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ABSTINENCE STRATEGY (AS)

PRESENTATION BY CHISOMO ZILENI PROGRAMMES OFFICER YOUTH & REPRODUCTIVE HEALTH (NYCOM). ABSTINENCE STRATEGY (AS). INTRODUCTION.

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ABSTINENCE STRATEGY (AS)

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  1. PRESENTATION BY CHISOMO ZILENI PROGRAMMES OFFICER YOUTH & REPRODUCTIVE HEALTH (NYCOM) ABSTINENCE STRATEGY (AS)

  2. INTRODUCTION • AS provide a broad framework and direction to policy makers, programme managers, implementers, gatekeepers & SPs on how they could promote abstinence among single individuals. • ABC strategy has not been comprehensively applied by most implementers to be able to effect meaningful behavior change due to lack of strategic direction

  3. Introduction (Cont’d) • Condom use (C) has received more emphasis & more organized strategic efforts & resources than the rest & this has led to conflicting HIV prevention messages being passed on to young people. • Only 34% of young people have comprehensive knowledge on HIV prevention (MDHS, 2004).

  4. Introduction (Cont’d) • The vast majority of young people who are HIV positive do not know they are infected & few young people who are engaging in sex know the HIV status of their partner. • Additionally, intergenerational sex puts some young girls at risk of HIV infection because they can not negotiate for safer sex.

  5. GOAL • The goal of this strategy is to promote primary and secondary abstinence as means of preventing HIV, sexually transmitted infections (STIs) and teenage pregnancies among young people aged between 6 – 24 years in Malawi.

  6. OBJECTIVES • To create an understanding among young people and other single individuals on primary and secondary abstinence as they relate to the prevention of HIV, STIs and teenage pregnancies. • To increase young people’s skills to abstain from sex. • To create an environment that enhances open communication between parents/guardians and their children on abstinence.

  7. Objectives (Cont’d) • To mobilize community leaders and structures to support adoption and sustenance of abstinence among young people. • To strengthen coordination, implementation and resource mobilization for adoption and sustenance of abstinence among young people.

  8. WHY ABSTINENCE STRATEGY? • Mlw has a national BCI which presents various intervention strategy on ABC approaches but has used the ABC approaches on HIV prevention. • Each of these approaches did not have a clear action plan for implementers & stakeholders to buy in. • The NAF (2005-2009) proposes dvt of a national action plan for each approach.

  9. Why AS? (Cont’d) • Abstinence activities being implemented by some organizations have largely been uncoordinated & undocumented. • Monitoring & Evaluation of abstinence activities has been a challenge due to the absence of a framework on abstinence & inadequate best practices. This has cascaded a feeling that abstinence may not be achieved.

  10. Why AS? (Cont’d) • This action plan will provide direction in designing, planning, implementation & evaluation of abstinence programmes, interventions & initiative at all times.

  11. Development Process • The strategy is a culmination of concerted efforts of many individuals from various organizations who were involved right from inception. • A number of consultations were done. • The following are organizations & institutions that were involved in the dvt process

  12. Development Process (Cont’d) • NAC • NYCOM • ACEM • MIAA • Malosa & Ludzi girls Secondary Schools • MIE • Ministry of Education • YONECO • Dignitas International • Chancellor College

  13. KEY ISSUES • Sexual Abstinence (primary) means the avoidance of penetrative sexual intercourse as well as any genital contact or genital stimulation between persons. • It also means that a person chooses not to have any kind of sexual activity that leads to exchange of body fluids.

  14. Key Issues (Cont’d) • Secondary Abstinence – It means that a person who has been engaging in penetrative sex has decided to stop having any kind of sexual activity be it vaginal, oral, and anal or any skin-to-skin contact in the genital area. • Youth – The National Youth Policy (2006) defines youth as all young persons, females and males from age 10 to 24 years regardless of their marital, educational, socio- economic and disability status.

  15. Key Issues (Cont’d) • Adolescents – Adolescents are defined as allyoung persons, females and males aged 10 to 19 years regardless of their marital, educational, socio – economic and disability status. • Young People - For the purpose of this strategy, the definition of young people will be all single persons aged between 6-24 regardless of socio-economic, education and disability status. These young people are primary beneficiaries of this strategy

  16. EXPECTED OUTPUTS • Objective 1: To create an understanding among young people and other single individuals on primary and secondary abstinence as they relate to the prevention of HIV, STIs and teenage pregnancies. • Strategic interventions: • Campaigns on abstinence • Development of target specific IEC materials on abstinence for example in terms of age, sex, life styles and location. • Capacity building of media in the promotion of abstinence • Peer education

  17. Expected Outputs (Cont’d) • Objective 2: To increase young people’s skills to abstain from sex. • Strategic intervention: • Life skills education for both in and out of school youth • Capacity building in life skills education • Role modeling/mentorship • Establishment of structures and networks that support young people. • Promotion of dialogue among young people on HIV and AIDS and SRH. • Involvement of young people living with HIV in youth programmes.

  18. Expected Outputs (Cont’d) • Objective 3: To create an environment that enhances open communication between parents/guardians and their children on abstinence. • Strategic intervention: • Development of information packages for parents on abstinence and communication with children • Capacity building for parents/guardians and children on how to communicate on abstinence. • Promotion of dialogue between parents/guardians and their children.

  19. Expected Outputs (Cont’d) • Objective 4: To mobilize community leaders and structures to support adoption and sustenance of abstinence among young people. • Strategic intervention: • Development of target specific IEC packages • Community mobilization • Capacity building of community leaders and all existing structures at all levels

  20. Expected Outputs (Cont’d) • Creation of initiatives that motivate young people to abstain from sex • Promotion of role modeling in the communities • Advocacy with traditional and faith leaders to support open dialogues on SRH, HIV and AIDS for young people

  21. Expected Outputs (Cont’d) • Objective 5: To strengthen coordination, implementation and resource mobilization for adoption and sustenance of abstinence among young people. • Strategic intervention: • Advocacy on coordination, implementation and resource mobilization • Capacity building of coordination structures at all levels to ensure that they are functional • Documentation and information sharing

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