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Adolescent sexual and reproductive health & HIV/AIDS among young people: compendium of institutions in Sri Lanka

December 31, 2007 World Health Organization

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SEA/AHD/11

Adolescent Sexual and Reproductive Health & HIV/AIDS among Young People

Compendium of Institutions in Sri Lanka

2006

ACKNOWLEDGEMENT The contributions made by Dr Sujatha Samarakoon and Dr. K A M Ariyaratne Consultant Venereologist, National STD/AIDS Control Programme, Ministry of Health, Colombo, Sri Lanka, in the compilation of this Compendium of Institutions working in the field of adolescent sexual and reproductive health and HIV/AIDS among young people in Sri Lanka is gratefully acknowledged.

© World Health Organization 2007 This health information product is intended for a restricted audience only. It may not be reviewed, abstracted, quoted, reproduced, transmitted, distributed, translated or adapted, in part or in whole, in any form or by any means. The World Health Organization has no authority to grant any form of recognition or accreditation to institutions or organizations listed in this health information product. Such a procedure remains the exclusive prerogative of the national government concerned. Consequently, no institution listed in this health information product is recognized or accredited, or its training programme endorsed by the World Health Organization. The names and address have been compiled from data received from experts in the Member State concerned. The Organization cannot therefore accept responsibility for inclusion or omission of the name of any institution. The World Health Organization does not warrant that the information contained in this health information product is complete and correct and shall not be liable for any damages incurred as a result of its use. January 2007

CONTENTS Background ........................................................................................................ 1 Section1:Government institutions .............................................................................. 4 1.1 Sectors ............................................................................................................... 4 National Youth Services Council (NYSC) ................................................................... 4 Department of Prisons ............................................................................................. 5 Ministry of Fisheries & Ocean Resources ................................................................ 5 Sri Lanka Bureau of Foreign Employment .............................................................. 6 National Child Protection Authority ............................................................................ 7 1.2 Youth Friendly Health Services ................................................................................ 8 Country Focal Point ................................................................................................ 8 Negombo Base Hospital ........................................................................................... 8 Kalutara General Hospital ......................................................................................... 8 Colombo South Teaching Hospital .............................................................................. 9 Colombo North Teaching Hospital ............................................................................... 9 Gampaha General Hospital ................................................................................... 9 1.3 Infectious Diseases Hospital .................................................................................... 10 Infectious Diseases Hospital, Angoda .......................................................................... 10 1.4 STD Clinics of the Ministry of Health ....................................................................... 10 a. Western province ............................................................................................ 11 Colombo, Central STD Clinic ............................................................................. 11 Colombo South, STD Clinic ......................................................................................11 Colombo North, STD Clinic .....................................................................................11 Negombo, STD Clinic ...................................................................................11 Kalutara, STD Clinic .......................................................................................... 11 b. Central province ................................................................................................ 12 Kandy, STD Clinic .................................................................................... 12 Matale, STD Clinic .................................................................................. 12 Nuwaraeliya, STD Clinic ..................................................................................... 12 c. South province ............................................................................................. 12 Galle, STD Clinic .............................................................................................. 12 Matara, STD Clinic ............................................................................................ 12 Balapitiya, STD Clinic ...................................................................................... 12 Hambantota, STD Clinic ..................................................................................... 12 d. North Western province ...................................................................................... 12 Kurunegala, STD Clinic ....................................................................................... 12 Chilaw, STD Clinic ............................................................................................ 12 e. North Central province ........................................................................................ 13 Anuradhapura, STD Clinic ............................................................................... 13 Polonnaruwa, STD Clinic ..................................................................................... 13 f. Sabaragamuwa province ................................................................................... 13 Rathnapura, STD Clinic ........................................................................................ 13 Kegalle, STD Clinic .......................................................................................... 13

g. Uva province

............................................................................................. 13

Badulla, STD Clinic ............................................................................................ 13 Mahiyangana, STD Clinic .................................................................................. 13 Monaragala, STD Clinic ....................................................................................... 13 h. North and East province ........................................................................................13 Jaffna, STD Clinic ............................................................................................ 13 Vavuniya, STD Clinic ............................................................................................ 13 Mannar, STD Clinic ............................................................................................ 14 Trincomalee, STD Clinic ........................................................................................ 14 Batticaloa, STD Clinic .................................................................................. 14 Ampara, STD Clinic ............................................................................................ 14 Kalmunai, STD Clinic ......................................................................................... 14 Section 2: Local Nongovernmental Organizations ......................................................... 15 Alcohol and Drug information centre (ADIC) ................................................................... 15 Alliance Lanka ......................................................................................................... 15 Arunalu Community Development foundation .................................................................. 16 Arunalu Drug Prevention and Community Development Centre ......................................16 Association of Village Reawakening ........................................................................ 17 Athugalpura Foundation ............................................................................................ 17 Christian Children Fund ................................................................................... 18 Community Concern Society ................................................................................ 18 Community Development Services ............................................................................. 19 Community Development Centre................................................................................. 19 Community Development Foundation ........................................................................... 20 Community Health Foundation .................................................................................... 20 Community Oriented Resource Exchange (CORE) ......................................................... 21 Companions on a Journey ........................................................................................ 21 Drug Prevention and Environmental Prevention Organisation ............................................. 22 EMACE Sri Lanka .................................................................................................... 22 Family Planning Association of Sri Lanka .................................................................... 22 Humanitarian Brotherhood Foundation .......................................................................... 23 Environmental Protection and Community Development Centre ........................................... 24 IMSO Sanwardhana Padanama ............................................................................... 24 Institute for Development of Community Strengths ......................................................... 25 Integrated Health and Environmental Organization ........................................................ 25 Janasarana HIV/AIDS Prevention Service ...................................................................... 26 Kundasale Community Development Foundation ......................................................... 26 Lanka Mahila Samithiya ......................................................................................... 27 Lanka Plus ............................................................................................................. 27 Mithuru Mithuro Movement ...................................................................................... 28 Monaragala Integrated Development Organisation ........................................................... 28 Mother and Child Social Welfare Organisation ............................................................. 29 Nawayugam Social Development Forum ...................................................................... 29

Organic Environmental and Rural System Foundation ................................................... 30 Organization of Environment and Children’s Right Promotion ...................................... 30 PCDSD Network ............................................................................................ 31 Project Environment & Children Everywhere .............................................................. 31 Plantation Human Development Trust ......................................................................... 32 Population Services Lanka .............................................................................. 32 Praja Sanwardhana Sansadaya ................................................................................ 33 Rural Friends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Sabaragamuwa Janatha Padanama ............................................................................. 33 Sahanaya . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 34 Sarvodaya. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 34 Sewa Lanka Foundation ............................................................................................ 35 Social Economic and Environment Development Organisation ................................ 35 Sri Lanka Anti Narcotic Association .......................................................................... 36 Sri Lanka Association for Voluntary Surgical Contraception and Family Health ........................ 36 Surasa Sanwardhana Padanama ............................................................................... 37 Child Rehabilitation Centre .............................................................................. 37 The Refugees Rehabilitation Organisation ............................................................. 38 Uva Farmers Development Foundation ........................................................................ 38 Voice of Youth ........................................................................................................ 39 Wipotha Women’s Welfare .......................................................................... 39 World View .................................................................................................... 40 Young Men’s Christian Association ...................................................................... 40 Section 3: International Non-governmental Organizations and United Nations Organizations ...... 41 Action AID international .......................................................................................... 41 Food & Agriculture Organization ................................................................................. 41 FORUT International ............................................................................................... 41 International Labour Organisation ................................................................................ 41 OXFAMGB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 42 Plan international Sri Lanka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Salvation Army............................................................................................ 43 Save the Children in SL (SAVE) ................................................................................. 43 SOS Children Villages of Sri Lanka ............................................................................. 43 UNICEF ....................................................................................................... 43 UNFPA ............................................................................................................ 44 World Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 44 World Food Programme (WFP) ................................................................................ 44 World Vision ................................................................................................ 45

