Discussions

Discussions



Suggestions Green cards



Session 1

Suggestions

 Better prioritization of drugs and risk

 Separate sexual and reproductive health

 Goal statement missing reference to different epidemic scenarios

 Goal statements missing numerical targets

 MCP

 Avoid getting bogged down by UN definitions

 How can we involve youth in Zimbabwe

 How do you know that some of your strategies working well?

 Use of media-

 Do we need to move to younger ages to move into access to services without

consent?

 How to measure attribution

 Who is holding whom accountable?

 Do YP need to be disaggregated – yes they need to but countries don’t need to

report

 Rationale can only be one page

 Develop the capacity of young people to play a leadership or partnership tools

 Need for specific mechanisms to build linkages between interventions and

sectors

 Better utilization of effective mechanisms to engage and work with young

people

 Focus on 14 High prev countries

 OSY is not helpful definition

 Advise countries to delink age of sexual consent to age for access to medical

services

 Focus on UN’s strategic role not interventions

 Know epidemic, know response

 Acknowledge imperfect evidence

 Indentify what works well best in what context, scale, epidemic etc

 Prioritization of roles need to take place

 Better coordination on achieving results

 Capacity to support youth led networks

 Roles to be linked with actions

 When speaking of UNAIDS, include co sponsors

 Better joint programming at countries and regional

 Providing communication on roles, actors, accountability etc

 Use existing indicators instead of creating new ones

 Advice to countries on how to fit existing mechanism









Questions

 2/3 complex emergencies

 Clarify broad age 10-24 YP? Where did this come from?

 Why over generalise that all YP are at risk

 Selection of current targets

 Reducing punitive laws and other policy business is important for improving

access to YP but also in other priority areas?

 Why so much focus on rationale

 Why need vision statement

 More unpacking of the assumption that ICT is a magic bullet

 UNGASS needs to be disaggregated, but not in all countries

 Who is holding who accountable, Govt-UN- Govt

 What are the outcomes?

 YP also need to be accountable How do we ensure this?

 Who is the biz case audience?

 Link BC’s indicators on YP to the National M and E







Gaps

 Married youth are the not addressed specifically

 More focus on national policies and plans to ‘get them right’

 Division of Labour- creates disincentive for cooperation

 Age- disaggregated data 10-14, 15-19, 20-24, F/M even finer disaggregation

 Need data collected and analysed

 How to turn evidence from projects into national programmes, capacity to use

evidence and scale up

 Role of government is absent

 Lack of consistency on legal and ethical issues

 Role of govt absent

 Put young people first, govt second, civil society third, bilateral donors next

 Clear definitions of what words in document means

 Population sites estimates for MARYP

 Address of issues related to sexual diversity

 HIV+Yp seems to have male face but less than 5% HIV positive

 Empowerment

Group – what works and does not



 Attributability

 Involvement of YP

 Implementation of policy

 Innovative technology and strategies

 Disaggregated data

 Limited evidence of promising interventions

 Insufficient programs for MARYP, YPLHIV, vulnerable groups

 Strategic information and technical expertise

 Issues of policy and political will for MARYP

 Appropriate information,

 Sufficient products and services for YP?

 Resource allocation?

 School based programs not being effective as they need to be- importance of

teacher training

 Not enough political will

 Not enough strategic information

 Are all programs evidence based?



Goal

 By 2015, reduce HIV prevalence among young men and women by ensuring each

country should have evidence based /appropriate goal for reaching young

people most at risk of HIV protection, prevention, treatment, care and support.

 By 2015 reduce HIV prevalence among YP globally ____% relative to 2010



Expected outcomes

 Increase condom use/access for pleasure, comfort and peace of mind

 Increase # of countries for comprehensive sexual education

 Legislation about access to and utilization of services

 Fully operational linkages and referral of systems

 By 2015, to overcome barriers to universal access to services, skills and

information for young people, particularly for the most vulnerable to HIV

o reduce prev, increase behaviour and knowledge, # of countries adopting

favourable policies

 By 2015, - national response tailored to epidemic context, in all countries and

settings, supportive legislation and policies enacted and enforced

 Meaningful involvement of young people, in all their diversity, and through

strengthened partnership with families and communities at least 95% of young

men and women aged 15-24 are reached with good quality sex education and

client centred sexual and reproductive health information and services

 By 2015, young people need to be empowered to protect themselves from HIV

and need to be able to HIV services in a supportive environment.

 By 2015, 50% of MARYP should have universal access to HIV prevention,

treatment care and support







 By 2015, 1) reduce HIV prevalence among young men and women aged 15-24

globally by 25 % through ensuring that national responses are tailored to

epidemic contexts in all countries and settings; 2) at least 95% of young men and

women aged 15-24 are reached with good quality sexuality education and client-

centred sexual and reproductive health information and services; and 3)

supportive legislation and policies are enacted and enforced in 75% of countries

that creates an enabling environment. This will be achieved through the

meaningful engagement in all aspects of the response of young people, in all

their diversity, and through strengthened partnership with families and

communities.



What’s working?

 Botswana and Ivory Coast

 Prev decrease,

 Sufficient funding from variety of funders

 Community mobilization of young ppl

 Program data available

 Making sure the young have access to information







50% by when- UNGASS deadline

Skills, information, EE and services- is this part of education

- specific mention of country level action

- If we go to specific- is this too specific for a goal

- Feasible? Being real?

- Reduce infection through education and services? No Behaviour change?

- What kind of education?

- Not just epidemiological context, but also resources and policy

- What does “other services” mean?- transmission and acquisition

- Is education the main service

- Safe ad enabling envt is contextual

- Mention universal access and equity

- Is this outcome area for prevention only

- Cultural context, may be country context



Suggestion

- Mention of sex and sexuality

- Mention appropriate services

- ‘improving services for HIV care and treatment

- Mention country context

- Mention ‘targeted’



Group Work on what needs to be done

 Did you decide definitively to exclude education?

 Strategic information to feed into programmes and policy

 Even in group work, young people had tokenistic opportunity