Strategies for the South: Building Synergies in HIV/AIDS and Sexual and Reproductive Health and Rights

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Strategies for the South: Building Synergies in HIV/AIDS and Sexual and Reproductive Health and Rights Short Summary LAC Regional Dialogue The Latin American and Regional Dialogue, Strategies for the South:
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Strategies for the South: Building Synergies in HIV/AIDS and Sexual and Reproductive Health and Rights Short Summary LAC Regional Dialogue The Latin American and Regional Dialogue, Strategies for the South: Building Synergies in HIV/AIDS and Sexual and Reproductive Health and Rights took place in Buenos Aires, April, The purpose of this Regional Dialogue was to promote a dialogue between Latin American and Caribbean regional networks that defend women s health and sexual and reproductive rights, human rights and HIV/AIDS rights, including sex workers and intravenous drug users, to improve the impact of international/regional advocacy on HIV/AIDS and women. This Regional Dialogue was organized as follow up to an International Dialogue with representatives from Africa, Asia and Latin America and the Caribbean to explore cross movement collaboration for improved international advocacy on HIV/AIDS and women. Two representatives from 13 regional networks participated in this LAC Dialogue (Annex I List of Networks and List of Participants). Only one network, the Latin American Harm Reduction Network did not attend. The only confirmed participant who could not make it at the last minute was Yanira Tobar Márquez from RedTraSex due to the fact that she was robbed on her way to the airport. RedTraSex was able to replace her with the participation of Claudia Lucero, a member from Rosario, Argentina. The Caribbean was represented by Deborah Williams from Trinidad and Tobago of CRN+ and Marcus Day from St. Lucia of the CHRC. During the second day, Sergia Galván of the Dominican Republic and from the Caribbean Association for Feminist Research and Action (CAFRA) was able to join the Dialogue. Although she was not originally invited to the Dialogue, she was in Buenos Aires for the Forum 2007 and was asked to participate and enrich the Caribbean perspective. Horacio Sívori from the Latin American Center on Sexuality and Human Rights (CLAM) attended the Dialogue to observe and interview participants. CLAM is responsible for the overall evaluation of the Strategies for the South project. In joining together networks from all over the region, the Dialogue aimed to promote collaboration between network participants for the development of more effective regional advocacy; to identify agreements and disagreements, and within disagreements specify the differences and the problems; to identify issues for possible collaboration; and to develop a working relationship between the groups of activists and networks present. The Dialogue began with a presentation of objectives and a session for participants to get to know each other s work. The Dialogue discussion was centered on six controversial issues that had been chosen by the project and were discussed at the International Dialogue (Annex II Dialogue Program). They were: 1) Sexualities and vulnerabilities: risk groups?; 2) Sexual education for adolescents; 3) Limitations of current approaches to prevention and treatment; 4) Abortion and sexual and reproductive rights; 5) Gender based violence; and 6) Financing: vertical versus integrated programs. There was an initial presentation of each issue and then an opportunity for participants to discuss the topic. The session on adolescent sexuality was initiated by a case study of a young HIV+ woman in Bolivia and a set of follow up questions to be discussed in small groups; the issue of Abortion was presented through a video produced by Ipas and adapted by FEIM on the controversy surrounding an abortion for a 9 year old Nicaraguan girl in Costa Rica after a rape; and the gender based violence session included a video recently produced by the Women Won t Wait Campaign on the connection between violence and HIV/AIDS in LAC. For small discussions in most of the sessions, participants were broken up into smaller groups. They were divided based on their advocacy issues, their sub-regional location, and by splitting two representatives from each network to form groups. Once the issues had been discussed in smaller groups, they were reunited for a plenary session to share outcomes. The first group discussion of the Dialogue addressed the concept of sexualities and