Background Sri Lanka is an island in the Indian sub-continent with a total population of approximately 19 million. Sri Lanka has already achieved the Millennium Development Goals in the areas of universal net primary school enrolment (96.4%), gender equality and infant and maternal mortality. The maternal mortality rate has been brought down to 60 per 100 000 live births while IMR stands at 11.6 per 100 000 live births. Child immunization rate for DPT and polio is 96.3%. Life expectancy at birth for males is 71.7 years while that for females is 76.4 years. The literacy rate of 92% is the second highest in Asia. English is widely spoken and studied as a compulsory second language in schools. Another remarkable achievement is maintaining a low adult HIV prevalence rate of less than 0.1% for the past two decades. Similarly, the total fertility rate of 1.9 lifetime births per woman and a population growth rate of 0.83 per cent per annum, are among the lowest levels in South Asian countries. The availability of free health care due to the emphasis placed on social welfare since independence and other interventions aimed at improving nutrition and family health are responsible for these achievements. Since 1983, Sri Lanka has experienced a civil ethnic conflict in the Northern and Eastern provinces that has resulted in life-threatening and traumatic experiences for women and children. It is estimated that around 800 000 families have been displaced. In addition to the above catastrophic situation, Sri Lanka was one of the countries worst affected by the tsunami tragedy which struck on 26 December 2004, killing 30 000. In this backdrop, the country has several challenges to sustain the remarkable social and health indicators. Situation Regarding Young People in Sri Lanka Young people between the ages of 10 – 24 years comprise approximately 28% of the total population of 19.1 million in Sri Lanka. Of this, adolescence is the period of life extending from age 10 to 19 years and comprises nearly 19.7% of the total population of Sri Lanka which amounts to approximately 3.7 million. Of those approximately 2.7 million (72.9%) are reported to attend school. Today the HIV/AIDS epidemic has devastated many countries and has greatly undermined social and economic development. The epidemic has forced national resources to be diverted from economic development to the health and social care of people with HIV/AIDS. In most countries, the epidemic is being driven by risky sexual and drug injecting behaviours of youth. Hence young people account for nearly half of all new infections worldwide. The adult HIV prevalence rate in Sri Lanka is <0.1%. It is how adolescents and youth understand and perceive the problem of HIV and their attitudes towards positive life styles that would predict the future of the epidemic in the country. Sri Lanka has given priority to prevention of HIV among adolescents and youth. Biological, socioeconomic, literacy level, cultural and religious factors are among the important determinants of vulnerability of adolescents and youth to HIV infection. Urbanization, increased mobility, decline in family bonds, poverty, peer pressures are responsible for shaping young peoples’ life styles. The increasing gap between the age at menarche and marriage has changed their life style too as the sexually active period before marriage is increasing. Adolescents from poor social backgrounds, school drop- outs, those without parental or family support, ones who have been sexually abused or exploited are at a higher risk of engaging in risky sexual practices and substance abuse which make them susceptible to HIV infection. As the HIV problem is still invisible in Sri Lanka, many young people do not believe that HIV is a threat to them. Although sexual development is a normal part of adolescent life, due to traditional cultural and religious norms it is taboo for adolescents and youth to discuss sexuality and issues pertaining to sexual matters with parents or teachers. Yet, premarital sex does take place between young women and men in both school-going and out-of-school youth. Some become sexually active early. A UNICEF survey records that the mean age for sexual debut for males was 15.3 years (SD 2.1 years) and for females 14.4 years (SD 2.6 years). About 22% of out-of-school adolescents admitted to sexual experience. Approximately 17% claimed to have had the experience with a friend, while 12% reported sex with commercial sex workers. In addition to planned sex,

sometimes adolescents are sexually abused and exploited. With incest being not uncommon, some young girls are forced into prostitution too. The Government of Sri Lanka provides free education to children. Education of sexual and reproductive health is high on the agenda of the Ministry of Education. The Ministry of Education reports that in 2000 there were 10 338 state schools in the country with a student population of almost 4.3 million. Approximately 91.4% and 56.2% of Sri Lankan adolescents complete primary and secondary education respectively. This gives a great opportunity to educate young people on sexual and reproductive health before they begin their sexual life. Since adolescence is a transition period in which young people experiment with risky sexual practices and use of drugs and alcohol, providing information on sexuality, sexual and reproductive health and STD/ HIV/AIDS is pertinent. Reproductive health education together with life skills are integrated into the school curricula and offered throughout the school years from Grade seven. Through life skill education emphasis is given to support students to postpone first sex, and to ensure that when they do have sex, they follow safer sexual practices. Emphasis is also paid to respect mutual relationships which would free both boys and girls from the dangers of coerced or unwanted sex and enable them to feel comfortable in their relationships. The present curriculum is currently being updated by the National Institute of Education together with the National STD/AIDS Control Programme to give greater focus on prevention of STI. To complement school-based sexual health education, similar programmes have been drawn up for youth clubs and vocational training institutions to promote safe sexual practices and empower them in decision-making and other life challenges towards positive living while protecting their rights. In partnership with the National Youth Service Council a comprehensive prevention programme is being implemented for out-of-school youth and unemployed adolescents and youth in both urban and rural areas. Youth clubs which were in operation have been provided with programmes on sexual health and HIV/AIDS. Members of the youth clubs initiate projects in their own communities.

Peer leaders have been trained to reach out to adolescents and youth in order to provide information, build life skills, counsel and even distribute condoms. The Dangerous Drug Control Board assists the National Programme in educating drug users of the dangers of HIV/AIDS, particularly on the risk of injecting drugs. Some clubs have used sports events as a medium to communicate messages. Prevention programmes have always supported young people’s participation without social and gender disparities. Sexually transmitted infections including HIV/AIDS are associated with stigma, discrimination, embarrassment and denial. Hence adolescents (and young people) do not have access to services that meet their specific needs, In order to overcome these barriers the concept of “Youth Friendly Health Services” is acknowledged by the Ministry of Health. Through these institutions adolescents would be provided counselling and STI services. Efforts have also been made to promote an increased response to marginalized adolescents (and young people) such as beach boys, street children and children in conflict-affected areas. It is reported that young boys living down the coastal belt provide sexual services to local and foreign paedophiles. The challenge remains to reach out to them and change their behaviours as selling sex for money is a trade due to poverty. Street children and those from families of low-income groups are also at risk because of stigma or their exposure to unprotected sex for exchange of money, food or even protection. The National Programme, together with the National Child Protection Authority has established five drop-in centres for such adolescents. Teachers of these centres have been trained to provide education to adolescents on HIV/ AIDS and skills to protect themselves from sexual coercion and sexually transmitted infections. Other groups who are difficult to reach are the adolescents and young people in the conflict- affected areas in the country. The war situation which has been prevailing over the last two decades has resulted in several adolescent and young people being confined to either refugee camps or homes where they have limited access to most services including health. During the period when the Cease Fire Agreement

was enforced the National Programme worked in partnership with NGOs to reach them. Continuing these efforts would be a challenge in future due to escalating terrorist activities in the country. Another social phenomenon observed in the country is migration of women for overseas employment. In 2004, 133 474 women migrated to the Middle East countries. The families left behind, especially young boys and girls, face numerous hardships. Some of them are lured into the sex trade whilst some are introduced to drugs. The National Programme, together with the Sri Lanka Foreign Employment Bureau, is carrying out a pilot project in a district in the North Central Province to target these families. Prevention programmes for youth are being conducted in partnership with the Ministry of Education, National Youth Service Council (NYSC), National Child Protection Authority (NCPA), Dangerous Drug Control Board (NDDCB) and international and UN agencies such as UNICEF, UNFPA, WHO and the World Bank and several NGOs.

Section 1 GOVERNMENT INSTITUTIONS 1.1 Sectors National Youth Service Council, Ministry of Youth affairs This institute is a legislative board established under the National Youth Services Act 69 of 1979 with several objectives. The HIV/AIDS Programme is incorporated with the following objectives of the main Youth Service Programme: developing and generating discipline, enthusiasm for national sentiments, and awareness of socioeconomic problems and their implications (as HIV/AIDS is a socioeconomic issue apart from a health issue). The programme encourages youth participation to the maximum. It promotes the establishment of youth organizations at the district level for youth welfare. At the central level the Director-General of Youth Affairs heads the Council. Four Directors assist him. There is a provincial office in each of the nine provinces and 24 offices at the district level. There are 700 field officers working with youth on various programmes at the district level. Nearly 10 000 youth clubs have been formed island-wide. Around 400 000 young people in the age group of 15-24 years are involved with these clubs. Both in-school and out-of-school youth are included.

Name and designation of contact person : Address of institution :

Ms. Sumana Bandara Director (Development) 65, High Level Road Maharagama. 2850986-87 2850991 All islands Creating awareness, counselling services, advocacy, condom promotion.

Telephone No : Fax : Geographical area of work : Area of involvement :

Scope of work : Incorporating sexual health and reproductive health and prevention of HIV/AIDS to the existing youth activities. Programme activities have commenced in three provinces. Advocacy for policy-makers has been completed. Peer educators are being trained in life skills, counselling skills for risk assessment and voluntary counselling and testing. Peers will also act as change agents and discuss condom use where and when it is appropriate. Peer educators will outreach to other members to make adolescents and youth aware of the risks of HIV infection,its transmission and non-transmission methods, prevention methods to bring about a change in attitudes and behaviours and also have access to STD and counselling services. Future plan The project will be expanded to the other provinces.

Department of Prisons Name and designation of contact person : Address of institution : Major Vijara Wijegunawardane Commissioner General Prison Headquarters Base Line Road Colombo 09. 011 2691976 011 2695206 Western Province

Ministry of Fisheries and Ocean Resources Name and designation of contact person : Address of institution : Mr M.D. Gunawansa Senior Asst. Secretary Secretariat Maligawatte Colombo 10. 011 2329440 011 2446183-5 011 254184 North and East Province, Southern, Western, North Western Provinces

Telephone No :

Telephone No : Fax : Geographical area of work : Scope of work

Fax : Geographical area of work:

The Department of Prisons has signed a Memorandum of Understanding with the Ministry of Health to carry out HIV prevention programmes with the objective of providing prisoners with information on sexual health, STD/HIV/AIDS and substance abuse in order to promote healthy life skills including condom use among them while in prison and after entering the society. A large group of adolescents and young men and women are imprisoned for drug abuse and trafficking and this is an ideal opportunity to help them to change their behaviours. The Department also provides vocational training for young women who are imprisoned for being involved in the sex trade. These women are trained in various vocations of their choice while in prison so that they can find an alternative employment once they leave the prison. Prisons officers have been trained in counselling on sexual health and HIV/AIDS. A group of peer prisoners is being trained to discuss sexuality, sexual health, HIV/ AIDS, condom use and dangers of injecting drug use among prisoners. Medical officers of prisons’ hospitals are being trained in syndromic management of STI to provide care for prisoners.

