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02223 PEER EDUCATION IN HIV PREVENTION WITH HIGH RISK YOUTH Rana Gulzar Ahmad Objective: One percent of the newly diagnosed STIs and HIV cases in Baluchistan, Pakistan are individuals/youth at risk 8-17 years of age. Our epidemiologists indicate that STIs and HIV cases among Youth increased between 1998 and 2003. While clearly an at-risk demographic, youth are rarely targeted with STIs and HIV prevention education. To empower youth the pilot project at the Youth Empowerment Skills fills that gap by utilizing youth at risk/street children as peer educators administering STIs and HIV prevention programming. Methodology: In thirty-minute Life Skills education sessions, peer educators provide out of school going youth sound, reality-based information that increases their awareness about STDs/HIV and the spread of the virus. Sessions encourage vulnerable youth to recognize how the virus impacts their lives and gives them a forum to discuss the issue with people of their own age. Findings: Launching a Peer Education program, which includes awareness of self and body protection focusing on child sexual abuse and STDs/HIV, life skills, gender and human rights/children rights awareness, preventive health measure, and care at work. Opening care and counseling center for these working and street children and handling these centers over to local communities. During awareness sessions, Youth are informed about the nutrition, physical and psychological changes, masturbation, menstrual cycle, family planning and STDs/HIV. It was determined relationships among HIV related knowledge, beliefs and sexual behavior of young adults and found that reason for unsafe sex included, misconception about disease etiology, conflicting cultural values, risk denial partner pressures, trust and partner significance, accusation of promiscuity, lack of community endorsement of protective measures, and barrier to condom access. In addition socio economic pressure, physiological issues, poor community participation and attitudes, and low education level limited the effectiveness of existing HIV prevention education. Conclusion: Presentations at centers by peer educators have demonstrated that audiences over 12 years of age typically have only basic information about STIs and HIV. Confusion regarding the difference between HIV and STIs and the specifics of risk related behaviors generated interest in the presentations. Additional conclusions will be drawn as the pilot progresses and administrators tabulate survey results and conduct focus groups with peer educators and participants. Project Manager, Rana, Gulzar Ahmad |
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