Work Plan of the World Association for Sexology and the Pan American Health Association

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Work Plan of the World Association for Sexology
and the Pan American Health Association
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Mission The World Association for Sexology
promotes sexual health throughout the world and
lifespan by developing, promoting and supporting
sexology and sexual rights.
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Founded in 1978, WAS accomplishes this by
advocacy actions, networking, facilitating the
exchange of information, ideas and experiences
and advancing scientifically based sexuality
research, sexuality education and clinical
sexology, with a transdiciplinary approach.
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14th World Congress of Sexology Hong Kong - 1999

• First World Congress to be held on Chinese soil
• Historic approval of the WAS Declaration of
  Sexual Rights

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15th World Congress of Sexology Paris - 2001

• Largest World Congress in the History of WAS
• First to have significant international
  co-sponsorship including WHO

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(No Transcript)
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17th World CongressMontreal, CanadaPierre
Assalian - President
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Declaration of Sexual Rights

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Declaration of Sexual Rights

• Sexual rights are universal human rights based on
  the inherent freedom, dignity, and equality of
  all human beings. Since health is a fundamental
  human right, so must sexual health be a basic
  human right. In order to assure that human
  beings and societies develop healthy sexuality,
  the following sexual rights must be recognized,
  promoted, respected, and defended by all
  societies through all means. Sexual health is
  the result of an environment that recognizes,
  respects and exercises these sexual rights.
• Approved by the General Assembly of the
• World Association for Sexology (WAS) on
• August 26th, 1999

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WAS began to more significant roles in meeting
the challenges of promoting sexual health in the
new millennium.
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WAS was accepted into official relations with the
Pan American Health Organization of the Region of
the AmericasJune 26, 2001
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Call to ActionPromoting Sexual Health and
Responsible Sexual Behavior

• Officials of WAS and PAHO worked in significant
  roles and advisors to the U.S. Surgeon General to
  develop a national strategy to promote sexual
  health and responsible sexual behavior

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• Scientific Editors were Eli Coleman, Janet Hyde
  and Michael Ross

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David Satcher, M.D.
http//www.surgeongeneral.gov/library/sexual
health
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Developing Global Strategies to Promote Sexual
Health

• In 1975, the World Health Organization (WHO)
  produced a historic document.
• It called upon societies to provide the
  necessary sexuality education, counseling, and
  therapy to promote sexual health and to provide
  necessary training for health professionals.
• This document also served as a stimulus for the
  development of the field of sexology and sexual
  resources centers throughout the world.
• It contained a basic definition of sexual health.
  

http//www2.hu-berlin.de/sexology
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PAHO-WAS Initiative

• Expert meeting on revising the 1975 WHO document
  training of sexual health professionals -
  defining sexual health and how to promote it
• Antigua Guatamala, Guatemala, May 19-22, 2000

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The initial draft was prepared by Eusebio
Rubio-Aurioles(México) with the assistance of
Esther Corona (México) and Eli Coleman (USA)
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ParticipantsLaura Asturias, Feminist Newsletter
"La Cuerda, GuatemalaJuan José Borrás Valls,
Jaume I University, SpainCecilia Cardinal de
Martín, Latin American and Caribbean Regional
Committee for Sex Education (CRESALC),
ColombiaEli Coleman, University of Minnesota,
USAEsther Corona Vargas, Mexican Association
for Sex Education (AMES), MexicoMarc Ganem,
French Society of Clinical Sexology (SFSC),
FranceDebra Haffner, Sexuality Information and
Education Council of the United States (SIECUS),
USARubén Hernández Serrano, Central University
of Venezuela,VenezuelaAna Luisa Liguori, John D.
and Catherine T. MacArthur Foundation,
MéxicoEleanor Maticka-Tyndale, Univesity of
Windsor, CanadaAlexander McKay, Sex Information
and Education Council of Canada (SIECCAN),
Canada
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Frans Mom, HIVOS, The NetherlandsEmil Man Lun
Ng, Hong Kong Sex Education Association,
ChinaAminta Parra Colmenares, Central
University of Venezuela, VenezuelaMaria Pérez
Conchillo, ESPILL Institute of Sexology,
Psychology and Medicine, SpainOswaldo M.
Rodrigues, Center for the Studies and Research in
Human Behavior and Sexuality (CEPCoS),
BrazilRodolfo Rodríguez Casteló, Catholic
University of Guayaquil Ecuador, EcuadorB. R.
Simon Rosser, University of Minnesota,
USAEusebio Rubio Aurioles, AMSSAC,
MéxicoWilliam R. Stayton, Widener University,
USAEsiet Uwemedimo Uko, Action Health
Incorporated, NigeriaBernardo Useche, University
of Caldas, Colombia Members of the World
Association for Sexology (WAS) Advisory Board
Members of the Executive Committee of the Latin
American Federation of Sexology and Sexual
Education (FLASSES) which is one of the regional
federations of the WAS.
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Developing Regional StrategiesPan American
Health Organization

