Behaviour Change Communication HIV Transmission

1. Behaviour Change Communication HIV Transmission

2. Session Objectives Illustrate the importance of considering the context in which risk behaviours occur Review the different transmission modes and window periods for different transmission risk situations Illustrate the use of the four principles of transmission Behaviour Change Communication HIV Transmission

3. HIV Transmission The Four Principles EXIT – the virus must exit the body of an infected person SURVIVE – the virus must be in conditions in which it can survive SUFFICIENT – there must be sufficient quantities of the virus present to cause infection ENTER – the virus must enter the bloodstream of another person Behaviour Change Communication HIV Transmission

4. ESSE

5. The Risk Continuum Game Key learning points: • Risk vary with the context and manner in which a behaviour occurs • This activity is about the importance of being able to talk about specific risks with clients in detail • Detailed and explicit information are important as it enables the client to know what is and isn’t safe Behaviour Change Communication HIV Transmission

6. Respecting Culture & Overcoming Cultural Constraints is Important for Both Prevention & VCT Counselling!! Behaviour Change Communication HIV Transmission

7. Questions – According to style Open questions Closed questions Leading questions Questions – According to content General lifestyle questions Bridging questions Sensitive questions Questioning

8. It is Essential to be Sensitive but Explicit About a Wide Range of Sexual Behaviours Behaviour Change Communication HIV Transmission

9. Human Sexual Behaviours

11. Probable Mode of transmission in Sri lanka [N=539, Data as of end 2005]

15. MTCT = 20-30% BF = 15%

18. CDC 2005

19. Activity

20. ESSE

21. High risk Moderate risk Low risk No risk

22. Tattooing Insertive oral sex Mutual masturbation Insertive anal sex Sharing toothbrush Sex during menstruation Receptive oral sex Needle stick injury Sharing injecting equipments Rimming Cleaning up vomit Vaginal sex Mosquito bites Digital sex Brachio-proctic sex Deep kissing

23. High risk Moderate risk Low risk No risk