vulnerabilities and the categorization of risk groups and risky behavior. This topic opened a solid discussion about the ways in which different groups are identified within HIV/AIDS and the impact on advocacy of classifying risk groups. There was consensus among participants that we are all vulnerable to HIV/AIDS infection, no matter what our sexuality, identity or behavior, which set the stage for a fruitful Dialogue. However, there was not always agreement among participants on the issues. For example, the discussion on sex workers exposed a serious divide between the traditional feminist groups and sex worker networks. The classical feminists viewed prostitution as a matter of women s exploitation and preferred to call it women in situations of prostitution, whereas the sex worker networks viewed it as sex work. This discussion implied an important difference and an agreement was adopted about the need to support sex workers rights and to use a harm reduction approach to prevent HIV/AIDS. Differences in sub-regional approaches were also pointed out by Dialogue members. During the discussion on Adolescent Sexuality Education, Deborah Williams from the Caribbean noted differences in the Latin American approach to sexuality education for adolescents versus what she had observed in the Caribbean. In the Caribbean less controversy exists among religious, government and NGO perspectives. At the conclusion of a video shown on abortion, a representative from the Caribbean was astonished at the position in LAC in this case of abortion/pregnancy interruption and observed that governments and societies in the Caribbean have a very different approach, more open and with less restrictions to allow this practice. Agreement was accepted on the issue to defend girls and women s reproductive rights independent of their HIV status. In those living with HIV/AIDS, it was more important to avoid any coercion in their decision to have or not to have children. The discussions on prevention and treatment and gender based violence were less controversial. However, they did mark differences in access to prevention and treatment based on the politics of different countries. These politics frame the approach to access within countries and divide advocacy within the region according to the follow up of abstinence only principles or not. Nevertheless, it was agreed that all countries in LAC are influenced by policies from the United States as well as religious groups, principally the Catholic Church, and this helped the discussion for a more united approach. The dialogue on gender based violence confirmed the fact that there is a need for more concrete evidence and research on the topic, particularly within LAC, and that overall it is an issue which must be addressed within the region due to the increase of sexual violence. The approach agreed to incorporate gender violence and include other women s groups or sex workers as well as transgender, homosexual and others. The session on financing touched on the difficulties that all face in accessing funds, particularly since most donors decide in advance how the monies should be spent, leaving great disparities in funding for some groups like sex workers and surpluses for others like children and adolescents. Special attention was given to the increase of ARVs and how difficult it will be for the governments of countries such as Brazil and Argentina to continue providing free treatment for all PLWHA if no generic policies are adopted. Also the group agreed to demand better counting of universal treatment by governments and UN Agencies in the region due to problems with how they estimate nowadays. An example of a regional study not yet finished was considered. Finally, participants divided into sub-regional groups based on geographic location to discuss concrete joint future actions. The groups were: Central America and Mexico, the Caribbean, the Andean Region, and the Southern Cone. The Central America and Mexico group acknowledged that they individually work with separate populations, but saw the possibility for joint action on the issues of vulnerability and gender and violence with respect to HIV. They proposed to set up a website and put together an informative kit on the issues for decision makers: politicians and others. The Caribbean group, with representation from the Spanish-speaking Caribbean, came together on violence. They proposed to publish a document in all four Caribbean languages addressing the issue of gender based violence in vulnerable groups as related to HIV/AIDS in the Caribbean. The Andean