News (Updated October 18, 2009)

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China ’s vocational schools play a key role in AIDS education

16 October 2009

Vocational schools in China provide an avenue for reaching thousands of young people with HIV/STI prevention messages. Credit: ILO

 

The Zhaoqing Vocational School in Guangdong , China , provides basic technical skills to several thousand migrant workers a year. It is also one of the first schools of its kind in the country to include information on sexuality, reproductive health and HIV in its core curriculum. This model has now been scaled up nationally with technical assistance from the International Labour Organization (ILO).

Programmes like the one supported by ILO can serve as an excellent model to reach tens of millions of young people and their partners in China, right at the age when they are most prone to behaviours that put them at risk of HIV or other sexually transmitted infections.

Dr Bernhard Schwartländer, UNAIDS Country Coordinator in China

Many graduates from Zhaoqing’s school will find jobs along the province’s Pearl River Delta, which is the largest manufacturing zone in the world and employs over 60 million migrant workers from China ’s rural areas. Before the students, who range in age from 14 to 19, enter the world of work, teachers are committed to imparting knowledge which will help protect them against frequent incidences of unwanted pregnancies and reportedly high rates of sexually transmitted infections such as HIV.

For many young people at the school the intervention seems to be working and they are reaping the benefits of greater openness and access to information. According to one female student, “At the beginning of HIV training I felt very nervous and shy. After the teacher's explanation I felt natural and accepted what she said. I felt I had known nothing about HIV… People with HIV are not dangerous and they don't deserve any discrimination.”

Vocational schools in China provide an avenue for reaching thousands of young people with HIV/STI prevention messages. Credit: ILO

 

Using the example of Zhaoqing and other similar schools, the ILO and the United States Department of Labor, (USDOL) have set out to reach as many of the 18 million students in the country’s 16,000 vocational schools as possible.

The ILO/USDOL project, known as SHARE (Strategic HIV/AIDS Responses in Enterprises), recognises that vocational schools are in a position to reach large
numbers of vulnerable young people with HIV, STI and reproductive health
training.  A survey of 1,602 female students from vocational schools in Anhui , for example, showed that nearly 12% said they had had sex and, among these, more than 60% reported pre-marriage pregnancies.

Based on this need, SHARE has established programmes in 1000 vocational schools and trained over 2000 teachers in delivering participatory training. The Chinese Ministry of Human Resources is supporting this effort with a national policy which requires all vocational schools under its authority to integrate STI, HIV and reproductive health training into the psychological health curriculum.

According to Richard Howard, ILO Chief Technical Advisor of the HIV/AIDS workplace education project in China , "It is estimated that with the capacity built
in the vocational schools, five million students will be reached in China over the next five years.”
 
The authorities in the country are very much aware that, despite early successes, the project needs careful monitoring and evaluation. “Challenges ahead include how to track the impact of this intervention,” says Zheng Dongliang, from the Ministry of Human Resources and Social Security and National Project Director of the ILO/USDOL HIV/AIDS workplace project. He adds, "We can now assess how that knowledge has been transferred during examinations but our objective is to facilitate behaviour change and we are looking at ways to better monitor and evaluate the impact of the interventions to make sure we achieve positive behaviours among these vulnerable youth.”

In principle, sex education in Chinese schools was established in 1992. However, its implementation and effectiveness varies. Ms. Li Hua, a teacher at the Wuhu vocational school reports that “most often it is the teachers who are embarrassed to talk about sex with their students. The students are eager to learn and – when given the right space – talk openly about their experiences”. It is one of the objectives of this programme to equip teachers with the knowledge, the skills and tools to frankly discuss sexual and reproductive health issues in class.

“It is refreshing and encouraging to see teachers and students interact in a lively and imaginative way about rather private matters”, says Dr Bernhard Schwartländer, UNAIDS Country Coordinator in China . “Programmes like the one supported by ILO can serve as an excellent model to reach tens of millions of young people and their partners in China, right at the age when they are most prone to behaviours that put them at risk of HIV or other sexually transmitted infections.”.

