Scora manual by Ming Yong

FROM THE SCORA DIRECTOR

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Hello SCORAngels from all over the world! It is with great pride and a big heart that I am writing to you to welcome you to the amazingly crazy family that is IFMSASCORA! I remember when I first went to an IFMSA General Assembly (August Meeting 2011 in Copenhagen, Denmark for those of you who are interested in knowing how elderly I really am in IFMSA), and feeling something indescribable, a feeling of finding a group of people who viewed the world in the same way I did. I didn’t know it back then but IFMSA-SCORA became a sort of family for me. And I hope that you will find that same thing within SCORA, for it has made my medical school experience indescribably amazing. SCORA is such an amazing place to work, for it is one of the Standing Committees with a clear purpose of the difference it wants to make in the world. What are these things you ask? Well just this year, we decided on the 5 main focus areas which SCORA will work in the upcoming years, those mainly being comprehensive sexuality education, maternal health, access to safe abortion, prevention of stigma and discrimination, and violence against women. Also this year, we amended and adopted our Strategic Plan for the upcoming years, and it is our goal this year to create a clear Vision and Mission for SCORA, so we can push SCORA forward to new heights. But SCORA has accomplished so much in the last couple of years. We have expanded to more NMO’s in all regions, implemented Regional Peer Education Trainings in all regions this year, and created new

partnerships with externals such as IPAS, WHO, and UNAIDS to name a few. We’ve focused on creating more outcome oriented SCORA sessions for you all in General Assemblies and Regional Meetings, and on Capacity Building via trainings on topics ranging from Advocacy to creating new SCORA Projects. We’re pushing to make SCORA bigger, better, and more awesome than ever, and that all starts with you. It is your motivation and perseverance to work in a field that is deemed too controversial and unacceptable to even speak about in many areas of the world, that keeps pushing SCORA forward. It’s your ingenuity, creativity, passion, and love for the field of reproductive health and HIV/AIDS that keeps SCORA alive and thriving! I can say that personally, each and every SCORAngel who has spoken to me in the past four years has inspired me to not only become a better doctor, but also a better person. It is because of you that I am in this position now and it is my hope that I can serve you in this upcoming year and make sure that each and everyone of your voices is heard and that all of you shine. So please, share your projects, tell us your ideas, give us your feedback, for without this, we wouldn’t improve and become better. I can’t wait to see how amazing this year turns out, and I want you all to know if you need anything at all, am always here to help, along with my amazing International Team! So big hugs and lots of love!

JOE CHERABIE

SCORA-Director 2013-2014

The History of IFMSA

The History of SCORA

The SCORA Structure

The SCORA Start-up Kit

Major SCORA Projects and Events

SHAPE and Peer Education

Tips and Tricks in SCORA

Some Issues SCORA is Dealing With

SCORA on an International Level

The SCORA 2014 Manual Content by: Joe Cherabie (scorad@ifmsa.org) and Kelly Thompson (lra@ifmsa.org) SCORA Director and SCORA Liaison Officer 2013-2014 Layout Editor: Ming Yong (ming.yong@amsa.org.au), SCORA Publications Assistant 2013 - 2014 Last updated: 12th November 2013 For further information, contact Joe Cherabie (scorad@ifmsa.org), SCORA Director 2013-2014.

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CONTENTS

The SCORA International Team

THE SCORA INTERNATIONAL TEAM

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The SCORA International Team for 2013 - 2014

JOE CHERABIE

SCORA Director scorad@ifmsa.org

JEA PONZUL

PAMSA Regional Assistant ra.scora.pamsa@ gmail.com

SANAM SEYEDIAN

EMR Regional Assistant ra.scora.emr@gmail.com

EMILY STEWART

KELLY THOMPSON

SCORA Liaison Officer lra@ifmsa.org

MARIA CUNHA

MICHALINA DREJZA

PAMSA Regional Assistant ra.scora.pamsa@ gmail.com

Europe Regional Assistant ra.scora.europe@ gmail.com

CEPHAS AVOKA

TSUKASA WATANABE

ANNA SZCZEGIELNIAK

Africa Regional Assistant ra.scora.africa@gmail.com

Asia Pacific Regional Assistant ra.scora.asiapacific12@ gmail.com

Publications Coordinator scora.publications@ gmail.com

The year was 1951. Medical students from eight countries (Denmark, Sweden, Finland, Norway , Germany, Switzerland, England, The Netherlands, and Austria) gathered in Copenhagen to start a nonpolitical organization for medical students. The purpose of this organization is to “study and promote the interests of medical student cooperation on a purely professional basis, and promoting activities in the field of student health and student relief”. So the International Federation of Medical Students’ Associations (IFMSA) was born.

VISION A world in which all medical students unite for global health and are equipped with the knowledge, skills and values to take on health leadership roles locally and globally. MISSION IFMSA unites medical students worldwide to lead initiatives that impact positively the communities we serve. IFMSA represents the opinions and ideas of future health professionals in the field of global health, and works in collaboration with external partners. IFMSA builds capacity through training, project and exchanges opportunities, while embracing cultural diversity so as to shape a sustainable and healthy future.

Initially three committees are formed: Standing Committee on Medical Exchange (SCOME), Standing Committee on Professional Exchange (SCOPE), and Standing Committee on Students’ Health (SCOSH). A bureau of information was set up in Geneva to establish contact between all members and international organizations. One year later the first General Assembly (GA) took place in London, 30 students participate representing 10 countries.

Currently there are six existing Standing Committees in the IFMSA:

This year, in 2013, IFMSA celebrated its 62nd year of existence. The original eight member countries have been joined by many more. IFMSA is the world’s largest student organization representing medical students from more than 100 country worldwide.

3. SCORE: Standing Committee on

Over the past 62 years, the structure and functions of IFMSA have been changed several times. From the original European group, the association has grown to include members from all over the world. IFMSA principles have been further defined in the present constitution, which states that: “The federation pursues its aims without political, religious, social, racial, national, sexual or any other discrimination” “The federation promotes humanitarian ideals among medical students and so seeks to contribute to the creation of responsible future physicians”

1. SCOME: Standing Committee on Medical Education (contact director: scomed@ifmsa.org) 2. SCOPE: Standing Committee on Professional Exchange (contact director: scoped@ifmsa.org) Research Exchange (contact director: scored@ifmsa.org) 4. SCOPH: Standing Committee on Public Health (contact director: scophd@ifmsa.org) 5. SCORA: Standing Committee on Reproductive Health including AIDS (contact director: scorad@ifmsa.org) 6. SCORP: Standing Committee on Human Rights and Peace (contact director: scorpd@ifmsa.org)

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This past year, the IFMSA also adopted its Vision and Mission:

THE HISTORY OF IFMSA

“The federation respects the autonomy of its members”

THE HISTORY OF SCORA

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In 1992 the newest working group in IFMSA was formed, namely SCOAS, the “Standing Committee on AIDS and Sexually Transmitted Diseases”. The committee was formed as the result of the concern of IFMSA on the growing number of people living with AIDS and the strong will of medical students to participate in programs for prevention of HIV and STIs. The activities in SCOAS later developed from HIV/STIs advocacy and awareness campaigns to encompass a wider range of reproductive health and related issues. This leaded to a change of focus for the committee in 1998, resulting in a new name: “The Standing Committee on Reproductive Health including AIDS”, SCORA in short. From the beginning, SCORA has believed that one of the important methods of fighting AIDS is through prevention; and the only way of prevention is through education. Therefore, the main focus

of this committee is on activities that emphasize already existing solutions and create new educational programs for medical students, as well as for the general population, emphasizing teenagers as a risk group. Other activities have been directed towards promotion of healthy sexual and reproductive behaviour, prevention of HIV and STIs, prevention of abortion and appropriate use of contraceptives, reproductive rights, women’s rights (gender equality), the fight against domestic violence, Female Genital Mutilation, and maternal health. A number of international workshops have been organized by SCORA throughout the years, which mirror the development of this committee. SCORA develops and promotes medical students’ empowerment and activities aiming at improving sexual and reproductive health and rights led by students for the benefit of their communities. This is primarily done through peer education and trainings, advocacy and awareness campaigns at all levels from grassroots to international.

SCORA LIAISON OFFICER The SCORA LO – the Liaison Officer for SCORA is responsible for external contacts. She or he represents SCORA to externals, like UNFPA, UNAIDS, and other UN Agencies and NGOs related to SCORA work. All external contacts should go through the LO. There are individual LO’s for the WHO and UNESCO within the IFMS A.

