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In: Body, mind, and spirit in sexual health: national conference report, Islamabad, Pakistan, February 13th to 15th, 2001. Organized by Aahung, edited by Shireen S. Issa. Karachi, Pakistan, Aahung, 2001. 81-8.In response to the high fertility rate in Pakistan, the Movement of Sustainable Social Autonomy and Gender Equity (MESSAGE) undertook a UN Children's Fund project that aimed to raise awareness regarding sexual health and initiate a positive change among those involved in high-risk sexual behaviors. The project, which is a nongovernmental organization focusing on human resource development in sexual health, targeted sex workers in the at risk areas of Multan. The project aimed to provide information on health and nutrition related facts especially sexually transmitted disease (STD)/HIV/AIDS; and increase awareness of about 5000 persons involved in risky behavior such as unprotected sex, drug use, and commercial blood donation. It also aimed to prepare and organize a group of about 50 community members by imparting knowledge rendering them capable of working toward the goals of promoting prevention of STDs and HIV/AIDS. Program activities include service delivery component; strengthening the capacity; advocacy and social mobilization; and creation of STDs and HIV/AIDS awareness. The author notes that despite the fact that MESSAGEs project experienced failure in the first 6 months of its implementation, several lessons were learned with regards to community involvement; long-term program development; inducting behavioral changes; limitation of pilot project; peer educators; and stigmatization.
USAID HIGHLIGHTS. 1991 Fall; 8(3):1-4.This article considers the epidemic proportion of AIDS in developing countries, and discusses the U.S. Agency for International Development's (USAID) reworked and intensified strategy for HIV infection and AIDS prevention and control over the next 5 years. Developing and launching over 650 HIV and AIDS activities in 74 developing countries since 1986, USAID is the world's largest supporter of anti-AIDS programs. Over $91 million in bilateral assistance for HIV and AIDS prevention and control have been committed. USAID has also been the largest supporter of the World Health Organization's Global Program on AIDS since 1986. Interventions have included training peer educators, working to change the norms of sex behavior, and condom promotion. Recognizing that the developing world will increasingly account for an ever larger share of the world's HIV-infected population, USAID announced an intensified program of estimated investment increasing to approximately $400 million over a 5-year period. Strategy include funding for long-term, intensive interventions in 10-15 priority countries, emphasizing the treatment of other sexually transmitted diseases which facilitate the spread of HIV, making AIDS-related policy dialogue an explicit component of the Agency's AIDS program, and augmenting funding to community-based programs aimed at reducing high-risk sexual behaviors. The effect of AIDS upon child survival, adult mortality, urban populations, and socioeconomic development in developing countries is discussed. Program examples are also presented.