 

China HIV/AIDS Media Partnership to fend off HIV/AIDS with "Umbrella"

2009-10-14

Lu Chuan(L) and Qin Lan(R) express their will of doing something for the public welfare during an interview. (Source: china.org.cn)BEIJING , Oct.13 -- Under the coordination of the China HIV/AIDS Media Partnership (CHAMP), Umbrella was filmed in Beijing Saturday. It was directed by Lu Chuan, who also directed the box-office hit Nanjing ! Nanjing !. Qin Lan, a young actress and real-life girlfriend of Lu, plays the leading role of an angel that shelters a girl from the rain. Using a red umbrella, her actions symbolize that educating oneself about HIV/AIDS can prevent infection and curb the spread of the disease.

    Knowledge of HIV/AIDS prevention in China has decreased since 2007. According to a survey by CHAMP, 88.7 percent of the female respondents assumed there was no way they could be infected; 86.5 percent never actively learned about HIV/AIDS; and 50.7 percent said they never used condoms. Another report showed that 50 percent of the new infection cases were spread through unprotected sex.

    Managed by GBC China (Global Business Coalition on HIV/AIDS, TB & Malaria), CHAMP is a unique collaboration of media companies, private businesses, NGOs, government sectors and UN agencies. It mobilizes the communication power of mass media to fight HIV/AIDS in China . Through Umbrella, CHAMP hopes to arouse the awareness of HIV/AIDS prevention among the public.

 

Discreet sex education breaks Indian taboo

Oct 12, 2009

Indian activists during a protest against sex education in New ...NEW DELHI (AFP) - In a Delhi classroom, 40 sheepish girls and boys stare silently at a sketch of a couple making love.

The sex education lesson for 15-year-olds is not part of India 's national syllabus, and the exclusive private school teaching the subject is taking a risk by passing on the facts of life to its pupils.

Traditionalists say such classes are against Hindu sensibilities and invade a private matter that is best dealt with inside the family home.

But, with rapid social change in India , calls for teenagers to be taught about human reproduction and sexual health are growing, and private schools across the country now give discreet lessons to their privileged pupils.

" India allows teenagers to learn English and other European languages, devour pizza, burgers, wear skimpy clothes, and dance to English music," teacher Rubina Hussain Sheikh told her class.

"These Western influences are welcomed. So why is talking about sex in schools not accepted?"

Sheikh, a counsellor whose lesson communicates sexual information in a simple and relaxed manner, admits it is a "tricky subject", but she believes it is a vital duty to combat ignorance.

She displays slides from the ancient Indian erotic text Kamasutra, as well as drawings of how an adolescent's body develops, and graphics to explain AIDS and the rise of sexually-transmitted diseases in India .

Students at the school often hesitate to ask questions, she said, but they all feel the course helps clear away many of the misconceptions and the secrecy that shrouds such taboo subject.

"I had no clue about sex, pregnancy and the precautions required to protect oneself during an intercourse. I am glad that I am aware now," said Riddhima Tiwari, a 15-year-old student at the school, which asked not to be named to avoid publicity.

Parents said they had permitted the course to be taught as they were aware their children needed to be able to look after themselves, adding it would pass on information which they would be shy of discussing at home.

But millions of students studying in government schools are denied any such advice, as India state governments avoid all mention of introducing sex education in schools.

"If implemented, the subject would have adverse effects on young minds," said Swami Nityanand, a Hindu priest in Delhi and a senior member of the right wing Hindu organisation, Vishwa Hindu Parishad.

Nityanand said he never uses the word "sex" in front of his young disciples, as he feels that Indians learn all the facts of life naturally and need no guidelines on the topic or diseases related to it.

In 2007, Nityanand's followers burnt school books that discussed contraception and sexually-transmitted diseases, and forced the government in the western state of Gujarat to drop reproduction chapters from science textbooks.

"Imparting this kind of education would mean devaluing Indian culture and values, so I will fight until the end to protect our rich heritage," he told AFP.

But a 2007 survey "Indian Adolescent: Changing Sexual Behaviour", conducted by doctors and voluntary organisations, concluded that there was an urgent need for sex education in schools.

It said around 40 per cent of all HIV infections in India occurred in the 16-24 age group and clinic-based evidence suggests that a third of all abortions may take place among unmarried teenage girls.

Teen pregnancy also doubled in the previous five years, the survey stated.

And, according to the National Crime Records Bureau, more than 20,000 rapes are reported every year, of which 25 percent of the victims are minors.

