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What do We Know Do We really Know

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Title: What do We Know Do We really Know


1
What do We Know? Do We really Know?
  • Association for Comprehensive Health and
    Citizenship in Latin America and the Caribbean

2
Luis Fernando Leal Executive Director Colombian
League Against AIDS Member of ASICAL Network
since 1997 Coordinator Knowledge Management
Area director_at_ligasida.org http//www.asical.org
http//www.ligasida.org
3
What do We know? Agenda (Joseph do not be
worry! It will be 10 min)
  • Latin America and the Caribbean a complex
    environment, diverse and full of contrast
  • ASICAL within the LAC environment
  • Facing the future

4
Latin America and the Caribbean a complex
environment, diverse and full of contrast
  • What do We know Poverty and illiteracy
  • In the same region you can jump from heaven to
    hell anytime
  • For example in Mexico
  • Pioneers with a law against all type of
    discrimination
  • Our own answers avoid global pressures Campaign
    against machismo and homophobia
  • a national program that gets important funds that
    may run out talking about scaling up?
  • The world looks at them as mid-high income
    country meaning that they dont qualify for
    Global Fund
  • The visibility projects have caused a reaction
    out of proportion by part of the rightist sector,
    up to the point of killing and persuading some
    homosexual leaders .

5
Latin America and the Caribbean a complex
environment, diverse and full of contrast
  • In Central America, they even propose (or
    approve) constitutional restrictions to forbid
    the gathering of same sex couples. i.e.
    Honduras
  • A true independence doesnt exist in these
    countries referred to the ABC Strategy
  • In the Caribbean they try to hide by every
    possible mean the epidemic profile of gay men,
    bisexuals, and transgender
  • Homophobia gets out of proportion Jamaicas
    example
  • Poverty, corruption and radical governments
    become obstacles that destroy any effort

6
Latin America and the Caribbean a complex
environment, diverse and full of contrast
  • In Latin America, the differences are determined
    by many variables
  • Seroprevalences (between the 12 and the 16 in
    general, but it could be worst 20 in Guayaquil)
  • Numbers are very dangerous some times…

7
Latin America and the Caribbean a complex
environment, diverse and full of contrast
  • Just think about this
  • If the half of you did not have any meal today
    and the other half had a complete, healthy and
    balanced breakfast and lunch… for the statistics
    Every one of you already had at least a 0,5 meal
    today
  • ?

8
Latin America and the Caribbean a complex
environment, diverse and full of contrast
  • In Latin America, the differences are determined
    by many variables
  • Seroprevalences (between the 12 and the 16 in
    general, but it could be worst 20 in Guayaquil,
    Ecuador)
  • Numbers are very dangerous some times…
  • Cultural influence, added up with religious
    influence (Catholic), Machismo, and Homophobia
  • Public resources investment in MSM prevention,
    Bogotás example Lambda Project
  • Constitutional protection of diversity and civil
    rights of LGBT community, Example Ecuador,
    Progressive laws Projects in Brasil, Colombia
  • Global Fund Access, to be or not to be, eligible
    and non eligible
  • Political trends Chile, Bolivia, Brasil,
    Venezuela y Argentina vs Peru, Ecuador,
    Colombia
  • Available Free trade agreements

9
Latin America and the Caribbean a complex
environment, diverse and full of contrast
  • In Latin America, the differences are determined
    by many variables
  • In the best of the situations when certain
    attention is placed in the MSM problematic, it is
    not within a scope from state Policies, It is
    made through actions punctual from local or
    national governments
  • The MSM term is politically accepted for who?,
    does it work for making a program sustainable?

10
ASICAL within the LAC environment
  • ASICAL is a response that promotes and develops
    strategies and actions of prevention, attention
    and support on HIV/AIDS and Human Rights in Gay
    men and other men having sex with men, and in
    this way contributes to improve the life quality
    in the region.

11
ASICAL within the LAC environment
  • We believe…
  • Comprehensive approach
  • it is not enough to simply hold a series of
    behavioural interventions for the target
    population
  • We must build up the capacity of local
    organizations to guarantee the scaling up
  • An approach that addresses five key areas

12
ASICAL within the LAC environment
  • Key areas…
  • Development and sustentability of the
    Organizations to contribute to the community
    response
  • Targeted Interventions
  • Advocacy and Supportive Environments
  • Education and Knowledge Management
  • Monitoring and Evaluation

13
Development and sustentability of the
Organizations
  • To implement interventions, its vital gtgt the
    creation and strengthening of organizations and
    networks(organizations that work with gay men,
    transgender people, bisexuals and other MSM,
    especially with young people, in health and
    citizenship, and to similar organizations as well
    )

14
Development and sustentability of the
Organizations
  • Somos Brasil
  • 300 NGOs, 292 municipalities, 27 states, 11 CCAs,
    12 sub-CCAs
  • Crefor Argentina
  • Communitary approach. Argentina version of SOMOS
  • Since 2000, initial budget 20.000 dollars, now
    they are 34 NGOs working in 14 states (Argentina
    has 24) without any governmental support
  • P.A.G.A.
  • Follow-on to previous project A.C.A.T.
    (Advocacy, Capacity-building and Technical
    Support)
  • 100 leaders, 100 Organizations
  • Strategic Planning
  • Global Fund Regional Proposal (including Mexico,
    Brazil, Guatemala, Nicaragua, Ecuador, Uruguay,
    Perú)

15
Targeted Interventions
  • To scale up community based organizations
    prevention models
  • Ensure that sufficient capacity building and
    technical support is provided
  • For existing and newly formed organizations that
    work with gay men and other MSM
  • SP includes training on how to design and
    implement effective behavior change programs
  • Ongoing technical support for implementation

16
Targeted Interventions
  • Knowledge management strategies used to maintain
    capacities
  • Systematized and evaluated experience and
    supplies obtained for the necessary modifications
  • Prevention Moving from just in case to just in
    time
  • Interactive technics including Web, Kiosks,
    crazy ideas why not?????
  • Safer sex must not be boring

17
Targeted Interventions
  • Examples
  • P2P strategy
  • What you see is what you get safer sex videos
  • KAP, research instruments, knowledge management
    strategy
  • Every day We have the possibility to access more
    and more information, but, we want less and very
    relevant info for our KMS
  • www.bogotagay.com
  • Interactive safer sex kiosk

18
Targeted Interventions
19
Advocacy and Supportive Environments
  • Strategic Plan charts training and technical
    support activities on advocacy, citizenship,
    human rights, supportive environments and other
    key topics.

20
Advocacy and Supportive Environments
  • It is very important to identify, systematize and
    spread lessons learned (successful and
    unsuccessful) on HIV/AIDS, advocacy and gay men,
    transgender people and other men having sex with
    men in Latin America and the Caribbean
  • To train and give technical support to different
    organizations in the execution of Advocacy
    activities with gay men and other MSM in LAC
  • To advocate in the human rights international
    system in the area of stigma and discrimination
    related to HIV/AIDS in gay men, transgender
    people and other MSM in Latin America and the
    Caribbean

21
Facing the future...
  • Estimate the size of the population
  • KAP surveys including seroprevalence and
    incidence(number of new cases of HIV infection)
  • Qualitative research
  • Scaling up SOMOS and CREFOR experiences
  • Help to building up REAL and OPERATIVE networks
    (local level, national level, regional level, WW
    level)

22
Facing the future...
  • Facing the future with successful experiences
    that may be done over again available for the
    scaling up

23
Thank you!
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