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

2. 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% 6yrs Compulsory schooling. Background Information

4. HIV in TONGA

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

6. Cumulative Number of HIV/AIDS 1987-2009 YEARMALEFEMALETOTAL 1987101 1989202 1992202 1996123 1998022 1999011 2000101 2002101 2004011 2007101 2008112 2009101 TOTAL11718

7. TOTAL NUMBER OF CURABLE STI YearTotal Number 199748 199841 199940 200046 200136 200250 2003 51 2004 102 2005 60 2006 88 2007 192 2008 235

8. CURABLE STIS BY AGE GROUP 2008 Age group intervalNumber of Cases 0-150 16-2045 21-25111 26-3057 31-358 36-407 41-456 46-501 51-55 56-60 TOTAL235

9. 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

10. 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

11. HIV – a STORY IN OUR H ANDS SAFESAFE DANGERDANGER PREVENTIONPREVENTION SHARINGSHARING CARINGCARING STEP UP AND PREVENT HIV

12. SING TO THE TUNE OF:” JINGLE BELLS 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! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME OH! SAFE SEX HERE--CONDOM THERE OH! SAFE SEX HERE--CONDOM THERE CONDOM EVERY-WHERE OH! HOW SAFE IT IS TO USE CONDOM ALL THE WAY

13. . SAFE SEX IS THE WAY POSSES --IF YOU CAN FAITHFULNESS IS BEST FAITHFULNESS IS BEST SAFE SEX ALL THE WAY CONDOM IS THE CHOICE IF NO OTHER WAY IF NO OTHER WAY OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIME OH! WHAT FUN IT IS TO HAVE SAFE SEX ALL THE TIMECHROUS: 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