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Joy Cunningham Senior Technical Officer, Research Utilization FHI 360. Young People Living with HIV: Sex and Relationships. Young p eople l iving with HIV, like all young people, are s exually a ctive or c urious. YPLHIV need comprehensive information to : Prepare for lifetime of
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Joy Cunningham Senior Technical Officer, Research Utilization FHI 360 Young People Living with HIV: Sex and Relationships
Young people living with HIV, like all young people, are sexually active or curious YPLHIV need comprehensive information to: • Prepare for lifetime of healthy, safe, pleasurable relationships • Prevent unintended pregnancy and plan for pregnancy • Prevent transmission of HIV/STIs • Prevent reinfection
Framing the Issue—Sexual Behavior Among YPLHIV • Mixed data on age of sexual debut • Rates of sexual activity are consistent with other adolescents • YPLHIV may engage in riskier sexual behavior • Rate of pregnancy consistent with other adolescents
Framing the Issue—Relationships I told my boyfriend after I found out. He was like ‘ok’ but I haven’t heard from him since.”—Female, Kenya • “I wonder where I would be if I didn’t get this disease? Maybe I would be married, if I wasn’t positive now.”—Female, Kenya • “My girlfriend loves me very much. I love her too and I don’t want to hurt her. I think she would be afraid of me if she knows I am an HIV person. So I broke up with her without any explanation. I think she still loves me.”— Male, Vietnam • “I’m even thinking about another baby in 2 years.”— Female, Kenya
Promising Approaches • Support groups • Parental and adult involvement • Peer education • Youth-friendly services • Engaging YPLHIV
Challenges • Addressing the lack of providers who are sensitive to the needs of YPLHIV • Recognizing the needs of young people who acquire HIV during adolescence • Reaching vulnerable and MAR/key affected populations • Meeting the specific needs of young married girls living with HIV
Unanswered Questions • How can we apply promising practices in youth sexual and reproductive health to meet the needs of YPLHIV? • How can we engage highly vulnerable populations? • What types of research can be conducted to better understand the sexual and reproductive health behaviors of YPLHIV?
Thank You www.iywg.org, @IYWG, jcunningham@fhi360.org
Positive Connections: Leading Information and Support Groups for Adolescents Living with HIV • Developed by FHI 360 • Available in fall of 2012 • Provides adult facilitators with background information about the needs of ALHIV • Tips for starting and leading an information and support group • 14 sessions to be used in a group setting • Guidance on tracking a program’s progress and success
Promoting Partner Reduction: Helping Young People Understand and Avoid HIV Risks from Multiple Partnerships • Developed by FHI 360 • Available in fall of 2012 • Set of activities designed to help young people understand and reduce multiple sexual partnerships • Developed for use in conjunction with sexual reproductive health, HIV, or related youth program