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TURNING THE TIDE WOMEN & GIRLS IAS Plenary, July 2012

TURNING THE TIDE WOMEN & GIRLS IAS Plenary, July 2012. Geeta Rao Gupta, Deputy Executive Director, UNICEF. A Perspective of the World in 2000: A Global Epidemic With Many Faces. The 2011 HIV Investment Framework. Reduce Risk. Reduce likelihood of transmission.

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TURNING THE TIDE WOMEN & GIRLS IAS Plenary, July 2012

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  1. TURNING THE TIDEWOMEN & GIRLSIAS Plenary, July 2012 Geeta RaoGupta, Deputy Executive Director, UNICEF

  2. A Perspective of the World in 2000: A Global Epidemic With Many Faces

  3. The 2011 HIVInvestment Framework Reduce Risk Reduce likelihood of transmission Reduce mortality and morbidity Sy • Condoms • Male circumcision • PMTCT • Treatment • Key populations • Behavior change BASIC PROGRAMME ACTIVITIES CRITICAL ENABLERS SYNERGIES Source: SchwartlanderB, et al. The Lancet, 377 (9782), 2011

  4. Gender Equality Women and Girls’ vulnerability to HIV • Limited Access to Education • Limited Control of Productive Resources • Income • Land • Employment • Limited Social Capital

  5. 4.8 million young people aged 15 – 24 years are living with HIV.3 million (two out of every three) are girls Note: Global summary in title from UNAIDS, Together We Will End AIDS, 2012

  6. Outline • Why • What • How

  7. Adolescents Living with HIV2.2 million [2.2 million – 2.5 million] of whom 60% are girls • Source: • Regional summaries by gender: UNICEF, Progress for Children, 2012 derived from 2010 estimates • Country data: UNAIDS 2009 estimates

  8. Panel Slide – Boys and Girls in the Life Cycle Source: UNICEF, Boys and Girls in the Lifecyle, 2011

  9. Early Sexual Debut Source: UNICEF, Progress for Children, 2012 (based on national household surveys) Note: Data not available from Middle East and North Africa, East Asia and the Pacific, Central Europe and the Commonwealth of Independent States, and for males in Latin America and the Caribbean

  10. Child Marriage • 1 out of 3 women aged 20-24 in the developing world were married before they turned 18 • 1 out of 2 women aged 20-24 in the least developed countries were married before 18 Source: UNICEF, Progress for Children, 2012 (based on national household surveys)

  11. Sexual Violence Source: Based on estimates by G. Andrews et al., in WHO, Comparative Quantification of Health Risks (2004)

  12. Transactional SexGirls’ Motivations for Transactional and Age-Disparate Sex Source: S. Leclerc-Madlala, Multiple and Concurrent Partnering in Southern Africa: The Ethnographic Perspective, 2008.

  13. The Investment Framework Reduce Risk Reduce likelihood of transmission Reduce mortality and morbidity • Condoms • Male circumcision • PMTCT • Treatment • Key populations • Behavior change SYNERGIES BASIC PROGRAMME ACTIVITIES • Social norms and protection: to address child marriage, sexual violence, etc... • Education: to address financial and opportunity costs that keep girls from school • Empowerment: to address false sense of security and transactional sex CRITICAL ENABLERS SYNERGIES Adapted from: SchwartlanderB, et al. The Lancet, 377 (9782), 2011

  14. A Business as Usual Approach Source: UNICEF and Futures Institute (Ongoing), Making the Case for Adolescents. Based on Investment Framework in Schwartlander B, et al. The Lancet, 377 (9782), 2011

  15. The HIV Investment Framework Reduce Risk Reduce likelihood of transmission Reduce mortality and morbidity • Condoms • Male circumcision • PMTCT • Treatment • Key populations • Behavior change BASIC PROGRAMME ACTIVITIES CRITICAL ENABLERS SYNERGIES Adapted from: SchwartlanderB, et al. The Lancet, 377 (9782), 2011

  16. What Could we Achieve if we Applied the HIV Investment Framework to work on Adolescents? Source: UNICEF and Futures Institute (Ongoing), Making the Case for Adolescents. Based on Investment Framework in Schwartlander B, et al. The Lancet, 377 (9782), 2011

  17. Effective Strategies to Work with Adolescents for HIV Prevention Outcomes Sources: Doyle A, et al, IAS, 2010; LSHTM and NIMR, HIV prevention among young people in sub-Saharan Africa the way forward (2009)

  18. Recommendations to Accelerate the Pace

  19. Recommendation 1: Relevant and Resourced National Plans for High Impact Proportion of all National HIV Prevention Funds Spent on Youth in and out of School Source: Birdthistle I, Dringus S, et al. (2012). Investing in young people: A review of national-level spending on HIV prevention for young people in 16 countries with generalized HIV epidemics. XIX International AIDS Conference. Washington DC.

  20. Recommendation 2: Educate girls Source: UNICEF, Opportunity in Crisis, 2011 (based on data from UNESCO Institute for Statistics)

  21. Recommendation 3: Make Adolescents Visible in Monitoring and Routine Data Systems

  22. Recommendation 4:Invest in innovation • Behaviour Change & Demand Creation • Social Media engagement for Strategy Design • Youth Networks • Strengthening Service Access, Delivery & Retention • Monitoring

  23. Recommendation 5: Engage Adolescents

  24. “We invest so much in keeping children alive in the first decade of life. We must not lose them in the second.” Anthony Lake Executive Director, UNICEF

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