• New definitions of sex, sexuality and sexual
  health and promoting the following regional goals
  and strategies
• Promote sexual health
• Provide comprehensive sexuality education
• Provide education, training, and support to
  professionals
• Develop and provide access to comprehensive
  sexual health care services
• Promote and sponsor research.

http//www.paho.org/English/HCP/HCA/PromotionSexual
Health.pdf http//www.paho.org/Spanish/HCP/HCA/sal
ud_sexual.pdf
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Developing Global StrategiesWorld Health
Organization

• WHO held an international consultation to discuss
  approaches and strategies for promoting sexual
  health
• To elaborate new working definitions of sex,
  sexuality, sexual health and sexual rights
• To serve as a basis for countries to develop
  their own strategies

Geneva, January 28-31,2002
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WHO - Geneva Collaboration

• Global document - Consultation in January 2002
• Esther Corona, Eli Coleman, Rafael Mazin and WHO
  wrote initial draft
• Commissioned background papers from around the
  world

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New working definitions of sex, sexuality, sexual
health and sexual rights

• http//www.who.int/reproductive-health/gender/sexu
  al_health.html

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Sex

• Sex refers to the biological characteristics
  which define humans as female or male.These
  sets of biological characteristics are not
  mutually exclusive as there are individuals who
  possess both, but these characteristics tend to
  differentiate humans as males and females. In
  general use in many languages, the term sex is
  often used to mean "sexual activity", but for
  technical purposes in the context of sexuality
  and sexual health discussions, the above
  definition is preferred.

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Sexuality

• Sexuality is a central aspect of being human
  throughout life and encompasses sex, gender
  identities and roles, sexual orientation,
  eroticism, pleasure, intimacy and reproduction.
  Sexuality is experienced and expressed in
  thoughts, fantasies, desires, beliefs, attitudes,
  values, behaviours, practices, roles and
  relationships. While sexuality can include all of
  these dimensions, not all of them are always
  experienced or expressed. Sexuality is influenced
  by the interaction of biological, psychological,
  social, economic, political, cultural, ethical,
  legal, historical and religious and spiritual
  factors.

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Sexual Health

• Sexual health is a state of physical, emotional,
  mental and social well-being related to
  sexuality it is not merely the absence of
  disease, dysfunction or infirmity. Sexual health
  requires a positive and respectful approach to
  sexuality and sexual relationships, as well as
  the possibility of having pleasurable and safe
  sexual experiences, free of coercion,
  discrimination and violence. For sexual health to
  be attained and maintained, the sexual rights of
  all persons must be respected, protected and
  fulfilled.

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Sexual Rights

• Sexual rights embrace human rights that are
  already recognized in national laws,
  international human rights documents and other
  consensus documents. These include the right of
  all persons, free of coercion, discrimination and
  violence, to

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Sexual Rights

• the highest attainable standard of health in
  relation to sexuality, including access to sexual
  and reproductive health care services
• seek, receive and impart information in relation
  to sexuality
• sexuality education
• respect for bodily integrity
• choice of partner
• decide to be sexually active or not
• consensual sexual relations
• consensual marriage
• decide whether or not, and when to have children
  and
• pursue a satisfying, safe and pleasurable sexual
  life.
• The responsible exercise of human rights requires
  that all persons respect the rights of others.

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New working definitions of sex, sexuality, sexual
health and sexual rights

• http//www.who.int/reproductive-
• health/gender/sexual_health.html

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Sexual Health Promotion and HIV Prevention with
Indigenous/Aboriginal/Native Peoples and
Communities in the Americas

• A Regional Consultation
• Isla Margarita, Venezuela
• October 13-14, 2002

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Objectives of the Consultation

• 1.Characterization of HIV/STI as a public health
  problem among indigenous communities in the
  Americas
• 2.Description of determinants of risk for HIV/STI
  and protective factors among indigenous
  communities in the Region

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Objectives of the Consultation

• 3.Identification of barriers that prevent
  implementation of effective interventions
• 4.Description of evidence-based, culturally
  appropiate interventions

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Objectives of the Consultation

• 5.Development of goals and strategies for
  prevention of STI/HIV through promotion of sexual
  health
• 6.Identification of resources to implement
  effective intervention

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Outcomes of the Consultation

• Reference document on goals and strategies to
  promote sexual health and prevent HIV/STI with
  indigenous communities
• Comprehensive inventory of resources

