CROSS-CUTTING ISSUES IN HIV-AIDS

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CROSS-CUTTING ISSUES IN HIV-AIDS

• Antoine Augustin MD, MPH
• May 2004

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HIV Prevalence among Pregnant Women, Haiti,
1993-2003
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CONCEPTUAL FRAMEWORK

• RISK REDUCTION
• VULNERABILITY REDUCTION
• IMPACT REDUCTION

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RISK FACTORS

• Early sexual initiation
• Unsafe sex
• Sexually transmitted infections
• Multiple partners
• Age mix
• Vertical transmission
• Commercial sex workers

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VULNERABILITY

• Women
• Youth
• restavek
• street children
• Migrant workers
• Beliefs, gender, cultural and economic factors

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IMPACT

• Access to treatment
• Economic impact
• Support services
• Stigma/human rights

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Cross-cutting issues

• -equity issues
• -gender
• -education and culture
• -health
• -infrastructure (access to services)
• roads, transport)

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Cross-cutting issues (contd)

• -Social services
• -Employment
• -Credit
• -Access to services
• -Food security
• -Water/sanitation/waste management
• -Governance (Legislation)

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TG SOW OPTIONS

• Review each theme and its HIV-AIDS Implication
• Assist each thematic group in formulating
  HIV-AIDS component
• Review thematic group texts and analyze their
  HIV-AIDS implications

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Issues

• Intra-donor internal aid package coherence, e.g.
• Inter-donor aid package coherence, e.g.
• Time limitation (2 years)
• Direct versus trickle down orientation
• (eg MENJS, MCF, MAS, MIC, MEN)

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Coordination Mechanisms

• Multi-sector Governance council
• Multi-sector operational unit (UCC)
• Multi-sector operational plan
• Comprehensive budget