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Regional actions in Latin America and the Caribbean on the follow up of the Ministerial Declaration "Preventing through Education": Progress report August 2008-December 2009.
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Regional actions in Latin America and the Caribbean on the follow up of the Ministerial Declaration "Preventing through Education": Progress report August 2008-December 2009 Authors: H. Sucilla Pérez1, J.A. Izazola Licea1, H. Pérez Vázquez1, B. Mayén Hernández2, N. Díaz Pardo1, C. García de León1 1National Center for HIV/AIDS Prevention and Control of , Mexico D.F., Mexico, 2AFLUENTES S.C., Mexico D.F., Mexico Abstract no. A-240-0399-11379 Poster no. MOPDX106
METHODS • All countries that approved MDPE were requested to participate. • Only 17 (16 Spanish spoken and 1 Portuguese spoken) collaborated. • Tool designed: collect information. Sent to MoH (NAP) & MoE. • Report considers realized actions since Aug, 2008 to Nov, 2009. • MoH (NAP) and MoE appointed a responsible person: data collecting. BACKGROUND • MoH & MoE: 31 LAC countries approved Declaration “Preventing through Education” (MDPE). • Joint commitments (MoH & MoE): HIV prevention (children, adolescents & youth), comprehensive sex education & sexual and reproductive health. • CENSIDA elaborated a regional inventory (report) of LAC countries’ actions: UNFPA support.
Results 1 • Supporter factors:: funding from international agencies (UN) (100%), planning mechanisms of MoE & MoH (94% and 88% respectively). • Obstacles: economic and financial conditions (71%), geographical & cultural conditions (59%); & political context (19%) • Llimited budget; cultural differences (population), influence of some religions; “sexuality” related issues could not be convenient (politicians and decision makers), limited involvement of legislators. • 100% of countries: HIV prevention strategies & coordinated actions with NGO's, ICA (UN) & academic sector. • Only 10 countries: researched (diagnose needs of children, adolescent and youth). • 13 countries realized changes in laws, norms and regulations related to MDPE issues.. • 1,117 trainings & courses were offered in the region, mainly for health care and education workers • 654 delivered by academic institutions; and 301 by MoH. • 18% & 6% of the countries’ MoH were offering access to condoms (m & f) exclusively for youth population. • Children & adolescents have not access to condoms through the MoH
Results 2 • 9 countries created or improved official or formal joint planning structures between both Ministries. • 9 countries provided information related to HIV tests and services at middle school level. • Countries were not providing information about condoms: primary education level. • Mexico and El Salvador developed tools for monitoring adolescents and youth access to comprehensive HS, including HIV/AIDS; and SRH. • Health cards. • Nicaragua, El Salvador, Colombia and Costa Rica: MoE evaluated educational curricula. • 11 contries diffused MDPE contents in a total of 97 events: 28% political commemorations, 26% congresses, 23% workshops, 15% work meetings, 5% forum y el 3% seminars.
Conclusions • MDPE has not been enough socialized. • Transitions and substitutions of decision makers and managers have affected the implementation and diffusion of contents. • Political, social, cultural and economic factors: not the best to position CSE on the public health and public education policy agenda • There's an imperative need of the establishment of a CSE Department in the structure of the MoE in most of the LAC countries. It looks like MoH still being the most involved sector in this kind of issues. • During this period MoE actions were most focused on teachers training. • MoH implemented more different kind of actions (training, improvement-services…) • CSE and promotion of SRH strategies based on scientific evidence must not be related with cultural and religious beliefs or political processes. • Countries must develop a M&E tools based on the contents of the MDPE • Children, adolescents and youth that unfortunately have not access to education and health services, or those who receive non-formal education still representing a big challenge. • Governments must allocate specific resources to MDPE in order to attend in a sustainable & effective way the acquired commitments trough MDPE. • MoH & MoE must increase collaboration with SCO (NGO) and other partners.