Presentation on the strategic framework and research related to condoms in Trinidad & Tobago

1. Comprehensive Condom Programming Workshop June 2010

2. Setting the Stage On HIV, Sexual Practices and Behaviour One Year Transitional National Strategic Plan 2010 – 2011 Draft Condom Strategy and Action Plan KAPB ILO USDOL HIV/AIDS Workplace Education Project Research on Risk Factors of Key Populations for Contracting HIV and other STI’s

3. One Year Transitional National Strategic Plan 2010 – 2011 Behaviour Change Psycho-Social Factors Increase the Availability, Accessibility of Condoms Barriers - socio economic status; machismo Place rather than Price

4. One Year Transitional National Strategic Plan 2010 – 2011 Most at Risk Populations Indicator – 50% increase in young people reporting use of condom 75% increase in proportion of SW and MSM reporting use of condom

5. Draft Condom Strategy and Action Plan Socio-Political Environment Gender Norms and Power Relations Sex Work Demand – Generation; anti condom pressure; limited research; Information. Supply Support

6. KAPB Knowledge on Risks or Transmission – condom M 92.1 % F 92.2% Knowledge Condoms Heard of Male condom – 98.4% Where to buy – 93.7% Preference to buy – pharmacy 75%

7. KAPB Beliefs – Question Why do you think you have no chance of getting HIV Use condoms all the time – M 13.9% F 6.8% Sex Only with Spouse – M 36.1% F 45.4% (42% overall no sexual intercourse) What are the Chance of Catching HIV -84% little or no chance

8. KAPB Behaviour Age first have sex – 9-15 years M16.1 F 10.1 15-24 years 11.6% 25-49 years 13.1% 21 years + 43.7% Ever Used a Condom – 87.3%

9. KAPB Behaviour Was a condom used the first time you had sex – 44.3% - similar between M & F 15-24 62.2% 25-49 38.9% Sexual Debut Older Partner F 87.1% M 39.9% F 15-19 partner 10+ years 85% F 15-24 partner 10+ years 91%

10. KAPB Behaviour Regular Partners – use of condom M 35.1% F 30.7% overall 32.6% Condom every time – M14.2% F10.7% Overall 12.2% Why not use a condom – monogamous relationship 24.3%, trust 21.5% Non Regular partners – 14.5% use condom every time (81.8% have no non regular partner) 53.8% non respondent

11. KAPB Behaviour 4.7% admitted having sex with a commercial partner Condom Use with Commercial Partners M 14.7% F2.9% non respondent M79.4% F97.1% MSM 0.78% (6) admitted sex with male partners – 2 men reported use of condoms every time

12. ILO USDOL HIV/AIDS Workplace Education Project

13. Research on Risk Factors of Key Populations – Condom Use MSM – should use condoms but not always possible Sex Workers – no agreement by all sex workers that condoms should be used all the time

14. Thank you for your input!