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project:-Communicating an d preparing individual s and communities to understand an d support people o n A RT is an important componen t o f a comprehensive respons e t o HIV an d AIDS tha t include s prevention , treatment , car e an d support . Accurat e informatio n communicated throug h a variety of formats usin g appropriate channel s i s needed i n al l places wher e A R T is introduced so that communities become 'treatmen t literate' . Civi l society organization s nee d suppor t t o facilitate thi s process , whic h shoul d includ e the active participation of local leaders , communit y members, familie s and women and girls living wit h HI V and who ar e on treatment. Thi s in turn need s to be part of a broade r empowerment agend a wher e peopl e an d communities ca n actively engage wit h healt h providers aroun d thei r treatmen t an d are able t o negotiate healt h an d social situations . Engaging with individuals and communities effectively around ART can improve women and girls living wit h HIV/AID S qualit y of life, contribut e to greater uptake o f voluntary counselling and testing services and lead to a greater belief in the effectiveness o f ART .

Stigma relate d t o HI V create s a viciou s cycl e tha t lead s t o discriminatio n an d th e deprivation of people's rights .

Because of the lo w visibility o f ordinary people livin g positively, with HIV, the real fac e of AID S remain s unsee n an d AID S - relate d stigm a proliferates . Incorporatin g peopl e living with HIV as V CT staff can significantly change people's attitude s to AIDS.

There i s a nee d t o challeng e traditiona l custom s an d belief s an d t o acknowledg e th e vulnerability o f wome n t o HI V via th e vulnerabilit y o f thei r partners . Me n mus t b e brought int o fran k a d hones t discussion s abou t sexua l behaviour s tha t facilitat e transmission and must acknowledge their responsibility in maintaining their partners' and children's health.

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