SCORA REGIONAL ASSISTANTS The SCORA Regional Assistants(RAs) are helping the SCORA director to coordinate the work in the five regions

PUBLICATIONS ASSISTANT The publications assistant will be in charge of all things that will be published on behalf of SCORA in upcoming year and will be managing the SCORA Publications Team. The Publications Assistant will also proofread any SCORA related Policy Statements that are put forth in in IFMSA General Assemblies to make sure they are up to IFMSA quality and standards.

NORA The NORA, the National Officer on Reproductive health including AIDS, is elected by his or her NMO. The task of a NORA is to coordinate and to encourage local or national activities in the respective country. The NORA is also responsible for communication with and reporting back to the SCORA Director and the Regional Assistant. NORAs are recommended to attend the IFMSA GA’s in March and August, representing their country within SCORA as well as regional meetings. At these meetings, NORAs network with other NORAs, exchange ideas and attain new knowledge and motivation to bring back home to the local committees.

LORA The LORA, the Local Officer on Reproductive Health including AIDS, is working at grassroots level and is in charge of activities on local level, i.e. the medical school. The LORAs should communicate with and report to the NORA (and sometimes to the RA or SCORA-D).

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The SCORA Director is elected once a year in August by the National Member Organizations (NMOs) of the IFMSA during the General Assembly. The SCORA director coordinates the work done by National Officers; keeps an overview of the ongoing activities worldwide and offers support wherever needed. The SCORA-D supports local, national and international projects and promotes those to members and externals. The SCORA-D provides members with information, tools and resources to ensure the aims of SCORA: to raise awareness amongst the wide public, to spread knowledge regarding HIV/AIDS and other sexually transmitted infections (STI’s) and to decrease stigma and discrimination against people living with HIV/AIDS as well as assure that the right messages are disseminated in the appropriate language. Not only giving out information but also collecting data to spread it within the groups as well as presenting it to partners is one of the tasks. Papers, leaflets and manuals need to be kept up to date and they need to be made accessible to members. Also the SCORA-D is responsible for planning, organizing and assuring that the SCORA meetings at the IFMSA General Assemblies in March and August go smoothly.

within the IFMSA. They communicate specifically with the NORAs in the region and should attend the regional meetings to chair the SCORA sessions. They also should report back on regional activities to all SCORA members and represent their regions in a biannual GA brief.

THE SCORA STRUCTURE

SCORA DIRECTOR

THE SCORA STRUCTURE

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EXTERNALS

SCORA LIAISON OFFICER

TEAM OF OFFICIALS

SCORA DIRECTOR

REGIONAL ASSISTANTS

NORAS

LORAS

NORA ASSISTANTS

One of the strengths of IFMSA/SCORA is that we work together locally, worldwide. Through campaigning, workshops and peer education we intend to increase the awareness among medical students, as well as in the general population, of safe sexual behavior and HIV prevention, of gender equality and women’s health. Knowing that these are global issues, yet complex and multifaceted, we encourage medical students to voluntarily take active part in local campaigning for better health as a crucial aspect of our work.

STEP-BY-STEP OF STARTING UP SCORA ►► Find out about your National Member Organization of IFMSA. Get in contact with the president, find out about the structure of the organization and introduce your ideas. ►► You need to research the reproductive health, HIV/AIDS, attitudes and behaviors regarding sexuality in your country. ►► Find a few students interested in the topic. With a dedicated team, small or large, success is secure! ►► Learn about local/national organizations involved in reproductive health. Contact them, they might provide you with valuable material, suggestions and contacts. ►► Collect information about already existing projects locally or nationally: What has been done so far concerning reproductive health and HIV/AIDS? Are there any peer education projects on sexual health? No activities up till now? Consider starting locally first. Start small and let your group grow gradually with the size of your activities. ►► Form a group of students interested in SCORA. ►► Start a reproductive health campaign at your medical school taking into consideration both what needs to be worked on as well as what is possible to be discussed within your country. ►► Check your medical curricula, anything missing? ►► Look in your university for the programs concerning reproductive health and try to

