Ministerial Declaration
“Preventing through education”
1st Meeting of Ministers of Health and
Education to Stop HIV in Latin America and
the Caribbean
Ministry of Health of Mexico
Ministry of Education of Mexico
Ministry of External Relations of Mexico
Background
 MDG 6: HIV/AIDS, malaria and other diseases
 UNGASS Declaration of Commitment
 Universal access:
 HIV prevention, treatment, care and support
 HIV in Latin America: mainly transmitted by
sex
 20-25% of new HIV infections among 15-24 y.o.
 School programs: positive impact (HIV and
STD prevention)
 Knowledge, skills and attitudes: impact on self-efficacy
 Important changes in behavior
SOURCES: Magnani, Seiber et al. 2001; Speizer, Magnani et al. 2003; Fernández, Kelly et al. 2005; Kirby, Obasi et al. 2006; Kirby,
Laris et al. 2007, Lule, Rosen et al. 2006; UNICEF,2009
Background
 Synergy between Ministers of Health and
Ministers of Education
 IEC necessary to halt the HIV epidemic
 Effective information (healthy life styles)
 Educational programs (competencies and skills: health-care)
 Lack of information and education:
 Vulnerability to HIV and risky behaviors
 Non- empowered vulnerable groups
 Stigma and discrimination
 Schools and health services based interventions on
sexuality health and education
 Global public good
1.
Objectives
Comprehensive sexuality education
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2.
Shared commitments: Ministries of Health
and Education
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3.
Adolescents – youth living with HIV / different sexual
orientations
Regional inter-ministerial work alliances
and networks
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5.
Universal access to HIV prevention: adolescents and
youth
Reduction of stigma, discrimination and
homophobia
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4.
Strategic tool: stop HIV transmission
Strengthening HIV preventive response
Strategies to improve skills of teachers and
health workers on HIV prevention
Participation of 30 Ministries of Health
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Antigua y Barbuda
Argentina
Barbados
Belize
Brazil
Bolivia
Chile
Colombia
Costa Rica
Cuba
Mexico
Ecuador
El Salvador
Grenada
Guatemala
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Guyana
Haiti
Honduras
Jamaica
Nicaragua
Panama
Paraguay
Peru
Dominicana
St. Vincent and the Granadines
St. Kitts and Nevis
Suriname
St. Lucia
Uruguay
Venezuela
Participation of 26 Ministries of Education
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Argentina
Bahamas
Barbados
Belize
Brazil
Bolivia
Chile
Colombia
Costa Rica
Cuba
Mexico
Ecuador
El Salvador
Guatemala
Guyana
Haiti
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Honduras
Jamaica
Nicaragua
Panamá
Paraguay
Dominicana
Suriname
St. Lucia
Uruguay
Venezuela
Products
 Regional Diagnostic: “Sex Education
for HIV Prevention in Latin America
and the Caribbean”
 Current status of LAC countries governments
responses
 Input for the Ministerial Declaration
 Ministerial Declaration:
through Education”
 Approved by acclamation
“Preventing
Legislation regarding sexuality
education in schools
Source: Sex Education for HIV Prevention in Latin America and the Caribbean : Regional Diagnostic(2008). National Institute of Public Health of
Mexico. First edition, jJuly, 2008.
Official school sexuality education that
promote condom use
Source: Sex Education for HIV Prevention in Latin America and the Caribbean : Regional Diagnostic(2008). National Institute of Public Health of
Mexico. First edition, jJuly, 2008.
Integration of children living with HIV into
the educational system
Source: Sex Education for HIV Prevention in Latin America and the Caribbean : Regional Diagnostic(2008). National Institute of Public Health of
Mexico. First edition, jJuly, 2008.
