安全套推廣項(xiàng)目課件

中國(guó)-WHO100%安全套推廣項(xiàng)目:策略和經(jīng)驗(yàn)China-WHO100%condomuseprogram:strategyandexperience趙鵬飛世界衛(wèi)生組織駐華代表處DrProfZHAOPengfeiWHOCHINAChengdu,Dec17-192003CHINAMOH中國(guó)-WHO100%安全套推廣項(xiàng)目:CHINAMOH1Chronologyof100%CUP

inChinaMOHagreedtopilotStep1:twopilotsitesSteptwo:twonewsitesStep3:developmentofNationalguide-selectiveexpansion(UNFPA,WBHealth9,China-UK)NationaldisseminationseminarofChina100%CUP-1stQuarter2004Nationalscalingupinpartnership20002001200220032004andbeyondCHINAMOHChronologyof100%CUP

inChi2性工作者Sexworkers年輕人youth其他others醫(yī)/技人員?Science/tech會(huì)議/療養(yǎng)人員mtgparticipants流動(dòng)人口農(nóng)民Floatingpop商人businessmen軍人Police/military政務(wù)管理工作人員Publicservants100%安全套使用項(xiàng)目提供阻斷HIV性傳播的機(jī)會(huì)StoppingHIVTransmissionThrough100%CUP100%CUP安全百分百CHINAMOH性工作者年輕人其他醫(yī)/技會(huì)議/療養(yǎng)流動(dòng)人口商人軍人政務(wù)管理13100%安全套使用項(xiàng)目?Whatis100%CUP?100%的性工作者用套100%ofsexworkers-sexualrelations

100%的性工作時(shí)間里用套100%ofthetimeofsexwork100%的場(chǎng)所推廣用套100%ofentertainmentestablishments三個(gè)百分百Three100%CHINAMOH100%安全套使用項(xiàng)目?三個(gè)百分百Three100%CHI4100%安全套使用項(xiàng)目要素

understanding100%CondomUseProgramme依賴(lài)政府牽頭的多部門(mén)合作-強(qiáng)力實(shí)施當(dāng)?shù)赜姓連asedonreinforcementofGovernmentPOLICIES(Law,regulation,decrees,etc..):目標(biāo)是場(chǎng)所而非性工作者targetingEEs規(guī)范環(huán)境,確保場(chǎng)所合作給弱勢(shì)人群賦權(quán)monopolizingenvironment&empoweringSexWorkersMonitoringcondomuseandSTIcases監(jiān)測(cè)安全套使用和STI病例數(shù)確保行為的安全,無(wú)疾病傳播Ensuringsafety(‘NOCONDOM-NOSEX’)CHINAMOH100%安全套使用項(xiàng)目要素

understanding105中央有關(guān)文件政府五項(xiàng)承諾FivecommitmentsatUNGASS2003.9

CHINAMOH中央有關(guān)文件政府五項(xiàng)承諾Fivecommitments6100%安全套項(xiàng)目的評(píng)估

Evaluationof100%CondomUseProgramme過(guò)程Process結(jié)果Outcome影響Impact評(píng)估EVALUATION安全套銷(xiāo)量e.g.condomsales安全套使用率e.g.condomuserate性病/艾滋病感染率e.g.STI/HIVprevalence指標(biāo)INDICATORSCHINAMOH100%安全套項(xiàng)目的評(píng)估

Evaluationof100%7實(shí)施步驟SixstepstostartaCUP評(píng)估當(dāng)?shù)豀IV的危險(xiǎn)因素和潛在性的危險(xiǎn)因素AppraisalofHIVrisk/potentialrisk組織建立領(lǐng)導(dǎo)小組,項(xiàng)目辦公室和督導(dǎo)和評(píng)估小組Organizations-leadinggroup,PMO,M&Eteam舉辦政策倡導(dǎo)會(huì),發(fā)布會(huì)等advocacyefforts-mtg,bulletins,etc項(xiàng)目計(jì)劃(改善安全套供應(yīng),STI監(jiān)測(cè)門(mén)診)Programplanning/policyformation實(shí)施（政策落實(shí),評(píng)估指標(biāo))Operation(implementationofpolicy,indicators)督導(dǎo)和評(píng)估MonitoringandevaluationCHINAMOH實(shí)施步驟SixstepstostartaCUP評(píng)估8100%使用安全套項(xiàng)目的效果，武漢Impactof100%CUP,ChinaYearYearCHINAMOH100%使用安全套項(xiàng)目的效果，武漢Impactof109100%使用安全套項(xiàng)目的效果，江蘇Impactof100%CUP,Jiangsu

YearCHINAMOH100%使用安全套項(xiàng)目的效果，江蘇Impactof10010100%使用安全套項(xiàng)目的效果，湖南Impactof100%CUP,HunanCHINAMOH100%使用安全套項(xiàng)目的效果，湖南Impactof10011100%使用安全套項(xiàng)目的效果，海南Impactof100%CUP,Hainan

