Lessons For Life - Mitigation of The HIV-AIDS Crisis in Asia

LESSONS FOR LIFE: OPEC Fund/UNESCO Project on
the Mitigation of the HIV/AIDS Crisis in Asia through

Education (2005-2008)
Nearly one in five of the people living with HIV in
the world is from the Asia-Pacific region, which is
home to two-thirds of the world’s population.
Roughly one third of the population live below the
poverty line on less than $1 a day.
There are an estimated 7 million people living with

the virus in the region that stretches from South-
East Asia to the Arab States. And while that figure
is relatively small as a percentage of the
population, it disguises a very high rate of
increase in the prevalence of the infection.
Take Uzbekistan, for example. It might surprise

you to learn that the former Soviet Republic has
one of the fastest growing AIDS epidemics in the
world. The number of new registered cases of HIV
infection has been increasing 50% year on year.
Although the numbers are relatively small – only
10,000 HIV cases are registered in the country –
“Peer prevention activities in school provide
70 per cent of these cases are among young
life important information to us, which we
people under 29 years of age. hesitate to ask from our parents and
teachers.”
In spite of these statistics, awareness about HIV
and AIDS, particularly among young people, is 18-year-old girl in Tashkent, Uzbekistan
extremely poor throughout the region. (Uzbekistan Peer Training, UNESCO Tashkent)
Preventing AIDS through education

A key part of responding to HIV and
AIDS is to acknowledge and address “As a child and adolescent health specialist, I
the culture of silence, denial, shame and realize that scaling up HIV and AIDS
discrimination that surround the education in schools is a fundamental
epidemic, and thus, negatively impact measure for AIDS control, which could
the effectiveness of prevention. To
contribute significantly to the national
support efforts to overcome these
challenges and strengthen prevention response to AIDS.”
efforts among young people through
Education Administrator, China
education, UNESCO and the OPEC
Fund came together to support
implementation of a programme in nine countries in Asia and three countries in the Arab States
region.1
1
The countries involved were Cambodia, Viet Nam, Thailand, Bangladesh in Southeast Asia;
Afghanistan, Uzbekistan and Kazakhstan in Central Asia; and Syria, Jordan and Lebanon in the Arab
States.
ED/UNP/HIV/OPEC/2008
UNESCO, January 2008
1
The aim of the two and a half-year programme (which ran from May 2005 to February 2008) was to
raise awareness about HIV and AIDS through the education system by engaging Ministry of
Education officials, integrating HIV and AIDS into education curriculums and training teachers and
young people to relay information to pupils in schools across the region. The programme built on
UNESCO’s experience and leadership in education, and adapted many existing teacher training
manuals and advocacy toolkits that had already been developed (see Box 1).
One of the countries involved was Uzbekistan, where – with UNESCO’s assistance – a new subject
called Healthy Life Style and Family was introduced into the school curriculum for 14 to 16 year olds.
Two hundred teachers were given four to five days training. Once back at their own schools, these
teachers trained their peers in a cascading system so that they could teach pupils about health
issues, including HIV and AIDS. Together, these teachers have the potential to reach out to 2 million
young people in schools across the country. The project is already making a huge impact. A survey of
school children in pilot schools has shown a quite dramatic increase in awareness about HIV and
AIDS as a result of the new subject, which is now due to be rolled out to 12 and 13 year olds too.
Box 1: Other achievements
The Advocacy Toolkit (HIV/AIDS and Education: A Toolkit for Ministries of Education) was
originally produced by UNESCO Bangkok. It was translated and adapted in nine countries,
with over 20,000 paper copies and 10,000 CD-ROMs distributed to key education sector
stakeholders.
Similarly, the Teacher Training Manual (Reducing HIV/AIDS Vulnerability among Students in
the School Setting: A Teacher Training Manual), initially produced by UNESCO Bangkok in
2005. It was translated and adapted in four countries, with over 8,000 paper copies.
In Jordan, an Inter-Ministerial Taskforce was established, with over 100 people attending the
joint launch with the Ministries of Health and Education. This meets regularly and will be
undertaking a needs assessment of the education sector response to HIV and AIDS.
In Bangladesh, 24 HIV and AIDS workshops were held for a total of 504 Imams (with the
potential to reach 300,000 people). 480 sessions were held with 1,440 rural women on ‘HIV
and AIDS, stigma, discrimination, health and human society’ (with the potential to reach
14,400 people).
In Viet Nam, 141 teacher trainers (including curriculum developers) were trained in teacher
training colleges on HIV and AIDS prevention education in six clusters across the country.
Reaching out to young people

In neighbouring Kazakhstan, young people from eight schools were trained in a pilot project as peer
health educators in partnership with the local non-governmental organisation Equal to Equal. Now
these teenagers hold regular sessions with their peers to talk about health issues including HIV and
AIDS. The peer educators will continue to do this outreach for the next two or three years – sharing
vital health information with their fellow pupils as they progress through school. Initial feedback
received shows that this project is already making a significant impact on young people’s attitudes
towards the disease, and has the potential to reach up to and beyond 3,000 young people.
2
“Most teenagers thought HIV and AIDS was not
their problem,” says Galina Li, UNESCO’s
National HIV/AIDS specialist in Kazakhstan. “They
have no friends who are sex workers or drug
users, so they don’t think it applies to them. But
now they know it applies to them too. According to
the feedback we received, some of them learned
how to say no to unsafe sex. And most of them
changed their attitude to this problem. Now they
speak to their parents about these issues too.”
In Kazakhstan, the joint UNESCO/OPEC Fund

programme also encouraged Ministry of Education
officials to integrate HIV and AIDS in their national Teacher training in Kazakhstan
education plans – with potentially wide-reaching (UNESCO Almaty, 2006)
repercussions. School children across the country
will now be given access to HIV and AIDS education.
“Most children in our country are in school, so we can reach many people this way,” says Ms Li. “It’s
very important because young people, when they start sexual relations and try drugs, are in school –
so it’s important to address these issues early.”
Intervening early
Experience in other countries –
Box 2: Changing attitudes in China
such as Brazil, Senegal and
Uganda – has shown that early
“The AIDS education I got from the National Academy of
and sustained action is needed to Education Administration (NAEA) was very helpful to me. … it
limit the impact of HIV and AIDS. helped me change my attitude, which is a key. Before that I had
One of the biggest challenges of believed AIDS was far away from us, irrelevant to schools. Now
the UNESCO/OPEC Fund I realize HIV prevention is a responsibility shared by the whole
programme has been to persuade society, and schools have a particularly important role and duty
education officials in some Asia- to fulfill. Although students may not be likely to be infected, their
life will change, they will [leave school to] work, even go
Pacific countries that HIV and
abroad. Preventive education in schools can improve their
AIDS is a problem serious enough ability to protect themselves.
to warrant their attention – and to
warrant space in an already In addition, I learnt that innocent people could also get
overcrowded school curriculum. infected, that reminds us of not discriminating people living with
AIDS. We should care for them.
In China, for example, where an
estimated 700,000 people are After I returned from NAEA, I spoke about HIV and AIDS at
living with HIV in a population of meetings, and facilitated the dissemination of national and
around 1.3 billion.2 Many local provincial policies [on AIDS control] jointly with the health
education officials and school sector. HIV and AIDS education is now being gradually
expanded in schools.”
administrators have low levels of
knowledge on the HIV and AIDS
Deputy Director of a Prefecture Education Bureau, Shandong
situation in their country and the
Province, China, who participated in AIDS training at the
urgency of HIV prevention National Academy of Education Administration
education (see Box 2). UNAIDS
and others have estimated that if prevention efforts are not intensified the epidemic in China could
grow significantly.
2
Chinese government and UNTG on AIDS in China Joint Assessment Report 2007.
3
Over a period of two years, UNESCO worked in partnership with the National Academy for Education
Administration to hold a series of one-day training sessions covering HIV and AIDS prevention and
school health policy for over a thousand directors of local educational bureaus and top and middle
level administrators in higher education institutions.
Zhang Xin, Director of School Health Division at the Ministry of Education said: “By improving the
awareness and understanding of the education administrators in national AIDS-related situation and
policy and the importance and urgency of education sector responses, the HIV and AIDS training in
the National Academy of Education Administration has played a significant role in pushing the local
education authorities to implement the state and Ministry of Education policies and programmes for
school AIDS education.”
Scaling up the response

With the numbers of people infected and affected by HIV and AIDS continuing to increase, and no
cure in sight, all areas of prevention take on an increasing importance and the education sector’s
potential to protect school-age young people from infection must continue to be tapped. Young people
– our future generation – represent our best hope of combating the HIV and AIDS epidemic.
Through the UNESCO/OPEC Fund programme, a new model has been created for HIV and AIDS
prevention education that can now be scaled up across the Asia-Pacific region and beyond. By
reaching out to education officials, teachers and schools, there is the potential to reach millions of
young people with potentially life-changing social consequences.
As one trainee teacher from the Guangxi Teacher Training College said: “If the contents relating to
HIV prevention are added to our curricula, we will be able to learn about it. Once we learn how to
prevent, we could educate our students when we become teachers; the students can then educate
their parents and peers; thus we will have a multiplied social impact.”

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LESSONS FOR LIFE: OPEC Fund/UNESCO Project on

the Mitigation of the HIV/AIDS Crisis in Asia through

There are an estimated 7 million people living with

Take Uzbekistan, for example. It might surprise

Preventing AIDS through education

Box 1: Other achievements

Reaching out to young people

In Kazakhstan, the joint UNESCO/OPEC Fund

Scaling up the response

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