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Statements by opinion leaders at the XIV
International AIDS Conference, held in Barcelona, Spain, in July 2002,
suggest that a partnership combining youths’ energy and daring with
adults’ experience, funding, and credibility can elevate youth
concerns about HIV/AIDS as a priority for international leaders in HIV
prevention.
"We are taking a new direction and you can
count on it," said Peter Piot, executive director of the Joint
United Nations Programme on HIV/AIDS (UNAIDS), at a preconference rally
sponsored by the Barcelona YouthForce, a group of young people and
adults who worked together at the conference to raise awareness of youth
and HIV/AIDS. "We are working with young people rather than for
young people."
At the conference, the YouthForce alliance of
some 150 youth and 50 adults from throughout the world highlighted the
growing impact that HIV is having on those under age 24. The alliance
sponsored press conferences and a satellite session, hosted networking
sessions for youth, and published an on-site newsletter. The U.S. Agency
for International Development (USAID) and the U.S. Centers for Disease
Control and Prevention funded the effort. It was coordinated by the FHI-led
YouthNet program and the U.S.-based Advocates for Youth, along with two
youth-run groups: the Student Global AIDS Campaign and Youth Against
AIDS.
"For the first time at an international
HIV/AIDS conference, young people are raising their voices and demanding
to be heard as key participants in the fight against HIV/AIDS,"
reported the official conference newsletter, AIDS2002Today, in
regard to YouthForce. And, at the closing conference plenary, in a
speech reported widely around the world, former U.S. President Bill
Clinton said, "The YouthForce ... [is an example] of what we have
to have more of if citizens will take ownership of this fight."
Why create youth-adult partnerships?
In the reproductive health and HIV/AIDS fields,
information about the impact of youth-adult partnerships on youth is
limited. But literature from related fields indicates that involving
young people in programs helps them form aspirations, grow in
confidence, attain resources, gain skills and knowledge, change
attitudes, and develop more meaningful relationships with adults.1
It can enhance social competence, problem-solving skills, autonomy, and
a sense of purpose.2 Finally, it can help young people be
more open to learning, engage in critical dialogue, exercise creativity,
and initiate activities.3
Little information is available on the impact of
youth-adult partnerships on adults, youths’ reproductive health, and
the programs or organizations involved. A U.S. study examined
organizations where youth had decision-making roles, including serving
as advisory board members, staff members, peer educators, and program
planners. Interviews and focus group discussions with young people and
adults from 31 organizations showed that adults began to view youth no
longer as recipients of services but as competent individuals who
contributed to the organizations. The energy of youth also enhanced
adults’ commitment to the organizations and ability to work
collaboratively.4
In a program in Nigeria and Ghana called the West
African Youth Initiative, youth have worked as reproductive health peer
educators and in other related activities with local nongovernmental
organizations. An evaluation of the project included an analysis of data
from more than 3,500 interviews conducted in control and intervention
communities where the youth activities took place. The proportion of
sexually active youth reporting use of a modern contraceptive increased
significantly in the intervention area (from 47 percent to 56 percent)
during two years between baseline and follow-up data collection,
compared to a slight decrease in the control area. The intervention also
had a marked impact on youths’ reproductive health knowledge,
willingness to buy contraceptives, and ability to use contraceptives.5
Involving youth in reproductive health programs
can increase credibility, visibility, and publicity for their programs,
according to several studies.6 Young people often prefer to
rely on peers for reproductive health information. And, youth can be
visible ambassadors for their programs and organizations by serving as
outreach workers, peer educators, and counselors, or – as in the case
of the Barcelona YouthForce – as advocates working with policy-makers.
This article was written by Smita Sonti and
William R. Finger, with technical assistance from Dr. Shyam Thapa and
Hally Mahler. Sonti is an intern with YouthNet, a program coordinated by
FHI and funded by USAID to improve reproductive health and prevent
HIV/AIDS among young people. Finger works on information dissemination,
Dr. Thapa coordinates research activities, and Mahler coordinates youth
involvement issues for YouthNet. YouthLens is a YouthNet activity.
References
- Rajani R. Discussion Paper for Partners on
Promoting Strategic Adolescent Participation. New York: United
Nations Children’s Fund, 2000; Pittman K, Irby M, Tolman J, et al.
Preventing Problems, Promoting Development, Encouraging
Engagement. Competing Priorities or Inseparable Goals? Takoma
Park, MD: The Forum for Youth Investment, 1996.
- Norman J. Building effective youth-adult
partnerships. Transitions 2001;14(1):10-12.
- Mokwena S. Youth Participation,
Development and Social Change. Baltimore, MD: International
Youth Foundation, 1999.
- Zeldin S, McDaniel AK, Topitzes D, et al. Youth
in Decision-Making. A Study on the Impacts of Youth on Adults and
Organizations. Madison, WI: The Innovation Center for Community
and Youth Development, 2000.
- Brieger WR, Delano GE, Lane CG, et al. West African
Youth Initiative: outcome of a reproductive health education
program. J Adolesc Health 2001;29(6):436-46.
- Senderowitz J. Involving Youth in Reproductive
Health Projects. Washington, DC: FOCUS on Young Adults, 1998;
Academy of Educational Development. Prevention Marketing
Initiative. Youth Involvement. Atlanta, GA: U.S. Centers
for Disease Control and Prevention, 1997; Zeldin.
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