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CROSS-CUTTING ISSUES IN HIV- AIDS Antoine Augustin MD, MPH May 2004.

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Presentation on theme: "CROSS-CUTTING ISSUES IN HIV- AIDS Antoine Augustin MD, MPH May 2004."— Presentation transcript:

1 CROSS-CUTTING ISSUES IN HIV- AIDS Antoine Augustin MD, MPH May 2004

2 HIV Prevalence among Pregnant Women, Haiti, 1993-2003

3 CONCEPTUAL FRAMEWORK RISK REDUCTION VULNERABILITY REDUCTION IMPACT REDUCTION

4 RISK FACTORS Early sexual initiation Unsafe sex Sexually transmitted infections Multiple partners Age mix Vertical transmission Commercial sex workers

5 VULNERABILITY Women Youth restavek street children Migrant workers Beliefs, gender, cultural and economic factors

6 IMPACT Access to treatment Economic impact Support services Stigma/human rights

7 Cross-cutting issues -equity issues -gender -education and culture -health -infrastructure (access to services) roads, transport)

8 Cross-cutting issues (contd) -Social services -Employment -Credit -Access to services -Food security -Water/sanitation/waste management -Governance (Legislation)

9 TG SOW OPTIONS Review each theme and its HIV-AIDS Implication Assist each thematic group in formulating HIV-AIDS component Review thematic group texts and analyze their HIV-AIDS implications

10 Issues Intra-donor internal aid package coherence, e.g. Inter-donor aid package coherence, e.g. Time limitation (2 years) Direct versus trickle down orientation (eg MENJS, MCF, MAS, MIC, MEN)

11 Coordination Mechanisms Multi-sector Governance council Multi-sector operational unit (UCC) Multi-sector operational plan Comprehensive budget


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