Evidence and good practices on HIV prevention for young people From evidence to action: experience from Ukraine Olena Sakovych UNICEF Ukraine 2011.

Evidence and good practices on HIV prevention for young people

From evidence to action: experience from Ukraine

Olena Sakovych

UNICEF Ukraine

2011

UkraineStreet Children, 10-19 years old (UNICEF baseline study, 2007)•47% of street children reported condom use at the last sex•57% of girls living on the street are involved in transactional sex •Only 8% of girls living on the street and involved in transactional sex always use condom with clients

Most At Risk Adolescents (MARA), 14-19 years old (BSS, 2009). Reported condom use at the last sex:•70% boys-IDUs•55% girls-IDUs•65% boys-MSM

MARA: Ukrainian contextHIV Prevalence exceeds: 19% among A-FSWs

29% among A-IDUs

Adolescents comprise: 26% of FSWs

24% of IDUs

32% of MSM

A lower knowledge of HIV/AIDS and lower use of prevention services than among adults at risk

Generalized PSE – 1,602 out of 100,000 adolescents

UNICEF, 2010

Interventions

• integrated HIV/STI prevention programmes for girls engaging in sex work or transactional sex

• Multidisciplinary outreach team approach for children living or working on the streets

• peer education approach for adolescent injecting drug users• one-stop shop approach for rehabilitation and HIV/STI

prevention for girls exploited for sex or experienced sexual violence

• ‘MARA-Friendly’ Youth Friendly Clinic• psycho-social rehabilitation and HIV/STI prevention

programme for in-patient adolescent drug users

‘‘

Pirozzi/2010Pirozzi/2010

32% coverage of MARA to date (UNICEF/UISR, 2010)

UKRAINE: school-aged children*

• Only 17% correctly identify the ways of HIV transmission • 15% and 42% had the sexual debut at the age of 13-14 and

15-17 respectively• 25% aged 13-14 and 20% aged 15-17 did not use a condom

at the last sex, but almost one in three consumed alcohols or took drugs

• More girls than boys practice unsafe sex. One in four girls did not use condom at the last sex; among those aged 17 years old – 1/3.

• 25% did not use a condom during their first sex. More girls reported having unsafe first sex (some 40%). Boys, however, had more sexual partners during last 12 months than girls.

* HBSC, 2010&ESPAD, 2009*

Way Forward for Systemic Inclusion

• Integration of interventions into the system of existing services

• Scaling up and strengthening inter-sectoral linkages

• Intensification through ‘equity lens’

• Finding practical solutions to problems inherent in systems & sectors

• Maintaining political commitment and increasing accountability

Thank you

www.unicef.org.ua