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“HIV and AIDS and Education”. BEd Organizational Development Programme Friday, 4 November 2011 Harare. “Health Risk - Thinking Education”. David Mutambara Executive Director ZBCA. Presentation Outline. About the ZBCA Personal traits in management. HIV and AIDS Basic Information.
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“HIV and AIDS and Education” BEd Organizational Development Programme Friday, 4 November 2011 Harare “Health Risk - Thinking Education” David Mutambara Executive Director ZBCA Zimbabwe Business Council on AIDS
Presentation Outline • About the ZBCA • Personal traits in management. • HIV and AIDS Basic Information. • Teaching or Educating pupils about HIV and AIDS. • What curriculum would serve our interests best on HIV in schools? • Exploring your role as education leaders in influencing how HIV is to be approached in education. Zimbabwe Business Council on AIDS
About the ZBCA • ZBCA is a business Trust formed to scale up the business response to HIV. • HIV is seen not as a people health threat but as a threat to business health. • We provide technical support to business leadership on how to strategically position business to respond to the HIV pandemic. • The key output of the business response to HIV is business’s viability and sustainability. Zimbabwe Business Council on AIDS
What is your interest in HIV in Education? Plenary discussion: Key questions: • Do you want knowledge about HIV and AIDS or do you want to know about how to handle issues relating to HIV and AIDS? • Do you want students to know about HIV and AIDS or do you want students to mitigate the effects of HIV and AIDS? Zimbabwe Business Council on AIDS
Personal Expectations: • What drives you in what you do? • How consistent is what you are doing now with your main driver? Reflection moment Plenary: What is your defining driver? Zimbabwe Business Council on AIDS
HIV Prevalence by Age HIV in Zimbabwe Age 2005-06 ZDHS – CSO and Macro International
National HIV Estimates 2007 HIV in Zimbabwe
HIV Prevalence and Number of Lifetime Partners HIV in Zimbabwe Percent HIV- positive Too few cases 2005-06 ZDHS – CSO and Macro International
HIV Prevalence among Young People HIV in Zimbabwe Percent HIV- positive 2005-06 ZDHS – CSO and Macro International
The ‘Highway of HIV Transmission’ • Multiple Concurrent • Partnerships • Combined with: • Low risk perceptionin long-term relationships • Low condom usein long-term relations • Low levels of male • circumcision Serial casual relations “Dry sex”? Early debut Sex workers PTCT STIs (HSV-2) Cross-generational relations Underlying vulnerability factors: Gender imbalances Stigma Mobility 16
The progression of HIV to AIDS • HIV infects some cells (CD4 and macrophages) initially • HIV then uses human cells to make more viral particles • Virus then kills host cell • The body’s immune system then attacks the virus • Virus numbers increase and eventually overwhelm the immune system • Secondary infections then occur
Progression of HIV • STAGE 1-Asymptomatic (100% Performance capacity) • STAGE 2-mild disease. skin infections, recurrent coughs, loss of weight, herpes zoster (100% Performance capacity) • STAGE 3-advanced disease- Pulmonary TB, Meningitis, chronic diarrhea, oral Candida ( thrush), etc (50% Performance capacity) • STAGE 4- Severe disease, severe loss of weight, Extra pulmonary TB, Kaposi sarcoma (0% Performance capacity)
WAY Forward HIV Prevention B Mutual Marital Monogamy A Abstinence Correct Consistent Condoms C People are free to move from one Boat to another at will depending on circumstances
Other related interventions • Care – infected and affected. • Oprhan and vulnerable children. Zimbabwe Business Council on AIDS
Responsive intervention: • Know your status - HTC. • Provide support structure: • Awareness. • Infection prevention methods. • Counseling. • Diagnostics. • Treatment. • Care and support. • Focus on wellness. • Monitor, evaluate and report. Zimbabwe Business Council on AIDS
Life of a balloon: Group Activity: Design the best balloon. Lessons: • The balloon has no life of its own. • You give it life. • The process of giving life in deliberate and replicable. • The balloon has to know what is being done on its behalf – information documentation – database. • Does your balloon remain the best – monitoring, evaluation and reporting. Zimbabwe Business Council on AIDS
Strategic vs Activity response. • Activity – isolated event which is complete in itself. • Strategic – purposeful events to achieve certain intended goals. Strategic events have to be measured, monitored and evaluated: • Inputs • Outputs • Outcomes • Short term • Medium term • Long term • Impact Zimbabwe Business Council on AIDS
Example of strategic response. Zimbabwe Business Council on AIDS
Why teach HIV and AIDS? Plenary discussion: Focus on the outcomes and impact. Zimbabwe Business Council on AIDS
What curriculum do we need? • Doing things rights Or • Doing the right things? Zimbabwe Business Council on AIDS