►► Arrange a discussion about women’s empowerment on International Women’s Day (March 8th). ►► Distribute ribbons for various awareness dates concerning Reproductive Health Issues ►► Give out information, leaflets and condoms on World AIDS Day (Dec 1st). ►► Organize a training on peer education. ►► Contact a NGO dealing with people living with HIV/AIDS and arrange for a meeting. ►► Visit a youth clinic. ►► Hand out condoms and information leaflets in local pubs, university campuses, etc. ►► Start a mailing list between students in your university to exchange ideas and enthusiasm. If there are different programs at different universities, consider building a national net-work for collaboration and exchange of ideas. ►► Suggest to your NMO to have national meetings to exchange ideas and enthusiasm. ►► Start a national mailing list (Yahoo or Google Groups work best) ►► Compile a national activities report and distribute it to each university. Make sure to distribute to both Faculty and Members ►► Get in contact with an active SCORA from another country that can share its experience, the problems faced and the success achieved (aka, a SCORA Buddy). Have your Regional Assistant facilitate this, for many regions already have a functional Buddy System. ►► Contact the international SCORA director (scorad@ifmsa.org) who can provide you with up-to-date information about current SCORA activities and subscribe you to the international SCORA mailing list for exchange of ideas with other NORAs (National Officer on Reproductive Health including AIDS). Just send a blank e-mail to ifmsa-scora-subscribe@yahoogroups. com to join the international mailing list. ►► Attend a regional or international IFMSA/ SCORA meeting to get motivation, new ideas, and amazing friends! And that is the magical recipe of how to start up a SCORA in your own country. With a bit of dedication, a lot of motivation, and just a little bit of help, anything is possible!

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Think globally and act locally!

organize an event: lecture about sexual education, sexually transmitted infections, female genital mutilation (FGM), etc.

THE SCORA START-UP KIT

HOW TO START SCORA IN YOUR OWN COUNTRY

MAJOR SCORA PROJECTS AND EVENTS

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SCORA PROJECTS

WORLD AIDS DAY

Within SCORA, we various projects that are recognized by the IFMSA. These projects are either Transnational Projects, in that they occur in two or more countries, or are Endorsed Projects, which receive special funding and recognition by the IFMSA. The SCORA Transnational and Endorsed Projects are listed below. SCORA Transnational Projects: ►► SHAPE (Sexual Health and Peer Education) ►► IlluminAIDS ►► Female Genital Mutilation ►► Mr. and Mrs. Breastestis ►► SCORA Twinning ►► SCORA X-change ►► Rainbow Project ►► Daphne ►► NECSE ►► First Gynecologic Consultation

World AIDS Day was conceived and adopted unanimously by 140 countries meeting at the World Summit of Ministers of Health on AIDS, London in January 1988. The day was envisaged as an oppor-tunity for governments, national AIDS programs, non-governmental and local organizations, as well as individuals everywhere, to demonstrate both the importance they attached to the fight against AIDS and their solidarity in this effort. World AIDS Day is commemorated around the globe on December 1st. It celebrates progress made in the battle against the epidemic — and brings into focus remaining challenges. Community based actions take place all over the world, media supported campaigns take place to attract people’s attention and remind them that HIV/AIDS is not to be forgotten. World AIDS Day is also important in reminding people that HIV has not gone away, and that there are many things still to be done. In June 2010, UNAIDS adopted new vision strategy: zero HIV-infections, zero AIDS-related deaths, zero discrimination. It is the vision we all should work towards achieving by the year 2015, the year set by Millennium Developmental Goals. Each year we in SCORA put together a World AIDS Day Report from all of the projects created by all of you SCORAngels for World AIDS Day and share this with all of IFMSA as well as our externals.

THE RED RIBBON In early 1991 Visual AIDS in New York created the idea for a global symbol in the fight against AIDS. A symbol for solidarity and tolerance with those often discriminated by the public - the people living with HIV and AIDS. The Red Ribbon was born. The Red Ribbon is: Red like love, as a symbol of passion and tolerance towards those affected. Red like blood, representing the pain caused by the many people that died of AIDS. Red like the anger about the helplessness by which we are facing a disease for which there is still no chance for a cure. Red as a sign of warning not to carelessly ignore one of the biggest problems of our time.

