Eastern and Southern African region remain the epicenter of HIV and AIDS High numbers of HIV infection among the young people is a global concern UNAIDS identified 38 priority countries and 16 are in ESA Almost 80% of new infections among young people occur in Sub-Saharan Africa Low levels of knowledge on HIV and AIDS among the young people SACMEQ 2010

1. Ministerial Commitment on comprehensive
sexuality education and sexual and reproductive
health services for adolescents and young people in
Eastern and Southern African (ESA)

2. Structure of the Ministerial commitmentStructure of the Ministerial commitment
1. Preamble
2. Background
3. Acknowledgements
4. Commitment
5. Targets
6. Accountability
2

3. Background to the Commitment
• Eastern and Southern African region remain the
epicenter of HIV and AIDS
• High numbers of HIV infection among the young
people is a global concern
• UNAIDS identified 38 priority countries and 16 are in
ESA
• Almost 80% of new infections among young people
occur in Sub-Saharan Africa
• Low levels of knowledge on HIV and AIDS among the
young people SACMEQ 2010

4. Background Cont’
• Evidence- comprehensive sexuality education and access to
sexual and reproductive health services are important in
addressing poor sexual health among the young people
• In 2008 a ministerial commitment was signed by ministers
of education and health in Latin America and Caribbean
countries
• ESA commitment has drawn a lot of lessons from the Latin
American commitment
• Governments, UN agencies and NGOs in ESA support the
implementation of CSE through advocacy, policy
frameworks, strategic information and curriculums
• The ESA commitment is part of the process to enhance
access to CSE

5. 5
Why Focus on Young People
• Governments have already made commitments thro,
• MDGs
- Achieve universal primary education- Goal 2
- Combat HIV/AIDS, Malaria and other disease
• EFA goal 3 and all others
• UNGASS indicators
• National goals – Vision 2030 in Kenya
• Education sector is mainly the source for human capital
• About 14 million are in institutions of learning
• Young people are more vulnerable- girls 15-19 have higher
risk of maternal death compared to older women
• Young people form bulk of the population (in Kenya 10-24-
21%)

6. 6
Strategic information- Traditional
Sexuality education
• Sexuality education was part and parcel of the
socialization process
• There were clear mechanisms for ensuring
young people accessed information
• Sexuality education was provided by different
people
• Though pre-marital sex was outlawed, there
were mechanisms to ensure development of
their sexuality was not inhibited eg dancing

7. Estimates on HIV among Young
People
• Over 230,000 children aged between 0-14
years are infected
• Estimated above 192,000 young people aged
15-24 years infected
• Estimated over 29,000 young people aged 15-
24 years infected in 2013
• Age of sexual debut has decreased to about
15 years (KAIS 2014)

8. Preamble
We, the Ministers of Education and Health from 20 countries in
Eastern and Southern Africa , gathered in Cape Town, South Africa
on 7 December 2013, working towards a vision of young Africans
who are global citizens of the future who are educated, healthy,
resilient, socially responsible, informed decision-makers and with
the capacity to contribute to their community, country and region,
hereby affirm and endorse the following commitments;
• Angola, Botswana, Burundi, Democratic Republic of Congo, Ethiopia, Kenya, Lesotho,
Madagascar, Malawi, Mauritius, Mozambique, Namibia, Seychelles, South Africa, South
Sudan, Swaziland, Uganda, United Republic of Tanzania, Zambia, Zimbabwe.

9. 9
We Commit to:We Commit to:
3.1 Work together on a common agenda
3.2 Urgently review - and where necessary amend - existing
laws and policies on age of consent
3.3 Make an AIDS-free future a reality by investing in
combination prevention
3.4 Maximise the protective effect of education through
Education for All
3.5 Initiate and scale up age-appropriate CSE during primary
school education

10. 3.6 Ensure that the design and delivery of CSE and
SRH programmes includes ample participation
by communities and families
3.7 Integrate and scale up youth-friendly HIV and SRH
services
3.8 Ensure that health services are youth-friendly
3.9 Strengthen gender equality and rights
3.10 Mobilise national and external resources 10

11. 4.1 A good quality CSE curriculum framework is in place
and being implemented in each of the 20 countries
4.2 Pre and in-service SRH and CSE training for teachers,
health and social workers is in place and being
implemented in all 20 countries
4.3 By the end of 2015, increase by 50% the number of
adolescents and young people who have access to
youth-friendly SRH services that are equitable,
accessible, acceptable, appropriate and effective
11
4.4. Short Term Targets (by 2015) – we commit to:Short Term Targets (by 2015) – we commit to:

12. 4.4 Work towards eliminating all new HIV infections
amongst adolescents and young people aged
10-24
4.5 Increase the number of adolescents and young
people, aged 10-24, who demonstrate desired
comprehensive HIV prevention knowledge levels to
95%;
4.6 Reduce early and unintended pregnancies among
young people by 75%;
12
4.4. Long Term Targets (by 2020) – we commit to:Long Term Targets (by 2020) – we commit to:

13. 4.7 Eliminating gender-based violence
4.8 Eliminate child marriage
4.9 Increase the number of all schools and teacher
training institutions that provide CSE to 75%.
13

14. 14
5.1 Renew government commitment
5.2 Establishment of an inter-sectoral Working Group -
Government, CSO, UN, EAC, SADC, other development
partners at country level
5.3 Report on the commitment annually
5.4 Institutionalize Monitoring and Evaluation system in
ministries, improve collection of disaggregated data
5. Accountability5. Accountability

15. Monitoring and accountability
Accountability – written into the commitment
 In the commitment document itself, governments will be committing to “renew, accelerate
and improve the implementation of the commitments that they have previously made
related to human rights, HIV and AIDS, sexual and reproductive health and the wellbeing of
children, adolescents and youth.”
 At regional level UNAIDS and its co-sponsors, SADC and EAC, will establish a joint monitoring
mechanism that will report to SADC and EAC on a bi-annual basis at EAC and SADC summits.
Civil society & youth involvement in monitoring & accountability
 Civil society partners to join the accountability taskforce that includes young people.
 The first task of the taskforce is to develop and finalise a strategy document on how civil
society can hold governments and partners accountable to this commitment.

16. ROAD MAP for the Commitment in Kenya

17. ROAD MAP Continued

18. 18

19. Challenges
• Sexuality education still sensitive
• Infected children remain invisible
• Uncoordinated work by key stakeholders
• Personal attitudes and beliefs among people
in decision making positions
• Proposed bill on contraceptives and condoms
have raised uprour

20. In all let us remain focused, determined and
united
Thank you for listening