Reversing the Tide: Priorities for HIV/AIDS Prevention in Central Asia

By Joana Godinho; Adrian Renton et al. | Go to book overview

APPENDIX E
Central Asia HIV/AIDS
Communication
and Participation Plan
Opportunities
A “manageable” problem if dealt with in a rapid, open and efficient manner/as HIV is currently
concentrated in clearly identified and clustered populations.
Low prevalence rates across the region, although underreporting is rampant.
Public services that could respond swiftly to a multi-sectoral approach, if a political mandate is obtained.
A reasonably educated youth that may benefit from relevant preventive information.
Entrepreneurial energy and high volunteerism, important for promoting counseling, social mar-
keting, peer education activities, etc.
Region culturally open to early action on drug control and prevention of HIV/AIDS.
Engagement of international donors, multilateral and bilateral organizations, currently imple-
menting targeted interventions with high-risk groups.
Obstacles
Lack of public understanding of the social and financial costs resulting from the combination of
increased drug consumption and the presence of HIV in the region, particularly among the young
and/or economically-productive populations.
Absence of political will, translated into negligible public funds for prevention, diagnosis, coun-
seling and treatment of HIV/AIDS.
Stigma and a legislation that criminalizes high-risk behaviors (sex-workers, IV drug-users, homo-
sexuals, and so forth).
Lack of information, particularly among vulnerable youth, about self-risk assessment, resulting in
social denial of who is at risk.
Erosion of social incentives and individual expectations among the vulnerable youth, which
increases high-risk behaviors.
Medical groups who will see their influence, resources and power diminished, as their mandate
to deal with HIV/AIDS will be shared with others.
Nascent civil society with incipient demand-creation mechanisms.
Insufficient social pressure for accessible quality public health services.

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