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Mexico XVII - Communication

Communication perspectives - Mexico XVII AIDS Conference
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Together We Can (TWC)

Country

Antigua & Barbuda, Barbados, British Virgin Islands, Cayman Islands, Chile, Colombia, Dominica, Grenada, Guyana, Honduras, Jamaica, Mexico, Montserrat, Panama, Paraguay, Saint Lucia, Suriname, Turks & Caicos Islands

Region

Caribbean, Latin America

Programme Summary

Launched in 1993 in Jamaica as a joint effort between the American Red Cross and the Jamaican Red Cross, Together We Can (TWC) uses a peer-to-peer approach to raise awareness on the subject of HIV and AIDS. The initial programme inspired the creation of the Red Cross Caribbean AIDS Network, which - at the request of the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the Caribbean Community Secretariat (CARICOM) - took the lead in key regional youth prevention initiatives. This network then provided the tools for Red Cross leaders throughout the region - and beyond - to replicate TWC in their own cultural context. By the end of 2002, TWC was being implemented in Antigua and Barbuda, Barbados, British Virgin Islands, Cayman Islands, Dominica, Grenada, Guyana, Montserrat, St Lucia, and in the Turks and Caicos Islands. In 2003 the material was revised and translated into English, Spanish, French, Creole, and Papiamento. In November 2003, the peer education methodology underpinning TWC was introduced in Honduras. Organisers claim that the communication approach developed here is not only appropriate for raising awareness about HIV and AIDS, but also about sexually transmitted infections (STIs), teenage pregnancy and child abuse, and life choices young people face relating to their reproductive and sexual rights.

Communication Strategies

Recognising that many youth feel more at ease when talking to their peers, TWC places an emphasis during peer educator training on helping young people (mostly aged 13 and 19 years) develop the skills necessary to conduct what are meant to be dynamic interactive educational activities such as role-play, group discussions, and quizzes - with what organisers describe as a non-judgmental approach. They are encouraged (and supervised) to act as information disseminators and behavioural change agents. The core areas of training include knowledge (e.g., identify family planning clinics, STI clinics, health centres, and pharmacies as places to get condoms), attitudes (e.g., express a willingness to interact in everyday situations with people living with HIV and AIDS), and skills (e.g., demonstrate the ability to tell others how HIV is transmitted and prevented).

For example, when the programme was launched in Suriname in 2007, approximately 25 Junior Red Cross volunteers were trained by an independent consultant. The use of printed materials facilitated this process (i.e., a peer educator's handbook and an activity kit for participants). Then, a pair of peer educators worked to facilitate at least 3 trainings with at least 10 peers in each. In Suriname, the TWC volunteers also visit primary schools with specially adapted awareness activities for children aged 10 and older, such as how to deal with peer pressure.

An interactive online forum is designed to act as a place where young TWC participants may exchange experiences, discuss issues, continue friendships, and engage in moderated sessions. The use of the internet here is a tool for - it is hoped - reducing the numbers of young people being infected with HIV while promoting care and support to those who have been infected and affected.

Development Issues

HIV/AIDS, Children, Youth.

Key Points

The following statistics are provided by Tabiki Productions:

  • 2.1 million persons in Latin America and the Caribbean live with HIV.
  • With an average HIV prevalence of 2.3%, the Caribbean is the second most affected region in the world after sub-Saharan Africa.
  • Approximately 740,000 young people between 15 and 24 years of age are living with HIV in Latin America and the Caribbean.
  • AIDS is presently the leading cause of death among Caribbean men and women between the ages of 15-44 years; in Suriname, AIDS is the second leading cause of death. In the Caribbean region, 36,000 persons died from illnesses related to AIDS in 2004, as did 95,000 people in Latin America.
  • Nearly 50,000 children under the age of 15 are living with HIV in Latin America and the Caribbean.


In 2004, a consultancy firm (Itaca Assesorias) was hired to develop a monitoring and evaluation TWC toolkit to be implemented in all National Societies in the Caribbean and Central America in 2005. This toolkit is designed to measure impact in TWC programmes in the region.

In Suriname, where the programme was launched in 2007, by the end of that year approximately 4,000 young people were reached, most of whom are between the ages of 15 and 25 years. Sahida Leerdam (age 21), a public administration student in Suriname who participates in TWC, says, "We use the same vocabulary as our peers. When trainers and trainees use the same language, you get this relaxed atmosphere where everybody feels on the same level....In my circle of friends and fellow students, I notice that HIV/STI only becomes a topic when they are somehow involved in working for an organization like Red Cross, or another voluntary job. That's why I think the educational materials we produce should be made in such a way that they have a strong impact. Is a brochure colourful, does it lead to action? I like the infomercials the region shows on television, as a young woman I feel connected, right then and there. A line like: 'Make your next date special. Get tested.' I love it!..."

Looking at the TWC programme as a whole, in 2004, 7,000 persons were exposed and trained in the programme, in over 30 territories in the many languages of the Caribbean region. (Click here to access specific statistics on each participating locale.)

Partners

Jamaica Red Cross, the Norwegian Red Cross, Netherlands Red Cross, the Norwegian Agency for Development (NORAD), the United Nations Children's Fund (UNICEF).

Contact

Ms. Dylis McDonald
International Federation of Red Cross and Red Crescent Societies (IFRC/RCS)

Caribbean Regional Representation Office

Port of Spain
Trinidad & Tobago
Tel: 868 628 2439 OR 868 755 3062 (mobile)
Fax: 868 628 9715

Mrs. Carolina Cossio
Health Officer, South America Regional Representation Office
International Federation of Red Cross and Red Crescent Societies (IFRC/RCS)
Lima
Peru
Tel: 511 221 8333 OR 511 9975 85179 (mobile)
Fax: 511 221 9006

Mrs. Norma Garcia de Paredes
Regional HIV/AIDS Officer, Mexico, Central America and Panama Regional Representation Office
International Federation of Red Cross and Red Crescent Societies (IFRC/RCS)
Panama City
Panama
Tel: 507 380 0274 OR 507 6674 1587 (mobile)
Fax: 507 317 1304

Source

Tabiki Productions' "Young in the Caribbean: The Caribbean Children & Youth Development Bulletin" [Vol. 5 (2007), No. 2 (December)] - forwarded from Marieke Visser to The Communication Initiative on January 9 2008; Together We Can: The Methodology - Youth Peer Education [PDF]; Caribbean Red Cross website; and email from Mrs. Norma García de Paredes to The Communication Initiative on May 2 2008.


Placed on the Communication Initiative site May 01 2008
Last Updated May 02 2008

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