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KIWANIS D ISTRICT OF EASTERN CANADA AND THE CARIBBEAN and UNICEF in CANADA & the CARIBBEAN. A PROPOSAL FOR COOPERATION: Supporting children and young people affected and infected by HIV/AIDS in the Caribbean. EC & C Midyear Leadership Conference Saint Lucia, February 3, 2007 .

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Kiwanis d istrict of eastern canada and the caribbean and unicef in canada the caribbean l.jpg

KIWANIS DISTRICT OF EASTERN CANADA AND THE CARIBBEAN andUNICEF in CANADA & the CARIBBEAN

A PROPOSAL FOR COOPERATION:

Supporting children and young people affected

and infected by HIV/AIDS in the Caribbean.

EC & C Midyear Leadership Conference

Saint Lucia, February 3, 2007


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HIV/AIDS IN THE CARIBBEAN

2005

  • 420,000 living with HIV

  • 41,000 new infections

  • 27,000 deaths


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The Caribbean: the 2nd most affected region in the world:

National prevalence rates:

>3% - Haiti, Bahamas

>2%  - Guyana, Trinidad & Tobago

>1% - Barbados, Dominican Republic,

Jamaica, Suriname

>0.2% -Cuba


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SEX TRADE, PLUS CROSS-OVER INTO THE GENERAL POPULATION

  • 50% + infected adults: women

  • Adolescents and youth:

    • High vulnerability

    • Highest incidence of new infections (by age-group)

    • Infection trend: young and female


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JAMAICA

The good news:

  • Decrease in reported numbers of children with AIDS

  • Improved PMTCT


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Jamaica cont’d

The sobering news:

  • 22,000 people living with AIDS

  • **15,000 unaware of their status**

  • 6,000 AIDS orphans

  • Adolescents and youth: highest rates of infection


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January – June 2006: 3 new confirmed cases per day

  • 10% in under 18s

  • 20% in 20-29 age group

  • Infection risk to adolescent girls is 3 times adolescent boys; + pressure & force

  • 1 in 2 adolescents are sexually active, most starting before 15 years of age


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CHILDREN AND YOUTH

Complicating risk factors:

  • Poverty, poor nutrition, lack of schooling, non- supportive environments

  • Stigma and discrimination  exclusion and

    marginalization


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Supportive factors:

  • Children & young people respond well to counselling and mentoring

  • Families are willing to foster unrelated children, especially with financial support

  • Targeted prevention and treatment work


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A COMPELLING CASE FOR ACTION


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THE PROPOSAL

  • Country focus or dispersed coverage?

  • The case for focus: impact, results, visibility, advocacy

  • eg.Jamaica and Haiti: Largest populations, high prevalence rates


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CAMPAIGN/INTERVENTION COMPONENTS

1. Primary prevention (primarily Jamaica)

  • youth information outreach

  • mobile health promotion and HIV/AIDS services

    2. Orphans and vulnerable children (primarily Jamaica):

  • income generating activities/household budget supplementation

  • schooling: registration and support (costs: transport, school lunch, uniforms)

  • parenting training/counselling

  • sensitizing care workers, guidance counsellors, community influencers on needs/rights of OVCs


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CAMPAIGN/INTERVENTION COMPONENTS (cont’d)

3. Paediatric treatment and care (primarily Haiti)

  • working with community/non-governmental organisations

  • early testing, diagnosis, provision of drugs and monitoring

  • screening for HIV at 3 months or 3 months after weaning

  • increased numbers of children on highly active antiretroviral therapy (HAART)

  • supplementary feeding to children receiving HAART

  • training of health staff in paediatric AIDS management


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GETTING RESULTS: INTERVENTION PARTNERSHIPS

  • Community organizations

  • Governmental, municipal, local agencies


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WHY KIWANIS AND UNICEF?

  • IDD history together

  • Combined outreach & influence

  • Shared child/youth focus

  • UNICEF:

    • fund-raising capacity in Canada

    • Caribbean presence/partnerships



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IF WE AGREE IN PRINCIPLE, WHAT NEXT?

Finalizing the campaign: joint working group?

  • develop campaign fundraising targets, communication materials and messages

  • agree on fundraising strategies, roles (joint, distinct)

  • explore/obtain matching and lead gifts, e.g. major donors; CIDA

  • design website(s) and linkages

  • create celebrity strategy

  • establish political buy-in

  • prepare launch and post-launch steps

  • spread the message: Kiwanis & UNICEF networks.  



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