On December 1st, medical students all over the world try to raise awareness through numerous activities, such as lectures, exhibitions, distribution of condoms and pamphlets, charity concerts etc. For the full information of what SCORA members have been doing on World AIDS Day and what you could do, check out the latest World AIDS Day report which is stored in the SCORA yahoogroups or ask the current SCORA-D to send it to you! ►► www.unaids.org ►► www.worldaidscampaign.org ►► www.worldaidsday.org

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1988 - Communication, join the worldwide effort 1989 - Youth; our lives, our world – Let’s take care of each other 1990 - Women and AIDS 1991 - Sharing the Challenge 1992 - A Community Commitment 1993 - Time to Act 1994 - AIDS and the Family 1995 - Shared Rights, Shared Responsibilities 1996 - One World. One Hope 1997 - Children Living in a World with AIDS 1998 - Force for Change: World AIDS Campaign With Young People 1999 - Listen, Learn, Live: World AIDS Campaign with Children and Young People 2000 - AIDS: Men make a difference 2001 - I care. Do you? 2002 - Stigma and Discrimination 2003 - Stigma and Discrimination 2004 - Women, Girls, HI V and AIDS 2005 - 2008 - Stop AIDS. Keep the Promise 2009 - 2010 - Universal Access and Human Rights 2011 - 2015 - Getting to Zero. Zero New HIV Infections. Zero Discrimination. Zero AIDS related deaths

MAJOR SCORA PROJECTS AND EVENTS

Each year a particular theme is chosen for World AIDS Day:

MAJOR SCORA PROJECTS AND EVENTS

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INTERNATIONAL WOMEN'S DAY International Women’s Day is a traditional international day that focuses on raising awareness about problems related to girls and women all across the globe. In this part of the Manual, you will have the possibility to explore the history and specific themes related to this event, as well as to get few pointers on International Women’s Day in the IFMSA. International Women’s Day (March 8th)

aims at honoring the achievements of women and promoting women’s rights. Recognized as a national holiday in numerous countries, it has been sponsored by the United Nations (UN) since 1975 under the name of United Nations’ Day for Women’s Rights and International Peace. Ever since 1996 UN has selected a special theme for IWD in order to put a special focus on one aspect of empowerment of women all across the globe.

1996 - Celebrating the Past, Planning for the Future 1997 - Women at the Peace Table 1998 - Woman and Human Rights 1999 - World Free of Violence against Women 2000 - Women United for Peace 2001 - Women and Peace: Managing Conflicts 2002 - Afghan Women: Realities and Opportunities 2003 - Gender Equality and MDGs 2004 - Woman and HIV/AIDS 2005 - Gender Equality beyond 2005 – Building a more Secure 2005 Future 2006 - Women in decision making - Meeting Challenges, Creating Change 2007 - Ending Impunity for Violence against Women and Girls 2008 - Investing in Women and Girls 2009 - Women and men united to end violence against women and girls 2010 - Equal rights, equal opportunities: progress for all 2011 - Equal access to education, training and science and technology: pathway to decent work for women 2012 - Empower rural women - end poverty and hunger 2013 - The gender agenda - gaining momentum

SCORA X-CHANGE

The SCORA X-CHANGE program aims to provide medical students with theoretical knowledge and practical work concerning HIV/AIDS. This will be achieved through lectures, laboratory work and direct

contact with HIV positive children and with people living with HIV/AIDS (PLWHA). This project was developed for the first time in Sweden and since 1999 it is being held also in Romania. Later on, Romania and Poland joined forces, and by 2002 the project was recognized as an IFMSA transnational project. After this, other countries started creating SCORA X-Changes of their own, making this project bigger and bigger! Just last year, Italy, Poland, Turkey, and Tunisia held SCORA X-Changes over the summer and this year even more countries shared interest in starting their own programs!

In the case of SCORA sexual education programs, the trainers are of a similar age to those being trained, and will often have come from a similar background, helping the young people relate to them. This has been shown to be especially effective when teaching sensitive topics such as sexual health education, which is why it is used so extensively throughout SCORA projects. In SCORA what we do when we go into high schools is not exactly peer education but very close to it. Young teaches young. The use of peers also means that the language and messages used are more relevant to the young people, and therefore more useful to them. Another advantage of peer education is that it is cheap, as the trainers are nonprofessional, and so are not paid for their work. They are, though, specially trained by others to be able to teach effectively. Peer education projects usually work in small groups and make use of interactive techniques and games, producing a comfortable and non-judgmental environment. The educators also gain from being involved in peer education – they learn new skills, personal development and leadership skills. SCORA projects also provide the educators the chance to work with young people, to learn about sexual health issues and hopefully have fun! Peer education has been implemented and studied all over the world, and has been shown to be very effective. Studies have shown that:

Overall, peer education is a valuable tool and has proved to be an effective and interesting way of teaching and learning. The emphasis is largely on making the teaching fun for the young people ensuring the lessons learnt are not forgotten. SCORA already has many successful projects running all over the world, showing that peer education can work in any environment.

