correctly and consistently and not having STI recurrent. According to Eeklash Devi, there are lots of STI patients in the village. So, she promised us to take STI patients in ICC center.

Eklash Devi likes GWP’s programme very much, because according to her she would have spent a lot of money if she did not in-counter with GWP’s VCT service center. She said GWP not only saved her money but also cured her STI She likes to give thanks to GWP.
 
If we tried it could be changed.
Shila (Name changed) a permanent inhabitant of manahari VDC, Makwanpur. She hasn't wanted to listen on HIV & AIDS topic during field visit (Outreach). Having repeated contact with her close relation was build up and then gives message on HIV & AIDS and proving her sexual behavior and discuss with her about these issues. After many time contact with her she was also positive towards us and then we are also motive to discuss on sexually transmitted infection and VCT services. She has raised some question about HIV & AIDS and opened her sexual behavior. She has some STI symptoms and said she has not use condom with her sexual partner in every sex act.
       We referred them with their partners in Manahari mobile STI clinic. She came in a clinic and treated STI and also gone to VCT. Now a day she has cured and no STI symptoms followed in STI clinic. There are so much difference between past and present sita's behavior. In the past we met sita hardly in the field, now days sita meet us regularly. She shared her friend what she know on HIV & AIDS issue and referred to their friends in a STI clinic. She have increased their condom carrying habit and reduced their sexual partner.To change community negative vision toward her she promised to change her own behavior first by working some small business to survive independent life.

Many interests, made FSWs
Sita Chaudhari (name changed) is a 15 years old school girl studying in 9th class at Kachanapur, Banke. She belongs to a medium income level farmer family. She had come in STI clinic at Kachanapur for STI check up. During that clinic GWP staff informed her about STI. First of all she refused to admit she is involved in sex trade. After some time when she felt more comfortable with GWP staff she exposed her secret that she is involved in sex trade. She has been involved in the sex trade since the past 6 months. Mostly she goes to Samsergunj. Her clients are police men. If a client agrees to use a condom only then she uses condoms otherwise she didn’t use condoms. She is taking 200 to 500 rupees per intercourse.
She is very afraid of her father and the rest of the community. According to her when her father finds out about her activities she will be killed.  
She is involved in sex for money because she is young and she has many interests such as fashionable clothes, tasty food, entertainment etc which her father can’t pay for. So to fulfil her interests she involved in sex with the help of her friend. After she found out she has been at risk of STI/HIV/AIDS because of her behaviour she also requested GWP staff to visit her village and meet more school girls and educate them like her.
Model of Success story among IDPs
A 25-year-old young boy Mr. Hem (Name Changed) is a truck driver (transport worker).His permanent home is in Dailekh.5 years ago due to the conflict he came in surkhet and working as a helper in truck.  Now, he is a driver of a Truck. In the driving time his truck halt in many places at that time he involved in unsafe sex with different age group FSWs in different places without using condom.

After listen his past history, GWP asked him why he doesn’t marry and practice the safer sex, then he replied us," Those girls are easily available every where and I am satisfying my self without using condom with different FSWs in different way so I am not interested with a marital status ".

After some week letter, when he suffered from the few wounds around his penis, he came in GWP’s condom outlet point. After counseling, he went to clinic for the STI treatment. This made him free STI. During the treatment process, he got lots of knowledge on STI/HIV/AIDS and condoms which he had not hearted before.

Now he reduced his sex partners and use condom in every sexual contact. Now he became aware from STI/HIV/AIDS. He is going to planning to marry in near future.
Selfish Man
Sanu B.K (changed name) 20 years old married woman living in Khajura D Gaun, Banke. Now She is living in her parent’s home. Just 5 months ago she came with PE in DIC for the check up their STI problem and to know more about HIV and AIDs and STI. At the duration of the talking time with her. She expressed, “Sister, I m poor women. Two years ago, I fell in love and married with a police man and with in sex month, he left me, he married me only for sex. After then I was alone so I returned my parent’s home. My parents are old and my brother and sister also small. So, they had also mouth problem,. One day, I needed money so I beg with my female friends who are involving in sex trade. Then she suggested me to spent one night with one man then the man give you money. I needed money so I agreed and that first time I spent one night to another man. In the morning he gave me Rs.2000 of the night. That money solved my problem. But the problem never solved. so I involved sex rade. I never use condom with my clients. One day, your staff ( PE) came in my house and she informed me about HiV/AIDS/STI and condom .And also she suggested me to check up my STI problem in time. I want to know more about it, I want to continue my further study but I have no more money: after her voice GWP motivator
delivered the message suggested how to make better life and referred to dr. G.Raj Shakya clinic for STI treatment. “

After then, she regular visited GWP staff and performance and committement was good. Three months ago, she joined campus and studying I.A first year. In this duration, she came in DIc,she looks happy and told, “I joined campus and I will study with hardly. I couldn’t leave sex trade but I reduced my sex partner and I used condom regularly. I was also informed about HIV/AIDS/STI to those persons who doesn’t want to use condom. If I will get a good work, I will leave it surely. Thank you all, aware to me in time”
Nowadays, she is studying and regularly visited DIc and also she is supporting GWP by visiting new FSWs.

Changes the Living Status IGP support program…………….
Rita Khadka is one of a member in Saving & Credit program of GWP in Birgunj. Her husband has gone abroad in search of job and earn money. But for a long time he hasn’t send a penny for her & family to maintain their life. So for survival she started sexual activities. She had also involved in unsafe sex in this period. After meeting with OE, she was encouraged to join Saving & Credit program for her sustainability and to reduce risk behavior .After that she actively enrolled in Saving & Credit program and received Rs 3000.00 as a loan for the first time. With the money she bought tables, chairs for her small hotel. Now days, her small hotel is running well and she has paid her entire loan. Now she is capable and confident to manage the hotel. With a sound income from the hotel she has managed her two daughters' studies in a school and collage. She has good knowledge on HIV/AIDS and STI.  She has totally change the risk behave. And she is known as an active group member of GWP.

I have reduced the Partner……………
Sima Shrestha from Amlekhganj was (changed name) 20 years old. She had been involved in unsafe sex since the age of fourteen. She  married there  three years ago with local boy , even after her  marriage  she didn’t stop  unsafe sex with other guys . She used to escape from home to do all these. One day her husband knew all about her activities .Though her husband used to scold her not to involve in these activities and due to this they used to quarrel with each other many time. But she was not going to change her behavior any more. Finally her husband left her alone.  Even after this, she felt herself free from any disturbances and kept contact with 4-6 clients in each day. She was happy to earn easy money. Thus day by day she was having unsafe sex with multiple partners. Due to the frequent visit of Community Mobilizer she was informed about HIV/AIDS and STI then she shared about her risk behave. The CM suggests her to visit STI camp and VCT test at pathlaiya static clinic. She was tested STI, HIV with VCT. On the report she was found STI infection and luckily her HIV status was negative. Now she has changed her unsafe sex behave and reduced the sex partner too.