““Know Your HIV StatusKnow Your HIV StatusGet Tested Today”Get Tested Today”

Campaign Campaign

BELIZEBELIZE

PNP Carol TennysonPNP Carol TennysonVCT Services, San Ignacio, CayoVCT Services, San Ignacio, Cayo

Total HIV/AIDS Cases Belize 1999-2004

0

100

200

300

400

500

HIV AIDS

HIV 241 226 330 431 447 457

AIDS 90 46 72 109 109 63

1999 2000 2001 2002 2003 2004

The Epidemiology Unit, MOH

FACTORS DRIVING THE EPIDEMIC FACTORS DRIVING THE EPIDEMIC

IN BELIZEIN BELIZE A. SOCIAL, CULTURAL AND BEHAVIOURALA. SOCIAL, CULTURAL AND BEHAVIOURAL

Dysfunctional gender relationshipsDysfunctional gender relationships

Limited life-skills for sexual education Limited life-skills for sexual education

Cultural and religious tabooCultural and religious taboo

Discrimination & stigma of PLWHADiscrimination & stigma of PLWHA

Lack of Monogamy Lack of Monogamy

Insufficient condom useInsufficient condom use

Commercial sex workCommercial sex work

Substance abuse: alcohol, crack, cocaine leading to risky Substance abuse: alcohol, crack, cocaine leading to risky

behaviourbehaviour

B.B. ECONOMIC, DEVELOPMENT, and SITUATIONALECONOMIC, DEVELOPMENT, and SITUATIONAL

Poverty, inequitable income distributionPoverty, inequitable income distribution

Limited skills and poor socializationLimited skills and poor socialization

Limited genuine multi-sectoral responseLimited genuine multi-sectoral response

SituationalSituational

C.C. BIO-MEDICAL, ETHICAL AND ACCESS TO CAREBIO-MEDICAL, ETHICAL AND ACCESS TO CARE

Limited access to care for some populationsLimited access to care for some populations

Attitudes of health workers towards PLWAAttitudes of health workers towards PLWA

Limited legal and ethical frameworks for issues surrounding living Limited legal and ethical frameworks for issues surrounding living

with HIV/AIDSwith HIV/AIDS

FACTORS DRIVING THE EPIDEMIC FACTORS DRIVING THE EPIDEMIC IN BELIZEIN BELIZE

MotivationMotivation

1. To decrease risk and impact of HIV/AIDS 1. To decrease risk and impact of HIV/AIDS

2.Provide VCT Services 2.Provide VCT Services

3. Provide free HIV Rapid Test to 3. Provide free HIV Rapid Test to determine HIV status before onset of AIDSdetermine HIV status before onset of AIDS

MotivationMotivation

4. Provide free CD4 Tests4. Provide free CD4 Tests

5. Provide free ARV Medication 5. Provide free ARV Medication according to criteriaaccording to criteria

6. Provide continuum of support6. Provide continuum of support- - NutritionNutrition- Hygiene- Hygiene

- Adherence - Adherence - Support Services - Support Services

HIV Stigma and DiscriminationHIV Stigma and Discrimination

Lack of Financial and Human ResourcesLack of Financial and Human Resources

Lack ofLack of Private Sector CollaborationPrivate Sector Collaboration

High Cost for Newspaper and TV PSAHigh Cost for Newspaper and TV PSA

ObstaclesObstacles

StrategiesStrategies

Private Sector for financing, involvement and Private Sector for financing, involvement and ownershipownership

Media to decrease cost of PSA and free air timeMedia to decrease cost of PSA and free air time

Social MobilizationSocial Mobilization

Youth for development of HIV SongYouth for development of HIV Song

Persons Living with HIV/AIDS for development of Persons Living with HIV/AIDS for development of PSAPSA

Services Needed to Be ImprovedServices Needed to Be Improved

More trained human resource to conduct More trained human resource to conduct VCT Services, if not this could lead to VCT Services, if not this could lead to overloadoverload

More laboratory supplies and human More laboratory supplies and human resource to conduct laboratory servicesresource to conduct laboratory services

More free spots for the PSA from the MediaMore free spots for the PSA from the Media

ImpactImpact

More HIV Tests performed during the time More HIV Tests performed during the time period of the campaignperiod of the campaign

Demand and provision of condoms increasedDemand and provision of condoms increased

More persons accessing ARVsMore persons accessing ARVs

More requests for Educational Talks at More requests for Educational Talks at schools and workplacesschools and workplaces

Next TimeNext Time Consult IECConsult IEC

Extend or expand VCT Services to Urban/RuralExtend or expand VCT Services to Urban/Rural

Involve more vulnerable groupsInvolve more vulnerable groups

More media coverageMore media coverage

Conduct monitor and evaluationConduct monitor and evaluation

Promotional MaterialsPromotional Materials

BannerBanner

Bumper StickersBumper Stickers

Radio & TV Radio & TV AnnouncementsAnnouncements

FoldersFolders

SongSong

PensPens

MugsMugs

ShirtsShirts

Lan YardLan Yard

Newspaper AdNewspaper Ad

THANK YOUTHANK YOU