Abstract Book Vol. 2 [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

676 Abstracts ThPeG8371-ThPeG8375

XIV International AIDS Conference

- Involving young people at all stages of programme development helps to enhance their sense of ownership and thus the sustainability of the programme.
- Addressing immediate concerns (e.g. a lack of recreational facilities) can provide a useful entry point for providing sexual and reproductive health services for
young people.
- Awareness of traditional and cultural concerns of the local community can increase the acceptance and sustainability of sexual and reproductive health programmes.
Presenting author: Eduardo Klien, Save the Children (UK), PO Box 1146, Vientiane, Lao People's Democratic Republic, Tel.: [phone], Fax: +856 21
452059, E-mail: [email protected]
ThPeG8371I Review: A decade of programme interventions to
prevent HIV transmission among young people
A. Reinisch1, N. Moodie2. 1UNICEI New York,; 2UNICEF Programme Division,
HIV/AIDS, 3 un plaza, unicef house 4th floor, ny 10017
Issue In the beginning of the last decade, the global community realised the impact of the HIV epidemic in particular on young people. Despite early calls for
intervention, young people remain at the epicentre of the epidemic. Moreover,
the number of young people infected exceeded earlier predictions, raising the
question what has gone wrong with HIV/AIDS programme interventions in almost
ten years. The Declaration of Commitment on HIV/AIDS established goals related to young people for 2005/2010. Publications extracting lessons learned and
critically reviewing the past decade can contribute to inform desperately needed
future strategies to achieve these ambitious goals.
Description A review of over 200 documents from the period of 1987-2001 pursued the concepts of programme implementation, partnership building, going to
scale and learning, all with respect to efforts in reducing HIV/AIDS in young people. These documents were also viewed under the aspect of potential contribution
towards future planning.
Lessons learned Despite identified gaps, international efforts have made considerable strides towards accelerated programming regarding HIV/AIDS in young
people using a societal, multisectoral and increasingly behavioural focused approach. Amid non-existent indicators and measurement of scale, though, the
achievement of newly set goals will not be truly measurable. Monitoring and evaluation of programmes focusing on HIV/AIDS in young people are still in its infancy.
Many documents reflect an activity-listing format rather than a critical analysis,
missing the opportunity to capture valuable lessons for future strategies.
Recommendation There is a need for more critical, in-depth evaluation and review of programmes that intervene with HIV/AIDS in young people. A limited set
of indicators against which progress can be measured will facilitate targeted interventions that ultimately seek to lift the burden of HIV/AIDS from young people.
Presenting author: annette reinisch, 3 un plaza, unicef house 4th floor, ny
10017, United States, Tel.: [phone], Fax: [phone], E-mail: areinisch
@ unicef.org
ThPeG8372 Involving young people take responsibility to
manage their own HIV STD risk
E.D. Mnzava. NGO, annea, rebman house old moshi road, p o box 6187,
arusha, Tanzania
Issue: Approximately one-third of the world's population is between 10-24 years
of age. In Tanzania the majority of young people are sexually experienced by the
age of 20 and premarital sex is common among 15-19 year olds. This makes
them vulnerable to STI infections including HIV.
Although the "Convention on the Rights of the Child" Article 17, commits states to
ensure that children have access to information that" promotes their social, spiritual and moral well-being and physical and mental health," studies have shown
that most of the children and adolescents have little knowledge or not at all informed about AIDS and this weighs directly upon the increase in the transmission
of HIV among these age groups.
Descriptions: This paper will talk about the vulnerability of children and young
people and how their not being informed about sex and reproductive health make
them more vulnerable to HIV infection among other risks. Reasons/factors associated with vulnerability like, attitudes of gender, lack of political will, legal obstacles, influence of culture and traditions and stigma and discrimination will be
looked into, briefly. Examples of essential elements for youth programmes will be
highlighted.
The paper is based on an experience of a social worker working with young people based in Tanzania.
Lessons learned: Young people's sexual conduct needs to be understood as
directly related to the quality of their relationships with each other and the place
sex has in developing those relationships.
Interventions involving young people have great impact because they understand
better their sexual health and concerns so they should not be left out in designing

and planning prevention programmes.
Recommendation: It is objective to listen to young people and to become aware
of their feelings about their fears worries and happiness.
Investment in young people should be recognized as the most effective mechanism for combating HIV/AIDS.
Presenting author: esta mnzava, annea, rebman house old moshi road, p o box

