Neftaly HIV/AIDS Program – Nepal
Project Duration: 16 November 2008 – 15 November 2013
Project Title: Enhancing Access, Equity, and Quality of HIV Prevention, Care, and Support Services in Nepal
Background
Nepal has made important strides in addressing the HIV epidemic, yet significant challenges remain—particularly among key and vulnerable populations. At the time of Neftaly’s program launch in 2008, HIV prevalence in Nepal was concentrated among groups such as people who inject drugs (PWID), female sex workers (FSWs), men who have sex with men (MSM), transgender individuals, and migrant laborers. These communities faced high exposure risk, limited access to services, and widespread stigma and discrimination.
In response, Neftaly partnered with national stakeholders to implement a comprehensive, community-centered HIV/AIDS program aimed at expanding access, improving quality, and reducing health disparities.
Program Objectives
- Reduce HIV transmission among key populations through evidence-based prevention interventions
- Improve access to HIV testing, treatment, and care services, particularly in underserved and high-risk areas
- Promote the rights and dignity of people living with HIV (PLHIV) and reduce stigma and discrimination
- Strengthen health systems and build capacity for sustainable HIV service delivery
Key Components of the Program
1. HIV Prevention and Behavior Change Communication
- Delivered peer-led outreach and education to over 150,000 individuals from key populations
- Promoted consistent condom use, safe injection practices, and STI prevention
- Distributed condoms, lubricants, and harm reduction kits in high-risk zones and border areas
- Launched mass media campaigns and community dialogues to change harmful norms
2. HIV Testing and Counseling (HTC)
- Established and supported mobile and community-based HTC services, increasing early diagnosis
- Integrated HIV testing into existing reproductive health and TB programs
- Reached over 80,000 individuals with voluntary counseling and testing services
3. Care, Support, and Antiretroviral Therapy (ART)
- Facilitated access to lifesaving ART for PLHIV through improved referral systems and linkage to care
- Provided home-based care, nutritional support, and psychosocial counseling
- Strengthened ART center capacity in coordination with national health authorities
- Reduced treatment drop-out through adherence support and case management
4. Support for Marginalized and Mobile Populations
- Designed cross-border HIV interventions for migrant workers traveling to India
- Delivered HIV and health services in informal settlements and entertainment venues
- Worked with local NGOs to establish drop-in centers and safe spaces for vulnerable groups
5. Health System Strengthening and Policy Advocacy
- Trained over 1,200 healthcare providers, peer educators, and outreach workers
- Supported the National Center for AIDS and STD Control (NCASC) with data systems and strategic planning
- Advocated for non-discriminatory policies and protections for PLHIV and key populations
Key Achievements (2008–2013)
- HIV prevalence stabilized or declined in targeted districts
- Over 230,000 people reached with prevention, testing, or treatment services
- ART retention rates improved in supported clinics
- Significant reduction in stigma-related service refusals reported by PLHIV
- National and local capacities strengthened to sustain HIV response
Conclusion
Neftaly’s HIV/AIDS program in Nepal made a lasting impact by placing community voices at the center, prioritizing equity and inclusion, and reinforcing the public health infrastructure. The initiative contributed meaningfully to Nepal’s broader HIV response and laid the groundwork for continued progress toward the UNAIDS 90-90-90 targets.


