Preventing HIV with young people: A case study from Zambia
Preventing HIV with young people: A case study from Zambia
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DOI：
10.1016/s0968-8080(06)28266-1
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发表时间：
2006-11-01
影响因子：
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通讯作者：
Mwale, Vincent
中科院分区：
文献类型：
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作者：
Gordon, Gill;Mwale, Vincent
美国总统艾滋病紧急救援计划（PEPFAR）正在资助艾滋病毒高发国家的数千个社区组织、国际非政府组织和政府服务机构，以说服年轻人在结婚前避免性行为（禁欲，行为改变，青年- ABY）。本文描述了这一战略是如何在赞比亚实施的，以及社区对此的反应。它来源于2005-2006年在东部省发表的信息以及观察和讨论。一些非政府组织对这一策略提出了质疑，但许多组织拿走了资金，并支付了大量的同伴教育工作者，只宣传禁欲。人们普遍认为避孕套有漏洞，或者效果不够好，不值得使用。避孕套宣传材料已被替换。服务提供者拒绝给年轻人发放避孕套。曾经参加过性与生活技能课程的年轻人拒绝接受不准确的信息，并要求使用避孕套。然而，如果没有这种教育，不准确的信息就会迅速传播。只向高风险人群推广避孕套，不可能不让这些人和避孕套都蒙上污名，而且这也会危及推广使用避孕套避孕。必须尽一切可能减少有关避孕套的负面信息。每个参与艾滋病毒/艾滋病的人都需要反思自己在这种新气象下的工作，并确保所有预防方案都能广泛获得，提供正确的信息，并为每个需要的人提供避孕套。(c) 2006年生殖健康事项。版权所有。
The US President's Emergency Plan for AIDS Relief (PEPFAR) is funding thousands of community-based organisations, international NGOs and government services in high HIV prevalence countries to persuade young people to abstain from sex until marriage (Abstinence, Behaviour Change, Youth - ABY). This paper describes how this strategy is being implemented in Zambia, and community responses to it. It is derived from published information and observations and discussions in the Eastern Province in 2005-2006. A few NGOs hove challenged the strategy, but many took the funds and ore paying large numbers of peer educators to promote abstinence only. Messages are rife that condoms have holes or don't work sufficiently well to make them worth using. Condom promotion materials hove been replaced. Service providers refuse to give condoms to young people. Young people who had attended sexuality and life skills programmes that gave them accurate information are rejecting inaccurate messages and demanding condoms. Without this education, however, inaccurate messages will spread quickly. It is not possible to promote condoms only for high risk people without stigmatising both the people and condoms, and it also jeopardises promoting condom use for contraception. Everything possible must be done to reduce negative messages about condoms. Everyone involved in HIV/AIDS needs to reflect on their own work in relation to this new climate and ensure that all prevention options ore widely available, correct information is given and condoms ore available for everyone who needs them. (c) 2006 Reproductive Health Matters. All rights reserved.