presentation by kenny, trevvy

International AIDS International AIDS Conference 2010Conference 2010

LearningLearningTools for InterventionTools for InterventionRecommendationsRecommendations

presented by presented by TREVVYTREVVY

““The Big Picture”The Big Picture”

Globally, 33.4 million people living with HIV.Globally, 33.4 million people living with HIV.

40% are young people.40% are young people.

Achieving Universal Access & replenishing Global Achieving Universal Access & replenishing Global Fund (at least $20 billion dollars) are crucial.Fund (at least $20 billion dollars) are crucial.

““Rights Here, Right Now” - Criminalisation of HIV, Rights Here, Right Now” - Criminalisation of HIV, same sex relationships & sex workers needs to same sex relationships & sex workers needs to be abolished for HIV prevention to be truly be abolished for HIV prevention to be truly effective. effective.

Human Rights & Human Rights & MSMMSM

LearningLearningHuman Rights & MSMHuman Rights & MSM

Human rights violations and punitive laws against MSM Human rights violations and punitive laws against MSM have multiple negative consequences: affecting mental have multiple negative consequences: affecting mental health, social relations, behaviour and access to health health, social relations, behaviour and access to health services.services.

Implications:Implications: Increased depression/suicidal thoughtIncreased depression/suicidal thought Increased stigma/self-stigmatisationIncreased stigma/self-stigmatisation Decreased access to condoms/lubricantDecreased access to condoms/lubricant Increased fear to access services/commoditiesIncreased fear to access services/commodities Disruptions in HIV servicesDisruptions in HIV services Decline in medical visits by MSM, including ART Decline in medical visits by MSM, including ART

interruptions interruptions

LearningLearningHuman Rights & MSMHuman Rights & MSM

Sodomy laws and other criminal laws act pose as Sodomy laws and other criminal laws act pose as barriers to adequate resources, research and barriers to adequate resources, research and support/treatment for MSM.support/treatment for MSM.

Advocates and community leaders should continue to Advocates and community leaders should continue to lobby to repeal laws that violate human rights.lobby to repeal laws that violate human rights.

HIV/STI prevention for MSM/LGBTQ is only effective HIV/STI prevention for MSM/LGBTQ is only effective when their human rights are addressed in a dual when their human rights are addressed in a dual

process.process.

Youth Youth PerspectivesPerspectives

LearningLearningYouths Speak OutYouths Speak Out

“ “ Sex and sexuality need to be dealt with on a day-Sex and sexuality need to be dealt with on a day-to-day basis. Sex is not just about health, but it’s to-day basis. Sex is not just about health, but it’s also responsibility. Pleasure is a human right and also responsibility. Pleasure is a human right and should not be watered down in spite of HIV risks.”should not be watered down in spite of HIV risks.”

– – D. TownsendD. Townsend

LearningLearningYouths Speak OutYouths Speak Out

PLHIVPLHIV Huge shortage of drugs, funding, and PLHIV fear being Huge shortage of drugs, funding, and PLHIV fear being

found out.found out.

Transgender Transgender Health care institutions and health workers do not Health care institutions and health workers do not

understand their needs.understand their needs.

WomenWomen Organizations need to help women voice their ideas Organizations need to help women voice their ideas

more openly about what they want sexually.more openly about what they want sexually.

Tools for Tools for InterventionIntervention

Tools for InterventionTools for InterventionMedical Intervention: Anti-HIV Drugs for Medical Intervention: Anti-HIV Drugs for PreventionPrevention

Old preventive measures such as influencing sexual Old preventive measures such as influencing sexual behaviours and using condoms, and even circumcision behaviours and using condoms, and even circumcision on some extent, do contribute to fighting the HIV on some extent, do contribute to fighting the HIV epidemic but it’s also important that we consider anti-epidemic but it’s also important that we consider anti-HIV drugs as a new prevention method.HIV drugs as a new prevention method.

100% condom use is hard to achieve realistically. As 100% condom use is hard to achieve realistically. As such, ART is potentially more effective when used with such, ART is potentially more effective when used with other prevention methods.other prevention methods.

Studies done in Africa on HAART show that it has a Studies done in Africa on HAART show that it has a marked additional effect when used in combination with marked additional effect when used in combination with condoms in serodiscordant heterosexual couples.condoms in serodiscordant heterosexual couples.

Tools for Intervention Tools for Intervention Social InterventionSocial Intervention

AnimationAnimation Effective HIV prevention strategy to engage the target Effective HIV prevention strategy to engage the target

audience.audience.

Video TestimonialsVideo Testimonials Powerful tool for social change in attitudes & Powerful tool for social change in attitudes &

behaviours through lived experiences of young PLHIV. behaviours through lived experiences of young PLHIV.

Video AdvocacyVideo Advocacy Complementary advocacy tool to drive changes in Complementary advocacy tool to drive changes in

policies and practices.policies and practices.


Individual to community level:Individual to community level: TrainingTraining POL (Popular Opinion Leader) initiativesPOL (Popular Opinion Leader) initiatives Community eventsCommunity events Stigma reduction campaignsStigma reduction campaigns Printed collateralsPrinted collaterals

Distribution of condoms and lubricantsDistribution of condoms and lubricants


Non community MSM:Non community MSM: Internet-based communication: viralInternet-based communication: viral Resource websiteResource website NewsletterNewsletter SMSSMS Online counsellingOnline counselling Online outreachOnline outreach Support for HIV+ MSM:Support for HIV+ MSM: Peer supportPeer support Group empowermentGroup empowerment Participation with non-infected MSMParticipation with non-infected MSM

RecommendationsRecommendations

RecommendationsRecommendationsYouthsYouths

Partnerships between young people and Partnerships between young people and established leaders in the process of decision and established leaders in the process of decision and policy making, implementation and evaluation of policy making, implementation and evaluation of programmes. programmes.

Donors need clear strategies to address young Donors need clear strategies to address young people’s needs in HIV prevention, treatment and people’s needs in HIV prevention, treatment and health care support.health care support.

Training and capacity building of young people is Training and capacity building of young people is crucial to the sustainability of youth programmes.crucial to the sustainability of youth programmes.

RecommendationsRecommendationsMSMMSM

Need to incorporate human rights in HIV/STI Need to incorporate human rights in HIV/STI prevention programmes.prevention programmes.

Adopting combination prevention strategies that Adopting combination prevention strategies that address multiple levels of risk.address multiple levels of risk.

MSM interventions should include the treatment of MSM interventions should include the treatment of HIV positive MSM, as well as the extension of the HIV positive MSM, as well as the extension of the antiretrovirals to all MSM as needed.antiretrovirals to all MSM as needed.

presentation by kenny, trevvy

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