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Vivian Lopez
Regional Advisor HIV/AIDS
Latin America & the Caribbean
Are we preparing our to live in . . .
youth . . .
A world with HIV/AIDS
12,000,000
children under 15
orphaned by
AIDS in sub-
Saharan Africa
This is a picture of AIDS orphans on the grave of their parents inside their home.
Impact is Long Term
Millones
30
25
ce
en
20
al
ev
Pr
V
15 DS
HI
AI Millions
e
a tiv of
ul )
10 Cu
m 15 Children
er
(u nd Orphaned
s
han
5 Or
p
0
1980 1983 1986 1989 1992 1995 1998 2002 2005 2007 2010
Global HIV/AIDS commitments for
CHILDREN
UNGASS Declaration of
MDGs Commitment
MTSP 2006 - 2009 Global Campaign
600 000
500 000
400 000
300 000
200 000
100 000
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Year
100 95.0
90
Provide Paediatric Treatment of HIV
80
74.2
71.0
70
60 0 - 30
30 - 60
50
42.6 60 - 90
41.0
40 37.0 90-more
35.0 34.0 34.0
31.0 30.0
28.8 28.5
30 26.5
20.0
20 14.6 14.0 13.0
10.5
9.0
10 5.0 5.0
0
lic
a
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G
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ua
Su
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Ba
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Ar
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G
C
om
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Provide Paediatric Treatment of HIV
P2
100
88
90 82
80
70
60
percent
2005
50
38 2006
40
26
30
20 15 14
11
7
10
0
Global Caribbean Central South America
America
Procurement of Pediatric ARVs
1st line regimens
GPOvir S-30®
d4T+3TC+NVP
= 0.5 USD
Pedimmune ®
T-30 ®
B.
d4T+3TC+EFV = 2 USD
1
cm.
Participation of HIV+ Adolescents
•Support to Projects such as Tecer o Futuro
•Support to National Meetings of HIV+
Adolescents
P3 Prevent Infection among Adolescents and Young People
18
Mujeres
16
Hombres
14
12
10
Porcentaje
0
13-19 20-24 25-34 35-44 45+
Grupo de Edades (años)
50 52
40
35
Hombres
30 22
20 22
Mujeres
10
0
<12 13-15 16-18 % alguna vez ha
tenido relaciones
sexuales
*Antigua, Bahamas, Barbados, British Virgin Islands, Dominica, Grenada, Guyana, Jamaica, and St. Lucia
100
2010 Target
2005 Target
80
60 Male
%
Female
40
20
0
1999–2003 2004–2007 2010
Year
99
100 96 97 98
95
94 9494 94
90 8889 89
84 84 84
82 81
78 79
80 77 78
74 73
72
71
69
70 6768
6465
62 61 6162
60 58
Misconceptions (%)
57
50
50
44
40 36
30
20
10
America Latina Este y Sur de Africa Africa Oeste y Central Medio Oriente Asia Este CEE/CIS
& y Norte de y el y los Estados
Caribe Africa Pacífico Bálticos
Conceptos erróneos:
HIV/AIDS puede ser transmitido por brujería; picaduras de insectos: o creer que una persona de apariencia saludable no pueda tener el virus
del SIDA.
Just
happened
58%
Tricked
2%
Forced/
Raped
12%
Willing
N=266 28%
50%
47%
45%
43%
41%
40%
35%
HIV Prevalence (%)
35%
30% 28%
% of all Sex Workers
25%
22%
%HIV+ among Sex
21%
20% Workers
15% 14%
10%
5%
0%
15-19 20-24 25-29 30-34
75
% con actitud positiva
25-49
55 15-24
51
50 45
4343
36
33 34
27 28
25
25 25 25
24 24 2525
23
25 22
19 20 20
20
15 16 1616 14
14
16 15
13 12 13
1111 11
1011 1112
10
1211
8 89 8 8 9 9
6 7 6 5 6 5
4 32 3
0
Cameroon
Uzbekistan
Azerbaijan
Tajikistan
Guinea-Bissau
Chad
Swaziland
Trinidad & Tobago
Togo
Lesotho
Rep. of Moldova
Gambia
Equitorial Guinea
Bolivia
Cuba
Somalia
Kenya
Botswana
Mongolia
Albania
Sao Tome & Principe
Côte d'Ivoire
Suriname
Dominican Republic
Comoros
Philippines
Central African Rep.
Niger
Burundi
*1. Debe permitirsele a un(a) maestro(a) quien es VIH+ pero luce saludable continuar trabajando?
2. Compraría Usted alimentos de un(a) tendero(a) que sea VIH+?
ADVOCACY
x
Safe
Life skills Services Supportive
Knowledge Environm ent
And others!
Recommendation for each type of
intervention
Go! Take these interventions to scale NOW!
Sufficient evidence to recommend widespread
implementation on large scale now, with careful
monitoring (coverage & quality … & cost)
Ready Implement widely but continue to evaluate
Evidence suggests interventions are effective, but
large-scale implementation must be accompanied
by further evaluation to clarify impact and
mechanisms of action
Steady More research and development still needed
Evidence is promising, but further intervention
development, pilot testing and evaluation
urgently needed before they can move into the
“ready” or the "do not go" categories
Do not go Not the way to go …
27
Interventions that are GO!
Schools Curriculum-based, skills-based sexual
health education, led by adults +/- peers,
with specific characteristics (developing the
curriculum, content, implementation)*
* Provided they follow best practice, both in terms of content and process
Interventions that are Ready
- Condoms now available in schools with goal to reach 30% of all public high
schools by end 2008
Female condom
Condom use among Adolescents in LAC
100
90
80
70
60
50
40
30
20
10
0
15-19 20-29 30-39 40-49
Porcentaje teniendo parejas casuales, de aquellos que han tenido sexo en los
últimos 12 meses
STI Screening & Testing
HIV prevention among adolescents in Jamaica
The “Bashy Bus”
- Multicolored bus travels throughout Jamaica delivering
HIV/AIDS and sexual and reproductive health information
BENEFITS
9 Protect yourself
9 Protect your partners
9 Protect your baby (if you’re pregnant)
9 Peace of mind
Harm Reduction
Prevent disease
Sterile syringe access to prevent HIV and hepatitis
Reduce mortality
Overdose prevention with training and naloxone
distribution; link to medical care and social services