Scope of work The Ministry of Fisheries and Ocean Resources has signed a Memorandum of Understanding with the Ministry of health for HIV prevention among fishing families.There is a large group of adolescents and youth in fishing communities. Awareness, behavioural change communication, condom promotion, counselling, peer education, linking to STD services are some of the activities that have been identified. Awareness programmes have just commenced.

Sri Lanka Foreign Employment Bureau, Ministry of Labour The Sri Lanka Foreign Employment Bureau (SLFEB) is a public corporation established by an Act of Parliament in 1985 to undertake the following: Promote employment of Sri Lankans outside the country. Regulate operations of licensed foreign employment agents Ensure protection and welfare of Sri Lankans employed abroad and their families. At the central level is the Chairman of the Bureau with a Board of Directors. There are provincial officers to assist the central office. Name and designation of contact person : Address of institution: Mangala Randeniya Sociologist 234, Dencil Kobbekaduwa Mawatha Koswatta, Battaramilla. 011 2864101-5 0112864136-7 chmn@slbfe.lk m_randeniya@yahoo.com www.slbfe.lk Districts of Anuradhapura, Kurunegala, Colombo, Galle and Kandy

and government public health midwives assist volunteers and peers to reach out to adolescents and youth in these families. The Medical officer of Health and Medical Officer of the STD clinic provide counselling services.

Telephone No : Fax : Email : Website : Geographical area of work:

Scope of work To serve the third objective of the mission, SLFEB is involved with providing education on adolescent sexual health, reproductive health and knowledge on HIV/AIDS prevention for prospective migrant workers, spouses of female domestic migrants and their families. The Medical officer of Health, Medical Officer of the local STD clinic, health promotional lecturer and trained instructors are involved in this life skills development programme. Young volunteers and peers have been trained in life skills to reach out to adolescents and youth members of migrant families. Human Resources Development Assistants who have been deployed to the districts

National Child Protection Authority Name and designation of contact person : Address of institution : Padma Wettawa Chairperson 330, Thalawathugoda Road, Madiwela Sri Jayawardhanapura. 011 2778911-13 011 2778915 North Central province, Southern, Western Province

Telephone No : Fax : Geographical area of work :

Scope of work Provides legal support for children’s right issues. Maintains six drop-in centres in Colombo, Gampaha, Anuradhapura, Tangalle, Kalutara and Galle. Conducts awareness programmes for adolescents and their parents.

1.2 Youth Friendly Health Services Youth Friendly Health Services, Country Focal Point Name and designation of contact person : Dr Deepthi Perera Director - Youth, Elderly and Disabled Ministry of Health. No. 385, Rev. Baddegama Sri Wimalawansa mawatha, Colombo 08. 011 2694860

Kalutara General Hospital, Youth Friendly Health Services Name and designation of contact person : Address of institution : Senior medical officer, OPD G.H. Kalutara, Kalutara. Telephone No : Fax : Geographical area of work: Scope of work Youth friendly health service is being conducted in the hospital OPD for adolescents and youth. It provides information on sexual health and HIV/ AIDS. Condom promotion and distribution is incorporated into the programme. Counselling services are available. Linkages are established with STD services. 034-2222261 034-2222449 Kalutara in Western Province

Address of institution :

Telephone No :

Negombo Base Hospital, Youth Friendly Health Services Name and designation of contact person : Address of institution : Dr S. Kasthuriarachchi Medical officer Adolescent clinic Base Hospital, Negombo. 031-2224156 031-2243325 Negombo in Western Province

Telephone No : Fax : Geographical area of work: Scope of work

Youth Friendly Health Service is being conducted in the hospital OPD for adolescents and youth. It provides information on sexual health and HIV/ AIDS. Condom promotion and distribution is incorporated into the programme. Counselling services are available. Linkages are established with STD services.

Colombo South, Teaching Hospital, Youth Friendly Health Services Name and designation of contact person : Address of institution : Telephone No : Geographical area of work : Area of involvement : Senior Medical officer, OPD Teaching Hospital Kalubowila. 011 24200898 Western Province Creating awareness, counselling services, provision of treatment, advocacy, condom promotion

Gampaha General Hospital, Youth Friendly Health Services Name and designation contact person : Address of institution : Telephone No : Geographical area of work : Area of involvement: M.O.i/c/OPD, of Gampaha B.H. General Hospital Gampaha. 0332222261 Western Province Creating awareness, counselling services, provision of treatment, advocacy, condom promotion

Colombo North, Teaching Hospital, Youth Friendly Health Services Name and designation of contact person : Address of institution : Telephone No : Fax : Geographical area of work : Area of involvement : Senior Medical officer, OPD Teaching Hospital, Ragama. 011 2959261 011 2959266 Western Province Creating awareness, counselling services, provision of treatment, advocacy, condom promotion

1.3 Infectious Diseases Hospital Angoda, Infectious Diseases Hospital Name and designation of contact person : Ananda Wijewickrama Consultant Physician Dr A. Senanayake, M.O.i/c Fever Hospital,Angoda 011 2411284 011 2410031 Serves as a referral hospital to all infected persons. Provision of inward care and treatment for HIVinfected persons.

1.4 Sexually Transmitted Disases Clinics of the Ministry of Health Available services - Prevention of STD/HIV - Comprehensive STD management - Management including provision of ART and follow-up of HIV/AIDS patients - Condom Promotion and distribution - HIV & and STI surveillance - Counselling

Address of institution : Telephone No : Fax : Geographical area of work :

Area of involvement :

Prevention programmes are targeted to the high-risk groups such as commercial sex workders, drug users and men who have sex with men and other vulnerable groups such as transport workers, factory workers as also the gernral population and adolescents and youth. These programmers consist of information, education and communication. behavioural change communication and counselling.

Western Province Colombo, Central STD Clinic Name and designation Dr N. Edirisinghe of contact person : Director National STD/AIDS Control Porgramme Consultants : Dr K. Senanayake ( Venereologist) Dr I Abeyewikrame ( Venereologist) Dr S Samarakoon ( Venereologist) Dr K Buddhakorale ( Venereologist) Dr K A M Ariyaratne ( Venereologist)

Colombo South , STD Clinic Name and designation Dr (Mrs) L. Rajapakse of contact person : Consultant Venereologist Address of institution : Teaching Hospital, Kalubowila. 011 4200898 011 4547567 stdkalubowila@sltnet.lk

Telephone No : Fax : Email :

Colombo North, STD Clinic Name and designation Dr G. Weerasinghe of contact person : Consultant Venereologist Address of institution : Teaching Hospital, Ragama. 011 2960224 011 2960224 stdragama@sltnet.lk

Telephone No : Dr C D Wickramasuriya ( Venereologist) Dr S Mananwatta (Microbiologist) Dr S Beneragama (Epidemiologist) Address of institution : No. 29, De Saram Place, Colombo 10. 011 2667163 (General) 011 2667029 (General) 011 2695183 (Director) 011 2696433 (Office) 011 5336873 (Director) 011 2696433 (Office) Fax : Email :

Negombo, STD Clinic Name and designation Dr L. Halahakoon of contact person : MO/STD Address of institution : Base Hospital, Negombo. 031-2224156 031-2224156

Telephone No : Telephone No : Fax :

Fax :

Kalutara, STD Clinic Name and designation of contact person : Address of institution :

Dr Sriyantha de Silva MO/STD Base Hospital, Kalutara. 034-2236937 034-2236937

Telephone No : Fax :

Central Province Kandy , STD Clinic Name and designation of contact person : Address of institution : Dr Ganga Patirana Consultant Venereologist 207, Keppitipola Mawatha, Hospital Complex, Kandy. 081-2203622 081-2203622

Balapitiya, STD Clinic Name and designation Dr Sarath Nihal of contact person : MO/STD Address of institution : Telephone No Fax Base Hospital, Balapitiya.

