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Global Review of HIV Prevention Programming for Young People

Global Review of HIV Prevention Programming for Young People. In progress By LSHTM & UNICEF for the IATT on YP Isolde Birdthistle, Stefanie Dringus, Louise Knight, Susan Kassede. Overview. Purpose :

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Global Review of HIV Prevention Programming for Young People

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  1. Global Review of HIV Prevention Programming for Young People In progress By LSHTM & UNICEF for the IATT on YP Isolde Birdthistle, Stefanie Dringus, Louise Knight, Susan Kassede

  2. Overview Purpose: • to understand the content and scope of programmes and investments in prevention for young people • to guide IATT priorities for technical support and advocacy to key countries with generalized epidemics. Focus countries: 20 countries with HIV prevalence of >5% and large numbers of YPLHIV. Methods: • Content review of national strategic plans, implementation reports, NASA reports. • Validation through phone interviews with country focal points. • Review by global inter-agency steering team to agree on implications for support. Timeframe: By end August 2011. Strategic information products: 20 country briefs and 2 synthesis publications: • Prevention programming for young people: Availability of prevention interventions in high-burden countries and a detailed analysis of the coverage and reporting of the 3 major intervention areas related to the Business Case: comprehensive knowledge, testing and condoms. • State of funding for HIV prevention for young people in high burden countries: Absolute and relative expenditures on recent HIV prevention programming in high-burden countries, with a focus on programmes for young people.

  3. Countries Included in Review Four phases (12 drafts in green available and shared with countries for validation): Group 1: Botswana, Lesotho, Malawi, South Africa, Zimbabwe, Swaziland Group 2: The Bahamas, Cote d’Ivoire, Central African Republic, Cameroon Group 3: Ghana, Nigeria,Namibia Group 4: Gabon, Mozambique, Zambia, Uganda, Kenya, Tanzania, Guyana

  4. Report Structure Introduction: Country & Epidemiology Context in relation to young people Part A: Programme Response for Young People • Priority given to HIV prevention in young people (within national strategy) • Recent programming – scope, scale and quality (based on statutory reports) • Recent OVC and protection programming • Translation of evidence – application of approaches proven effective in influencing awareness and reported behaviour (e.g., curriculum based education, use of media, linkage to health services with community partnership, social norm change and support for behaviour change and service utilization). • Current status of Business Case results. • Partnerships • Laws, Regulations and Human Rights • Achievements and Remaining Challenges Part B: Financial Investments for HIV Prevention among Young People • Total expenditure on HIV/AIDS response and source of contributions • Absolute and relative expenditures on broad areas of HIV/AIDS response • Absolute and relative expenditures on specific categories of prevention • Young people as beneficiaries of spending on HIV/AIDS Part C: Quality and consistency of Data Reporting on young people Implications for prevention and technical support

  5. Epidemiological context: Summaries by and across 20 countries

  6. Epidemiological context: summary across 20 countries *Source: Intl Group on Analysis of Trends, Sex Transm Inf 2010 [national data for 3 points in time] ^Source: UNAIDS Global AIDS Report 2010 [data for 2 points in time: 2001 and 2009]

  7. Epidemiological context: summary across 20 countries *Source: Intl Group on Analysis of Trends, Sex Transm Inf 2010 [national data for 3 points in time] ^Source: UNAIDS Global AIDS Report 2010 [data for 2 points in time: 2001 and 2009]

  8. Epidemiological context: summary across 20 countries • Yet, remaining challenges... • Young people still account for a high proportion of new infections • And of those, most are among young women

  9. Epidemiological context: HIV prevalence by gender

  10. Epidemiological context: HIV prevalence by gender

  11. Epidemiological context: HIV prevalence by gender and age Swaziland

  12. Epidemiological context: HIV prevalence by gender and age Zimbabwe

  13. Epidemiological context: HIV prevalence by gender and age Botswana

  14. Epidemiological context: HIV prevalence by gender and age

  15. Epidemiological context: HIV prevalence by gender and age

  16. Epidemiological context: HIV prevalence by gender and age

  17. Epidemiological context: HIV prevalence by gender and age

  18. Epidemiological context: Numbers of orphans 2001-2009 Numbers of orphans in 2001 and 2009 Source: UNAIDS Global Epidemic Report 2010

  19. Part A: Programme Response for YP Sample findings so far

  20. Part A: Scale of Programmes for YP “The majority of people in need have access to” the following HIV prevention programmes...? AGREE or DISAGREE?(From NCPI 2010, Govt respondent)

  21. Part A: Scale of Programmes for YP “The majority of people in need have access to” the following HIV prevention programmes...? AGREE or DISAGREE?(From NCPI 2010, Govt respondent)

  22. Part A: Scale of Programmes for YP

  23. Part A: Scale of Programmes for YP

  24. Part A: Scale of Programmes for YP “The majority of people in need have access to...?”

  25. Evidence-based programming: ‘Steady, Ready, Go!’ review of research Evidence-Based Recommendations(Steady, Ready, Go! Review) Adapted from Doyle A, et al, IAS 2010

  26. Part A: Scale of Programmes for YP

  27. Part A: Scale of Programmes for YP

  28. Part A: Quality of Programmes for YP

  29. Country specific findings • Specific country examples, e.g., of programmes that help or hinder achievement of the bold results are in each country brief

  30. Part B: Financial Investments for HIV Prevention among Young People Sample findings so far

  31. Part B: Funding for YP prevention Investments in broad areas of the AIDS response

  32. Part B: Funding for YP prevention Investments in specific prevention activities

  33. Part B: Funding for YP prevention Spending by beneficiary? example Cote d’Ivoire (2008) OVC: 3% Children and youth out of school: 0% Junior high / high school students: 0.47% General population of young people (15-24): 1.05% So, who are the main beneficiaries…? 1. General population not disaggregated: 50% 2. People living with HIV/AIDS, not disaggregated: 27%

  34. By end of this review… • 20 Country-specific summaries, with implications for IATT • 2 Synthesis pieces to draw out the lessons across the high-burden countries and perhaps some insight...

  35. By end of this review… ...to explain this...?

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