安全套使用率Condomuseatlastsexbysexworker:17%/2002.9,65%/2003.9性病感染率STIratesamongsexworkers:2002.92003.9衣原體Chlamydia11%6.6%梅毒Syphilis8%4%淋病Gonorrhea4%2.5%HIV0%0%CHINAMOH100%使用安全套項(xiàng)目的效果，海南Impactof10012經(jīng)驗(yàn)和體會(huì)Lessonslearned政府牽頭,衛(wèi)生為主,公安支持,其他配合

Govn’tleads,healthcoordinates,policesupports,EEscooperate持續(xù)倡導(dǎo)Advocatingbenefitsofstakeholders引導(dǎo)媒體Involvingmassmedia推廣‘安全’不誤導(dǎo)‘賣(mài)淫合法’Beingrealisticbutnotcreatingfalsehopeof‘legalizingsexwork’輻射作用‘Spillingeffect’(Goodreputation,praisedbyupperauthority,othercities/countiestofollow)CHINAMOH經(jīng)驗(yàn)和體會(huì)Lessonslearned政府牽頭,衛(wèi)生為主,13100%CUP與社會(huì)關(guān)注問(wèn)題

CUPandcontroversialissuesCUP與公安執(zhí)法workingwithpolicepossibleandeffective性工作增加?increaseofSW?青少年不良影響?negativeimpactonyouthnotobserved社會(huì)/媒體的態(tài)度community/mediaattitudeCHINAMOH100%CUP與社會(huì)關(guān)注問(wèn)題

CUPandcontro14合作程度的評(píng)估AssessinglevelsofEEcooperationLevel1:口頭承諾 verbalindicationofsupportLevel2:允許掛圖 allowingcondompostersLevel3:同意現(xiàn)場(chǎng)干預(yù)existingon-site education-IEC/BCC/

outreacheffortsLevel4:保障安全套供應(yīng) EnsuringcondomavailabilityLevel5:確保無(wú)‘不安全’行為 Ensuring‘nocondomnosex’CHINAMOH合作程度的評(píng)估AssessinglevelsofEE15為什么100%CUP有效

WhyCUPeffective?政策支持Supportingpolicy綜合策略Comprehensiveapproach廣泛覆蓋Highcoverage投入少見(jiàn)效快（可持續(xù)可推廣）Acheapandrapidstrategy(sustainable,replicable)CHINAMOH為什么100%CUP有效

WhyCUPeffectiv16下一步推廣項(xiàng)目計(jì)劃

Nextstepinpartnership完成國(guó)家推廣指南制定

Finalizingnational

guide

(2003.12)階段性推廣計(jì)劃:(4個(gè)省,UNFPA/計(jì)生系統(tǒng),

Future’sGroup(China),SIDA,

世界銀行WB,

衛(wèi)九項(xiàng)目,歐盟EU,UNDP領(lǐng)導(dǎo)開(kāi)發(fā)項(xiàng)目) Expansioninlinewithexistingprojects以127個(gè)國(guó)家的艾滋病綜合防治示范區(qū)為平臺(tái)逐步推廣覆蓋到全國(guó)ChinaCAREs

其他othersCHINAMOH下一步推廣項(xiàng)目計(jì)劃

Nextstepinpartner17“I’mnotsellingsex.I’msellingcondomsandofferingfreedemonstrations.”SexworkerempoweredCHINAMOH“I’mnotsellingsex.I’msel18中國(guó)-WHO100%安全套推廣項(xiàng)目:策略和經(jīng)驗(yàn)China-WHO100%condomuseprogram:strategyandexperience趙鵬飛世界衛(wèi)生組織駐華代表處DrProfZHAOPengfeiWHOCHINAChengdu,Dec17-192003CHINAMOH中國(guó)-WHO100%安全套推廣項(xiàng)目:CHINAMOH19Chronologyof100%CUP

inChinaMOHagreedtopilotStep1:twopilotsitesSteptwo:twonewsitesStep3:developmentofNationalguide-selectiveexpansion(UNFPA,WBHealth9,China-UK)NationaldisseminationseminarofChina100%CUP-1stQuarter2004Nationalscalingupinpartnership20002001200220032004andbeyondCHINAMOHChronologyof100%CUP

inChi20性工作者Sexworkers年輕人youth其他others醫(yī)/技人員?Science/tech會(huì)議/療養(yǎng)人員mtgparticipants流動(dòng)人口農(nóng)民Floatingpop商人businessmen軍人Police/military政務(wù)管理工作人員Publicservants100%安全套使用項(xiàng)目提供阻斷HIV性傳播的機(jī)會(huì)StoppingHIVTransmissionThrough100%CUP100%CUP安全百分百CHINAMOH性工作者年輕人其他醫(yī)/技會(huì)議/療養(yǎng)流動(dòng)人口商人軍人政務(wù)管理121100%安全套使用項(xiàng)目?Whatis100%CUP?100%的性工作者用套100%ofsexworkers-sexualrelations

