In 2005, GHC began working in Mozambique as consultants to the U.S. CDC. In 2008 GHC became a subcontractor to ITECH with a mandate to work with MARPs and with the Ministry of Health to investigate HIV risk and its mitigation among healthcare workers. As part of this mandate, GHC provided the logistics and analysis of qualitative and quantitative survey studies of healthcare workers and assisted the three national MARP organizations (Lambda, Rede Contra Droga, Get Jobs) in recruiting, training and deploying peer outreach workers to conduct behavioral interventions.
RAMP on the Thailand/Laos Border
From 2005-2007, GHC implemented RAMP at one border crossing between Thailand and the Lao PDR among sex workers, soldiers, and other mobile populations. We developed a series of four comic books entitled "Stories from the Border" that reflected the reality of each target population. In “Somchai’s Story,” the main character was a soldier stationed far from his family who was trying to reduce his alcohol consumption. But he fell in love with Joy, a sex worker who became the main character of the second comic book. She was trying to save money to build a house for her family. These stories were used in the waiting area of a clinic with sex workers or in a military camp on the border with soldiers to take them through the three-phase RAMP process for behavior change. GHC worked closely with Population Services International (PSI) Lao PDR, Family Health International (FHI), the United Nations Population Fund (UNFPA) and the Rockefeller Foundation to leverage resources and combine efforts on health fairs and provision of clinic services that served as the other pillars of this project.
RAMP with MSM in Bangkok
In 2006 and 2007 GHC worked with several community-based organizations working with men who have sex with men (MSM) in Bangkok to create a movie that could be used as a story for behavior change with MSM. In the movie entitled, The Wager, two young gay men make a bet to see who can use condoms consistently with every partner for a month. Their experiences highlight authentic barriers and facilitators to condom use for MSM in Bangkok.
Consultation with The Carter Center’s Guinea Worm Eradication Program
In 2008, GHC assisted the Carter Center in its guinea worm eradication programming. In pastoral South Sudan, guinea worm poses a significant risk to health. Painful infections make normal life impossible: children cannot go to school, men cannot work in the fields, and women cannot fetch water or carry out normal household duties. GHC's role was therefore to assist frontline staff working with the target populations to better understand why behaviors such as home water filtering and fetching water from safe sources were not observed despite a high level of knowledge concerning guinea worm risk. With tools and techniques provided by GHC, community health workers learned to listen to their communities and adjust their engagement to create a genuinely participatory approach to eliminate guinea worm.
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