预防艾滋病经性途径传播策略文档资料.ppt
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1、Developing a unified UN approach联合国开发统一的方法应对艾滋病经性途径传播,In April 2006 the Cosponsors Committee of the UNAIDS agreed to develop a comprehensive,rights-based and evidence-informed UN response to HIV and sex work.2006年4月,联合国艾滋病规划署的共同发起机构委员会同意开发一综合的、以权力为基础的、以事实为依据的在联合国系统应对预防艾滋病经性途径传播的方法,Process过程,Global C
2、onsultation on HIV and Sex Work.Consultations among all UNAIDS Co-sponsors.Under the Division of Labour of UNAIDS,each Cosponsor will work on HIV and sex work within their areas of comparative advantage their core areas of work.有关预防艾滋病经性途径传播的全球咨询在所有联合国艾滋病规划署共同发起机构之间开展咨询根据联合国艾滋病规划署分工,每个共同发起机构在其相关领域中,
3、发挥自身工作的相对优势,从事预防艾滋病经性途径传播的工作,“Principles for Effective Prevention”agreed upon UNAIDS 联合国艾滋病规划署认可的“有效的预防原则”Promotion,protection and respect for human rights;Locally adapted responses;Evidence-informed;Comprehensive in scope;Long-term and sustained;Coverage,intensity and scale to make a critical diffe
4、rence;and,Community participation.对人权的促进、保护和尊重适合当地的回应;有证可循;范围全面;长期并具有持续性;范围广泛、主题深入,并具可推广性;社区参与。,Pillar 1.Reducing vulnerabilities and addressing structural issues related to HIV and sex work 支柱1.降低风险,解决艾滋病经性途径传播结构性问题,Contributing factors include:有效因素包括:Poverty and gender inequality Lack of education
5、 and/or high costs associated with education;Migration and mobility,refugees,asylum seekers and internally displaced persons;Lack of employment opportunities;贫困和性别不平等缺乏教育和/或与教育有关的高成本移民和流动人口、难民、寻求庇护以及内战而辗转的人们缺乏就业机会,Pillar 1.Reducing vulnerabilities and addressing structural issues related to HIV and
6、sex work结构1.减低脆弱性,强调和预防艾滋病经性途径传播的社会性问题,Gender-based violence and family-based violence;Injecting drug use;Demand for sex work.性暴力和家庭暴力;注射毒品;预防经艾滋病经性途径传播的需求。,Actions for Pillar 1 include:行动方案1,Expanding universal access to education,vocational training,literacy,life skills and other forms of educatio
7、n;Expanding successful microcredit and microfinance schemes;Ending gender-based violence and continuing to promote gender equality;在全球范围扩展高等教育的普及、职业培训、文化教育、生活技能和其他形式的教育推广成功的小额信贷和小额资金的项目终止性别暴力,继续促进性别平等,Actions for Pillar 1 include:行动方案1,Providing early intervention in areas of high movement into sex
8、work;and,Working with highly mobile populations such as truck drivers,fishermen,itinerant labourers,and the military to address demand.在性工作高度活跃的地区进行早期干预与流动性频繁的人群如,长卡司机,渔民,流动劳力,军队士兵合作,关注他们的需求。,Pillar 2.Scaling up HIV,SRH and other health and social services and addressing barriers to access in the se
9、x work context支柱2:扩大艾滋病预防,性与生殖健康以及其他卫生及社会服务,关注在脆弱人群中开展预防艾滋病经性途径传播的障碍,Sex worker HIV vulnerability is heightened through:Poor access to health,legal,social and other services;Violence and harassment,stigma and discrimination;Inadequate access to condoms and other HIV prevention measures;and,IInadequa
10、te treatment and prevention of sexually transmitted infectionsSex workers living with HIV often lack treatment,care and support.性工作者易感艾滋病的原因是:无法获得健康、合法、社会的相关服务;暴力、性骚扰、羞辱、歧视;安全套和其他预防措施渠道不畅;治疗和预防性病渠道不足;患艾滋病的性工作者缺乏治疗、关爱和支持,Actions for Pillar 2 include:行动方案2,Link SRH and HIV,tuberculosis and drug treatm
11、ent services,improve access to services,and access to ARV treatment;Awareness training for health care and social service providers,and law enforcement agencies to reduce stigma and discrimination;将性与生殖健康和艾滋病、结核和药物治疗服务相结合,改善服务的渠道以及抗病毒治疗的渠道开展培训,以增强医疗卫生保健人员和社会服务人员、法律执行机构人员的意识,减少歧视和污辱,Actions for Pilla
12、r 2 include:行动方案2,Elimination of gender-based violence in all sex work settings;Meeting the specific needs of female sex workers,male sex workers and transgender sex workers;and,Improving client behaviour,including using condoms,treating sex workers with respect;violence and drunkenness not to be to
13、lerated from clients.消除所有性工作环境中的性别暴力;满足女性性工作者、男性性工作者、变性性工作者的特殊需求;改善客人行为,包括使用安全套,对性工作者的尊重,不能忍耐来自客人的暴力和酒醉。,Pillar 3 Building supportive environments to expand choices for sex workers and their communities 支柱3:建立支持环境,为性工作者及其社区开发更多的选择,Sex workers need to be involved in decisions,policy development and p
14、rogrammes that affect their lives.Building the capacity of sex work networks will assist this.Support needs to be provided to sex workers for peer education and training,and strengthening of outreach capacity of sex worker networks.The human rights of sex workers must be respected and protected.性工作者
15、需要参与决策、政策制定和项目以影响他们的生活。加强性工作网络能力建设,向性工作者提供支持与需求,特别是同伴教育和培训,加强性工作者网络的外展能力。性工作者的人权必须被尊重和保护。,Pillar 3 Building supportive environments to expand choices for sex workers and their communities 结构3:营造良好环境为性工作者及其社区开发更多的选择,Meaningful employment alternatives;support from their communities to avoid stigma and
16、 discrimination;assistance to return home,especially for undocumented migrants.有意义的就业选择;社区的支持以避免歧视;协助其返回家乡,特别是对那些无身份的流动人员。,Actions for Pillar 3 include:行动方案3,Providing life and vocational skills education in sex work settings;Generating employment options for sex workers who choose to leave sex work
17、;Empowerment and participation of sex workers through including sex workers and sex work networks in the development of country level responses;and,Inclusion of sex workers in policies,programmes and actions that affect their lives.在性工作场所提供生活和职业技能教育;为放弃性工作的性工作者创造就业机会;通过发展国家级应对的性工作者和性工作网络,强化性工作者的权力和促
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