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ADDRESSING "SPECIAL POPULATIONS." THE SUCCESS
STORY OF CARA a CARA

• B. R. Simon Rosser, Ph.D, M.PH.1
• Rafael Mazin, M.D., M.P.H.1
• Eli Coleman, Ph.D.
• Ernie Rivera
• 1 HIV/STI Intervention and Prevention Studies
  Center (HIPS)
• Program in Human Sexuality (PHS)
• University of Minnesota Medical School
• March 13, 2003
• La Habana, Cuba

HIPS Center
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Background

• Despite the fact that the HIV epidemic
  disproportionately affects men who have sex with
  men (and particularly Latino MSM) in the Americas
  very little efforts have been made to train
  workers in developing effective techniques to
  address the needs of men who have sex with men
  (MSM)

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Cara a Cara - Face to Face An Advanced
Training Course in Sexual Health Promotion for
HIV/STD Prevention Workers and Community Leaders
Targeting Men who have Sex with
MenSeminario-Taller de capacitación en promoción
de la salud sexual Dirigido a trabajadores de
prevención de VIH/ETS y Líderes de la comunidad
que trabajan con los hombres que tienen
relaciones sexuales con otros Hombres
B. R. Simon Rosser, Ph.D., M.P.H., Rafael Mazin,
M.D. Eli Coleman, Ph. D., L.P.
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Propósito de Cara a Cara Purpose of
Face-to-Face

• 1. A new training program for HIV/STD prevention
  staff who target men who have sex with men and
  other community leaders.
• 2. To focus on the long-term HIV/STD sexual
  health promotion of men who have sex with men.

1. Programa para trabajadores en la prevención de
VIH/ETS en hombres que tienen sexo con hombres y
otros líderes de comunidad. 2. Enfoque en la
promoción de salud sexual sobre VIH/ETS a largo
plazo en HSH.
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Durante los 5 dias, pedimos a los participantes
a 1. Enfocarse en los problemas de salud sexual
en hombres que tienen sexo con hombres.
Over 5 days, we ask participants to 1. Focus on
the sexual health concerns of men who have sex
with men.
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2. Crear redes trabajando con tus compañeros en
grupos pequeños.
2. Develop networks by working together in small
groups.
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3. Desarrollar su visión de prevención de VIH
para HSH gay y bi.
3. Develop their vision of HIV prevention for
gay/bi/MSM
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Perspectiva general /Overview

• Día
• 1. Prevención de VIH en Hombres que tienen Sexo
  con Hombres
• -principios básicos
• -historia de prevención en HSH
• -modelo de salud sexual
• 2. Nuevas vías de prevención de VIH
• - cruce cultural
• - sexología clínica
• - ética

• Day
• 1. MSM HIV prevention
• principles,
• history of MSM prevention
• sexual health model
• Day 2. New Approaches to HIV Prevention
• cross-cultural
• clinical sexology
• ethics

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Perspectiva general /Overview

• Día
• 3. 4 De hombre a hombre seminarios sobre salud
  sexual.
• -Salud sexual de manera comprensiva y contextual
  en HSH
• 5. Plan
• - perspectiva ética
• - presentación del plan
• - evaluación

• 3 4. Man-to-Man Sexual Health Seminars.
• Comprehensive, contextual sexual health for MSM
• 5. Planning
• ethical perspectives
• presenting the plan
• evaluation

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MAN TO MAN

• SEXUAL HEALTH SEMINARS

Exploring Intimacy Between Men
de Hombre a Hombre Seminarios sobre salud
sexual Explorando intimidad entre hombres
Chapter 13 Cac2000_13
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Planeando el Plan Tarea Planning the Plan
Assignment
Al 5 día, se les pedirá a cada grupo de 4-6
personas que presenten un plan de prevención de
VIH/ETS para HSH (10 min.). Debe incluir
a. intervenciones personales
b. intervenciones individuales
c. actividades en grupo
d. actividades de la comunidad gay/HSH
e. intervenciones
estructurales
On Day 5, each group of 4-6 are asked to present
a plan of HIV/STD prevention for MSM (10 min).
This should include a. personal interventions b.
individual interventions c. group activities d.
gay/MSM community-wide activities e. structural
interventions
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Taller Estado del Arte en Desarrollo de Programas
de Salud Sexual Reproductiva en Adolecentes y
Jovenes

• Cuidad de Panamá
• Panamá
• 13-14 Octubre, 2003

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Adolescent Sexual Health in Latin America and
the CaribbeanAdvisory Group Meeting

• Panama City
• Panama
• 13-14 October, 2003

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(No Transcript)
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Potential Further Developments

• Expand Cara a Cara into other Spanish speaking
  countries.
• Adapt Cara a Cara to target other HIV prevention
  efforts among Afro-descendents, indigenous
  populations.
• Adapt Cara a Cara to target prevention workers in
  other challenging areas reproductive health,
  sex workers, IV Drug Users, sexual aggressors
• A useful model to train prevention workers in
  promoting sexual health.