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Street-based adolescents: actual emphasis on HIV prevention XIX International AIDS Conference

Street-based adolescents: actual emphasis on HIV prevention XIX International AIDS Conference D2: Behavioral and social research on risk reduction interventions Olena Sakovych , MPH UNICEF Ukraine Olga Balakireva , PhD

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Street-based adolescents: actual emphasis on HIV prevention XIX International AIDS Conference

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  1. Street-based adolescents: actual emphasis on HIV prevention XIX International AIDS Conference D2: Behavioral and social research on risk reduction interventions OlenaSakovych, MPH UNICEF Ukraine Olga Balakireva, PhD Ukrainian Institute for Social Research named after O. Yaremenko TatyanaBondar, MA Institute for Social Research named after O. Yaremenko

  2. Most-at-risk adolescents (MARA): children and young people, who are at high risk of HIV infection due to unsafe behaviours: • Inject drugs and use unsterile injecting equipment; • Are being sexually exploited, including victims of trafficking, and practice unsafe (often non-consensual) sex for reward; • Boys, practicing unsafe anal sex with men, including sex for reward. • Nearly a half of MARA in Ukraine are at risk of HIV infection due to their behavior, while HIV services mostly cover adult risk groups and are hardly accessible for adolescents.

  3. Street-based adolescents are at high risk of HIV infection: • 22% inject drugs • 65% of girls provide commercial sex services • 7% of boys have sex with men Share of those, who have tried injecting drugs, % 55% use unsterile injecting equipment 13% always use condom with casual partner

  4. Social vulnerability factors hinder access to services: • 46% do not have a passport or any ID • 78% did not attend any educational institution • Two-thirdsdo not have a permanent place of residence • Two-thirdsare not covered by medical services:

  5. The piloted HIV interventions brought the positive behavioral change and knowledge increase (2011 versus 2008 data): • share of those, who correctly identified the ways of HIV transmission, has increased for 10%; • share of those, who know where HIV counselling and testing is provided, has increased for 10%. • share of those, who were tested for HIV during the last year and received the result, has almost doubled. The biggest increase in HIV-testing is among girls: every sixth tested in 2008, every third in 2011. • shttp://www.unicef.org/ukraine/Case_Study_EN_FINAL_block.pdf • http://www.unicef.org/ukraine/Ocinka_chiselnosti_ditey_eng.pdf • http://www.unicef.org/ceecis/UNICEF_BlameBanishment_WEB_final.pdf

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