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SECURITY & THE SPREAD OF HIV/AIDS:

SECURITY & THE SPREAD OF HIV/AIDS:. Challenging Military Leaders to Fight the Response. Stephen Talugende. Presentation outline. Situation of HIV/AIDS in the Military Responses, programs & policies Current gaps Proposed approaches Conclusion. Situation. High infection rates (WHY?)

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SECURITY & THE SPREAD OF HIV/AIDS:

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  1. SECURITY & THE SPREAD OF HIV/AIDS: Challenging Military Leaders to Fight the Response Stephen Talugende

  2. Presentation outline • Situation of HIV/AIDS in the Military • Responses, programs & policies • Current gaps • Proposed approaches • Conclusion

  3. Situation • High infection rates (WHY?) • High denial, stigma & discrimination • Insecurity, conflict & post-conflict • Young adults & status

  4. Situation cont’d • High mobility & away from home • Peer pressure – soldiers, comdrs, staff officers & family members • Training & risk experience • Pressure from communities

  5. Situation cont’d • Command & staff commitment • Policies & strategic frameworks • Public health vs Multi-sectoral approach • Burden to strained budgets

  6. Responses • Mobilization & sensitization • Promotion & provision of services • Treatment, care & support • Surveillance, M & E • Targeted intervention – soldiers vs their families

  7. Mobilization & sensitization BCC: • Peer education • IEC materials development & distribution • Music, dance & drama • Film shows • Group or buddy-buddy sessions • Formal or informal sessions

  8. Promotion & provision of services • Provision of VCT • Treatment for OI & ART • Support mechanisms • Nutritional support • Referral, networking & partnerships

  9. Gaps • Limited funding & unrealistic donor conditions • Limited comprehensive planning • Lack of coordination mechanisms • Public health vs multi-sectoral approaches

  10. Gaps cont’d • Policy & workplace environment • Reluctance of development partners in funding military interventions • Isolated interventions – recruitment • STILL A SOFT SECURITY ISSUE!

  11. What can we do? • Renew all efforts • Comprehensive & holistic • Strategic thinking & programming • Renew leadership commitment • Commit more resources

  12. What can we do? Cont’d • Command & staff approach • Combat estimate: • Situation • Mission • Execution • Admin & logistics • Command & control

  13. Behavioral change communication • BCC is an interactive process of developing messages & approaches using mixed communication channels in order to encourage sustained appropriate behaviors. • Evolved from Information Education & Communication (IEC)

  14. BCC cont’d • More tailor-made messages, greater dialogue & ownership (segment the military) • Sustainability of change of behavior that is enhanced by participation by all, at all levels from conceptualization to implementation

  15. Effective BCC should • Increase factual knowledge of HIV/AIDS • Stimulate social &community dialogue • Promote essential attitude change • Improve skills and self effectiveness • Reduce stigma & discrimination against PLHA

  16. Effective BCC cont’d • Create demand for information services • Advocate for an effective response to the epidemic • Promote services for prevention care & support for vulnerable communities/populations

  17. IEC Develop effective IEC strategies Awareness IEC Practice Knowledge Monitoring & Evaluation??

  18. Conclusion No quick fix programming will win the war against HIV/AIDS!

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