1、China CUP Experience, 2003,中国-WHO 100%安全套推广项目: 策略和经验 China-WHO 100% condom use program: strategy and experience 赵鹏飞 世界卫生组织驻华代表处 Dr Prof ZHAO Pengfei WHO CHINA Chengdu, Dec 17-19 2003,China CUP Experience, 2003,Chronology of 100% CUP in China,MOH agreed to pilot,Step 1: two pilot sites,Step two: two
2、new sites,Step 3: development of National guide- selective expansion(UNFPA, WB Health 9, China-UK),National dissemination seminar of China 100% CUP- 1st Quarter 2004 National scaling up in partnership,2000,2001,2002,2003,2004 and beyond,China CUP Experience, 2003,100% CUP 安全百分百,China CUP Experience,
3、 2003,100%安全套使用项目? What is 100% CUP?100%的性工作者用套100% of sex workers-sexual relations 100%的性工作时间里用套100% of the time of sex work 100%的场所推广用套100% of entertainment establishments,三个百分百Three 100%,China CUP Experience, 2003,100%安全套使用项目要素 understanding 100% Condom Use Programme,依赖政府牵头的多部门合作-强力实施当地有政策 Based
4、on reinforcement of Government POLICIES( Law, regulation, decrees, etc) : 目标是场所而非性工作者targeting EEs 规范环境,确保场所合作给弱势人群赋权monopolizing environment & empowering Sex Workers Monitoring condom use and STI cases 监测安全套使用和STI病例数 确保行为的安全,无疾病传播 Ensuring safety(NO CONDOM-NO SEX),China CUP Experience, 2003,中央有关文件,
5、政府五项承诺 Five commitments at UNGASS 2003.9,China CUP Experience, 2003,100%安全套项目的评估 Evaluation of100% Condom Use Programme,过程Process,结果Outcome,影响Impact,评估EVALUATION,安全套销量 e.g. condom sales,安全套使用率e.g. condom use rate,性病/艾滋病感染率e.g. STI/HIV prevalence,指标INDICATORS,China CUP Experience, 2003,实施步骤Six steps
6、to start a CUP,评估当地HIV 的危险因素和潜在性的危险因素Appraisal of HIV risk/potential risk 组织建立领导小组, 项目办公室和督导和评估小组Organizations-leading group, PMO, M &E team 举办政策倡导会, 发布会等advocacy efforts-mtg, bulletins,etc 项目计划(改善安全套供应,STI监测门诊) Program planning/policy formation 实施 （政策落实, 评估指标) Operation(implementation of policy, in
7、dicators) 督导和评估 Monitoring and evaluation,China CUP Experience, 2003,100%使用安全套项目的效果，武汉 Impact of 100% CUP, China,Year,China CUP Experience, 2003,100%使用安全套项目的效果，江苏Impact of 100% CUP, Jiangsu,Year,China CUP Experience, 2003,100%使用安全套项目的效果，湖南Impact of 100% CUP, Hunan,China CUP Experience, 2003,100%使用安全
8、套项目的效果，海南Impact of 100% CUP, Hainan,安全套使用率Condom use at last sex by sex worker: 17% / 2002.9, 65% / 2003.9 性病感染率STI rates among sex workers:,China CUP Experience, 2003,经验和体会Lessons learned,政府牵头,卫生为主,公安支持,其他配合Govnt leads, health coordinates, police supports, EEs cooperate 持续倡导Advocating benefits of s
9、takeholders 引导媒体 Involving mass media 推广安全不误导卖淫合法Being realistic but not creating false hope of legalizing sex work 辐射作用Spilling effect(Good reputation, praised by upper authority, other cities/counties to follow),China CUP Experience, 2003,100% CUP与社会关注问题 CUP and controversial issues,CUP与公安执法 worki
10、ng with police possible and effective 性工作增加? increase of SW? 青少年不良影响?negative impact on youth not observed 社会/媒体的态度 community/media attitude,China CUP Experience, 2003,合作程度的评估Assessing levels of EE cooperation,Level 1: 口头承诺verbal indication of support Level 2: 允许挂图allowing condom posters Level 3: 同意
11、现场干预 existing on-site education-IEC/BCC/ outreach efforts Level 4: 保障安全套供应Ensuring condom availability Level 5: 确保无不安全行为Ensuring no condom no sex,China CUP Experience, 2003,为什么100% CUP有效 Why CUP effective?,政策支持Supporting policy 综合策略Comprehensive approach 广泛覆盖High coverage 投入少见效快（可持续可推广）A cheap and r
12、apid strategy(sustainable, replicable),China CUP Experience, 2003,下一步推广项目计划 Next step in partnership,完成国家推广指南制定Finalizing national guide (2003.12) 阶段性推广计划 : (4个省, UNFPA/计生系统, Futures Group(China), SIDA, 世界银行WB, 卫九项目, 欧盟EU, UNDP 领导开发项目)Expansion inline with existing projects 以127个国家的艾滋病综合防治示范区为平台逐步推广覆盖到全国China CAREs 其他others,China CUP Experience, 2003,“Im not selling sex. Im selling condoms and offering free demonstrations.”,Sex worker empowered,
