SCHOOL HEALTH AND NUTRITION SHN PROGRAMME IN ZAMBIA Integrating HIVAIDS in SHN PRESENTED at CIES wor

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SCHOOL HEALTH AND NUTRITION (SHN) PROGRAMME IN
ZAMBIA Integrating HIV/AIDS in SHN
PRESENTED at CIES workshop on 24th March 2005
BYJOSIAS E. ZULUCO-ORDINATOR,CHANGES
PROGRAMME-EP,ZAMBIA
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Background

• HIV/AIDS prevention and mitigation activities as
  a component of SHN programme in Zambia
• Population of 10,000,000. 16.5 of adults are
  infected with the virus
• 600,000 orphans, estimated about 2 million
  orphans by 2010
• Zambias window of hope 6-25 year olds, yet
  highest rate of infection in the age group
• Girls are five times more likely to be infected
  boys (girls are more vulnerable)
• 2,000 teacher die every year in Zambia

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Consequences

• Demand, Supply and quality of education is
  affected

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Integrating HIV/AIDS as a cross-cutting issue.

• Integrated at all levels of SHN Conceptual
  framework
• Trainings
• Community mobilization and advocacy
• Community-based interventions
• School-based interventions
• Impact and outreach

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The SHN/HIV/AIDS activities.

• Trainings Pupils, Teachers and Communities
• Information dissemination Community theatre
  groups, Health talks and group discussions
• Life skills education Pupils and teachers
• Support HIV/AIDS School and community-based
  interventions Anti AIDS clubs, CBOs through
  trainings and sub grants
• Community mobilization to support HIV/AIDS
  prevention as a cross cutting activity
• Established Counselling, Testing and Care (CTC)
  support groups for teachers to fight stigma and
  discrimination in schools
• Establishment of HIV/AIDS resource centers

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Counseling Testing and Care (CTC) Support groups.

• Teachers motivated to know their HIV/AIDS status
  through organized motivation talks
• Tested Teachers form support groups
• HIV positive teachers actively involved in
  HIV/AIDS activities
• Eligible teachers access Antiretroviral drugs
• Linked to other service providers

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Mobilising Institutions for School based
HIV/AIDS activities

• Member of HIV/AIDS Task Force (National, Province
  and District)
• Linkages with local CTC centres and local
• Health centres / hospitals
• Production and distribution of IEC materials
• All Health promoting schools are encouraged to
  
• run School-based HIV/AIDS activities
  (example anti-AIDS clubs)

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MOBILISING COMMUNITIES FOR SCHOOL HEALTH AND
NUTRITION (SHN/AIDS)

• Use of Participatory Learning for Action (PLA)
  and Theatre for Community Action (TCA)
• Public meetings
• Training of communities and teachers SHN
  concept, PLA and TCA
• Sub grants to Community Based Organisations
  (CBOs) groups supporting SHN and HIV/AIDS
  activities
• IEC materials production and distribution

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USE OF LOCAL AND NATIONAL MEDIA

• Focus on facts about HIV/AIDS, prevention
  strategies, impact of HIV/AIDS pandemic and
  services available to mitigate the impact
• Parents, pupils and teachers are involved in the
  discussions
• Strategy
• Production and distribution of audio tapes
• Print Media National News papers, News letters,
  flip charts, Brochures, Calendars
• Local and National Radio and TV programmes

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IMPACT

• Number of teachers who have declared their HIV
  positive status and participating in HIV/AIDS
  prevention strategies has increased from one to
  nineteen since April 2004
• School-based Anti AIDS clubs more involved in
  peer education and Life skills training
• Pupils, Teachers, Health workers and Communities
  work together in the fight against the HIV/AIDS
  Pandemic

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CHALLENGES

• Increased of orphans due to HIV/AIDS Require
  more than information and psychosocial
  counselling
• Myths and misconceptions Traditional healers can
  cure AIDS, Child defilement as remedy to HIV/AIDS
  related illnesses
• Continued deaths of trained teachers and teacher
  redeployments

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LESSONS LEARNT

• Integrating HIV/AIDS activities in existing
  programmes is cost effective and appreciated by
  recipients
• Involving HIV positive persons, as professional
  peers in promoting Counselling Testing and Care
  (CTC) is effective
• Pupils, Teachers, Health workers, and Communities
  can work together as a valuable resource in the
  fight against HIV/AIDS

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Double orphan