100安全套推廣項(xiàng)目(1)ppt課件

1、中國-WHO 100%平安套推行工程:戰(zhàn)略和閱歷China-WHO 100% condom use program: strategy and experience 趙鵬飛世界衛(wèi)生組織駐華代表處Dr Prof ZHAO PengfeiWHO CHINAChengdu, Dec 17-19 2003Chronology of 100% CUP in ChinaMOH agreed to pilotStep 1: two pilot sitesStep two: two new sitesStep 3: development of National guide-selective expansi

2、on(UNFPA, WB Health 9, China-UK)National dissemination seminar of China 100% CUP- 1st Quarter 2004National scaling up in partnership20002001200220032004 and beyond性任務(wù)者Sex workers年輕人youth其他others醫(yī)/技人員?Science/tech會(huì)議/療養(yǎng)人員 mtg participants流動(dòng)人口農(nóng)民Floating pop商人businessmen軍人Police/military政務(wù)管理任務(wù)人員Public s

3、ervants100% 平安套運(yùn)用工程提供阻斷HIV性傳播的時(shí)機(jī) Stopping HIV Transmission Through 100% CUP100% CUP平安百分百100%平安套運(yùn)用工程?What is 100% CUP?100%的性任務(wù)者用套100% of sex workers-sexual relations 100%的性任務(wù)時(shí)間里用套100% of the time of sex work100%的場(chǎng)所推行用套100% of entertainment establishments三個(gè)百分百Three 100%100%平安套運(yùn)用工程要素understanding 100%

4、Condom Use Programme依賴政府牽頭的多部門協(xié)作-強(qiáng)力實(shí)施當(dāng)?shù)赜姓?Based on reinforcement of Government POLICIES( Law, regulation, decrees, etc.) :目的是場(chǎng)所而非性任務(wù)者targeting EEs規(guī)范環(huán)境,確保場(chǎng)所協(xié)作給弱勢(shì)人群賦權(quán)monopolizing environment & empowering Sex WorkersMonitoring condom use and STI cases 監(jiān)測(cè)平安套運(yùn)用和STI病例數(shù)確保行為的平安,無疾病傳播Ensuring safety(NO COND

5、OM-NO SEX)中央有關(guān)文件政府五項(xiàng)承諾 Five commitments at UNGASS 2003.9 100%平安套工程的評(píng)價(jià)Evaluation of100% Condom Use Programme過程Process結(jié)果Outcome影響Impact評(píng)價(jià)EVALUATION平安套銷量e.g. condom sales平安套運(yùn)用率e.g. condom use rate性病/艾滋病感染率e.g. STI/HIV prevalence目的INDICATORS實(shí)施步驟Six steps to start a CUP評(píng)價(jià)當(dāng)?shù)豀IV 的危險(xiǎn)要素和潛在性的危險(xiǎn)要素Appraisal of

6、HIV risk/potential risk組織建立指點(diǎn)小組, 工程辦公室和督導(dǎo)和評(píng)價(jià)小組Organizations-leading group, PMO, M &E team舉行政策倡導(dǎo)會(huì), 發(fā)布會(huì)等advocacy efforts-mtg, bulletins,etc工程方案(改善平安套供應(yīng),STI監(jiān)測(cè)門診) Program planning/policy formation實(shí)施 政策落實(shí), 評(píng)價(jià)目的) Operation(implementation of policy, indicators)督導(dǎo)和評(píng)價(jià) Monitoring and evaluation100%運(yùn)用平安套工程的效果，

7、武漢Impact of 100% CUP, ChinaYearYear100%運(yùn)用平安套工程的效果，江蘇Impact of 100% CUP, JiangsuYear100%運(yùn)用平安套工程的效果，湖南Impact of 100% CUP, Hunan100%運(yùn)用平安套工程的效果，海南Impact of 100% CUP, Hainan平安套運(yùn)用率Condom use at last sex by sex worker:17% / 2002.9, 65% / 2003.9性病感染率STI rates among sex workers:2002.92003.9衣原體Chlamydia11%6.6

8、%梅毒Syphilis8%4%淋病Gonorrhea4%2.5%HIV0%0%閱歷和領(lǐng)會(huì)Lessons learned政府牽頭,衛(wèi)生為主,公安支持,其他配合Govnt leads, health coordinates, police supports, EEs cooperate繼續(xù)倡導(dǎo)Advocating benefits of stakeholders引導(dǎo)媒體 Involving mass media推行平安不誤導(dǎo)賣淫合法Being realistic but not creating false hope of legalizing sex work輻射作用Spilling effec

9、t(Good reputation, praised by upper authority, other cities/counties to follow) 100% CUP與社會(huì)關(guān)注問題CUP and controversial issuesCUP與公安執(zhí)法 working with police possible and effective性任務(wù)添加? increase of SW?青少年不良影響?negative impact on youth not observed社會(huì)/媒體的態(tài)度 community/media attitude協(xié)作程度的評(píng)價(jià)Assessing levels of

10、 EE cooperationLevel 1: 口頭承諾verbal indication of supportLevel 2: 允許掛圖allowing condom postersLevel 3: 贊同現(xiàn)場(chǎng)干涉 existing on-site education-IEC/BCC/ outreach effortsLevel 4: 保證平安套供應(yīng)Ensuring condom availabilityLevel 5: 確保無不平安行為Ensuring no condom no sex為什么100% CUP有效Why CUP effective?政策支持Supporting policy綜合戰(zhàn)略Comprehensive approach廣泛覆蓋High coverage投入少見效快可繼續(xù)可推行A cheap and rapid strategy(sustainable, replicable)下一步推行工程方案Next step in partnership 完成國家推行指南制定Finalizing national guide (2003.12)階段性推行方案 : (4個(gè)省, UNFPA/計(jì)生系統(tǒng), Futures Group(China), SIDA, 世界銀行WB, 衛(wèi)九工程, 歐盟EU, UNDP 指點(diǎn)開發(fā)工程)Expansion