STIs and HIVAIDS IN TONGA Ms Emily Esau

STIs and HIV/AIDS IN TONGA Ms. Emily Esau Ms. Katherine Mafi Ms. Joey Matele

Background Information Total Population – 103, 509 Population growth – 0. 3% Life Expectancy (M) – 70 years old Life Expectancy (F) - 72 years old No. of births per year – 2713 (2006) Fertility rate – 3. 8 Teenage pregnancy – 102/2564 (2006) ANC attendance – 100% No. of births in hospital – 2587 (2006) Literacy ration – 98% 6 yrs Compulsory schooling.

HIV in TONGA

WHY IMPLEMENT? ? ? • • • Country Strategic Plan #6 National Strategic Plan Global Fund CDO Program Competitive Grant NAC Grant Aus. AID Bilateral Fund School Curriculum Line listing of STIs/HIV cases CCM & National HIV/AIDS Stakeholders

Cumulative Number of HIV/AIDS 1987 -2009 YEAR TOTAL MALE FEMALE TOTAL 1987 1 0 1 1989 2 0 2 1992 2 0 2 1996 1 2 3 1998 0 2 2 1999 0 1 1 2000 1 2002 1 0 1 2004 0 1 1 2007 1 0 1 2008 1 1 2 2009 1 0 1 11 7 18

TOTAL NUMBER OF CURABLE STI Year Total Number 1997 48 1998 41 1999 40 2000 46 2001 36 2002 50 2003 2004 2005 2006 2007 2008 51 102 60 88 192 235

CURABLE STIS BY AGE GROUP 2008 Age group interval Number of Cases 0 -15 0 16 -20 45 21 -25 111 26 -30 57 31 -35 8 36 -40 7 41 -45 6 46 -50 1 51 -55 56 -60 TOTAL 235

Activities/Services • • • Established VCCT/STI Clinics Youth Friendly Services (School Based/RH C) Family Life Education (Primary/Secondary) Occupational Health Safety (Higher Institution) Behavior Change Communication MARYP/MARP – Teen Age Mums, School Drop Outs, Sex Workers, Men in Uniforms • Peer Education • Stepping Stones Training

COACH MODEL C – contract O – observe A – assess C – constructively challenge H – handle resistance NB! Typically, people that lack insight about the areas in which they need improvement resist the most

HIV – a STORY IN OUR HANDS STEP UP AND PREVENT HIV S A F E D A N G E R P R E V E N T I O N C A R I N G S H A R I N G

SING TO THE TUNE OF: ” JINGLE BELLS”. A. B. C. of SAFE SEX AND CONDOM SONG ABSTINENCE IS FIRST BE FAITHFUL IS BEST CONDOM USE IS NEXT SAFE SEX ALL THE WAY NO MORE S-T-Is H-I-V-AIDS GONE OH! WHAT FUN IT IS TO HAVE-- SAFE SEX ALL THE TIME CHR: SAFE SEX HERE--SAFE SEX THERE SAFE SEX EVERY WHERE OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME OH! SAFE SEX HERE--CONDOM THERE CONDOM EVERY-WHERE OH! HOW SAFE IT IS TO USE CONDOM ALL THE WAY

. SAFE SEX IS THE WAY POSSES --IF YOU CAN FAITHFULNESS IS BEST SAFE SEX ALL THE WAY CONDOM IS THE CHOICE IF NO OTHER WAY OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME CHROUS: SAFE SEX HERE. . SAFE SEX THERE SAFE SEX EVERY WHERE OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME! OH! SAFE SEX HERE…CONDOM THERE CONDOM EVERY-WHERE OH! HOW SAFE IT IS TO USE CONDOM ALL THE WAY