Telephone No : Fax :

Matale, STD Clinic Name and designation of contact person : Address of institution :

Hambantota, STD Clinic Name and designation Dr L.K.H.M. Jayaruwan of contact person : MO/STD Address of institution : Base Hospital, Hambantota. 047-2222247 047-2222247

Dr P. Abeywarna MO/STD District General Hospital, Matale. 066-2222261

Telephone No : Fax :

Telephone No :

Nuwara Eliya, STD Clinic Name and designation Dr H.A.C.W. Appuhamy of contact person : MO/STD Address of institution District General Hospital, Nuwara Eliya. 052-2234393

North Western Province Kurunegala, STD Clinic Name and designation Dr K.G.S. de Silva of contact person : MO/STD Address of institution : Teaching Hospital, Kurunegala. 037-2224339 037-2224131

Telephone No :

Telephone No : Southern Province Galle, STD Clinic Name and designation of contact person : Address of institution : Dr (Mrs) Manel Devasiri MO/STD General Hospital, Mahamodera Galle 091-2245998 091-2245998 Fax :

Email : stdkurunegala@sltnet.lk

Telephone No : Fax :

Chilaw, STD Clinic Name and designation of contact person : Address of institution :

Dr Upul Jayathilaka MO/STD General Hospital, Chilaw. 032-2220750 032-2221338 stdchilaw@sltnet.lk

Matara, STD Clinic Name and designation of contact person : Address of institution :

Telephone No : Dr (Mrs) K.A. Ratnayake MO/STD General Hospital, Matara. 041-2232302 041-2232302 12 Fax : Email :

Telephone No : Fax :

North Central Province Anuradhapura, STD Clinic Name and designation Dr Azmi Thaibudeen of contact person : MO/STD Address of institution : General Hospital, Anuradhapura. 025-2236461 025-2236461

Uva Province Badulla, STD Clinic Name and designation of contact person : Address of institution : Dr Mahinda Perera MO/STD General Hospital, Badulla. 055-2222578 055-2222578

Telephone No : Fax :

Polonnaruwa, STD Clinic Name and designation Dr (Mrs) I. Peiris of contact person : MO/STD Address of institution : General Hospital, Polonnaruwa 027-2222384 027-2222384

Mahiyangana, STD Clinic Name and designation Dr K. Brendra of contact person : MO/STD Address of institution : Telephone No : Base Hospital Mahiyangana 055-2257262

Telephone No : Fax :

Sabaragamuwa Province Ratnapura, STD Clinic Name and designation Dr (Mrs) D. Wattearachchi of contact person : MO/STD Address of institution : General Hospital, Ratnapura. 045-2225396 045-2224765

Monaragala, STD Clinic Name and designation Medical Officer of contact person : STD Clinic Address of institution : Telephone No : Fax : Base Hospital Monaragala 055-2276261 055-2276700

Telephone No : Fax : Kegalle, STD Clinic Name and designation of contact person : Address of institution :

North and East Provinces Jaffna, STD Clinic Name and designation of contact person : Address of institution : Dr K. Ratnasingham MO/STD (Acting) Teaching Hospital, Jaffna. 021-2222245 021-2222245

Dr (Mrs) N.M. Baminiwatte MO/STD Teaching Hospital, Kegalle. 035-2231322 035-2231322 stdkegalle@sltnet.lk

Telephone No : Fax :

Telephone No : Fax : Email :

Vavuniya, STD Clinic Name and designation Dr (Mrs) C. Kirubakaran of contact person : MO/STD Address of institution : General Hospital, Vavuniya. 024-2224575

Telephone No :

Mannar, STD Clinic Name and designation of contact person : Address of institution : Telephone No : Fax :

Dr D.H. Liyanage MO/STD District General Hospital, Mannar. 023-2232261 023-2232261

Trincomalee, STD Clinic Name and designation Dr (Mrs) M. Dayalini of contact person : MO/STD Address of institution : Telephone No : General Hospital, Trincomalee 026-2222261

Batticaloa, STD Clinic Name and designation Dr A. Siriwardena of contact person : MO/STD Address of institution : Telephone No : Teaching Hospital, Batticaloa 065-2222261

Ampara, STD Clinic Name and designation of contact person : Address of institution : Telephone No :

Medical Officer STD Clinic General Hospital, Ampara. 063-2222261

Kalmunai, STD Clinic Name and designation Dr A.R.M. Haris of contact person : MO/STD, Address of institution : Telephone No : DPDHS Office, Kalmunai.

Section 2 LOCAL NONGOVERNMENTAL ORGANIZATIONS Alcohol and Drug Information Centre Name and designation of contact person : Address of institution : Pamodini Wijenayake Executive Director No. 40/8, Park Road Colombo 05. 011 2584416 011 2508848 infor@adicsrilanka.org. All islands

Alliance Lanka Name and designation of contact person : Address of institution : Mrs Swarna Kodagoda Executive director No. 33D Ceylinco Nivasa Santhanampitiya Rd Embuldeniya, Nugegoda. 011 2833908 011 5679582 All islands

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Creating awareness, advocacy, condom promotion, research

Creating awareness, advocacy, condom promotion, research, counselling

Scope of work Alliance Lanka is a pioneering NGO in the field of HIV/AIDS. The organization has been creating awareness and sensitizing on HIV/AIDS among a variety of target groups including adolescents and youth. Has been involved in school programmes on promoting sexual health, advocacy to school principals, factory owners and prisons officials on preventing HIV. Has worked in prison involving young men who are drug offenders. A sex worker project was carried out which involved counselling and testing. Condom promotion is one component of the prevention activities. Has carried out research on knowledge on STD/HIV/AIDS among various groups. Has also helped several small NGOs and community-based organizations in building their capacity to address HIV prevention issues. Has developed several IEC material on HIV/AIDS.

Scope of work Creating awareness on adverse effects of substance use among adolescents and youth. Providing information through an information centre. Been involved in creating awareness among adolescents and youth on STD and HIV/AIDS which includes condom promotion and counselling. Advocacy to school principals and opinion leaders on the importance of addressing HIV/AIDS among young people Involved in research on substance abuse among young people. Has developed several IEC material on substance abuse and HIV/AIDS.

Arunalu Community Development Foundation Name and designation of contact person : Address of institution : Mr Ranjith Attapattu President No. 30/4, Beddawala Road, Hambantota. 047-2240371 Hambantota, Southern Province Creating awareness, advocacy.

Arunalu Drug Prevention and Community Development Centre Name and designation of contact person : Address of institution : Mr Lionel Perera Director No. 10, 3rd Lane, Samandewa Road Aluvahare Matale. 045-2275576 045-2274363 Matale, Central Province Creating awareness, condom promotion

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Scope of work Unemployment and insecurity are prevalent in this community. Since it is in the coastal belt of the country it covers fishing communities. Work has involved educating adolescents and youth on sexual and reproductive health including HIV/AIDS. Volunteers have been trained to carry out awareness and provide and promote condoms among those vulnerable to HIV. Will be scaled up to peer education training.

Scope of work Awareness and condom promotion among out-ofschool youth have been carried out over several years. Has targeted youth attending tutor classes who are difficult to reach. Has worked in some of the schools in the district of Matale supporting school health clubs. Development of IEC material such as handouts, posters, power point presentations. etc.

Association of Village Reawakening Name and designation of contact person : Address of institution : Dr Jayawardena Chairman 131, Rosline Watta Panawala Road Eheliyagoda. 045-2262497 045-2228650 Rathnapura, Sabaragamuwa Province Creating awareness, advocacy, condom promotion

Athugalpura Foundation Name and designation of contact person : Address of institution : Mr. M.H.B.K.M. Bandara Chairman 218/21 G, Colombo Road Kurunegala 037-2222237 Kurunegala, North area Western Province Creating awareness, advocacy, condom promotion

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Scope of work The organization has been working with restaurant owners in the district. Young men and women work in these restaurants. They have been given information on sexual and reproductive health and HIV/AIDS. Owners and workers are promoted to sell condoms in their establishments as people use these restaurants for sexual activities. A few programmes have been conducted for sex workers. A number of women in this area migrate for foreign employment and young girls of those families work as sex workers. Trishaw drivers also have been targeted by the organization. Developed IEC material such as handouts.

Scope of work Awareness on sexual and reproductive issues and HIV/AIDS among young men and women in factories. Advocacy for factory owners. Development of IEC material such as handouts, power point presentations

Christian Children Fund Name and designation of contact person : Address of institution : Gamini Pinnalewatte Technical coordinator No. 48, Wajira Road Colombo 04. 011-2501238 Polonnaruwa, North Central Province Creating awareness, condom promotion

Community Concern Society Name and designation of contact person : Address of institution : Ms Sriyani Tidball (CEO) 15/4 A, Aponso Avenue Deiwala 2721820 2721820 ccsl@sltnet.lk Colombo, Western area Province Creating awareness

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Scope of work This district is a fairly underserved area. In addition, it is close to the conflict- affected areas in the country; as a result, most services do not reach the people. In an effort to bring focus to STD/HIV/ AIDS, and reproductive health school programmes were carried out in 47 secondary schools in the district with the support of medical officers of health and the medical officer of STD clinic. IEC material - handouts, power point presentations.

Community Development Services Name and designation of contact person : Address of institution : Kamanee Hapugalle Executive director No. 3, Cassele Avenue Colombo 08. 2697731, 2697731 2688055 cds@urek.lk All islands

Community Development Centre Name and designation of contact person : Address of institution : Mr Dayananda Rajapakse Director No. 22, Wan Ela Idama, New Town, Anuradhapura. 025-5672612 071-4263285 Anuradhapura, North Central Province Creating awareness, condom promotion

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Telephone No : Fax : Geographical area of work : Area of involvement :

Creating awareness, counselling services, advocacy, condom promotion, research

Scope of work Advocacy and awareness programmes for threewheel drivers and restaurant owners as they are support groups for the sex trade. IEC material - hand outs.

Scope of work The organization has been involved with advocacy for administrators of Board of Investments in the Free Trade Zone. The majority of factory workers are young women in the 18-24 year age group who migrate from rural villages.They find it difficult to adjust to the urban environment. Being away from traditional homes make them vulnerable to risky sexual behaviours and alcohol and drug use. The organization has worked very closely with those visiting boarding houses.Has focused on activities such as creating awareness, condom promotion and linking to government STD services. Has conducted programmes to build the capacity of small CBOs. A successful project for female sex workers was carried out two years ago. The organization has taken steps to create a group of people who are HIV- infected. This group called LANKA PLUS is given office space in this organization and also provided financial support for transport and nutritional support to PLWAs.