group identified young people and the controversial issues as a way to work together. They proposed to do a study on the youth perspective of controversial issues like vulnerability to HIV/AIDS, sexual and reproductive health and rights. The group from the Southern Cone agreed that information was needed on the intersection between violence and HIV/AIDS for joint advocacy. This group proposed to put together a database on the intersection of HIV and violence, including women s testimonies, in order to better contextualize the epidemic. These activities will be finished by December 07, as some are oriented toward violence against women or gender based violence. The specific dates will be between November 25 December 10 th, an important time in international and regional advocacy, which includes the International Day of Violence Against Women, and the start of 16 days of activism, including International AIDS Day and International Human Rights Day. The Dialogue finished in the early afternoon on Monday April 16 th, with the general sense that the discussion had been productive and the opportunity for collaborative advocacy was a welcome one. When the Dialogue was over, many of the participants remained in Buenos Aires for the 2007 Latin American and Caribbean Forum on HIV/AIDS and STIs. The participants of the LAC Dialogue continue follow up communication with each other through an e-group established by FEIM. Articles and updates are shared and plans for future action are further developed. Mabel Bianco Buenos Aires, April 2007 ANNEX I Latin American Council of AIDS Services Organizations (LACCASO) The Latin American and Caribbean Youth Network for Sexual and Reproductive Rights (RedLAC), The Caribbean Regional Network of People Living with HIV/AIDS (CRN+), The Latin American and Caribbean HIV+ Women s Movement (MCLM+), The Latin American Network of People Living with HIV/AIDS (RedLA+), The Caribbean Harm Reduction Coalition (CHRC), The International Community of Women Living with HIV/AIDS Latin American chapter (ICW Latina), The Latin American and Caribbean Women s Health Network (RSMLAC), The Latin American and Caribbean Committee for the Defense of Women s Rights (CLADEM), The Latin American and Caribbean Network of Women Sex Workers (RedTraSex), Collective of Black Brazilian Women s NGOs, International Treatment Preparedness Coalition (ITPC/CIAT), Action Aid CONTACT INFORMATION Alma de Estrada ActionAid International - Guatemala Coordinadora de Proyectos / Project Coordinator 13 Calle z.13, Guatemala, Guatemala. Tels. (502) , (502) , fax. (502) Lima 11, Peru / P.O. Box (54-11) Deborah V. Williams Caribbean Regional Network of People Living with HIV/AIDS, CRN+ #59 Guy Street Canaan, Tobago tel: (c), (h) Alessandra Nilo LACCASO, Latin American and Caribbean Council of AIDS Services Organizations LACASSO Executive Committee Office number: Fax number: Ana Regina Gagliardo AdeveLatin American and Caribbean Youth Network for Sexual and Reproductive Rights, REDLAC R: Guarani, 326 Apto 51 Bom Retira S-P Brazil Arturo Mercado Gurrola Latin American and Caribbean Network or Women Sex Workers, RedTraSex Técnica Moverte, Jóvenes y Ciudadanía Sexual Piedras 519, Dpto. 2 Buenos Aires, Argentina Tel: Cel: Claudia Lucero Latin American and Caribbean Network or Women Sex Workers, RedTraSex Tel: Cel: Cristina Zurutuza CLADEM, Latin American and Caribbean Committee for the Defense of Women s Rights Member of CLADEM-Argentina REGIONAL OFFICE: Jr. Estados Unidos 1295, Dpto. 702, Jesús María Fernanda Lopes Articulación de ONGs de Mujeres Negras Brasileñas Tel office: Mobile: Georgina Gutierrez Alvarado MLCM+, Latin American and Caribbean HIV+ Women Movement Regional Coordinator Estrellita #19, Col. Unidad Independencia Delegación Magdalena Contreras CP México, D.F. Tel/Fax: (52 55) Mobile: ( ) Gabriela Leite RedTraSex Rua Santo Amaro, Glória - Rio de Janeiro Código Postal , Telefones: (5521) e Horacio Sívori Centro Latinoamericano de Sexualidad y Derechos Humanos, CLAM tel: (55 21) int. 210 casa: (55 21) Karol Andrea Garcia Buitrago REDLAC, Latin American and Caribbean Youth Network for Sexual and Reproductive Rights Colombian Contact Calle 34 Nº 14-54, Profamilia, Bogotá - Colombia, Office number: (571) ext. 254, 142 Fax number: (571) Laura Inés Perez Ottonello REDLA+, Latin American Network of People Living with HIV and AIDS General Coordinator Uruguayan Network People living with HIV/AIDS- Av. Italia 3039 Dep. 901 Office number: (005982) Fax number: (005982) Marcus Day Caribbean Harm Reduction Coalition Director, Caribbean Drug Abuse Research Institute