Health Environment

Every country has accepted the NGO cncept to develop in different sectors like health, economic, social, education and other community related programs in the world. The world has been facing the major problem  of health. Similarly we know if the money is lost nothing is lost if education is lost something is lost, if the health is lost everything is lost. HIV/AIDS  epdemic is the  very critical situation in the world. The develop countries have been trying to solve the problem but not succeeded yet. The total number of 2.7 million people newly infected with HIV in 2007 of which 2.3 million are audlts and 420,000 are children under 15 years.32.2 million numbers of people are living with HIV/AIDS of which 30.8 million are audlts and 2.5 mllion are children under 15 years. 2.1 million people are died in 2007 of which 1.7 million are audlts and 330,000 are the children under 15 years.(Source: World Health Organization, UNAIDS.

Source: World Health Organization, UNAIDS. Web:

Nepal also facing the same problem of HIV/AIDS/STDs. Nepal’s poverty, political instability and gender inequality, combined with low levels of education and literacy make the task challenging, as do the denial, stigma, and discrimination that surround HIV and AIDS.

The first case of AIDS in Nepal was reported in 1988. By the middle of 2008, more than 1750 cases of AIDS and over 11,000 cases of HIV infection were officially reported, with two times as many men reported to be infected as women. However, given the limitations of Nepal’s public health surveillance system, the actual number of infections is thought to be much higher. UNAIDS estimates that 70,000 people were living with HIV at the end of 2007 ( Data & research of the world Bank) So that INGOs , NGOs , GOs and other line agencies are working in the field of HIV/AIDS & STDs. General Welfare Pratisthan is one of them.

Since its establishment , GWP is working with the following health related services:

  • Safe injection disposal program
  • Multi-sectoral involvement for HIV prevention
  • STI treatment and HIV prevention program
  • Behavior Change Intervention on HIV/AIDS/STI
  • Right based care and support program for people infected and affected by HIV
  • Care & support for people infected and affected by HIV
  • Integrated Health services

As GWP is working actively in 20 different districts of Nepal through multiple sectors. GWP has long years on HIV/AIDS/STI  experiences since its establishment from 1993.GWP has implemented STD.HIV/AIDS contron  and prevention program with the support of USAID/FHI/AIDSCAp, operating STD/HIV/AIDS control and prevention program for behaviour change intervention at different part of centralNepal in High way region of Naubise to Mugling, Narayanghat, Hetauda, Birgunj, Pathalaiya, Dhalkebar, Janakpur and Mahottari districts and its related areas, which was called STD/HIV/AIDS, outreach and peer communication project. It is called in short from GWP/FHI Project.

Smilarly since 1999 GWP has started STD/HIV/AIDS prevention program as women’s health centre at Kathmandu metropolian City with the support of University of Heidelberg.
In  2000, GWP has started STD/HIV/AIDS prevention program in five distrivcts east west highway of mid and far western ( Dang, Bankey, Bardiya. Kailali and Kanchanpur with the assistence of Save the children-US Neda Program.

Similarly since May 2001 GWP has started girls trafficking with the support of free A Child, known as the Putali Project. Under the child vaccine program, GWP has conducted research program on promotion pof safer injecting practices. With the assistence of SWISS DeVELoPMENT CO-OPERATION ( SDC) GWP has conducted STDs/HIV/AIDS Preventon activities to the patners of project of SDC Dailekha & Kathmandu districts. GWP has also conducted STD/HIV/AIDS prevention training for MCHW & VHW of health staffs with the assistence of Planm International Bara/Rautahat.GWP was conducting STD/HIV/AIDS clinic every first day of the month at Nijgadh ( Bara District), with the cooperation of Bhoruka Public Health Counseling centre Raxual.

Since 2006, GWP has been continiously working for HIV/AIDS/STI prevention program to Migrant population  in Dhanusha with the assistence of  UNDP MSA.  GWP runned the UNDP supported “Comprehensive Package for Migrant and their families” in 20 VDCs and 1 Municipality on HIV/AIDS/STI prevention in Dhanusha District. Outreach reached 97155 people through one to one outreach contract where more than 12944 people repeated individuals contacted.GWP also provided 2226 STI and  1793 VCT service ti clients, 134946  condoms were distributed . 8018 condon demonstration show from DIC/ICC conducted. ( Source: Final report GWP-UNDP)

In  October  2007, GWP implemented  the condom promotion pakage to Female Sex Workers & Hoteliers with the assistence  of  United Nations High Commissioner for Refugees (UNHCR) at 9 District ( Banke,Dang, Rukum, Bardiya, Surkhet, Jajarkot, Dailekh, Mugu and Jumla )through  HIV/AIDS Prevention Program to FSWs, migrant people and IDPs through condom promotion program.
The main objective of GWP’s intervention is to reduce the rate of sexual transmission of HIV/AIDS among the female sex workers and their clients. During the last two years (July 1st 2007to December 31st  2008), GWP has found 856 Female Sex Workers (FSWs) of different categories.Among the total FSWs 70% are married and 60% are literate. The main cause of being in sex worker is the economic condition and ignorance