Washington D.C., USA, July 2012www.aids2012.org A REGIONAL RESPONSE TO HIV THROUGH HEALTH AND EDUCATION SECTOR-BASED ACTIONS José Antonio Izazola Licea, MD, ScD National Center for HIV/AIDS Prevention and Control- México Horizontal Technical Cooperation Group (GCTH ) Héctor Sucilla, MPH Censida, México 26/07/2012

Washington D.C., USA, July 2012www.aids2012.org  To position comprehensive sexuality education  Strategic tool: stop HIV transmission  Shared commitments: Ministries of Health and Education  Universal access to HIV prevention: adolescents and youth  Regional inter-ministerial work alliances and networks  Strengthening HIV preventive response  Reduction of stigma, discrimination and homophobia  Adolescents – youth living with HIV / sexual diversity  Strategies to improve skills of teachers and health workers on HIV prevention Principles of the Ministerial Declaration “Preventing through Education” (MDPE)

Washington D.C., USA, July 2012www.aids2012.org  Intersectoral strategies on comprehensive health promotion  Health services workers training  Active participation of community (including youth) on the development of health promotion programs  Friendly youth health services  Work with media and civil society  Team-work with executive and legislative structures  Formal reference mechanisms to report discrimination actions in health services  Mobilization and/or re-allocation of resources for rigorous impact evaluations of strategies on sexual health promotion and prevention of HIV and STI  Dissemination of the Declaration Strategic areas: HEALTH SECTOR

Washington D.C., USA, July 2012www.aids2012.org  Strategies on comprehensive sexual education  Trainning of teachers  Evaluation of curricula and Updating contents and methods  Joint work with media and civil society  (Team)-work: executive branch and legislation  Formal mechanisms to report discrimination in educative services; identification and correction  (re) Allocation and/or mobilization of resources for rigorous impact evaluations of strategies on sexuality education and prevention of HIV and STI  Dissemination of the Declaration Strategic areas: EDUCATION SECTOR

Washington D.C., USA, July 2012www.aids2012.org  By 2015, reduce by 75% the number of schools under the jurisdiction of the Ministries of Education that have failed to institutionalize comprehensive sex education;  By 2015, reduce by 50% the number of adolescents and young people who are not covered by health services that address their sexual and reproductive health needs appropriately. Goals

Washington D.C., USA, July 2012www.aids2012.org months

Washington D.C., USA, July 2012www.aids2012.org CAMBIOS EN LEGISLACION  En 13 países se potenciaron cambios en cuanto a la creación, modificación o derogación de leyes, normas o reglamentos a raíz de la DMPE.  En algunos casos fue detonante de procesos ya previos Los porcentajes y los totales se basan en las months

Washington D.C., USA, July 2012www.aids2012.org  17 Countries reported:  MoH: 301  MoE: 236  Academic institutions: 654  Civil Society: 6  Of these:  261 basic knowledge  119 updating and skills strenghtening TRAININGS AND COURSES WORK WITH MEDIA  69% of 17 countries implemented health promotion and sexual education campains  Focused in youths and adolescents  47% of 17 countries dimplemented mass media campains

Washington D.C., USA, July 2012www.aids2012.org  Comprehensive sex education: 2011 AIDS HLPD, UN  Regional consultations OPS/OMS-UNESCO-UNAIDS- CENSIDA  Bullying in schools, guidelines, youth services  DMPE adopted as work document at UN  MERCOSUR initiative: harmonization of policies  Comprehensive sexual education, safe schools, drugs  Collaboration between health and education sector; and comprehensive sex educaction programs  Guatemala, Cuba, Uruguay, Brazil…  Cambios políticos  Strenghtened civil society, youth and adolescents working networks  Revitalized youth movement Examples of Actions in LAC

Washington D.C., USA, July 2012www.aids2012.org  Intrasectoral cordination mechanisms within MoH:  Goup for the care of Infants and Adolescents (GAIA)  Transformation of Vaccination National Weeks into Comprehensive Health National Weeks  Include: sexual health, reproductive health, HIV/STI, drug use prevention…  Youth focused mass media campaigns  Fútbol te da revancha, el SIDA NO  El foco está en tus derechos  Homophobia-free Strategy in ARV specialized centers  CONASIDA: Preventing through Education Work Group  State Declarations signed : Jalisco, Chiuahua  Some State AIDS Comissions:  Comprehensive sex education and sexual health working groups  Advocacy meetings and working groups: Local Congress A few examples from Mexico…

Washington D.C., USA, July 2012www.aids2012.org Subsidies from the Federal Government to CSO to implement MDPE The National AIDS Center (CENSIDA) allocated Federal resources to fund CSO projects supporting MDPE in the health sector 2011: 23 projects (aprox USD$ 1, 000,000) Training for health services workers Advocacy: states levels Promotion of Toll free numbers and other mechanism to submit complaints Promotion of “youth friendly services” 2012: 8 projects (aprox USD$700,000) Training for health services workers Sexual educators: certification Educative materials: health services workers and users

Washington D.C., USA, July 2012www.aids2012.org  Political changes  Governments (institutions) & Ministers (persons)  Cultural obstacles  Changes in management  National AIDS Programmes  Structural barriers at ministerial level  Adoption and implementation depending on the particular interest of managers and politicians  Same countries diverging positions between MoE & MoH  Resources?  In several LAC Countries actions were implemented trough UN or multilateral fund  Lack of formal mechanisms for follow-up Bottlenecks in the implementation of the MDPE in LAC