Many experts blame such an array of statistics on the lack of sex education.

"This theory of Indian culture and morality is a big sham," said Ravi Kumar Tandon, a Delhi-based doctor who specialises in sexual issues.

"Girls and boys need to learn about sex, and boys have to be trained to adopt alternative modes of relating to women, rather than just being aggressive," he said.

Tandon collected data for the "Indian Adolescent" survey by interviewing about 500 urban and rural teenagers.

"There are misconceptions galore in their minds. Many rural girls thought a man's touch was enough to make a them pregnant, while the urban boys said they access the Internet and watch pornographic videos to understand sex," he said.

He said conservative groups were being hypocritical and unrealistic about the problems of modern India .

"To educate the youth about sex, and to show them how to use a condom will not westernise them. It will make them aware of their sexuality," he said.

However, India 's central government appears less than keen to discuss the subject.

"What can I say about sex education? We are yet to apply our mind over the issue," Human Resource Development minister Kapil Sibal told AFP.

 

Conference urges sexual health service for Asia-Pacific youth

2009-10-19

BEIJING, Oct. 18 (Xinhua) -- The health of young people in Asia-Pacific region is in jeopardy as many of them have inadequate preparation for sexual lives, warns a declaration from the Fifth Asia Pacific Conference on Reproductive and Sexual Health and Rights (APCRSHR).

    "Few young people receive adequate preparation for their sexual lives. This leaves them potentially vulnerable to coercion, abuse and exploitation, unintended pregnancies and sexually transmitted infections, including HIV," read the Youth Declaration announced Sunday.

    The APCRSHR is hosted every two years since 2001 as a platform for the Asia-Pacific countries to exchange experiences in promoting reproductive and sexual health.

    Statistics from the conference show that there are more than five million HIV cases in Asia and the Pacific, and over half of them are under 24.

    The declaration called on national governments and civil societies to offer consultation and services on sexual and reproductive health to young people, especially to marginalized groups such as migrant workers.

    The declaration noted that poverty and malnutrition make young people in the region vulnerable to greater risks of HIV transmission.

    The Fifth APCRSHR, co-sponsored by the National Population and Family Planning Commission of China, the United Nations Population Fund and the International Planned Parenthood Federation, will run from Oct. 18 to 20.

UGANDA : AIDS activists protest anti-gay bill

16 Oct 2009

Source: IRIN

NAIROBI , 16 October 2009  - A draft bill before the Ugandan parliament that seeks to impose stricter sanctions on homosexuality would drive men who have sex with men further underground, making it even more difficult for them to access HIV services, according to AIDS activists.

According to Uganda 's New Vision newspaper http://www.newvision.co.ug/D/8/12/697859, the draft bill, tabled by ruling party MP David Bahati, proposes a seven-year jail term for anyone who "attempts to commit the offence" or who "aids, abets, counsels or procures another to engage in acts of homosexuality".

"If this bill is passed it will be a clear violation of human rights and will push men who have sex with men even further underground than they are," Beatrice Were, a Ugandan HIV/AIDS activist, told IRIN/PlusNews.

"Our national strategic plan for HIV/AIDS aims to achieve universal access to HIV prevention, treatment and care, but if people are criminalized and not allowed to exist, how can they access these services?" she added.

Homosexual acts, or "carnal knowledge against the order of nature", are already criminalized in Uganda , carrying a maximum penalty of life imprisonment.

Under the draft bill, "promotion of homosexuality", including publishing information or providing funds, premises for activities, or other resources, is also punishable by a seven-year sentence or a fine of US$50,000.

If passed, the bill would see the death penalty handed down for the crime of "aggravated homosexuality" - a sexual assault committed against a member of the same sex who is under 18 or disabled. Anyone found guilty of the offence of homosexuality would be forced to take an HIV test.

"Bahati's proposed bill also supports stigma and discrimination against HIV-positive people, and would undermine years of efforts to tackle the epidemic," Solome Nakaweesi-Kimbugwe, a human rights activist, and Frank Mugisha, co-chair of the rights group, Sexual Minorities Uganda, said in a statement.

" Uganda has been considered a 'best practice' leader in the fight against HIV and AIDS," the statement continued. "If [the bill is] passed, this leadership status would be put in serious question."

