The HIV/AIDS PANDEMIC continues to rage throughout the globe with an estimated 40 million people living with HIV/AIDS at the end of 2005. More

than 10 million of them are young people between the ages of 15 to 24; of which Sub-Saharan Africa has almost 2/3 of all young people living with HIV/AIDS (roughly 6.2 million). The impact of HIV/AIDS on young people and adults pushes it beyond just a disease to a development challenge that affects the social, political and economic fabric of society. Yet, the inherent social, political and economic problems in each country further exacerbate the spread of HIV/AIDS. Therefore, HIV/AIDS assumes a duality whereby it is not only a biological disease, but also a socio-political-economic disease*.

• The LIFE CHOICES PROGRAM is a five-year Track 1 “Abstinence and Be Faithful for Youth” (AB) program started in 2005 and funded by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the United States Agency for International Development (USAID).

To curb the devastating impact of HIV/AIDS in youth in Sub-Saharan Africa, Salesian Missions has been implementing the Life Choices Program in three countries: Kenya, South Africa, and Tanzania. Life Choices targets youth ages 10 to 19 with core messages of “Abstinence and Be Faithful for Youth” (AB) to prevent HIV infection. The program also benefits the youth by employing a multi-pronged approach to HIV/AIDS prevention. This approach not only offers youth health education on HIV/AIDS and other sexually transmitted diseases (STDs), but also offers life skills training, parental and community support, counseling, and job placement. To reach the youth, the program utilizes a “Trainer of Trainers” (TOT) approach to impart the Abstinence and Be Faithful (AB) messages not only to the youth but also to those in their broader social environment to create a context that supports the practice of AB behaviors. A core group of trainers in each country is responsible for introducing the AB Life Choices Curriculum directly to youth and their parents or caregivers. In addition, trainers are responsible for training peer educators and community leaders to disseminate AB strategies to the broader community. Peer educators are selected from the entire spectrum of youth social niches and groups to ensure that in school, out-of-school, and high-risk groups of youth (i.e. street children, orphans, and incarcerated youth) are reached, regardless of social standing.

The program management also devotes many resources to the development of its staff, which not only ensures a good quality of program delivery, but also

augments the local in-country capacity in HIV/AIDS prevention. Furthermore, the program is actively involved in developing and disseminating behavior change communication (BCC) messages as well as increasing access to youth friendly volunteer counseling and testing (VCT) services in all three countries.

To date “Life Choices” has reached over 115,000 youth. At its end, the program will reach over 150,000 youth in all three countries. Since the program is being implemented in public and Salesian schools, “Life Choices” aims to have an impact on youth beyond 2010. Therefore, through the “Life Choices” Program, Salesian Missions is committed to decreasing the burden of HIV/AIDS on the youth it serves, enabling them to reach their full potential.

Visit our website at: www.hivaidsprevention.org

NUMBER OF YOUTH AFFECTED BY HIV/AIDS:
Africa: 6.2 million
South and South East Asia: 1.8 million
Central Asia and Easter Europe: 630 thousand
Latin America: 610 thousand*

The vision of LIFE CHOICES is to reach youth with a powerful AB message early in their lives and to support the maintenance of positive behavior changes during adolescence and adulthood through the involvement of community mentors, informed parents, and organized peer groups.

* WHO Technical Report Series - 938

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