Situation Analysis: While the incidence of HIV/AIDS in Pakistan remains low, it is estimated that there are approximately reported 70,000 to 80,000 reported cases of HIV/AIDS, constituting roughly 0.10% of the adult population in Pakistan. Though the present rate is negligible yet, the country is highly vulnerable because of significant risk factors that may convert it into widespread epidemic. A general environment of poverty, underdevelopment, economic insecurity, lack of education and lack of information on SRH and/pr commodities of self protection and all type of sexual exploitation all provide conducive factors to support the spread of the disease in Pakistan.

Key challenges:

• Lack of awareness about HIV/AIDS particularly affecting more vulnerable population such as young people (15- 24, 28%), injecting drug users, female sex workers, their clients, MSM, truckers and highly mobile labour force.
• 35% population lives below the poverty line, which increases their vulnerability to HIV/AIDS. 
• Lack of understanding about the links between STIs and the increased risk of HIV/AIDS.
• General reluctance to accept the existence and the extent of the problem.
• Socio - cultural and economic barriers to changing behaviour.
• Stigma attached to people with AIDS – leading to denial and discrimination.
• Low use of condom and lack of awareness of it as a means of dual protection
• Limited linkage, lack of coordination between FP&SRH and HIV/AIDS organizations, as well as absence of integrated service provision in Govt., private sector and NGOs.
• Inadequate resources and capacity to address STIs and HIV/AIDS.

Strategic Direction: FPAP will strive to prevent the spread of HIV/AIDS by integrating HIV and AIDS awareness in sexual and reproductive health service delivery in FPAP Project Areas.

Goal: Reduction in the national incidence of HIV/AIDS and the full protection of the rights of people infected and affected by HIV/AIDS.

Objectives:

• To increase access to STIs/HIV/AIDS related information and services as part of integrated, gender-sensitive SRH services package including access to care, support and treatment for people infected, and affected by STIs/HIV/AIDS.
• To advocate for increased programme and policy linkages between SRH and HIV/AIDS.

Activities to achieve Objective 1:To increase access to STIs/HIV/AIDS related information and services as part of integrated, gender-sensitive SRH services package including access to care, support and treatment for people infected, and affected by STIs/HIV/AIDS.

• Hold KAP and STIs/HIV/AIDS prevalence surveys and studies;
• Develop the capacity of volunteers and service providers in STIs/HIV/AIDS related advocacy and services;
• Conduct STI/HIV/AIDS related training needs assessment of staff and volunteers and design and deliver capacity building activities.
• Establish and maintain community based male and female condom distribution and information provision network.
• Provide STI/HIV/AIDS related services at service outlets;
• Establish and operate VCT centres and develop referral network with Public/ Private/ NGO sector for VCT services;
• Build the capacity of key FPAP staff and other SRH service providers in how to empower women to negotiate safe sex through study visits, TIT workshops, etc;
• Mobilise resources for an improved level of STIs/HIV/AIDS related advocacy and services.

Activities to achieve Objective 2:

To advocate for increased programme and policy linkages between SRH and HIV/AIDS at the national and local level.

• Develop and disseminate BCC materials;
• Establish strategic partnership with key SRH agencies such as NGOs and women’s organisations;
• Solicit collaboration and support from opinion leaders, Government institutions, media, private practitioners/hospitals, civil society organizations and youth groups etc., to increase awareness on HIV/AIDS;
• Hold meetings/orientation sessions with key gatekeepers at the community level;

Outcomes and Indicators: