Positive Prevention Siyayinqoba Beat It! A distinct approach to HIV - - PowerPoint PPT Presentation

Positive Prevention Siyayinqoba Beat It! A distinct approach to HIV prevention communication

UNAIDS Technical Consultation on Social Change Communication

Vuyani Jacobs Community Health Media Trust

HSRC report on teenage fertility December 2006

Positive Prevention

Siyayinqoba Beat It / Positive Prevention

Mid 80s about 60 000 births to teen mums Mid 90s (96) about 80 000 births to teen mums; 2001 about 65 000 births to teen mums Half of all young people between 15 and 19 years of

age report having had sex. By 19, close to 80% of South African women have had sex and about 37% have been pregnant (DoH 1998)

Siyayinqoba Beat It / Positive Prevention

Conventional prevention is not showing clear results in

South Africa

The truth is we cant be sure what works when it comes

to keeping people HIV negative

There is a need for additional approaches to prevention

Siyayinqoba Beat It / Positive Prevention

What is positive prevention: Recognizing that you are at risk – VCT Openness about HIV status Disclosure to regular partners Regular consistent prevention behaviour and condom use Understanding that HIV is a manageable chronic condition.

That you can lead a normal life and even have a

normal life span with HIV Regular Cd4 and viral load testing Early and effective treatment of opportunistic infections Commencement of ART at the right time Mother to child prevention of HIV transmission either with full ART or dual PMPTCT Protocol…… And that is a LOT of BEHAVIOUR CHANGE!☺

Siyayinqoba Beat It / Positive Prevention

Siyayinqoba Beat It / Positive Prevention

In every new HIV infection there is a person who either

doesn’t know his or her status or is in denial

Siyayinqoba Beat It encourages and supports people to

come out of denial into positive living

Siyayinqoba Beat It / Positive Prevention

• Targeting the rational fear of death as the underlying

cause of denial and stigma through treatment ;

• A treatment based approach to HIV communications

breaks the chain of fear > denial > stigma > discrimination;

• Siyayinqoba Beat It’s mission is to provide

scientifically based information for people living with HIV and AIDS, their partners, families, friends, care givers and health workers.

• Positive Prevention has to be about creating society wide

Positive Prevention has to be about creating society wide empowerment (beyond awareness) to respond to: empowerment (beyond awareness) to respond to:

• Heath challenges (e.g. herpes / STI, TB, cervical

Heath challenges (e.g. herpes / STI, TB, cervical cancer, etc.) cancer, etc.)

• Health system issues (stock outages, corruption,

Health system issues (stock outages, corruption, HR shortages etc. HR shortages etc.

• Socio

Socio-

• economic conditions (e.g. water, sanitation,

economic conditions (e.g. water, sanitation, housing, food security; social security etc. ) housing, food security; social security etc. )

• Examples of topics covered by

Examples of topics covered by Siyayinqoba Beat It Siyayinqoba Beat It: :

Siyayinqoba Beat It / Positive Prevention

HIV Action Committees at Schools (2004) Teachers & Learners (2004) Adherence & Substance Abuse (2004) Traditional Circumcision @ HIV I (2004) Traditional Circumcision @ HIV II (2004) Transactional Sex (2005) Sex Workers & HIV (2005) Female Controlled Prevention (2005) Injecting Drug Users (2006) Alcohol (2006) Youth & Parents Talking About Sex I (2006) Youth and Parents Talking about Sex II (2006) Tertiary Institutions (2006) Condoms in School (2006) Circumcision (2006)

PREVENTION

Positive Living (2004) Support Groups (2004) Sex & the Positive Person (2004) Traditional Healers (2004) Community Home-based care (2004) Disclosure (2005) Middle Class Disclosure (2005) Disabilities (2005) Mental Health (2005) Handling Death Loss (2005) Nutrition (2005) Living with PLWHA (2006) Food Gardens & HIV (2006) Meet the Support Group (2006) Faith Based Communities I (2006) Faith Based Communities II (2006) HIV Communication Strategy (2006) Books & Media (2006)