Ministerial Declaration
“Preventing through Education”
Ministerial Declaration: Framework
Human rights
Kids, adolescents and
youth wellbeing
Health right (prevention, attention an care)
Sexual & reproductive health
Educational Rights: quality education
LAC HIV/AIDS context
Fighting against stigma, discrimination:
homophobia
Multisectoral and multidisciplinary work:
Planned & coordinated
Legal and technical international support
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La Declaración Universal de Derechos Humanos (1948)
La Constitución de la OMS
La Declaración del Milenio (2001)
La Declaración de Compromiso en la Lucha Contra el VIH/SIDA
(UNGASS 2001)
Declaración de Copenhague sobre Desarrollo Social y Programa de
Acción de la Cumbre Mundial sobre Desarrollo Social (1995)
La Declaración política y las nuevas medidas e iniciativas para la
aplicación de la Declaración y la Plataforma de Acción de Beijing, de
10 de junio de 2000;
Las medidas clave para seguir ejecutando el Programa de Acción de
la Conferencia Internacional sobre la Población y el Desarrollo, de 2
de Julio de 1999
La Declaración de la Décima Cumbre Iberoamericana de Jefes de
Estado y de Gobierno, de 18 de noviembre de 2000
La Alianza Pancaribeña contra el VIH/SIDA, de 14 de febrero de
2001
La Declaración de Buenos Aires de los Ministros de Educación del
30 de marzo de 2007
El Pacto de San José
La Carta Andina de Derechos Humanos
La Convención sobre los Derechos del Niño
Convención Sobre la Eliminación de Todas las Formas de
Discriminación Contra la Mujer
El Pacto de Derechos Civiles y Políticos
EL Pacto de Derechos Económicos y Sociales
Declaración Mundial sobre Educación para Todos
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Informe Final de Dakar del Foro Mundial de la Educación
EL Pacto de Derechos Económicos y Sociales
Declaración Mundial sobre Educación para Todos
Informe Final de Dakar del Foro Mundial de la Educación
Declaración Mundial sobre Educación para Todos
Informe Final de Dakar del Foro Mundial de la Educación
EL Pacto de Derechos Económicos y Sociales
Declaración Mundial sobre Educación para Todos
Informe Final de Dakar del Foro Mundial de la Educación
La Convención sobre los Derechos del Niño
Convención Sobre la Eliminación de Todas las Formas de
Discriminación Contra la Mujer
El Pacto de Derechos Civiles y Políticos
EL Pacto de Derechos Económicos y Sociales
Declaración Mundial sobre Educación para Todos
Informe Final de Dakar del Foro Mundial de la Educación
Sexually transmitted Infections among adolescents: The need for
adequate health services (OMS)
Global consultation on the health services response to the
prevention and care of HIV/AIDS among young people: Achieving
the global goals: access to services (OMS)
Preventing HIV/AIDS in young people: A systematic review of the
evidence from developing countries (UNAIDS Interagency Task
Team on Young People)
Impacto de la educación en materia de salud sexual y VIH sobre el
comportamiento sexual de los jóvenes: actualización de un análisis
(ONUSIDA)
Main intervention areas
 Intersectoral strategies on comprehensive
sexual education and sexual health
promotion
 Evaluation of the educational curriculum
 Updating of contents and methodologies
 Training of Education and health workers
 Active participation of community and
families, including adolescents and youth, on
the development of programs
 Friendly health services
 Universal access: HIV, AIDS, STI and sexual and
reproductive health
Main intervention areas
 Work with media and civil society
 Team-work with executive and legislative
bodies
 Mechanisms to report discrimination in
health and educational
 public or private services
 Allocation and mobilization of resources for
rigorous impact evaluations
 Dissemination of the Declaration and
progress on its follow-up:
 Nationally, regionally and globally
Goals
 By 2015*, to reduce by 75 per cent the number of
schools under the jurisdiction of the Ministries of
Education that have failed to institutionalize
comprehensive sex education;
 By 2015*, to reduce by 50 per cent the number of
adolescents and young people who are not covered
by health services that address their sexual and
reproductive health needs appropriately.
* To be achieved by 2015 in alignment with MDGs
Steps forward
 Establishment of a regional intersectoral
group: fellowship of commitments (as
suggested on the declaration by the 3.15
agreement)
 Local, regional and international dissemination
 Establishment of intersectoral formal working groups
 Agree a definition of “comprehensive sexual education”
 Strategic planning towards 2015
 Surveys: knowledge on sexuality and sexual behaviors
 Diagnosis and evaluation of preventive and educational
programs, materials and methodologies.
 Mobilize and allocate resources: governments (all levels),
OSC and international development agencies
Intersectorial Regional Work Group
• Montego Bay, June 4th, 2009:
– Endorsement of continued work with the technical
working group
– Technical group
• Flexible and lean structure
• Clear mandate
– Executive Secretariat
– Regional Representation/coordination:
• Caribbean
• Mexico, Central America, Cuba and Dominican Republic
• South America
• Immediate task:
– Inventory of national action, to re-direct actions
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Declaración Ministerial “Prevenir con educación”