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Cross Pacific Sharing Targeting Chlamydia Part of the Process HIV PASA Pacific AIDS Alert Bulletin No. 40 | October 2013 ISSN 1018-2152 Trend setters and leaders faith-based organisations respond to HIV Involving everyone improving national strategic Cross Pacific planning in the Pacific Sharing spear-heading innovative behaviour change campaigns Part of the process locally relevant, Targeting comprehensive STI Chlamydia management guidelines success in STI control in Cook Islands and Nauru HIV in the Pacific 2012 epidemiology No. 40 | October 2013 PASA ISSN 1018-2152 Pacific AIDS Alert Bulletin Prevention 04 Cross Pacific sharing: spear-heading innovative behaviour change campaigns Reducing stigma and encouraging HIV testing in the Marshall Islands Outreach, edutainment and incentives: Kiribati youth get tested Stepping forward together: reaching at risk groups with peer education Counselling and testing 11 Highlights from HIV and STI counselling and Treatment diagnosis in the Pacific in 2012 18 Part of the process: locally relevant, comprehensive STI management guidelines STI control explained Treatment is my life now: Experiences of Targeting Chlamydia: success in STI control treatments among people living with HIV in in Cook Islands and Nauru Pacific Island countries and territories Faster diagnosis of STIs Enabling environment 21 Trend setters and leaders: faith-based organisations respond to HIV Tackling stigma and discrimination in the workplace Research 24 HIV in the Pacific: 2012 epidemiology Know your epidemic Governance 30 Involving everyone: improving national strategic planning in the Pacific Building capacity and improving sustainability for M&E in the Pacific Renewing the sexual health response in the Pacific: the Pacific Sexual Health and Well-being Shared Agenda Young women in Tonga use painting to learn and communicate about sexual health and gender equality in a Response Fund supported project ‘HIV/AIDS Awareness Through Arts and Craft.’ Rather than talking about what they’ve learnt, the programme requires them to communicate their understanding through painting. This special edition of the Pacific AIDS Alert Bulletin is dedicated to sharing research and evidence, successes and lessons learned in the response to HIV and other STIs in the Pacific region. The Pacific region’s experience of HIV is unique. While Papua New Guinea has an HIV epidemic that is concentrated in certain populations, the rest of the region has an extremely low HIV prevalence. However, risk factors exist, indicating the potential for the virus to spread. Challenges include sky high rates of other STIs as well as gender inequality and stigma and discrimination. However, with the support of the Pacific Islands HIV and STI Response Fund, a programme managed by the Secretariat of the Pacific Community (SPC) and funded by the Australian and New Zealand governments, Pacific Island countries and territories (PICTs) are successfully developing targeted prevention/ Strategic Health Communication campaigns, expanding voluntary HIV counselling and testing, improving Chlamydia testing and treatment, strengthening national and regional laboratory services, and collecting data on epidemiological trends and socio- behavioural changes, to assist in evidence- based decision making. PICTs are also improving their capacity to develop national strategic plans (NSP), with 362 health care workers newly trained on NSP development processes and the Pacific Basic Monitoring and Evaluation Curriculum in 2012. Building on these gains made to date, the Pacific is looking to the future and moving towards a more integrated approach for reproductive and sexual health, as part of an effort to achieve sustainable social and human development in the region. We hope you enjoy this edition of the Pacific AIDS Alert Bulletin. Cover: A Kiribati Family Health Association (KFHA) peer educator poses for a portrait on the runway of Bonriki International Airport in South Tarawa, Kiribati between flights. KFHA, Kiribati Red Cross and the Kiribati Ministry of Health are mixing education with entertainment to encourage young people to get an STI test. See page 7 for more. Condom distribution in nightclubs in Noumea, New Caledonia by Homosphere, an NGO working to provide services for LGBTI communities in New Caledonia. PREVENTION Islands who co-facilitated an SHC Cross Pacific Sharing: spear- training workshop in Vanuatu, says that the experience enabled heading innovative behaviour him to ‘build networks and share ideas with our Melanesian brothers and sisters on how change campaigns best we can strengthen strategic health communication in the region’. A workshop participant from Vanuatu agrees. ‘When colleagues in Solomon Islands shared what they had done and what they had achieved, we started to believe that we could do the same in Vanuatu. We face the same challenges, but we can overcome them.’ ‘Peers learn best The Cross Pacific Sharing and Skills Transfer Programme is from peers. When founded on an ancient Chinese countries with similar SHC master trainer Elwin Taloimatakwa proverb: ‘Tell me and I forget, challenges share their supporting SHC training teach me and I may remember, in Vanuatu. Photo experiences and work source: Nicol Cave. involve me and I learn.’ To together, they are able reinforce facilitation skills and to develop innovative, SHC content knowledge, master home-grown, locally- strong leadership and trainers need opportunities to relevant solutions,’ facilitation skills to co-facilitate use and practise their skills. As SHC training with SPC staff the saying goes, ‘You learn how in neighbouring countries as to cut down trees by cutting master trainers. In this way, the them down!’ PC’s Public Health Division ‘sending’ country strengthens its Shas successfully spear- in-country SHC training capacity, Marson Rosario from Pohnpei in headed an innovative initiative and the host country learns Federated States of Micronesia to build capacity and strengthen from, and is motivated by, the echoes this sentiment: ‘I leadership in strategic health experiences and achievements of welcomed the opportunity communication (SHC) across their neighbouring countries. to train with PHD staff in the Pacific region. The field of Chuuk because it gave me the SHC aims to change individual ‘Peers learn best from peers. opportunity to practise what and community behaviours, When countries with similar I have learned and to learn by attitudes and norms as a means challenges share their practice.’ of improving public health. experiences and work together, For example, SHC campaigns they are able to develop Mr Taloimatakwa goes further, advocate for condom use, STI innovative, home-grown, saying that the debriefing session testing or healthy eating. locally-relevant solutions,’ says after each day’s training was a Nicol Cave, Strategic Health learning opportunity to reflect on The Cross Pacific Sharing and Communication Team Leader at what had been achieved during Skills Transfer Programme SPC’s Public Health Division. the day and to redirect the focus provides opportunities for Pacific of the workshop to improve the Islanders who have been trained Elwin Taloimatakwa, an SHC next day’s training sessions. in SHC and have demonstrated master trainer from Solomon 4 | PASA No. 40 | October 2013 PREVENTION because I am not going to speak the UN Secretary General called was able to share in English all the time. English is on donors and international information about ‘I not my language; I just borrow organisations to intensify their my organisation and what it from time to time to be able to efforts to mainstream the use we do in Marshall Islands. speak to other people who do not of South-South cooperation I described how we develop speak my language,’ says Shima in the design, formulation radio spots and also how Seese, a master trainer from and implementation of their we distribute condoms to Marshall Islands. programmes, and to consider places where young people increasing allocations of human, can get them. This sharing Janet Jack from Vanuatu says, technical and financial resources encouraged the participants ‘With the Cross Pacific Sharing to support South-South in Kiritimati to develop a plan experiences I gained in Solomon cooperation initiatives. for peer condom distribution. Islands, I am a stronger facilitator. Some of the young people in I will now be able to strengthen At the end of October 2013, the the workshop volunteered to our programme activities in the Pacific has a pool of 13 Pacific- be the ones to always have Ministry of Health and achieve based regional SHC master condoms and other young the targets set.’ trainers to draw from to provide people can come to them inter-PICT or ‘South-South’ when they need condoms. In recognition of the importance training and technical support, This makes it easier for young of South-South cooperation for thus reducing reliance on outside people because the clinic is development, the United Nations training and technical assistance. far away.’ General Assembly declared 12 Shima Seese, September each year the United Marshall Islands Nations Day for South-South Cooperation. On this day in 2012, ‘The sharing of ideas during Pacific regional SHC master trainers are: these reflection meetings and SHC MASTER FROM COUNTRY CO- CURRENT the delegation of tasks and TRAINER COUNTRY FACILITATED STATUS responsibilities to master TRAINING trainers was a gesture of trust Ms Ana File Cook Niue Working in Cook Islands Ministry Islands of Health and confidence in us as co- Ms Janet Jack Vanuatu Solomon Islands Working
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