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1、HIV/AIDS AND DISABILITY IN JAMAICABy Marigold J. Thorburn, MD25/07/20241HIV/AIDS AND DISABILITY IN JAMAICATHE CURRENT SITUATION IN THE COUNTRY25/07/20242HIV/AIDS IN JAMAICACourtesy of Dr Peter FigueroaSero-prevalence among adults 1.5%Estimated No. with HIV/AIDS 22,000No. of persons in need of ARV 6,
2、000No. of persons currently on ARV 1,50025/07/20243HIV/AIDS IN JAMAICA ChallengesAchieving behaviour change safe sexAccess to anti-retroviral drugsContinued discrimination and stigmaWidespread complacency & inertia in the society concerning AIDSNeed to strengthen leadership at all levels25/07/20244H
3、IV/AIDS IN JAMAICAMost of the persons living with HIV do not know that they are infectedWe need to significantly increase both provider and client initiated HIV testing:25/07/20245HIV/AIDS AND DISABILITYNo special facilities or programmes for persons with disabilitiesIn theory they have access to an
4、y health facility25/07/20246HIV/AIDS AND DISABILITYSince 2004 there has been a programme supported by the EU and UNFPA for improvements in sexual and reproductive health for adolescents with disabilities25/07/20247HIV/AIDS AND DISABILITY1.SAFE MOTHERHOOD2.FAMILY PLANNING3.REDUCTION OF INCIDENCE OF S
5、TDs4.REDUCING HIV/AIDS25/07/20248HIV/AIDS AND DISABILITYBARRIERS FOR PERSONS WITH DISABILITIESIndependent SRH learningAssisted SRH learningEffective SRH service delivery25/07/20249HIV/AIDS AND DISABILITYThere are no prevalence figures specifically for HIV/AIDS in persons with disabilities25/07/20241
6、0HIV/AIDS AND DISABILITYDevelopment of materials on SRH appropriate for use with persons with disabilities.Sensitization of health service providers, social workers and the general public on SRH needs for persons with disabilities. Strengthening the capacity of parents of adolescents with disabiliti
7、es and community members to support the SRH needs of their children25/07/202411HIV/AIDS AND DISABILITYSRH PROJECT FOR ADOLESCENTS WITH DISABILITIES:Completed so far:KVAP qualitative study on 4 disability groupsMaterials for parents and AWDs25/07/202412HIV/AIDS AND DISABILITYMAIN KVAP FINDINGS ON STD
8、sGirls more knowledgeable than boysAware of importance of HIV/AIDS but range of knowledge poorCondoms identified as the best means of preventionAgreed with voluntary HIV testingAware of where to get services 25/07/202413HIV/AIDS AND DISABILITYThis initiative should lead the way to the SRH needs of p
9、ersons with disabilities being met better through the regular health programmes.This combined with the increasing resources being put into HIV/AIDS should have benefits for PWDs25/07/202414HIV/AIDS AND DISABILITYContinued cooperation and coordination between The National Family Planning Board and Or
10、ganisations in the disability sector 25/07/202415HIV/AIDS AND DISABILITYBARRIERS TO INCLUDING PWDs IN REGULAR AIDS PROGRAMMESMyths about the sexuality of PWDsAttitudes of health care workers including pharmacists about providing contraceptives and other adviceReluctance of parents and personnel to talk about the subject25/07/202416HIV/AIDS AND DISABILITYNEXT STEPSvImplementation of educational programmes in the special education services for AWDs and parentsvEncouraging and funding the Combined Disabilities Association to develop educational programmes to reach all PWDs25/07/202417
