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Presented by JACQUELYNE Alesi DIRECTOR PROGRAMS Addressing the needs Addressing the needs of young people of young people living with HIV in living with HIV in schools of Uganda. schools of Uganda.

Addressing the needs of young people living with HIV in schools of Uganda

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Page 1: Addressing the needs of young people living with HIV in schools of Uganda

Presented by JACQUELYNE AlesiDIRECTOR PROGRAMS

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Page 2: Addressing the needs of young people living with HIV in schools of Uganda

Objectives•A

bout UNYPA•S

tatus of HIV Prevalence in Uganda•F

acts in Uganda•U

nmet needs of YPLHIV in schools•R

ecommendations.

Page 3: Addressing the needs of young people living with HIV in schools of Uganda

ABOUT UNYPA

•Started in 2003 to provide leadership and coordinate the greater and meaningful involvement & participation of YPLHIV in Uganda in the national, regional and global HIV and AIDS response

•Advocates improving the quality of life of young people living with HIV in Uganda

Page 4: Addressing the needs of young people living with HIV in schools of Uganda

Cot’d•A

nd as a network we are driven by the needs of young people living with HIV and implements an evidence informed national programme and advocacy for YPLHIV to lead healthy and productive lives.

•T

he elements of UNYPA’s national programme and advocacy include promoting universal access to HIV prevention, treatment, care, and support; fighting stigma and discrimination against young people living with HIV; and, promoting the greater involvement of young people living with HIV in the national HIV response

Page 5: Addressing the needs of young people living with HIV in schools of Uganda

Mission & VISIONMission•Create an enabling Environment for all young people living and affected by HIV/AIDS to meaningfully participate equally in development of programmes that improve their lively hood.

Vision•Positive and productive lives for all young people living and affected by HIV/AIDS

Page 6: Addressing the needs of young people living with HIV in schools of Uganda

Strategic Areas of intervention

UNYPA has seven main strategic areas of interventions that we always use to justify our actions as follows:-

Lobbying and Advocacy.Resource Mobilization. Innovations like Minds up.Networking, Collaboration and Leadership. Human rights and stigma free generation.Research and Development.Monitoring and Evaluation

Page 7: Addressing the needs of young people living with HIV in schools of Uganda

STATUS OF THE HIV AND AIDS EPIDEMIC STATUS OF THE HIV AND AIDS EPIDEMIC IN UGANDAIN UGANDA

•HIV Prevalence still remains significantly high. Has stabilized at 7.3 %- unacceptably high from 6.4%

•HIV prevalence is highest among the Most at Risk Populations (Key Populations) including CSW, Fishing communities and mobile populations including young people.

•Urban residents are more disproportionately affected compared to the rural population i.e.10.2% in urban compared to 7.2% in the rural

•1.2 million people living with HIV currently in Uganda

Page 8: Addressing the needs of young people living with HIV in schools of Uganda

HIV PREVALENCE AMONG YOUTHS•1

5-17 Men 1.8%, women 1.6%

•18-19 Men 1.5 %. Women 5.1%

•20-24 Men 2.3%, Women 7.1%

- There has been an increase in the number of young

people living with HIV/AIDS. By 2007, 1,200,000 Children (aged 0–17) had been orphaned by AIDS with an estimated 130,000 0-14 years living with HIV/AIDS.

Page 9: Addressing the needs of young people living with HIV in schools of Uganda

Facts in Uganda.

•353 new HIV infections per day

•64,000 deaths annually

•175 deaths per day

•129,000 are new infections

•For everyone person put on ARVs two people are newly infected with HIV

Page 10: Addressing the needs of young people living with HIV in schools of Uganda

Knowledge of HIV Knowledge of HIV Prevention MethodsPrevention Methods

15-24years Percentage of who know HIV can be prevented by:

Page 11: Addressing the needs of young people living with HIV in schools of Uganda

Beliefs About HIV & Beliefs About HIV & AIDSAIDS Percent of women and men age 15-25 who say

that:

Page 12: Addressing the needs of young people living with HIV in schools of Uganda

EXAMPLE“When I found out I was HIV positive I was already taking ARVs. I wondered where I had got the virus from, as I am still young. I was then told that I was born with the virus. My mother and father died of it. Now I’m on second line drugs. The challenges I face on drugs is that the drugs are big. I always take them because I care most about my health but I always feel pain here in my throat… The other challenges I face is when you are with friends. Most of the time I get to school before 6:30, because that’s the time I take my drugs. Most of the people here see me getting up at 6:30 and ask me why. My answer is that it’s none of their business.”

