,Add Title,Click to edit Master text styles,Second level,Third level,SD,*,Promoting Safer and Healthier Sex as an Element of Linking HIV and SRH,联合艾滋病预防工作和生殖健康工作：,推广健康和安全的性行为,Chaiyos Kunanusont,HIV/AIDS and STI Adviser,UNFPA/CST Bangkok,UNFPA International Workshop on HIV Prevention Targeting Sex Work in China,2 3 April 2007,Beijing,PR China,Promoting Safer and Healthier,Why Promoting?,为什么要促进这项工作,To increase number(,proportion)of population who practice safer behaviours to reach critical mass to change societal norm,增加采取安全性行为的人数（或人口比例）,-,这些人数达到一个足以改变社会规则的决定性规模,-,改变社会规则,What is needed?,需要什么,Increased coverage,逐渐增加覆盖面,Why Promoting?为什么要促进这项工作 T,Current programme coverage,目前项目覆盖面,Source,:UNAIDS 2005,A scaled-up response to AIDS in Asia and the Pacific,Current programme coverage目前项,Content,内容,Review of sex work and interventions,回顾脆弱人群如性工作者的干预,A framework for priority linkages:Linking HIV and AIDS with SRH,在预防艾滋病工作中加入性生殖健康的内容,Comprehensive right-based approach for HIV/STI prevention in sex work:,在性工作者中开展以权力为基础的艾滋病,/,性病预防综合模式,Reducing vulnerability,降低风险,Meeting the special SRH needs,满足特殊需要,Building supportive environment,建立支持环境,Content 内容Review of sex work,Important issues,要点,Sex work happens in a wide range of settings,in urban areas while it might not be well identified in rural areas.,性工作（暗娼）广泛存在于城市，也可能不为人知地存在于农村地区,Most sex workers are highly mobile.,大多数性工作者属于高度流动群体,Trafficked sex workers in brothels are likely to get HIV in the first six months.,性工作者在性工作场所的最初,6,个月最容易感染,HIV,Sex workers usually have regular partners and condom use is very low.,性工作者通常有固定的服务对象（熟客），且安全套使用率很低,Concerted interventions are needed.,需要采取协同的干预,Important issues要点Sex work hap,The 100%CUP,百分之百安全套,Elements:Enforcement and coverage.,要点：执行与覆盖,Highly effective for brothel-based EE.,对固定性工作场所的性工作者很有效,Replicable,scaling up difficult,具有可推广性，但有一定难度,Source,:WHO,100%CUP in entertainment establishments,%21 yo Thai men reported visited SW,and%condom use,in the last 12 mo.,Linked with STI service system,supported by National AIDS Programme,与性病服务结合，由国家艾滋病项目支持,The 100%CUP百分之百安全套Elements:,Sonagachi,印度的例子,Reliance Respect Recognition,依赖,-,尊重,-,认可,Peer educators and friendly STI services,同伴教育与性病亲情服务,Resulted in Empowerment of SW,性工作者权利赋予的结果,Replicable,scaling up difficult,具有可推广性，但有一定难度,Linked with local STI clinics,supported by INGO,donors and the government,与当地性病门诊结合，由国际非政府机构、捐赠人、政府部门支持,Sonagachi 印度的例子Reliance Res,What have we learned?,学到了什么,Successful HIV prevention programmes among sex workers were linked with STI services i.e.“,respond to needs,”.,成功的性工作者,HIV,预防项目包含了性病服务,In order to create impacts,good,coverage,of interventions is needed.,保证干预的覆盖面才能产生好的项目效果,For sustainability,collaboration,among staff of government and community organizations must be in place.,保证和政府、其他组织的良好沟通，才能使得项目可持续发展,What have we learned?学到了什么Succ,Recommendation,建议,Combined community led interventions,由社区牵头的干预,Promote leadership among sex workers,促进性工作者中的领导力,Team building and capacity building,团队和能力建设,Economic supports,经济支持,Ensure adequate education and nutrition,开展适当的教育，保证合理的营养,Involve sex workers,gate keepers,community leaders and local authorities in designing interventions,邀请项目各方共同参与干预设计,Include safer sex interventions for clients,应当包含对“客人”的安全性行为干预,Ensure medical services for all,保证医疗服务,Coverage,保证覆盖面,Recommendation建议Combined com,Content,内容,Review of sex work and interventions,回顾性工作与干预,A framework for priority linkages:Linking HIV and AIDS with SRH,在预防艾滋病工作中加入生殖健康的内容,Comprehensive right-based approach for HIV/STI prevention in sex work:,在性工作者中的预防艾滋病,/,性病 综合模式,Reducing vulnerability,降低风险,Meeting the special SRH needs,满足需要,Building supportive environment,建立支持环境,Content 内容Review of sex work,The“Framework”,框架,SRH,生殖健康,HIV/AIDS,Key linkages,关键结合点,Family Planning,计生,Maternal and infant care,母婴保健,Management of sexually transmitted infections,性病工作,Management of other SRH problems,其他生殖健康工作,Prevention,预防,Treatment,治疗,Care,关爱,Support,支持,1.Learn HIV status,了解局势,2.Promote safer sex,促进安全的性,3.Optimize the connections between HIV/AIDS and STI services,促进,HIV,和,STI,工作的结合,4.Integrate HIV/AIDSwith maternaland infant health,促进,HIV,和母婴保健工作的结合,The“Framework”框架SRH生殖健康HIV/A,Key linkages,关键结合点,SRH,生殖健康,HIV/AIDS,Key linkages,关键结合点,Family Planning,计生,Maternal and infant care,母婴保健,Management of sexually transmitted infections,性病传播感染管理,Management of other SRH problems,其他生殖健康工作,Prevention,预防,Treatment,治疗,Care,关爱,Support,支持,1.Learn HIV status,了解局势,2.Promote safer sex,促进安全的性,3.Optimize the connections between HIV/AIDS and STI services,促进,HIV,和,STI,工作的结合,4.Integrate HIV/AIDSwith maternaland infant health,促进,HIV,和母婴保健工作的结合,Key linkages关键结合点SRH生殖健康HIV/AI,Framework for Linkages,结合点的框架,Four key areas,四个关键的方面,Advocacy,倡导,Services,服务,Framework for Linkages结合点的框架Fo,Advocacy,倡导,Develop policy that supports dual protection,倡导更健全的保护政策,Policy on comprehensive safer sex services,倡导安全性服务政策,Broaden SRH services to reach key populations including through,outreach,通过包含外展的一系列方式拓宽生殖健康服务的渠道,Promote,condom,use for dual protection,促