100安全套推廣項目

中國-WHO100%平安套推行工程:戰(zhàn)略和閱歷China-WHO100%condomuseprogram:strategyandexperience趙鵬飛世界衛(wèi)生組織駐華代表處DrProfZHAOPengfeiWHOCHINAChengdu,Dec17-192003ChinaCUPExperience,2003Chronologyof100%CUP

inChinaMOHagreedtopilotStep1:twopilotsitesSteptwo:twonewsitesStep3:developmentofNationalguide-selectiveexpansion(UNFPA,WBHealth9,China-UK)NationaldisseminationseminarofChina100%CUP-1stQuarter2004Nationalscalingupinpartnership20002001200220032004andbeyondChinaCUPExperience,2003性任務(wù)者Sexworkers年輕人youth其他others醫(yī)/技人員?Science/tech會議/療養(yǎng)人員mtgparticipants流動人口農(nóng)民Floatingpop商人businessmen軍人Police/military政務(wù)管理任務(wù)人員Publicservants100%平安套運用工程提供阻斷HIV性傳播的時機(jī)StoppingHIVTransmissionThrough100%CUP100%CUP平安百分百ChinaCUPExperience,2003100%平安套運用工程?Whatis100%CUP?100%的性任務(wù)者用套100%ofsexworkers-sexualrelations100%的性任務(wù)時間里用套100%ofthetimeofsexwork100%的場所推行用套100%ofentertainmentestablishments三個百分百Three100%ChinaCUPExperience,2003100%平安套運用工程要素

understanding100%CondomUseProgramme依賴政府牽頭的多部門協(xié)作-強(qiáng)力實施當(dāng)?shù)赜姓連asedonreinforcementofGovernmentPOLICIES(Law,regulation,decrees,etc..):目的是場所而非性任務(wù)者targetingEEs規(guī)范環(huán)境,確保場所協(xié)作給弱勢人群賦權(quán)monopolizingenvironment&empoweringSexWorkersMonitoringcondomuseandSTIcases監(jiān)測平安套運用和STI病例數(shù)確保行為的平安,無疾病傳播Ensuringsafety(‘NOCONDOM-NOSEX’)ChinaCUPExperience,2003中央有關(guān)文件政府五項承諾FivecommitmentsatUNGASS2003.9ChinaCUPExperience,2003100%平安套工程的評價

Evaluationof100%CondomUseProgramme過程Process結(jié)果Outcome影響Impact評價EVALUATION平安套銷量e.g.condomsales平安套運用率e.g.condomuserate性病/艾滋病感染率e.g.STI/HIVprevalence目的INDICATORSChinaCUPExperience,2003實施步驟SixstepstostartaCUP評價當(dāng)?shù)豀IV的危險要素和潛在性的危險要素AppraisalofHIVrisk/potentialrisk組織建立指點小組,工程辦公室和督導(dǎo)和評價小組Organizations-leadinggroup,PMO,M&Eteam舉行政策倡導(dǎo)會,發(fā)布會等advocacyefforts-mtg,bulletins,etc工程方案(改善平安套供應(yīng),STI監(jiān)測門診)Programplanning/policyformation實施〔政策落實,評價目的)Operation(implementationofpolicy,indicators)督導(dǎo)和評價MonitoringandevaluationChinaCUPExperience,2003100%運用平安套工程的效果，武漢Impactof100%CUP,ChinaYearYearChinaCUPExperience,2003100%運用平安套工程的效果，江蘇Impactof100%CUP,Jiangsu

YearChinaCUPExperience,2003100%運用平安套工程的效果，湖南Impactof100%CUP,HunanChinaCUPExperience,2003100%運用平安套工程的效果，海南Impactof100%CUP,Hainan

平安套運用率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%ChinaCUPExperience,2003閱歷和領(lǐng)會Lessonslearned政府牽頭,衛(wèi)生為主,公安支持,其他配合 Govn’tleads,healthcoordinates,policesupports,EEscooperate繼續(xù)倡導(dǎo)Advocatingbenefitsofstakeholders引導(dǎo)媒體Involvingmassmedia推行‘平安’不誤導(dǎo)‘賣淫合法’Beingrealisticbutnotcreatingfalsehopeof‘legalizingsexwork’輻射作用‘Spillingeffect’(Goodreputation,praisedbyupperauthority,othercities/countiestofollow)ChinaCUPExperience,2003100%CUP與社會關(guān)注問題

CUPandcontroversialissuesCUP與公安執(zhí)法workingwithpolicepossibleandeffective性任務(wù)添加?increaseofSW?青少年不良影響?negativeimpactonyouthnotobserved社會/媒體的態(tài)度community/mediaattitudeChinaCUPExperience,2003協(xié)作程度的評價AssessinglevelsofEEcooperationLevel1:口頭承諾 verbalindicationofsupportLevel2:允許掛圖 allowingcondompostersLevel3:贊同現(xiàn)場干涉existingon-site education-IEC/BCC/outreacheffortsLevel4:保證平安套供應(yīng) EnsuringcondomavailabilityLevel5:確保無‘不平安’行為 Ensuring‘nocondomnosex’ChinaCUPExperience,2003為什么100%CUP有效

WhyCUPeffective?政策支持Supportingpolicy綜合戰(zhàn)略Comprehensiveapproach廣泛覆蓋Highcoverage投入少見效快〔可繼續(xù)可推行〕Acheapandrapidstrategy(sustainable,replicable)ChinaCUPExperience,2003下一步推行工程方案

Nextstepinpartnership完成國家推行指南制定 Finalizingnationalguide (2003.12)階段性推行方案:(4個省,UNFPA/計生系統(tǒng),Future’sGroup(China),SIDA,世界銀行WB,衛(wèi)九工程,歐盟EU,UNDP指點開發(fā)工程) Expansioninlinewithexistingprojects以127個國家的艾滋