Community Development Foundation Name and designation of contact person : Address of institution : Telephone No : Geographical area of work : Area of involvement: Scope of work The district of Anuradhapura is close to the waraffected Northern Province and is a transit point for soldiers. There are two army and air force camps housing several hundreds of soldiers as there are approximately 50 000 soldiers in the conflictaffected areas. Soldiers travelling to other areas of the country transit here and spend some leisure time. Several sex workers have moved to this area and sex trade is going on in some non-brothelbased houses which are difficult to reach. In addition there are motels where sex trade is practised. Most of the sex workers are young women between the ages of 16-24 years.The organization has been able to reach out to some of these establishments and introduced the subject of STD/HIV/AIDS to sex workers. Condoms have been provided to them and they have been linked to government STD services. Motel owners have been educated on 100% condom Use. Mr Rasik Director Kollankuttigama, Maradankadawala. 025-2269924 Anuradhapura, North Central Province Creating awareness, condom promotion

Community Health Foundation Name and designation of contact person : Address of institution : Dr H.R.S. Keerthisinghe President Sahana Sevana 8, Hekitta Lane,Wattala 2942655 relief@slt.lk Anuradhapura, North Central Province Negombo, Western Province Creating awareness, counselling services, advocacy, condom promotion, research

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Community Oriented Resource Exchange Name and designation of contact person : Address of institution : Mr Sunil Poddeniya Chairman Wedawatta, Meegahatenna. 034-2284209 Kalutara, Western area Province Creating awareness, condom promotion

Companions on a Jorney Name and designation of contact person : Address of institution : Sherman De Rose Ex. Director No. 46/50, Robert Drive, Robert Gunawardhana Mawatha, Colombo 05. 2514680, 075557660 2514680 Sherman@sri.lanka.net All islands Creating awareness, counselling services, advocacy for gay rights, research

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School children and school leavers have been the target group. Advocacy for school principals and teachers was conducted. School programmes were conducted with the support of the medical officer of health and the medical officer of the STD clinic. Since there are a number of trishaw drivers in the area, most of whom are young adults, prevention programmes were extended to them as well. Some of them were trained as peers to reach out to other trishaw drivers as they are believed to be a support group for the sex trade. They were given skills in condom use and were also used in distributing condoms. There are several industries in the district where young girls and boys find employment soon after leaving school. The organization has conducted several awareness programmes on sexual and reproductive health and HIV/AIDS. Safer sexual behaviours were discussed together with risks of infection in small discussion groups. IEC material - handouts, power point presentations.

Scope of work The organization has been involved in HIV/AIDS for the last 15 years and is the only one for men who have sex with men (MSM). School education programmes on HIV/AIDS were carried out with medical officers of STD clinics and medical officers of health in the district of Kandy. Condom promotion among MSM. Completed a successful project for MSM in the district of Anuradhapura in collaboration with the local STD clinic staff. Counselling services are available by counsellors trained by the National Programme. A telephone hot line was operated three years ago.

Drug Prevention and Environmental Prevention Organization Name and designation of contact person : Address of institution : Mr Ranathunge Director Sisilasa Dehiattakandiya 027-2250339 Ampara , North East Province Creating awareness, condom promotion

Family Planning Association of Sri Lanka Name and designation of contact person : Address of institution : Mr Gamini Wanasekera Executive Director 37/27, Bullers Lane Colombo 07. 94-11-2584153, 94-11-2584157, 94-11-2584203 94-1-2580915 info@fpasl.org www.fpasl.org Island wide

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Scope of work Area where constant terrorist activities take place. Awareness programmes for taxi drivers and fishermen were carried out. IEC Material - Handouts

EMACE Sri Lanka Scope of work Name and designation of contact person : Address of institution : Ms Nimanthi Samarathunge

Awareness, advocacy, skills building, counselling, social marketing of condoms, family planning clinic services.

Project Assistant 1/72, Sri Rahula Mawatha, Katubedda, Moratuwa. 011-2611857 All Islands

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Creating awareness, advocacy, condom promotion

The Family Planning Association of Sri Lanka (FPASL) was established in 1953 as a nongovernmental organization and has pioneered family planning promotion in Sri Lanka. As one of the largest family planning and reproductive health NGOs in the country, it seeks to promote multiple aspects of reproductive health and wellbeing in Sri Lanka. The goal is to add value to the determinants of health and wellbeing and shape the quality of people’s lives. FPASL’s Youth Counselling Centre was established with the objective of providing guidance and counselling services to young people in the area of sexual and reproductive health.Thus the Centre fulfils a most important unmet need in this country. It also provides training facilities and space for youth to hold meetings and engage in open discussions. The Centre is being used by schools as study tour spots. It also gives the opportunity for school children to collect information for their RH school projects. “Praja Shanthi” is a community-based project established to get increased commitment and accountability for sexual and reproductive health

rights for young people. It ensures that they are provided with information regarding correct knowledge, positive attitudes for better living, adoption of safer sexual behaviours and practices, gender sensitivity and helps to dispel stigma and discrimination.This project involved 50 schools in 9 districts. Community-based organizations were involved throughout the project. FPASL has provided national leadership in developing youth-friendly and gender-sensitive approaches in close collaboration with FPA youth committees. ”Youth Caravan” is an information resource for those interested in the work of youth. In addition it carries interesting articles, short stories and activities for young adults, youth and other types of readers. The “Youth Caravan” magazine is to be published once a quarter. The next issue will be out in December 2005. Currently the magazine is available in Sinhala only but the next issue will be published in the Tamil language as well. In 1993, the Social Marketing Programme for contraception in Sri Lanka began selling condoms under the brand name “Preethi” which has become a household name today. As of today, around 9 million units are distributed annually through 8000 outlets distributed islandwide.The oral contraceptive named “Mithuri” is one of the popular choices of contraception and sales exceed 800 000 cycles annually. In 1998, the emergency contraceptive pill – Postinor 2 was introduced. The daily clinical services of FPA provide facilities for examination, counselling for family planning services and provision of contraceptives. It also provides opportunities for counselling in HIV/ AIDS.

Humanitarian Brotherhood Foundation Name and designation of contact person : Address of institution : Mr A.M.M. Mashoor Project Director Chetty Street, Kalpitiya. 032-2260874 Mannar in North East Province Creating awareness, condom promotion, research

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Scope of work Mannar is a district in the conflict affected area. With the ongoing war several families have been displaced and they are living in refugee camps. Health services are very poor and people are subjected to stress of living in these conditions in addition to the threat of war and landmines. There are several adolescents and young people in these camps. The organization has been able to provide them with knowledge on reproductive health and sexual health including STD/HIV/AIDS. Young men and women have been included in group discussions where their vulnerability to STD is being addressed. When living in such difficult situations sexual exploitation, drug and alcohol use is inevitable. Therefore the organization is working very closely with these IDP. IEC material - handouts

Environmental Protection and Community Development Centre Name and designation of contact person : Address of institution : Sanjaya Siriwardhana, Director No. 9/44, Gampola Road Nawalapitiya. 0777 6139763 078-8716671 Kandy in Central area Province Creating awareness, condom promotion, research

IMSO Sanwardana Padanama Name and designation of contact person : Address of institution : Mr Lalith Thibbatuwa Director 264/1B, Dikkohupitiya, Hettimulle Kegalle. 035-2232442 Kegalle Sabaragamuwa Province Creating awareness, condom promotion.

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Scope of work Young men who are involved in minor trading as pavement traders and working in guest houses were targeted by the organization. Programmes on creating awareness on sexual health and HIV/AIDS were carried out with emphasis on safer sexual behaviours and the importance of voluntary counselling and testing. Issues on stigma and discrimination were also included in the discussions. Guest house owners were also educated through advocacy programmes as illegal sex takes place in these places. Several awareness programmes were carried out in Kegalle prison. Young prisoners are very often the ones who have been involved in substance abuse. They are either imprisoned for trafficking drugs or have been involved in thefts and burglaries to find money for drugs. The importance of giving up drug addiction habits and the risk of HIV infection among injecting drug users in other countries were focused. IEC material - handouts, power point presentations.

Scope of work The Centre worked with school children supporting adolescent and reproductive health wellbeing. Main focus has been on creating awareness on HIV/AIDS /STD among them and breaking the silence in introducing HIV discussions in school health talks. Kandy being one of the highly commercialised districts next to the capital city of Colombo, the number of traders is increasing.During the last two years the Centre has worked with street traders who in the majority are out-of-school youth. Due to economic constraints and increasing unemploymed youth who leave school are unattended for a period until they find suitable employment. During this interim period youth start tea kiosks and small business like pavement hawking. STD/HIV/AIDS awareness programmes were carried out for them where condom promotion was addressed in a sensitive manner. IEC material - handouts, posters for schools.