100%的性工作時(shí)間里用套100%ofthetimeofsexwork100%的場(chǎng)所推廣用套100%ofentertainmentestablishments三個(gè)百分百Three100%CHINAMOH100%安全套使用項(xiàng)目?三個(gè)百分百Three100%CHI22100%安全套使用項(xiàng)目要素

understanding100%CondomUseProgramme依賴(lài)政府牽頭的多部門(mén)合作-強(qiáng)力實(shí)施當(dāng)?shù)赜姓連asedonreinforcementofGovernmentPOLICIES(Law,regulation,decrees,etc..):目標(biāo)是場(chǎng)所而非性工作者targetingEEs規(guī)范環(huán)境,確保場(chǎng)所合作給弱勢(shì)人群賦權(quán)monopolizingenvironment&empoweringSexWorkersMonitoringcondomuseandSTIcases監(jiān)測(cè)安全套使用和STI病例數(shù)確保行為的安全,無(wú)疾病傳播Ensuringsafety(‘NOCONDOM-NOSEX’)CHINAMOH100%安全套使用項(xiàng)目要素

understanding1023中央有關(guān)文件政府五項(xiàng)承諾FivecommitmentsatUNGASS2003.9

CHINAMOH中央有關(guān)文件政府五項(xiàng)承諾Fivecommitments24100%安全套項(xiàng)目的評(píng)估

Evaluationof100%CondomUseProgramme過(guò)程Process結(jié)果Outcome影響Impact評(píng)估EVALUATION安全套銷(xiāo)量e.g.condomsales安全套使用率e.g.condomuserate性病/艾滋病感染率e.g.STI/HIVprevalence指標(biāo)INDICATORSCHINAMOH100%安全套項(xiàng)目的評(píng)估

Evaluationof100%25實(shí)施步驟SixstepstostartaCUP評(píng)估當(dāng)?shù)豀IV的危險(xiǎn)因素和潛在性的危險(xiǎn)因素AppraisalofHIVrisk/potentialrisk組織建立領(lǐng)導(dǎo)小組,項(xiàng)目辦公室和督導(dǎo)和評(píng)估小組Organizations-leadinggroup,PMO,M&Eteam舉辦政策倡導(dǎo)會(huì),發(fā)布會(huì)等advocacyefforts-mtg,bulletins,etc項(xiàng)目計(jì)劃(改善安全套供應(yīng),STI監(jiān)測(cè)門(mén)診)Programplanning/policyformation實(shí)施（政策落實(shí),評(píng)估指標(biāo))Operation(implementationofpolicy,indicators)督導(dǎo)和評(píng)估MonitoringandevaluationCHINAMOH實(shí)施步驟SixstepstostartaCUP評(píng)估26100%使用安全套項(xiàng)目的效果，武漢Impactof100%CUP,ChinaYearYearCHINAMOH100%使用安全套項(xiàng)目的效果，武漢Impactof1027100%使用安全套項(xiàng)目的效果，江蘇Impactof100%CUP,Jiangsu

YearCHINAMOH100%使用安全套項(xiàng)目的效果，江蘇Impactof10028100%使用安全套項(xiàng)目的效果，湖南Impactof100%CUP,HunanCHINAMOH100%使用安全套項(xiàng)目的效果，湖南Impactof10029100%使用安全套項(xiàng)目的效果，海南Impactof100%CUP,Hainan

安全套使用率Condomuseatlastsexbysexworker:17%/2002.9,65%/2003.9性病感染率STIratesamongsexworkers:2002.92003.9衣原體Chlamydia11%6.6%梅毒Syphilis8%4%淋病Gonorrhea4%2.5%HIV0%0%CHINAMOH100%使用安全套項(xiàng)目的效果，海南Impactof10030經(jīng)驗(yàn)和體會(huì)Lessonslearned政府牽頭,衛(wèi)生為主,公安支持,其他配合

Govn’tleads,healthcoordinates,policesupports,EEscooperate持續(xù)倡導(dǎo)Advocatingbenefitsofstakeholders引導(dǎo)媒體Involvingmassmedia推廣‘安全’不誤導(dǎo)‘賣(mài)淫合法’Beingrealisticbutnotcreatingfalsehopeof‘legalizingsexwork’輻射作用‘Spillingeffect’(Goodreputation,praisedbyupperauthority,othercities/countiestofollow)CHINAMOH經(jīng)驗(yàn)和體會(huì)Lessonslearned政府牽頭,衛(wèi)生為主,31100%CUP與社會(huì)關(guān)注問(wèn)題

CUPandcontroversialissuesCUP與公安執(zhí)法workingwithpolicepossibleandeffective性工作增加?increaseofSW?青少年不良影響?negativeimpactonyouthnotobserved社會(huì)/媒體的態(tài)度community/mediaattitudeCHINAMOH100%CUP與社會(huì)關(guān)注問(wèn)題

CUPandcontro32合作程度的評(píng)估AssessinglevelsofEEcooperationLevel1:口頭承諾 verbalindicationofsupportLevel2:允許掛圖 allowingcondompostersLevel3:同意現(xiàn)場(chǎng)干