Box 1419 Castries, SAINT LUCIA Office Fax Cell Maria Alejandra Scampini Franco Actionaid International Americas Women's Rights Policy Officer RUA SANTA LUZIA 651, 17 TH FLOOR RIO DE JANEIRO, BRAZIL Office number: Fax number: Nizarindandi Picasso Domínguez ICW Latina Iniciativa de Politicas en Salud Nogales No. 30, P.B. Col. Roma Sur Delegación Cuauhtemoc C.P , México, D.F. Tel/fax: (55) , (55) , (55) Celular Oswaldo Rada REDLA+, Latin American Network of People Living with HIV and AIDS Calle 8 No Office number: Fax number: Rafael Burbano Quiroga Internacional Treatment Preparedness Coalition, ITPC/CIAT Coordinador Regional Latinoamerica CIAT FUNDACION APOYO Y SOLIDARIDAD calle 8 No tel cel Cali - Colombia Renate Koch LACCASO, Latin American and Caribbean Council of AIDS Services Organizations Directora Ejecutiva ACCSI Directora Ejecutiva LACCASO Caracas - Venezuela Tel.: Fax: Sandra Castañeda Martinez Latin American and Caribbean Women s Health Network, LACWHN Simón Bolívar 3798, Ñuñoa Cód.Postal: Casilla 50610, Santiago 1, Santiago, Chile Tel.: (56-2) Fax: (56-2) Sandra Patricia Arturo De Vries MLCM+, Latin American and Caribbean HIV+ Women Movement Coordinadora regional por Colombia Calle 16 B No Pasto Nariño Colombia Tel: , Sergia Galván Colectiva Mujer y Salud y CAFRA José Gabriel 501, Esquina Cambronal Ciudad Nueva, Santo Domingo Republica Dominicana Tel: , Sonia Covarrubias Latin American and Caribbean Women s Health Network, LACWHN Direccion: General Koerner 38. El Bosque. Santiago. Chile. Te: (56-2) (56-2) l: Valeria Pandjiarjian CLADEM, Latin American and Caribbean Committee for the Defense of Women s Rights Member of CLADEM-Brazil REGIONAL OFFICE: Jr. Estados Unidos 1295, Dpto. 702, Jesús María Lima 11, Peru / P.O. Box Office number:(51 1) Fax number: (51 1) Yanira Lisette Tobar Marquez Latin American and Caribbean Network or Women Sex Workers, RedTraSex President of OMES Organizacion Mujeres en Superacion 7 calle 0-18 zona 1 Guatemala City Guatemala Cel (502) tel (502) Fax (502) FOUNDATION FOR THE STUDY AND RESEARCH OF WOMEN FEIM- Paraná 135 3º 13 Buenos Aires 1017, Argentina Tel./Fax (5411) Mabel Bianco President Office/Fax number: Cell phone number: Diego Cal Paraná 135 3º 13 Buenos Aires 1017, Argentina Tel./Fax (5411) Andrea Mariño Paraná 135 3º 13 Buenos Aires 1017, Argentina Tel./Fax (5411) Maya Scherer Paraná 135 3º 13 Buenos Aires 1017, Argentina Tel./Fax (5411) ANNEX II Dialogo: Estrategias para el sur: Construyendo sinergias en VIH/Sida y salud/derechos sexuales y reproductivos April 14 16, 2006 Buenos Aires, Argentina Gran Hotel Ailén Suipacha 18 Sábado 14 de abril 9:00am Bienvenida e Información sobre Reglas y logística Mabel Bianco 9.15am Presentación de los participantes 9:45am Historia y objetivo del Dialogo Internacional y Regional - Mabel Bianco 10: am Café am CONOCERSE MEJOR: Grupos de trabajo am Plenaria. Método de trabajo 11.30am 12.15pm Grupos de trabajo pm Almuerzo pm SEXUALIDADES Y VULNERABILIDADES. GRUPOS DE RIESGO? pm Café Facilitadora: Alessandra Nilo Presenta: Mabel Bianco pm EDUCACIÓN DE LA SEXUALIDAD EN LOS ADOLESCENTES Facilitadora: Ana Adeve Presentación Estudio de Caso: Andrea García Buitrago (RedLac) y Diego Cal (RedNac) pm Grupos de discusión pm Plenaria. Revisión conclusiones grupos pm Presentación EXPERIENCIA ACTUAL DE COLABORACION Facilitadora: Renate Koch Presenta: Alessandra Nilo Domingo 15 de abril 8.30pm Cena Espectáculo de Tango, Restaurant Chiquín (Calle Perón 920). Salida del Hotel 8.15pm 9:00 9:20am LIMITACIONES DE LOS ENFOQUES DE PREVENCION Y TRATAMIENTO Facilitador: Arturo Mercado Presenta: Mabel Bianco 9:20-10:20am Discusión en grupos 10:20-11:00am Plenaria: Conclusiones de los grupos 11:00 11:15am Café 11:15am 12:30pm ABORTO Y DERECHOS SEXUALES Y REPRODUCTIVOS Facilitadora: Valéria Pandjiarjian Presenta el video IPAS: Andrea Mariño Discusión en plenario pm Almuerzo pm VIOLENCIA DE GENERO Facilitadora: Cristina Zurutuza Presentación: Alma de Estrada y Alejandra Scampini pm Café pm Revisión de Consensos y desacuerdos (grupos) pm Posibilidades de colaboración entre redes Lunes 16 de abril 9:00 10:30am FINANCIAMIENTO: PROGRAMAS VERTICALES VS. INTEGRADOS Facilitadora: Mabel Bianco Comentarios: Oswaldo Rada y Alessandra Nilo Discusión en plenario am Café 10.45am 12.00pm Discusión en grupos subregionales: Es posible la colaboración? Qué temas? Cómo? pm Plenaria. Áreas de trabajo. Presentación planes subregionales. Facilitadora: Alejandra Scampini pm Plenaria síntesis planes y organización futura. Cierre: Mabel Bianco pm Almuerzo
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