Institute for Development of Community Strengths Name and designation of contact person : Address of institution : Mr Condred Ranawaka Chairman 40A, Akuressa Road, Nupe, Matara. 041-2223900 Matara in Southern Province Creating awareness, condom promotion, Advocacy

Integrated Health and Environmental Organization Name and designation of contact person : Address of institution : Nazeer Ahamed Director No. 09, Poles Road Puttalam. 032-2265106 Puttalam in North Western Province Creating awareness, condom promotion

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Scope of work Several young men and women soon afterleaving school find employment in the factories in this district. The organization has conducted advocacy programmes for factory owners and awareness programmes for young men and women on sexual health and HIV/AIDS. Stigma associated with HIV and condom use have been addressed and also attitudes at work place for those infected including rights of PLWA at their workplace. IEC material - handouts, power point presentations.

Scope of work Advocacy programmes for school principals and teachers and for the armed forces have been carried out. Several programmes for school and out-of-school youth on awareness on STD/ HIV/AIDS were carried out. Small group discussions on risky sexual behaviour, alcohol and drug use have been carried out with demonstrations on proper condom use. Few young women who have been in the sex trade have been targeted for programmes where they were taught to identify signs and symptoms of STD/HIV and the risks of pregnancy. They were trained in proper use of condoms and condom negotiation skills. Condoms were also provided to them. However it was difficult to sustain this programme.

Janasarana HIV/AIDS Prevention Service Name and designation of contact person : Address of institution : Alan Obesekara Director 8/1/2, Kirigalpotta, Palapathwela, Matale 066-224414 066-222459 Matale in Central Province Creating awareness, advocacy, condom promotion

Kundasale Community Development Foundation Name and designation of contact person : Address of institution : Anuradhap Basnayake Chairman No.461, Nawayalatenna, Katugastota 081-4971525 081-2497247 Kandy in Central Province

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Scope of work In the district of Matale there are several small restaurants, lodges and spice gardens. This is an area which attracts tourists. Most of the workers are young men and women who take job as a temporary measure as they leave school. STD/HIV/ AIDS awareness programmes have been carried out. Owners of these establishments also have been involved in advocacy programmes. IEC material - handouts

Target group has been the families of Middle East migrants. When mothers migrate to Middle East countries as housemaids very often there are adolescent girls and boys who are left behind without parental supervision. STD/HIV/AIDS awareness was introduced to them. Lessons on how to protect themselves from sexual exploitation in the hands of sometimes family members and outsiders have been addressed in these programmes. Youth volunteers were trained to talk about HIV and vulnerability to infection and protection methods, adverse effects of drug and alcohol in youth clubs. Youth volunteers are reaching out to the youth in the plantation sector. IEC material – handouts.

Lanka Mahila Samithiya Name and designation of contact persons : Address of institution : Ms Thilaka Perera, Ms. Swarna Premarathna 123, Sir James Peiris Mawatha Colombo 02. 2424060 2888395 Island wide

Lanka Plus Name and designation of contact person : Address of institution : Mrs Princi Mangalika Secretary Lanka Plus, Castle Avenue Colombo 08. 011 4901692 srilankaplus@yahoo.com All islands

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During the last 10-15 years, Lanka Mahila Samithiya has been involved in adolescent and reproductive health programmes in association with UNFPA. The organization has trained many youth volunteers to carry the message of HIV to young people. Volunteers are trained to discuss reproductive and sexual health issues when they gather for other programmes such as nutrition, savings. During the last two years, the organization has been working very closely with the World Bank-assisted National STD/AIDS Control Programme targeting police officers and their families. Adolescent and young children of these families are given education on STD/HIV/AIDS. Group discussions focus on risk assessment and protection from infection including condom use. Advocacy for high-ranking police officers was carried out in order to get support for prevention programmes and also to reduce stigma and discrimination of sex workers. Another objective is to encourage police officers to come forward for voluntary counselling testing. Counsellors have been trained for this purpose. IEC material - handouts, power point presentations

Creating awareness, advocacy. condom promotion

Scope of work The only organization of people living with AIDS, Lanka Plus was established five years ago and is carrying out educational programmes for youth, drug users and commercial sex workers. Counselling services are available. Members actively take part in programmes carried out in private sector workplaces.

Mithuru Mithuro Movement Name and designation of contact person : Address of institution : Mr Ranjith Perera Director Mithuru Mithuro Sevena, Rilhena,Palmadulla. 045-2274363 045-227557 Colombo, Ratnapura in Western and Sabaragamuwa Provinces Creating awareness, counselling services, condom promotion

Monaragala Integrated Development Organization Name and designation of contact person : Address of institution : Mr M.M. Wijayasena Project coordinator Government Sports Club Building, Siri Wijeyapura Road, Moneragala. 055-2277159 Moneragala in Uva Province Creating awareness, counselling services, condom promotion

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Scope of work Has been involved in awareness programmes for school children and out-of school youth. Advocacy programmes for school principals and teachers. IEC material - handouts

Scope of work The main focus has been on prevention of drug abuse among adolescents and youth. For over a decade the organization has been involved in preventing drug abuse and rehabilitating youth who are addicted to drugs and alcohol. Focused on HIV/ AIDS and the risks of switching from inhalation to injection. Advantages of condom use are being addressed. Counselling services are provided through trained counsellors.

Mother and Child Social Welfare Organization Name and designation of contact person : Address of institution : Z.M. Aliyar Technical Advisor Eroza Menzil Aliyar Moulavi Road Ninthavur 12. 067-2250504 067-2251055 Ampara in North East Province Creating awareness, counselling services, condom promotion

Nawaugam Social Development Forum Name and designation of contact person : Address of institution : Micheal Raj Technical Coordinator 140/3, Main Street, Norwood. 051-2222761 Nuwara Eliya, Central Province Creating awareness, condom promotion

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Scope of work The organization is working with the plantation community. Estate superintendents and health personnel were given advocacy programmes. Adolescents and youth in the plantation area have limited access to information on STD/ HIV and sexual health. Awareness programmes and small group discussions have been carried out. Messages have been tailored not to disrupt traditional ethnic and religious values. IEC material - handouts, video films

Scope of work Adolescent and sexual health programmes for out-of-school youth were conducted. This is a difficult area to work due to terrorist activities. In addition, due to the tsunami several families have been affected. IEC material – handouts, overhead presentations.

Organic Environmental and Rural System Foundation Name and designation of contact person : Address of institution : Shantha D. Gunathilake Director 13 A, Station Road, Richmond Hill,Galle. 0722-525098 091-2232834 Galle in Southern area Province Creating awareness, condom promotion

Organization of Environment and Children’s Right Promotion Name and designation of contact person : Address of institution : Mr R. Wickramasinghe Director Near the school Pussalle Parakaduwa. 035-2232891 045-2262884 Ratnapura in Sabaragamuwa Province Creating awareness, advocacy, condom promotion

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Scope of work This district is in the coastal belt and the organization has targeted beach boys and street children. Beach boys are believed to provide sexual services to tourists, some of them are male sex workers. Street children have the potential to be lured into the sex trade as they are without parental support. Exchange of sex may take place in favour of money, food or sometimes protection.This is a difficult group to reach and sustain for continuous interventions. Awareness on STD/HIV/AIDS and sexual and reproductive health programmes with skills in condom use and negotiation for safer sex practices have been carried out. IEC material - handouts, street dramas, sports events

Area of involvement :

Scope of work Adolescents of families of Middle East migrants and plantation workers have been targeted. Awareness on sexual and reproductive issues were addressed. Advocacy for estate superintendents. IEC material - handouts, leaflets

PCDSD Network Name and designation of contact person : Address of institution : Mr Rohan Salgadoe President C/O, City Mission 135, Dam Street Colombo 12. 071-4052950 Colombo in Western Province Creating awareness, condom promotion

Project Environment and Children Everywhere Name and designation of contact person : Address of institution : PEACE

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446/15, Timbirigasyaya Road Colombo 05. 2559397/2596855 2596855 peacesl@srilanka.net Colombo and Galle in Western and Sabaragamuwa Province Creating awareness, Advocacy, condom promotion

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Scope of work Target group has been young men and women in the ‘free trade zone’ factories. One hundred and sixty peer leaders were trained to teach others the importance of sexual and reproductive health. A training curriculum has been drafted. IEC material - handouts, booklets

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Plantation Human Development Trust Name and designation of contact person : Address of institution : C. Jayamanna Director-General No. 427/14, Robert Gunawardhana Mawatha, Battaramulla. 011-2887497 011-2887500 Nuwara Eliya in Central Province Creating awareness, advocacy, condom promotion

Population Services Lanka Name and designation of contact person : Address of institution : N.P. Weerakoon Project Manager No. 155, Kirula Road, Narahenpita. 011-2500824 Trincomalee in North and East Province Creating awareness, advocacy, condom promotion

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Scope of work Target group internally displaced persons. Young men and women in the refugee camps have been provided with information on sexual health and HIV/AIDS. Promotion and provision of condoms.

Scope of work Advocacy for estate superintendents Training of estate medical officers in syndromic management of STD. This was done in collaboration with the National STD/AIDS Control Programme. A training module was prepared for this purpose. Awareness for youth in the plantation sector. Research – KABP survey among plantation workers. IEC material - handouts, power point presentations, training module on syndromic management of STD.

Praja Sanwardana Sansadaya Name and designation of contact person : Address of institution : Mr W. Wijewantha Wellala

Sabaragamuwa Janatha Padanama Name and designation of contact person : Address of institution : Mr S.K. Chandrasena Director Watapota Road, Niwithigala. 045-2279160 045-2279377 Rathnapura in Sabaragamuwa Province Creating awareness, advocacy, condom promotion.