6187, arusha, Tanzania, Tel.: [phone], Fax: [phone], E-mail:
[email protected]
ThPeG8373 Health and Citizenship Kit
G. Mattar, M.L. Eluf. Semina Industria e Comercio Ltda., Rua Vergueiro 2994 -
Vila Mariana - Sao Paulo - SP CEP 04102-001, Brazil
Issues: It's urgent to develop projects of education and health for Brazilian
teenagers since they aren't prepared to make responsible decision regarding their
sexuality, wellness, reproductive health. Almost 26% of pregnant women in Brazil
are pre-adolescent or adolescent (10-19 years old); more than 54% of Brazilian
women who had left school became pregnant at least once (PNDS-96, Brazil).
The dismal state of Brazilian teens' knowledge about sexuality and reproductive
health just contributes to make this scenario worse.
Description: This project of education and health was created by Semina Industria e Comercio Limitada in association with The Secretary of Education of Sao
Paulo city. The project consists to offer an educational material to pre-adolescent
and adolescent students. This material helps them to improve their basic knowledge about human body, physiological changes, pubertal development, sexuality
and body's care.
Health and Citizenship Kit contains:
- Book/notebook that contains information about male and female sexual organs,
contraceptive methods, sexual transmitted diseases (STD) and AIDS;
- Folder to file medical exams, diagnostics and appointments;
- Personal care' products - Ex.: toilet soap, deodorant, mirror, condom, sanitary
napkin.
Objectives:
- To stimulate teens to be prepared to face the puberty;
- To stimulate teens to develop the self-esteem and the health care;
- To stimulate teens to look for health professionals;
- To stimulate the prevention of gynecological problems, unintended pregnancy,
STD and AIDS.
Lessons learned: The teens are curious to learn and anxious to receive information related to human body, sexuality and reproductive health. The access of
these issues must be easier and able to improve the teachers and parents' skill -
they're responsible of teenagers education.
Recommendation: It's necessary to amplify and to maintain this kind of activity
to reach more number of pre-adolescents and adolescents.
Presenting author: Geraldo Mattar, Rua Vergueiro 2994 - Vila Mariana - Sao
Paulo - SP, CEP 04102-001, Brazil, Tel.: [phone], Fax: [phone], E-mail: [email protected]
ThPeG8374 Mobilizing community care for vulnerable children
in rural Cambodia
K. Green. CARE International in Cambodia, box 537, phnom penh, Cambodia
Issues: By 2005, almost 8% of Cambodian children under age 5 will be orphaned
by AIDS and other causes. War and poverty have left community and government
social support structures fragile, limiting options for protection of vulnerable members of society. Few grandparents are still alive, and many parents are themselves
orphans. Forced labor, neglect and property grabbing are serious problems for orphaned children, particularly girls.
Description: Village child advocates and government staff work in partnership to
build the capacity of the government and community in better caring for vulnerable children in rural high prevalence areas. Action research, communal problem
identification and solving, and advocacy techniques are employed to bring about
a greater level of awareness and response. As a result, children identified as
vulnerable by their village do not pay school fees, and are able to participate in
vocational training and apprenticeship programs. Children in Distress teams meet
with vulnerable children regularly, provide counseling and emotional support, and
work closely with home care teams to help parents plan for their children's future.
Children also participate in groups run by local youth where they play games and
learn about their health. A community advisory board made up of opinion leaders
mobilizes human and financial resources from skilled and/or wealthy community
members, and advocates for improved local child welfare policies.
Lessons learned: Community mobilization is essential for sustained response
to the rights and needs of vulnerable children. However, the process is slow and
more challenging in less settled communities. Local advocacy efforts were ineffectual at challenging land and property grabbing.
Recommendations: Expand advocacy efforts to national level, with a focus on
land and property rights. Work closer with other child protection agencies to reach
a greater number of vulnerable children.
Presenting author: kim green, box 537, phnom penh, Cambodia, Tel.: +855 23
215 267, Fax: [phone], E-mail: [email protected]

ThPeG8375 Games and plays in std/aids prevention with
homeless youth of the city of Santos (Brazil)
V. Boreli, M.A. Bersani, M.C. Reboucas. Little Citizen Project/Santos Association
of STD/Aids Research, Prevention, and Education (ASPPE), Sio Paulo, Brazil
Issues: STD/Aids prevention policies in the city of Santos are aimed at youths
which do not satisfactorily suit homeless children and adolescents, as they do