Page 13: Addressing the needs of young people living with HIV in schools of Uganda

Unmet needs of Unmet needs of YPLHIV in schoolsYPLHIV in schools

Limited access to information regarding (sexual) relationships; they have questions like (can I have a sexual relation with my partner? How do I tell my girlfriend/boyfriend that am HIV positive? How can I talk with parents about my relationship status?

Decision making about disclosure and confidentiality of their HIV status; how can I do it and when should I tell people?

Page 14: Addressing the needs of young people living with HIV in schools of Uganda

Unrecognized Sexual and Reproductive Health (SRH) and Rights; difficult to stay in school

Disrupted treatment; Treatment adherence is crucial for PHA but even more so for young people living with HIV. Most cases YPLHIV fail to take their medication while in school because of fear to be stigmatized and discriminated.

Page 15: Addressing the needs of young people living with HIV in schools of Uganda

How have we How have we addressed their addressed their needs?needs?•The benefit of peer support to young people living with HIV is unquestioned. HIV positive young people need opportunities to engage with, communication and network either virtually or in person with their peers. This can happen via social networking structures like Facebook or informally via support groups and youth centers.

Page 16: Addressing the needs of young people living with HIV in schools of Uganda

Cot’d

• We have provided Comprehensive knowledge meaning we have provided right information while addressing the facts of common local misconceptions about HIV prevention and transmission.

Page 17: Addressing the needs of young people living with HIV in schools of Uganda

• The support that a young person living with HIV in school need is not just clinical, The role of family members, the community and friends in providing a conducive environment for a young person living with HIV to manage and lead a fulfilling life is crucial. So we have trained family members the community and friends in their role to supporting the YPLHIV in schools.

• We have advocated for providing of youth friendly services at health centers that can help them Understand the emotional and psychological stresses that HIV and HIV treatment can place on a young person is key to being able to provide appropriate support.

Page 18: Addressing the needs of young people living with HIV in schools of Uganda

Key recommendations

Education Sector:

HIV-related policy and practices should be reviewed to ensure that they neither worsen nor reinforce stigma and discrimination against learners or staff. Appropriate training and education should be provided for the entire school community and commitments made and enforced in relation to zero-tolerance of stigma and discrimination. It is also important to initiate mechanisms for monitoring progress.

Page 19: Addressing the needs of young people living with HIV in schools of Uganda

Health Sector

The health sector can support the education sector (and vice versa) by ensuring that service providers do not perpetuate stigma and discrimination and are providing non-judgmental, psycho-social support services (or appropriate referral) for those experiencing stigma and discrimination. The health sector should also be pro-active in disseminating accurate information within local communities that acknowledges and challenges common misunderstandings and prejudices about HIV and related issues, including sexuality.

Page 20: Addressing the needs of young people living with HIV in schools of Uganda

Civil Society and Networks of People living with HIV

Networks of people living with HIV and other community-based organizations, in particular those led by young people, have a critical role to play in supporting those affected by stigma and discrimination. Moreover, they have an advocacy function in terms of monitoring and reporting stigma and discrimination and bringing these to the attention of appropriate parties (school-level, national, etc.). Local and national media can also have a significant impact in promoting a stigma-free environment.

Page 21: Addressing the needs of young people living with HIV in schools of Uganda

WORDS OF ENCOURAGEMENTWORDS OF ENCOURAGEMENT

Nelson Mandela:

“It always seems impossible until it’s done”

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Page 23: Addressing the needs of young people living with HIV in schools of Uganda

We the Young People Living with HIV in Uganda are now and more than ever determined to get to Zero.

TTHANK YOU!HANK YOU!

AASANTE SANASANTE SANA

MMERCI ERCI