STIs and HIV/AIDS IN TONGA

Ms. Emily Esau

Ms. Katherine Mafi

Ms. Joey Matele

Total Population – 103,509

Population growth – 0.3%

Life Expectancy (M) – 70 years old

Life Expectancy (F) - 72 years old

No. of births per year – 2713 (2006)

Fertility rate – 3.8

Teenage pregnancy – 102/2564 (2006)

ANC attendance – 100%

No. of births in hospital – 2587 (2006)

Literacy ration – 98% 6yrs Compulsory schooling.

Background Information

HIV in TONGA

WHY IMPLEMENT???• Country Strategic Plan #6

• National Strategic Plan

• Global Fund

• CDO Program

• Competitive Grant

• NAC Grant

• AusAID Bilateral Fund

• School Curriculum

• Line listing of STIs/HIV cases

• CCM & National HIV/AIDS Stakeholders

Cumulative Number of HIV/AIDS 1987-2009

YEAR MALE FEMALE TOTAL

1987 1 0 1

1989 2 0 2

1992 2 0 2

1996 1 2 3

1998 0 2 2

1999 0 1 1

2000 1 0 1

2002 1 0 1

2004 0 1 1

2007 1 0 1

2008 1 1 2

2009 1 0 1

TOTAL 11 7 18

TOTAL NUMBER OF CURABLE STIYear Total Number

1997 48

1998 41

1999 40

2000 46

2001 36

2002 50

200351

2004102

200560

200688

2007192

2008235

CURABLE STIS BY AGE GROUP 2008

Age group interval Number of Cases

0-15 0

16-20 45

21-25 111

26-30 57

31-35 8

36-40 7

41-45 6

46-50 1

51-55

56-60

TOTAL 235

Activities/Services• Established VCCT/STI Clinics

• Youth Friendly Services (School Based/RH C)

• Family Life Education (Primary/Secondary)

• Occupational Health Safety (Higher Institution)

• Behavior Change Communication

• MARYP/MARP – Teen Age Mums, School Drop Outs, Sex Workers, Men in Uniforms

• Peer Education

• Stepping Stones Training

COACH MODEL

C – contractO – observeA – assessC – constructively challengeH – handle resistance

NB! Typically, people that lack insight about the areas in which they need

improvement resist the most

HIV – a STORY IN OUR HANDS

SAFE

DANGER

PREVENTION

SHARING

CARING

STEP UP ANDPREVENT HIV

SING TO THE TUNE OF:” JINGLE BELLS JINGLE BELLS”.SING TO THE TUNE OF:” JINGLE BELLS JINGLE BELLS”.

A.B.C. of SAFE SEX AND CONDOM SONGA.B.C. of SAFE SEX AND CONDOM SONG

AABSTINENCE IS FIRSTBSTINENCE IS FIRSTBBE FAITHFUL IS BESTE FAITHFUL IS BESTCCONDOM USE IS NEXT ONDOM USE IS NEXT SAFE SEX ALL THE WAYSAFE SEX ALL THE WAYNO MORE S-T-IsNO MORE S-T-IsH-I-V-AIDS GONEH-I-V-AIDS GONEOH! WHAT FUN IT IS TO HAVE-- SAFE SEX ALL THE TIMEOH! WHAT FUN IT IS TO HAVE-- SAFE SEX ALL THE TIMECHR: CHR: SAFE SEX HERE--SAFE SEX THERE SAFE SEX HERE--SAFE SEX THERE SAFE SEX EVERY WHERESAFE SEX EVERY WHERE

OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIMEOH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME OH! SAFE SEX HERE--CONDOM THEREOH! SAFE SEX HERE--CONDOM THERE

CONDOM EVERY-WHERECONDOM EVERY-WHEREOH! HOW SAFE IT IS TO USE CONDOM ALL THE WAYOH! HOW SAFE IT IS TO USE CONDOM ALL THE WAY

..

SAFE SEX IS THE WAYSAFE SEX IS THE WAYPOSSES --IF YOU CANPOSSES --IF YOU CAN

FAITHFULNESS IS BEST FAITHFULNESS IS BEST SAFE SEX ALL THE WAYSAFE SEX ALL THE WAYCONDOM IS THE CHOICE CONDOM IS THE CHOICE

IF NO OTHER WAYIF NO OTHER WAY OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIMEOH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME

CHROUS: CHROUS: SAFE SEX HERE..SAFE SEX THERE SAFE SEX HERE..SAFE SEX THERE SAFE SEX EVERY WHERESAFE SEX EVERY WHEREOH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME! OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME! OH! SAFE SEX HERE…CONDOM THEREOH! SAFE SEX HERE…CONDOM THERECONDOM EVERY-WHERECONDOM EVERY-WHEREOH! HOW SAFE IT IS TO USE CONDOM ALL THE WAYOH! HOW SAFE IT IS TO USE CONDOM ALL THE WAY