The Uganda AIDS Commission classes men who have sex with men (MSMs) as "most at risk", yet there are no HIV programmes targeting them and no action has been taken in response to a 2009 study http://www.unaidsrstesa.org/files/u1/Uganda_MoT_Country_Synthesis_Report_7April09_0.pdf by UNAIDS and the Uganda government recommending that "legal impediments to the inclusion of most-at-risk populations, including commercial sex workers, MSMs and IDUs [intravenous drug users], in the HIV/AIDS national response should be reviewed".

"Morals do not stop HIV; what stops HIV is the evidence from science - we know that using condoms can prevent infection, using PEP [post-exposure prophylaxis] after exposure can stop infection, and ARVs [life-prolonging anti-retroviral drugs] prevent mother-to-child transmission," Were said. "People must feel comfortable enough to seek these services regardless of their sexual orientation."

 

AFRICA : Thinking outside the AIDS funding box

15 Oct 2009

Source: IRIN

NAIROBI , 15 October 2009  - As traditional sources of financial aid dry up, new and innovative approaches to fundraising may be the best hope of generating money for HIV/AIDS efforts.

Fundraiser UNITAID has collected an estimated US$1.2 billion since 2006 for the treatment of HIV, tuberculosis and malaria, mainly from a small levy on airline tickets bought in 34 participating countries, most of them in Africa .

"With the current financial crisis it is going to be very difficult to achieve the MDGs [UN Millennium Development Goals] through official government aid, so innovative methods of financing the fight against these diseases must be sought," said Philippe Douste-Blazy, chair of UNITAID and a UN special advisor on innovative development financing at the first UNITAID implementers' meeting in the Kenyan capital, Nairobi, on 15 October.

A World Bank report in April projected that the global economic downturn could put the treatment of more than 1.7 million people in the developing world at risk by the end of 2009 through drug shortages, treatment interruptions and higher burdens of AIDS-related diseases.

According to Douste-Blazy, the airline levy gives participating developing nations an opportunity to contribute to treatment in their countries rather than depending on handouts from the developed world. "The idea is for funding not to move only from the North to the South, but also from the South to the South," he said.

Beth Mugo, Kenya 's Minister for Public Health and Sanitation, told delegates it was time African governments played a bigger role in health financing. "We need long-term financing for health, and we must put pressure on our leaders to implement their Abuja pledge [made at an African Union Summit in the capital of Nigeria in 2001] to dedicate 15 percent of the budget to health," she said. "Few are doing so - in Kenya for example, only seven percent of our national budget is spent on health."

Cote d'Ivoire , Niger , Madagascar and Mauritius are applying the airline levy, while Benin , Burkina Faso and Kenya have said they will introduce it. The levy ranges from US$1 to $2 on economy-class tickets, and up to $40 on business- and first-class fares.

The funds are channelled through NGOs like the Clinton HIV/AIDS Initiative (CHAI), which has used the money to put 170,000 children in 38 countries on antiretroviral drugs (ARVs).

From 2010 individuals will be able to make a voluntary contribution of as little as US$2 when purchasing air tickets, booking hotel rooms or renting cars as part of a new initiative being launched by UNITAID in partership with the Millennium Foundation for Innovative Finance for Health, formed by the UN in 2008.

Strengthening African health systems

The meeting in Nairobi will discuss other ways in which UNITAID and its partner countries can finance the scale-up of HIV, tuberculosis and malaria treatment, but participants also stressed the urgent need for Africa 's public health systems to become more efficient.

"In this part of the world we have weak public health systems; we have problems diagnosing these diseases, and when we do diagnose them we have difficulty finding qualified staff to treat patients," said David Okello, Kenya country representative for the UN World Health Organisation (WHO).

There were also calls for greater efficiency in the approval and distribution of essential drugs across the continent. "When providing more drugs, we need to make sure that systems exist to ensure they reach the patients," Okello pointed out.

The UNIADS country coordinator for Kenya , Erasmus Morah, argued that a single medicines agency for Africa would improve the efficiency of drug evaluation and supervision.

"This would replace the fragmented system that currently exists, put an end to manufacturers running from country to country to seek product approval, and reduce the time patients must wait for new drugs."


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