washington d.c., usa, 22-27 july 2012 a regional response to hiv through health and education...

Washington D.C., USA, 22-27 July 2012www.aids2012.org

A REGIONAL RESPONSE TO HIV THROUGH HEALTH AND

EDUCATION SECTOR-BASED ACTIONS

José Antonio Izazola Licea, MD, ScDNational Center for HIV/AIDS Prevention and Control- MéxicoHorizontal Technical Cooperation Group (GCTH)

Héctor Sucilla, MPHCensida, México

26/07/2012


To position comprehensive sexuality education Strategic tool: stop HIV transmission

Shared commitments: Ministries of Health and Education Universal access to HIV prevention: adolescents and youthRegional inter-ministerial work alliances and

networksStrengthening HIV preventive response

Reduction of stigma, discrimination and homophobia Adolescents – youth living with HIV / sexual diversity

Strategies to improve skills of teachers and health workers on HIV prevention

Principles of the Ministerial Declaration “Preventing through

Education” (MDPE)


Intersectoral strategies on comprehensive health promotionHealth services workers trainingActive participation of community (including youth) on the development of health promotion programsFriendly youth health servicesWork with media and civil societyTeam-work with executive and legislative structuresFormal reference mechanisms to report discrimination actions in health servicesMobilization and/or re-allocation of resources for rigorous impact evaluations of strategies on sexual health promotion and prevention of HIV and STI Dissemination of the Declaration

Strategic areas: HEALTH SECTOR


Strategies on comprehensive sexual education Trainning of teachers Evaluation of curricula and Updating contents and methods Joint work with media and civil society (Team)-work: executive branch and legislation Formal mechanisms to report discrimination in educative services; identification and correction (re) Allocation and/or mobilization of resources for rigorous impact evaluations of strategies on sexuality education and prevention of HIV and STI Dissemination of the Declaration

Strategic areas: EDUCATION SECTOR


By 2015, reduce by 75% the number of schools under the jurisdiction of the Ministries of Education that have failed to institutionalize comprehensive sex education;

By 2015, reduce by 50% the number of adolescents and young people who are not covered by health services that address their sexual and reproductive health needs appropriately.

Goals


ACCIONES

@18 months


CAMBIOS EN LEGISLACIONEn 13 países se potenciaron cambios en cuanto a la

creación, modificación o derogación de leyes, normas o reglamentos a raíz de la DMPE.En algunos casos fue detonante de procesos ya previos

Tipos de cambios en leyes normas y reglamentos

Cambioa

Total Modificación Derogación Creación

instrumentosa Ley Nacional 4 0 6 10

Norma Nacional 4 1 15 20

Norma Local 0 0 1 1

Reglamento Nacional 0 0 1 1

Total 8 1 23 32

Los porcentajes y los totales se basan en las respuestas.

@18 months


17 Countries reported:MoH: 301MoE: 236Academic institutions: 654Civil Society: 6

Of these:261 basic knowledge119 updating and skills strenghtening

TRAININGS AND COURSES

WORK WITH MEDIA69% of 17 countries implemented health promotion and

sexual education campainsFocused in youths and adolescents

47% of 17 countries dimplemented mass media campains


Comprehensive sex education: 2011 AIDS HLPD, UN Regional consultations OPS/OMS-UNESCO-UNAIDS-

CENSIDABullying in schools, guidelines, youth services

DMPE adopted as work document at UN MERCOSUR initiative: harmonization of policies

Comprehensive sexual education, safe schools, drugs

Collaboration between health and education sector; and comprehensive sex educaction programsGuatemala, Cuba, Uruguay, Brazil…Cambios políticos

Strenghtened civil society, youth and adolescents working networksRevitalized youth movement

Examples of Actions in LAC


Intrasectoral cordination mechanisms within MoH:Goup for the care of Infants and Adolescents (GAIA)Transformation of Vaccination National Weeks into

Comprehensive Health National WeeksInclude: sexual health, reproductive health,

HIV/STI, drug use prevention…Youth focused mass media campaigns

Fútbol te da revancha, el SIDA NOEl foco está en tus derechos

Homophobia-free Strategy in ARV specialized centers

CONASIDA: Preventing through Education Work Group State Declarations signed : Jalisco, Chiuahua

Some State AIDS Comissions: Comprehensive sex education and sexual health

working groupsAdvocacy meetings and working groups: Local

Congress

A few examples from Mexico…


Subsidies from the Federal Government to CSO to implement MDPE

• The National AIDS Center (CENSIDA) allocated Federal resources to fund CSO projects supporting MDPE in the health sector

• 2011: 23 projects (aprox USD$ 1, 000,000) • Training for health services workers• Advocacy: states levels• Promotion of Toll free numbers and other mechanism

to submit complaints• Promotion of “youth friendly services”

• 2012: 8 projects (aprox USD$700,000)• Training for health services workers• Sexual educators: certification• Educative materials: health services workers and users


Political changesGovernments (institutions) & Ministers

(persons)Cultural obstaclesChanges in management

National AIDS ProgrammesStructural barriers at ministerial levelAdoption and implementation depending

on the particular interest of managers and politiciansSame countries diverging positions between

MoE & MoHResources?

In several LAC Countries actions were implemented trough UN or multilateral fund

Lack of formal mechanisms for follow-up

Bottlenecks in the implementation of the MDPE in LAC

washington d.c., usa, 22-27 july 2012 a regional response to hiv through health and education...

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