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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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street youth in ukraine focus on girls and hiv prevention

Street Youth in Ukraine: Focus on Girls and HIV Prevention

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

street youth and hiv
Street Youth and HIV

High HIV prevalence among street youth (18.4% on average according to 2008 HealthRight and CDC study)

Chernigiv

Volyn

Rivne

Sumy

Zhytomyr

Kyiv

Lviv

Kharkiv

Khmel-nytskiy

Ternopil

Poltava

Luhansk

Cherkasy

Iv.-Frank.

Vinnytsia

Zakarpatska

Kirovograd

Chernivtsi

Dnipropetrovsk

Donetsk

Zaporizhia

Mykolaiv

Odessa

Kherson

ARCrimea

Donetsk:

9.8% 30/307)

HIV prevalence rate in three cities18.4%

Kyiv:

18.6% (58/311)

Odesa:

26.7% (83/311)

street youth
Street Youth

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
Street Girls

Street girls and young women are a small (24%), but highly vulnerable sub-group of the larger street youth population

main survey recommendations
Main Survey Recommendations

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.

street outreach
Street Outreach

Mapping of sites

Psychosocial counseling

Client referral

Voluntary HIV counseling and testing

STI testing

1,315 street youth received outreach services in 2010-2011 in Kyiv and Donetsk

A Kyiv outreach team with clients, 2010

drop in centers
Drop-in Centers

Drop-in Centers

Low-threshold services:

Shower/laundry

Psychosocial support

Leisure activities

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

slide10
Referral networks of partner organizations in Kyiv (63) and Donetsk (70) to enhance access to services

Involved main Ministries and state services

Introduced case management

Referral Network

A round table in Kyiv, 2012

behavior change communication intervention
STEPS training programfor street youth

In 2010-2011,trained 77 trainers on STEPS from 35 NGO and state organizations

2,335 at-risk children and youth were trained in outreach and 146 in Drop-in Centers in Kyiv and Donetsk

Behavior Change Communication Intervention

STEPS trainings in Kyiv, 2011

healthright s service center for girls and women
HealthRight’s Service Center for Girls and Women

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

789 girls and women served since may 2010
789 girls and women served since May 2010

37% of clients self-referred for services

slide14

Service Center Clients

  • 89% are 17-24 years old
  • 36.54% live on the street
  • 10.76% double orphans
  • 39% have children
  • 25.6% have HIV
  • 5.7% use injecting drugs
  • 8.1% abuse alcohol
  • 9.1% sexually abused
services
Services

Low-threshold services

Case management

Specialized services

specialized services
Specialized 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.

challenges
Challenges

Engagement of partners

Residential services, particularly for pregnant women and women with children

Sustainability

Violence against street-involved women

Employment

Referral to other cities

Social adaptation of recently released prisoners.

future plans
Future Plans

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.

thanks to our donors
Thanks to Our Donors:

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

thank you
Thank you!

HealthRight International

Representative Office in Ukraine

3, Stanislavskoho St., Office 7, Kyiv, 01001

Tel.:/Fax: + 38 (044) 278 2358

Halyna.Skipalska@healthright.org

www.healthright.org

www.healthright.org.ua