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HOME: POPULATION ISSUES: PREVENTING HIV INFECTION: Global Youth Partners
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The Former Yugoslav Republic of Macedonia

Youth Partner

Name: Marija Vasileva
Age: 27
Nationality: Macedonian
Affiliated Organization: Youth-Peer (Y-PEER-Macedonia) and Health Education and Research Association (H.E.R.A)
Marija Vasileva, recently graduated from the University “Ss. Cyril and Methodius” in Skopje, with a bachelors degree in Pharmacy. She has been a member of the NGO H.E.R.A. since 1999, and now she is a Program Coordinator for developing a network of peer educators in The Former Yugoslav Republic of Macedonia. In December 2003 she was appointed as a member of H.E.R.A. to work with the Government in developing the National Youth Strategy. She is a Master Peer Trainer and a Y-PEER Focal Point for The Former Yugoslav Republic of Macedonia. Her next steps would be to unite her experience gained through her activities in the NGO and her knowledge in Pharmacy, in order to continue her carrier as a pharmacist as well as part of the promotion of healthy lifestyle among youth and adolescents in her country. In her spare time she likes to swim, read books, be with her friends, travel, and go to concerts and cinema.

 

UNFPA in The Former Yugoslav Republic of Macedonia

In The Former Yugoslav Republic of Macedonia the impact of conflict, poverty, unemployment and the breakdown of societal and cultural norms have resulted in an increase in risk behaviour among young people. Over the past decade traditional structures around sex and marriage have been breaking down, increasing sexual activity outside of marriage. However, in many cases, taboos surrounding the discussion of sexual matters persist.

A recent UNFPA-sponsored situation analysis found that The Former Yugoslav Republic of Macedonia’s youth often possess incomplete knowledge about STI and HIV/AIDS and lack the life skills necessary to avoid infection. While young people are, for the most part, aware of condoms as a prevention measure for STI/HIV, they fail to use them on a regular basis. Young people need to be educated about healthy behavior and attitudes and encouraged to use prevention measures. Existing health and social services are not youth-friendly and young people report that they do not talk to their parents or teachers about sexual health and related issues. As a result, young people obtain information about prevention of HIV, other STIs and pregnancy largely from their peer group and/or older siblings. The response analysis found that media information campaigns have targeted youth with HIV/AIDS information, as has the education system. However, these campaigns are not reaching all young people and in particular may not reach vulnerable youth outside the education system.

The National Policy on HIV/AIDS therefore contains elements that move beyond providing youth with basic knowledge and strives to strengthen the skills of young people in life skills and negotiation of safe health behavior. It further recognizes the need for young people to contribute through their active involvement in future STI/HIV prevention programs. These programs will be more effective if they move beyond information dissemination and encourage group norms for safe and healthy behavior.

Good innovative programmes involving young people do exist, although their implementation is often uncoordinated and unsustainable. Youth friendly services are sporadic, particularly in the area of sexual and reproductive health. Likewise, peer education and life skills education programmes do exist but are not implemented in a systematic manner. Some work has been done by the Ministry of Education (MoE) and other organizations on the development of formal curricula in schools to include education on substance abuse, sex education and condom promotion. Macedonia is one of the Y-Peer countries. With a web site at its core, Y-Peer is a UNFPA-led project to encourage safer sexual behaviour among adolescents using peer educators and local NGO.
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