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Street Youth in Ukraine : Focus on Girls and HIV Prevention. XIX International AIDS Conference in Washington D.C., USA Satellite Session “Two Steps Forward, One Step Back: the HIV Crisis among Street Youth” July 22, 2012 Halyna Skipalska, Country Director in Ukraine.
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XIX International AIDS Conference inWashington D.C., USA
Satellite Session “Two Steps Forward, One Step Back: the HIV Crisis among Street Youth”
July 22, 2012
Halyna Skipalska, Country Directorin Ukraine
High HIV prevalence among street youth (18.4% on average according to 2008 HealthRight and CDC study)
HIV prevalence rate in three cities18.4%
Among 929 youth survey participants (according to HealthRight/CDC study):
28.7% had six or more sexual partners during last year
47.3% did not use a condom at last sexual intercourse
73.2% have at least one experience of drug use
25.4% did not know that condoms protect from HIV
19.2% did not know that a healthy-looking person may be HIV-positive
Street girls and young women are a small (24%), but highly vulnerable sub-group of the larger street youth population
Bring HIV prevention, testing and follow up to street youth through outreach
Introduce new interactive programs for reducing risk behavior
Introduce additional services for street-involved women and girls
Implement a continuum of care model and case management for street
Coordinate government and NGO services, ensure access of street youth to state services.
Mapping of sites
Voluntary HIV counseling and testing
1,315 street youth received outreach services in 2010-2011 in Kyiv and Donetsk
A Kyiv outreach team with clients, 2010
Group trainings on HIV prevention
HIV, STI counseling and testing
921 clients served in 2 drop-in centers in Donetsk during 2010-2011
245 clients improved their lives
Involved main Ministries and state services
Introduced case management
A round table in Kyiv, 2012
Opened: April 2010
Partner: Kyiv City Center for Social Services
Funders: Elton John AIDS Foundation and Olena Pinchuk ANTIAIDS Foundation
Staff: Center Manager, Social Workers/Outreach, Psychologist, Lawyer
37% of clients self-referred for services
HIV-related: VCT, escorting for confirmatory testing, registration with AIDS Center, referrals to HIV service organizations, PMTCT and ART adherence
For clients with children: birth certificate, government allowances, medical referrals and psychosocial support
For IDUs: supportedreferrals to detox and harm reduction services, substance abuse counseling, counseling about substitution therapy.
Engagement of partners
Residential services, particularly for pregnant women and women with children
Violence against street-involved women
Referral to other cities
Social adaptation of recently released prisoners.
Halfway house for girls in Kyiv and one for girls and one for boys in Donetsk
Engagement of male partners
Empower women to resist violence
Disseminate STEPS throughout Ukraine
Advocate for policy changes to improve access to care.
Elton John AIDS Foundation
Olena Pinchuk ANTIAIDS Foundation
World Childhood Foundation
Johnson & Johnson
U.S. Agency for International Development (USAID)
Open Society Foundations
International HIV/AIDS Alliance in Ukraine
Representative Office in Ukraine
3, Stanislavskoho St., Office 7, Kyiv, 01001
Tel.:/Fax: + 38 (044) 278 2358