100安全套推广项目

中国-WHO100%平安套推行工程:战略和阅历China-WHO100%condomuseprogram:strategyandexperience赵鹏飞世界卫生组织驻华代表处DrProfZHAOPengfeiWHOCHINAChengdu,Dec17-192003ChinaCUPExperience,2003Chronologyof100%CUP

inChinaMOHagreedtopilotStep1:twopilotsitesSteptwo:twonewsitesStep3:developmentofNationalguide-selectiveexpansion(UNFPA,WBHealth9,China-UK)NationaldisseminationseminarofChina100%CUP-1stQuarter2004Nationalscalingupinpartnership20002001200220032004andbeyondChinaCUPExperience,2003性任务者Sexworkers年轻人youth其他others医/技人员?Science/tech会议/疗养人员mtgparticipants流动人口农民Floatingpop商人businessmen军人Police/military政务管理任务人员Publicservants100%平安套运用工程提供阻断HIV性传播的时机StoppingHIVTransmissionThrough100%CUP100%CUP平安百分百ChinaCUPExperience,2003100%平安套运用工程?Whatis100%CUP?100%的性任务者用套100%ofsexworkers-sexualrelations100%的性任务时间里用套100%ofthetimeofsexwork100%的场所推行用套100%ofentertainmentestablishments三个百分百Three100%ChinaCUPExperience,2003100%平安套运用工程要素

understanding100%CondomUseProgramme依赖政府牵头的多部门协作-强力实施当地有政策BasedonreinforcementofGovernmentPOLICIES(Law,regulation,decrees,etc..):目的是场所而非性任务者targetingEEs规范环境,确保场所协作给弱势人群赋权monopolizingenvironment&empoweringSexWorkersMonitoringcondomuseandSTIcases监测平安套运用和STI病例数确保行为的平安,无疾病传播Ensuringsafety(‘NOCONDOM-NOSEX’)ChinaCUPExperience,2003中央有关文件政府五项承诺FivecommitmentsatUNGASS2003.9ChinaCUPExperience,2003100%平安套工程的评价

Evaluationof100%CondomUseProgramme过程Process结果Outcome影响Impact评价EVALUATION平安套销量e.g.condomsales平安套运用率e.g.condomuserate性病/艾滋病感染率e.g.STI/HIVprevalence目的INDICATORSChinaCUPExperience,2003实施步骤SixstepstostartaCUP评价当地HIV的危险要素和潜在性的危险要素AppraisalofHIVrisk/potentialrisk组织建立指点小组,工程办公室和督导和评价小组Organizations-leadinggroup,PMO,M&Eteam举行政策倡导会,发布会等advocacyefforts-mtg,bulletins,etc工程方案(改善平安套供应,STI监测门诊)Programplanning/policyformation实施〔政策落实,评价目的)Operation(implementationofpolicy,indicators)督导和评价MonitoringandevaluationChinaCUPExperience,2003100%运用平安套工程的效果，武汉Impactof100%CUP,ChinaYearYearChinaCUPExperience,2003100%运用平安套工程的效果，江苏Impactof100%CUP,Jiangsu

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

平安套运用率Condomuseatlastsexbysexworker:17%/2002.9,65%/2003.9性病感染率STIratesamongsexworkers:2002.92003.9衣原体Chlamydia11%6.6%梅毒Syphilis8%4%淋病Gonorrhea4%2.5%HIV0%0%ChinaCUPExperience,2003阅历和领会Lessonslearned政府牵头,卫生为主,公安支持,其他配合 Govn’tleads,healthcoordinates,policesupports,EEscooperate继续倡导Advocatingbenefitsofstakeholders引导媒体Involvingmassmedia推行‘平安’不误导‘卖淫合法’Beingrealisticbutnotcreatingfalsehopeof‘legalizingsexwork’辐射作用‘Spillingeffect’(Goodreputation,praisedbyupperauthority,othercities/countiestofollow)ChinaCUPExperience,2003100%CUP与社会关注问题

CUPandcontroversialissuesCUP与公安执法workingwithpolicepossibleandeffective性任务添加?increaseofSW?青少年不良影响?negativeimpactonyouthnotobserved社会/媒体的态度community/mediaattitudeChinaCUPExperience,2003协作程度的评价AssessinglevelsofEEcooperationLevel1:口头承诺 verbalindicationofsupportLevel2:允许挂图 allowingcondompostersLevel3:赞同现场干涉existingon-site education-IEC/BCC/outreacheffortsLevel4:保证平安套供应 EnsuringcondomavailabilityLevel5:确保无‘不平安’行为 Ensuring‘nocondomnosex’ChinaCUPExperience,2003为什么100%CUP有效

WhyCUPeffective?政策支持Supportingpolicy综合战略Comprehensiveapproach广泛覆盖Highcoverage投入少见效快〔可继续可推行〕Acheapandrapidstrategy(sustainable,replicable)ChinaCUPExperience,2003下一步推行工程方案

Nextstepinpartnership完成国家推行指南制定 Finalizingnationalguide (2003.12)阶段性推行方案:(4个省,UNFPA/计生系统,Future’sGroup(China),SIDA,世界银行WB,卫九工程,欧盟EU,UNDP指点开发工程) Expansioninlinewithexistingprojects以127个国家的艾滋