Director 155, ½, Rahula Junction, Matara. 041-2240400 041-4390539 Matara in Southern Province Creating awareness

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Area of involvement : Rural Friends Name and designation of contact person : Address of institution : Mr. Mahinda Ediriweera Executive Director 10 B, Wishwakalapaya, Godagama, Matara. Matara and Hambanthota in Southern Province Creating awareness, counselling services, advocacy, condom promotion. Scope of work

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This is a district reputed for gem mining, hence several foreigners including Thais and other gem business traders frequent this area. Young girls are lured into sex work and sex trade goes on in a clandestine manner here. The organization has been able to develop skills of negotiating for safer behaviours among sex workers. Condoms are distributed by the organization. Advocacy for the Association for Thai Gem Merchants was done. IEC material – handouts.

Scope of work Live radio broadcast programme was carried out in 2004 to reach out to youth and the general population. The basic facts of HIV including transmission, non-transmission, safer sexual practices, VCT, available services, stigma and discrimination were addressed in these programmes. Counselling centre has been established to promote youth to come and discuss various day- to-day issues relating to sexual health and assess their risk to infections. Trained counsellors carry out counselling and refer cases to STD clinic for testing. Two hundred young men and women volunteers were trained to carry messages relating to sexual health to others. IEC material – handouts, booklets, stickers and posters.

Sahanaya Name and designation of contact person : Address of institution : Prof. Nalaka Mendis President 96/20, Kitulwatta Road, Colombo 08. 2685960 5356689 sahanya@panlanka.net Colombo in Western Province Creating awareness, advocacy, condom promotion.

Sarvodaya Founded in 1958. Considered the largest NGO in the country. The mission of this NGO is to dedicate itself to making a positive difference to the lives of rural Sri Lanka. Name and designation of contact person : Address of institution : Dr V. Ariyaratne Executive director Community Health Unit Sarvodaya Head Office No. 20, Rawathawatte Road, Moratuwa. 0112647159 011 2656512 ssmplan@sri.lanka.net http:/www.sarvodaya.org Island wide Creating awareness, counselling services, advocacy, condom promotion, research.

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Scope of work Primarily working with adolescents and youth for mental wellbeing. Counselling for change in behaviour for substance abuse is an integral component.

Scope of work Sarvodaya is one of the pioneering NGOs in the field of HIV/AIDS. Has been involved with many target groups in creating awareness on sexual health and HIV/AIDS. Programmes for youth in rural and semi-urban settings all over the country have been given information on sexual health and HIV/ AIDS. Some programmes were scaled up to training peers in skills development to bring about behavioural change towards safer sexual behaviours and positive attitudes towards people living with AIDS. Several programmes for the general population were carried out to reduce stigma and discrimination among PLWAS. Advocacy for religious leaders has been another area of work. Several religious leaders were educated on HIV/AIDS in order to provide care and support for PLWAS if and when they required such services. Counselling services are available for adolescents and youth on sexual health,HIV/AI and substance abuse. IEC material – a variety of pamphlets, booklets and videos have been prepared for youth. A video on the role of religious leaders is available. 34

Sewa Lanka Foundation Name and designation of contact person : Address of institution : No. 472 A Colombo Road, Boralesgamuwa. Telephone No : Fax : Email : Geographical area of work : Area of involvement: Mr H.K. Navarathna Chairman P.O. Box 03,

Social Economic and Environment Development Organization Name and designation of contact person : Address of institution : Telephone No : Mr R.M.D. Kumarathunga Executive Director 130, Moneragala Road, Badulkubura. 055-2250179 055-2291071 Moneragala in Uva area Province Creating awareness, advocacy, condom promotion

2545362 2545166 sewahq@sri.lanka.net Anuradhapura, Galle in North Central and Southern Province Creating awareness, condom promotion

Fax : Geographical area of work : Area of involvement :

Scope of work Target group has been AL students. Advocacy for school principals was carried out. Students were given information so that they become aware of the dangers of STD/HIV/AIDS and safeguard their sexual health. Issues addressed: child abuse, sexual exploitation of adolescents. Police in the area were given awareness programmes. IEC material – handouts.

Sri Lanka Anti Narcotics Association (SLANA) Name and designation of contact persons : Address of institution : Mr S. Ramachandran Ms Dharshani Guniyangoda No. 121, Kynsey Raod Colombo 08. 011 2688311 Island wide

Sri Lanka Association for Voluntary Surgical Contraception and Family Health Name and designation of contact person : Address of institution : S. Ismail Executive Director No. 21/1, Keppetipola Mawatha Bogambara, Kandy. 081-2223462 Districts of Kandy in Central Province Creating awareness, advocacy

Telephone No : Geographical area of work : Area of involvement :

Creating awareness, counselling, advocacy, condom promotion

Scope of work The organization is a pioneering institute in preventing substance abuse among youth. Awareness programmes on adverse effects of substance abuse and risky sexual behaviours are addressed. Several youth clubs of school and outof-school youth have been formed under the guidance of the organization. Introduction or referral to drug rehabilitation is also a component. Counselling of youth is an activity. Factory workers in the “free trade zone” of several factories have been targeted. IEC material - handouts, booklets, power point presentations.

Scope of work Awareness programmes for school children. Safer sex and reducing the risk of drug use and alcohol use among prisonerscounselling for youth linking up with STD services. IEC material – handouts, power point presentations, video films

Surasa Sanwardana Padanama Name and designation of contact person : Address of institution : Mr M. Hettihewa Ms. W.E. Jayasooriya “Thamaridu”, Dodampahala, Dikwella 041-2255741 Districts of Matara in Southern Province Creating awareness, condom promotion

Child Rehabilitation Centre Name and designation of contact person : Address of institution : Mr Kamalgoda Chairman No. 3A, Sri Dhammarathne Mawatha Ampara. 063-2224767 Districts of Ampara in North and East Province Creating awareness, advocacy and condom promotion

Telephone No : Geographical area of work : Area of involvement :

Telephone No : Geographical area of work :

Area of involvement :

Scope of work The organization has worked with beach boys and room boys of tourist hotels in the area. Being a tourist attracting area the vulnerability of both these groups are high. sexual and reproductive health including HIV/AIDS has been carried out. Emphasis on safer sex practices and VCT have been addressed. Tourists guides and trishaw drivers are the other vulnerable groups for whom awareness programmes were conducted. IEC material - handouts Scope of work

It is an area where terrorist activities take place. Beach boys along the coastal belt were targeted for several awareness and skills building workshops. The organization has been able to provide and promote the use of condoms to sex workers. A CSW project was also conducted by the organization. Tsunami has made the situation worse. IEC material - handouts

The Refugees Rehabilitation Organization Name and designation of contact person : Address of institution : Telephone No : Geographical area of work : Area of involvement : S. Thurairajah

Uva Farmers Development Foundation Name and designation of contact person : Address of institution : Telephone No : Geographical area of work : Area of involvement : Mr Premadasa Bodinayake Chairman Tangalle, Hali-Ela 055-2294089 Badulla in Uva Province

No. 106, 4th Cross Street, Jaffna. 021-2222416 Jaffna in North and East Province Creating awareness, advocacy and condom promotion

Creating awareness and condom promotion

Scope of work: Youth in the estate sector. They have limited access to information on health-related issues. Several awareness programmes and discussions on risk reduction have been carried out. Forty volunteers were trained to spread messages and discuss sexual health where appropriate. IEC material – handouts.

Scope of work A district where the war is intense. However, the organization has been able to provide information on sexual and reproductive health and HIV/AIDS to school children. School teachers have been trained to speak on HIV/AIDS. Adolescents of fishing families have also been given awareness on sexual and reproductive health including HIV/AIDS. IEC material – handouts.

Voice of Youth Name and designation of contact person : Address of institution : Mr Dabawinna Project Director 242. Kotte Road, Mirihana Nugegoda. 2825473 Colombo in Western Province Creating awareness and condom promotion

Wipotha Women’s Welfare Name and designation contact person : Address of institution : Ms Shirani Dewendra of Director No. 527, Wilpotha, Chilaw. 0722-514553 Puttalum in North Western Province Creating awareness and condom promotion

Telephone No : Geographical area of work : Area of involvement :

Scope of work Has targeted street children for educating them on sexual and reproductive health and prevention of HIV. In many areas in the town of Nugegodathere are several street children who are vulnerable to HIV. They are used for child labour; some have no parental supervision. They have been given learning exercises on basic health issues scaling up to adolescent health. HIV/AIDS and its consequences, and AIDS among orphans have been addressed during awareness programmes. Children have been trained to wean away from providing labour. Trishaw drivers and CSW were also targeted IEC material - handouts, power point presentations, group presentations, art competitions.

Scope of work Fishermen and fishing families. There are several risk factors which make this community vulnerable to HIV such as poverty, being away from home, lack of housing, lack of education. Young girls and boys lack knowledge on basic hygiene. They have been trained in good health habits and safe behaviours. IEC material- handouts.

