Ministerial Declaration Preventing through education 1 st 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 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

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 Background

1.Comprehensive sexuality education Strategic tool: stop HIV transmission 2.Shared commitments: Ministries of Health and Education Universal access to HIV prevention: adolescents and youth 3.Reduction of stigma, discrimination and homophobia Adolescents – youth living with HIV / different sexual orientations 4.Regional inter-ministerial work alliances and networks Strengthening HIV preventive response 5.Strategies to improve skills of teachers and health workers on HIV prevention Objectives

Antigua y Barbuda Argentina Barbados Belize Brazil Bolivia Chile Colombia Costa Rica Cuba Mexico Ecuador El Salvador Grenada Guatemala 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 30 Ministries of Health

Argentina Bahamas Barbados Belize Brazil Bolivia Chile Colombia Costa Rica Cuba Mexico Ecuador El Salvador Guatemala Guyana Haiti Honduras Jamaica Nicaragua Panamá Paraguay Dominicana Suriname St. Lucia Uruguay Venezuela Participation of 26 Ministries of Education

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: Preventing through Education Approved by acclamation Products

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

Human rights Health right (prevention, attention an care) Educational Rights: quality education Fighting against stigma, discrimination: homophobia Multisectoral and multidisciplinary work: Planned & coordinated LAC HIV/AIDS context Sexual & reproductive health Kids, adolescents and youth wellbeing Ministerial Declaration: Framework

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 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) Legal and technical international support

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 Main intervention areas

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 Goals

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 Steps forward

Intersectorial Regional Work Group Montego Bay, June 4 th, 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