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Divinely Positive
 The Role of People with HIV in
           Prevention

               Ms Simangele Ncube-
      Foundation for Professional Development
                       (FPD)

FPD
I have the rightā€¦
                             right
ā€¢   Pleasurable


ā€¢   Enjoyable


ā€¢   Sexual


ā€¢   Intimacy


ā€¢   Children


ā€¢   Love



    FPD
What is positive prevention
 Approach to prevention
 Increase psychosocial well-being
 Encourage solidarity

 Not about blame
 Not about sole responsibility




FPD
ā€œThe responsibility for reducing transmission of HIV is a
   shared one and there should be no undue burden on
     people who are aware of their status. Safer and
   responsible sexual behaviour is the responsibility of
          all partners ā€“ irrespective of status.ā€
              (Alejandra Trossero, IPPF)




 FPD
Successful Positive Prevention
 Promotion of SRHR of People living with HIV

   Still many barriers;
   Lack of respect around non-discrimination
   Not recognising aspects of sex and sexuality
   Comprehensive SRHR services




 FPD
Discrimination forms


 Forced abortions & sterilisation
 Pressure from health care workers
 Lack of safe abortions services
 Misconceptions about sexual activity
 Laws and policies that violate human rights


FPD
Desires and Lust




FPD
FPD
Focus of Positive Prevention
 Focus on the person as a whole
 ā€œHIV positive versus HIV negativeā€
 Promoted as an empowering concept
 Stigma and Discrimination to be addressed
 Implemented within an ethical framework
 Synergy between prevention, treatment care and
 support


 FPD
Values to guide positive prevention
 A supportive legal and policy environment;
 Tailored to setting, key populations, and to the
 individual;
 Defined by people with HIV




FPD
Principles of positive prevention
 A human rights approach is the foundation of positive
 prevention.
 People with HIV must be leaders in the design, programming,
 implementation, research, monitoring and evaluation of all
 programmes and policies affecting us.
 Preventing HIV transmission is a shared responsibility
 Sexual and reproductive health and rights must be recognised
 and exercised




 FPD
For positive prevention to be effective, it is
important that positive prevention:

  ā€¢ requires a supportive and protective legal and policy environment
  ā€¢ should promote holistic health and wellness, including equitable access
  ā€¢ must improve and maintain the health and wellbeing of PLHIV
  ā€¢ should include addressing psycho-social, economic, educational and socio-
  cultural vulnerabilities, gender and sexuality.
  ā€¢ should be responsive to the needs of key populations be tailored to
  specific contexts and the diversity among PLHIV.




 FPD
FPD

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01 Simangele 5th Sahara

  • 1. Divinely Positive The Role of People with HIV in Prevention Ms Simangele Ncube- Foundation for Professional Development (FPD) FPD
  • 2. I have the rightā€¦ right ā€¢ Pleasurable ā€¢ Enjoyable ā€¢ Sexual ā€¢ Intimacy ā€¢ Children ā€¢ Love FPD
  • 3. What is positive prevention Approach to prevention Increase psychosocial well-being Encourage solidarity Not about blame Not about sole responsibility FPD
  • 4. ā€œThe responsibility for reducing transmission of HIV is a shared one and there should be no undue burden on people who are aware of their status. Safer and responsible sexual behaviour is the responsibility of all partners ā€“ irrespective of status.ā€ (Alejandra Trossero, IPPF) FPD
  • 5. Successful Positive Prevention Promotion of SRHR of People living with HIV Still many barriers; Lack of respect around non-discrimination Not recognising aspects of sex and sexuality Comprehensive SRHR services FPD
  • 6. Discrimination forms Forced abortions & sterilisation Pressure from health care workers Lack of safe abortions services Misconceptions about sexual activity Laws and policies that violate human rights FPD
  • 8. FPD
  • 9. Focus of Positive Prevention Focus on the person as a whole ā€œHIV positive versus HIV negativeā€ Promoted as an empowering concept Stigma and Discrimination to be addressed Implemented within an ethical framework Synergy between prevention, treatment care and support FPD
  • 10. Values to guide positive prevention A supportive legal and policy environment; Tailored to setting, key populations, and to the individual; Defined by people with HIV FPD
  • 11. Principles of positive prevention A human rights approach is the foundation of positive prevention. People with HIV must be leaders in the design, programming, implementation, research, monitoring and evaluation of all programmes and policies affecting us. Preventing HIV transmission is a shared responsibility Sexual and reproductive health and rights must be recognised and exercised FPD
  • 12. For positive prevention to be effective, it is important that positive prevention: ā€¢ requires a supportive and protective legal and policy environment ā€¢ should promote holistic health and wellness, including equitable access ā€¢ must improve and maintain the health and wellbeing of PLHIV ā€¢ should include addressing psycho-social, economic, educational and socio- cultural vulnerabilities, gender and sexuality. ā€¢ should be responsive to the needs of key populations be tailored to specific contexts and the diversity among PLHIV. FPD
  • 13. FPD