POSITIVE LIVING Siyayinqoba Beat It / Positive Prevention Siyayinqoba Beat It / Positive Prevention

TB & HIV (2004) Children without ARVs (2004) Sexually Transmitted Infections (2004) Health Care Workers & HIV/AIDS (2004) False & Fraudulent Cures (2004) Opportunistic Infections (2004) Palliative Care (2005) Oral Hygiene (2005) Treating Opportunistic Infections (2005) TB & HIV (2005) VCT & Routine Testing (2005) Vaccines and Prophylaxis (2005) Cervical Cancer (2006) Disseminated TB & HIV (2006) Curative Claims (2006) Voluntary Counseling & Testing (2006)

OIs / TREATMENT

Prevention of MTCT (2004) Breast vs Bottle (2005) Pregnancy & HIV (2006) PMTCT Orphans (2004) Beat It! At Work (2004) Social Grants (2004) Rights at Work (2004) Good Leaders Lead (2005) Orphans (2005) SANDF (2005) Prison & HIV (2005) Treatment in Africa (2005) HIV & Media (2005) Water & Sanitation (2006)

HUMAN RIGHTS Siyayinqoba Beat It / Positive Prevention Siyayinqoba Beat It / Positive Prevention

Women, HIV & Violence (2004) Gender Inequality (2005) Gender Violence I (2006) Gender Violence II (2006)

GENDER

ARV Rollout (2004) Side-Effects (2004) Substance Abuse and Adherence (2005) ARV Trestment Sites (2005) Children on ARVs (2005) ARV Treatment Sites (2005) Side Effects of ARTs (2006) ARV Resistance and New Regimens (2006) Teachers & HIV (2006)

ART Siyayinqoba Beat It / Positive Prevention Siyayinqoba Beat It / Positive Prevention

Siyayinqoba Beat It / Positive Prevention

In learning to take control of our health we are also

empowered to understand our position in society more broadly – in short….

Through the HIV experience gaining AGENCY for

change in your own life and the lives of those around you.

Siyayinqoba Beat It / Positive Prevention

When people living with HIV have this positive

perspective we have seen evidence that behavior can really change; Paul Farmer in Haiti and MSF and TAC in Khayelitsha, Lusiksiki and now increasingly in all SADC countries, we see a treatment based approach supported by treatment literacy communications can produce lasting change.

Siyayinqoba Beat It / Positive Prevention

A typical Siyayinqoba Beat It viewer wrote to the programme: “I was diagnosed HIV positive and was in shock as I was also five months pregnant. I told my older sister about my status, she supported me and advised me not to tell my husband as it will cause a

• divorce. My husband is a dagga smoker ,he is always angry and he

doesn’t want to go to the clinic when he is ill and he also doesn’t want to listen to HiV/Aids related issues. He doesn’t even want me to go to the clinic when I am sick .This situation makes me fail to care for my

• health. I don’t know what to do because ,I am unemployed and I

depend on my husband who is a security guard that is why I doubt and I am scared of divorce. In my experience most of the time when the women is diagnosed HIV positive and tells her husband, he leaves her. I am scared of this because there is no one who will take care of me and my baby boy who is now eight months old. Can you please help me with and advise me…” Worried T – Witzieshoek

Siyayinqoba Beat It / Positive Prevention

My name is Xolile. I enjoy looking and listening to your program Your stories are amazing and encouraging to us people who are HIV positive. Early 2004 I was diagnosed HIV positive. I am married for five years, my wife is also positive too. I have a baby who is six years, I am not sure whether she is positive or

• negative. When I got sick in 2004 Feb, my cd4 count was 26 and

my doctor recommended me for ARV’s. I am not smoking nor drinking alcohol and they seem to wok very well, cause now my cd4 count is 374. .

Siyayinqoba Beat It / Positive Prevention

Positive prevention goes hand in hand with the extension of access to treatment; The new NSP sets a target of 80% access by 2011 This will mean 1.5 million people on treatment – people have to get onto treatment 4 times faster than they did in the period 2004-07! Massive public education and support with targeted and specific messaging. Massively expanded use of Community Health Workers for basic public health education AND community mobilisation!