World View Name and designation of contact person : Address of institution : Mr Lal Hewapathirana Director 6/8, Nallawatte Road Maharagama. 011-4419150 011-4419159 Island wide

Young Men’s Christian Association Name and designation of contact person : Address of institution : A.C. Bartholomeusz General Secretary No. 39, Bristol Street, Colombo 01. 2325252 Colombo in Western Province Creating awareness, advocacy and condom promotion

Telephone No : Fax : Geographical area of work : Area of involvement :

Telephone No : Geographical area of work : Area of involvement :

Creating awareness, counselling services and condom promotion

Scope of work The organization is working with school drop-outs, unemployed youth in the district of Colombo in Pettah and Fort areas, particularly where young boys are used as labourers. Child labour is rampant in this area and the organization has been able to draw these boys into programmes where they are given information on risks they face including sexual exploitation, drug and alcohol abuse. Since sex trade also goes on in this area where young women work as street sex workers, the organization has been able to highlight the importance of condoms to them. IEC material – handouts, power point presentations.

Scope of work Target school drop-outs for awareness programmes. Adolescents are given information on sexual and reproductive health and HIV/AIDS. A radio programme was successfully conducted. Counselling services by trained counsellors are offered to youth. IEC material - handouts.

FORUT International Section 3 INTERNATIONAL NGO(S) AND UN ORGANIZATIONS Action Aid International Name and designation of contact person : Address of institution : Rangapali Ranaweera Team Leader HIV/AIDS Action Aid International SL Programme No. 142/10, Isipathana Mawatha, Colombo 05. 011 506514-15 011 2596319 ranga@actionaidlanka.org. www.actionaid.org. All tsunami affected areas South, North and East Provinces Telephone No : Fax : Geographical area of work : Area of involvement : Name and designation of contact person : Address of institution : Mr A.B. Werapitiya Programme Officer No. 98/4, Havelock Road Colombo 05. 011 2581226, 025 2234964 011 2501570 Anuradhapura and Polonnaruwa in North Central Province Creating awareness, condom promotion among displaced persons in the border villages.

Telephone No : Fax : Email : Website : Geographical area of work : Area of involvement :

International Labour Organization Name and designation of contact person : Address of institution : Dr Indira Hettiarachchi National Project Coordinator No. 23/1/1, De Fonseka Road, Colombo 04. 011 2590297 011 2590298 indirailohiv@slt.lk All islands except North and East provinces. Creating awareness, advocacy, condom promotion, policy on AIDS in the workplace.

Creating awareness among school and out-ofschool youth in sexual and reproductive health and HIV/AIDS with condom promotion being an integral component. Provides counselling services for emergency situations and assists in capacity building of other NGOS and CBOs in life skills education and counselling.

Telephone No : Fax : Email : Geographical area of work : Area of involvement :

Food and Agriculture Organization Name and designation of contact person : Address of institution : Mr Nalin Munasinghe Programme Assistant FAO No. 202, Bauddhaloka Mawatha Colombo 7. 011 2580691 011 2580798 011 2587990 nalin.munasinghe@fao.org

Telephone No : Fax : Email : Geographical area of work : Area of involvement :

All islands Creating awareness, advocacy, condom promotion among young people.

OXFAMGB Name and designation of contact person : Address of institution : Mr Yogeswaran A. Programme Coordinator 117, New Kalmunai Road, Kallady. 065-2222676 065-2225878 oxfambatti@eureka.lk Ampara, Batticaloa districts in North and East Provinces Creating awareness in sexual and reproductive health among young people including condom promotion.

Plan International Sri Lanka Name and designation of contact person : Dr Sharmajanaka Makalanda

National Health Advisor Ms. Genita Perera, project Leader

Telephone No : Fax : Email : Geographical area of work :

Plan International is one of the largest child-centred community development organizations working in 60 countries and Plan Sri Lanka is its Sri Lankan chapter. Plan strives to achieve lasting improvement in the lives of deprived children in developing countries through a process that unites people across activities and adds meaning and value to their lives. Address of institution : Telephone No : Fax : Email : Geographical area of work : 6, Claesson Place Colombo 05. 011 2588252 011 5354647 shyam.mahakalanda @planinternational.org Kandy, Matale, Anuradhpura, Kurunegala, Badulla, Monaragala, Hambantota and a small part of Nuwara Eliya districts

Area of involvement :

Area of involvement: Since 2000 has been involved in sexual and reproductive health for adolescents and youth. For the World AIDS Day - 2005, major awareness campaigns, outreach programmes for vulnerable communities, ensuring children’s participation were carried out by Plan Sri Lanka. Developed a Training Manual on Sexual and Reproductive Health for peer leaders. Has developed several attractive posters on prevention of HIV for school children. Advocacy and research.

Salvation Army Name and designation of contact person : Address of institution : Swarna De Silva National Coordinator No. 53, Salvation Army Headquarters No. 53, Sir James Peiris Mawatha, Colombo 02. 011 2324660 ext. 208 011 24636065 swarna_desilva2005 @hotmail.com. All islands

SOS Children Villages of Sri Lanka Name and designation of contact person : Address of institution : Telephone No : Fax : Email : Geographical area of work : Ms Kusum Fernando Pro. Director P.O. Box 5, Piliyandala. 011 4213933 011 2702321 sos.sc@slt.net Colombo,Nuwara Eliya, Galle and Moneragala districts Creating awareness

Telephone No : Fax : Email :

Area of involvement:

Geographical area of work : Area of involvement :

UNICEF Name and designation of contact person : Address of institution : Dr Harischandra Yakandawala Programme Officer UNICEF No. 05, Geethanjana Place, Colombo 05. 011 2555270 – ext. 260 hyakandawala@unicef.org All island Creating awareness, advocacy, condom promotion, research among adolescents and youth.

Creating awareness among young people on HIV/AIDS and providing counselling services for voluntary testing and families of HIV-positive people. Advocacy for HIV prevention among religious leaders and opinion leaders. Care and support for PLWA.

Telephone No : Email :

Save the Children in Sri Lanka Name and designation of contact person : Mr Lionel Alahakoon Information and Documentation Officer 58A, Horton Place, Colombo 07. 011 2672668 – 70 011 2672671 mail@savethechildren.lk

Geographical area of work : Area of involvement:

Address of institution :

Telephone No : Fax : Email : Geographical area of work : Area of involvement :

North central Province Creating awareness

United Nations Population Fund Name and designation of contact person : Dr Nayani Sooriyarachchi National Professional Project Personnel

World Bank Name and designation of contact person : Address of institution : Dr Kumari Navaratne Public Health Specialist World Bank, 73/5, Galle Road Colombo 03. 011 2448070 011 2440357 knavaratne@worldbank.org

The United Nations Population Fund (UNFPA) is an international development agency that promotes the right of every woman, man and child to enjoy a life of health and equal opportunity. UNFPA supports countries in using population data for policies and programmes to reduce poverty. UNFPA also supports programmes to ensure that every pregnancy is wanted, every birth is safe, every young person is free of HIV/AIDS, and every girl and woman is treated with dignity and respect. Address of institution : United Nations Population Fund 53/30, Torrington Avenue, Colombo 7. 011-2501886 011 2501905 Email : Website : Geographical area of work : Area of involvement : UNFPA, in partnership with the Government of Sri Lanka, has addressed sexual and reproductive health (SRH) needs, including prevention of HIV/ AIDS, amongst young people with the objective of improving their SRH status.The interventions supported by UNFPA in the area of young people include developing school curriculum on SRH, and providing training service to address youth issues. UNFPA is piloting models for scaling up Youth Friendly Health Services in order to provide information; counselling and clinical services for young people in three settings, namely, government health setting in the MOH area Beruwala, government non-health setting at NYSC, Anuradhapura and nongovernmental setting at SLAVSC in Kandy. In this project, development of a national training manual for youth friendly services for service providers and developing targeted BCC material for youth are important activities. Development of a logo for YFS and developing minimum standards for franchising the services are also some of the important activities identified. nayani.suriyarachchi @undp.org www.unfpa.org Beruwala, Anuradhapura, Kandy

Telephone No : Fax : Email : Geographical area of work : Area of involvement :

All island

Funding HIV prevention and care programmes in the Ministry of Health through National HIV/AIDS Prevention Project.

Telephone No :

World Food Programme Name and designation of contact person : Address of institution : Ms Vishaka Thilakaratne Programme Officer – Mother and Child United Nations World Food Programme in Colombo No. 10, Flower Avenue, Colombo 7. 011 2586244 011 2502468 Visaskathilakeratne @wfp.org All island Creating awareness on HIV/AIDS, advocacy among staff of Agriculture Ministry for HIV/AIDS.

Telephone No : Fax : Email : Geographical area of work : Area of involvement :

World Vision Name and designation of contact person : Address of institution : Dianah B. Majeks – H&N Manager # 371 R.A. De Mel Mawatha Colombo 3 011 5555509 O11 5555534 Dianah_Majeks@wvi.org www.worldvision.org Ampara, Batticaloa, Galle, Jaffna, Hambantota, Kalutara, Matara, Mullaitivu and Trincomalee districts

Telephone No : Fax : Email : Website : Geographical area of work :

Area of involvement : Creating awareness on HIV/AIDS among young people. Research among staff on knowledge, attitudes, behaviours and perceptions to HIV/AIDS.

Key facts

Organisation World Health Organization (WHO)

Document type Publications

Adoption date December 31, 2007

Source World Health Organization