SHAPE In 2012, the Transnational Project SHAPE, or Sexual Health and Peer Education, was created. The main purpose of this TNP was to create a forum to share resources for Peer Education programs as well as to help interested SCORAngels to start up Peer Education Programs of their own. How is this done? Well by two methods: 1. Creating an online database where NMO’s can share and find Peer Education Manuals about various different subjects, ranging from Women’s Health to Puberty to Sexual Pleasure. Anybody can gain access to these resources, they just need to request it via the SHAPE Coordinator.

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Peer education describes education programs that make use of trainers and educators who share similar background characteristics with those being taught. Our being medical students and teaching things when we meet at GA’s is peer education.

►► Many young people prefer to receive reproductive health information from ”peers” rather than from adults. ►► The involvement of peer promoters significantly increases referrals for contraceptive services at a fixed site. ►► Interactive training improves project outcomes. ►► Turnover is a common problem in peer programs but it can be partially addressed by careful selection, the use of contractual agreements, and by good support, reinforcement, compensation, or other rewards.

SHAPE AND PEER EDUCATION

WHAT IS PEER EDUCATION

SHAPE AND PEER EDUCATION

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2. Organizing Regional Peer Education Trainings and International Peer Education Trainings. These trainings occur before every regional meeting and IMFSA General Assembly and are meant to train new Peer Educators on how to give Peer Ed Sessions back in their home countries.

HOW TO ORGANIZE A PEER EDUCATION PROJECT IN YOUR COUNTRY Structure 1. 2. 3. 4. 5. 6.

Goals Need Co-partner Structure of the project Proposal Fundraising Goals

Three major goals were defined some time ago within SCORA: ►► Peer Education - training (medical) students to become sex-educators; ►► Prevention – e.g. of STIs, HIV/AIDS, unwanted pregnancies, prejudices towards minorities; ►► Practice – the peers will be trained in how to communicate with people – a skill especially needed by future doctors. Needs Make sure your project is needed. To assure that, you can use different methods: ►► Visit the schools: meet with teachers or the principal, to inform whether a project would be needed and could be allocated;

►► Make a survey: get clear what the pupils already know and what has been taught, as well as what kind of education could be needed; ►► Potential copartners: organizations that are already working in the field of sexuality and adolescent health. Copartners Look out for potential copartners. They can be helpful through cooperation, information and contacts; in short: they can save you a lot of work and energy. Copartners could for example be: ►► Local or national AIDS-organizations; ►► NGOs working in the field of sexuality and adolescent health, especially in your town; ►► Professors and/or officials connected to your university or faculty. Structure of the Project To get clear about the structure you need to ask the following questions: ►► Who do I want to reach? The target group has to be clarified ►► How can I reach my target group? In the schools, on the street, in Youth Clubs... ►► Who could help me? Think again of your copartners, the university, important people you know, etc. ►► When do I want to start? It is important to set yourself a deadline, otherwise you won’t get anything done. Proposal The proposal is one of the most important things. It is your tool to present your project to others and it will raise money. That is why you should put a lot of effort into writing it. While writing, always keep in mind: be concise and clear. One of the ways to structure your proposal could be the following:

Money makes the world go round – and it makes your project work! Funds can be obtained from the following institutions: ►► University ►► City ►► State/province ►► Country ►► Funds, Grants One of the approved of strategies is: call-send-call or meet-send-meet (or variations to this). The most important thing, though, is to be enthusiastic in a submissive, but confident manner, you just have to be good! Give it a try, otherwise you will never know! Never forget to think about contacts you might have or get! They can save you money and a lot of work. Remember that nice expression: positive penetrance! You are the best and your project is the one the world needs.

Providing that the proposal is finished and the funding is well on its way, the time has come to start thinking about finding our medium (the peer-educators) and approaching the target group (secondary school students). Promoting the Project to (Medical) Students ►► Posters, leaflets, stickers, free condoms ►► Mouth to mouth information (so talk, talk, talk!) ►► Present yourselves to university news and student magazines ►► Demonstrations in lectures ►► Working acts ►► Safe Sex Party ►► Promote with a certificate for the trained peer-educators Pre-meeting for Interested People This meeting is to explain the purpose of the project to students interested in participating. This is to be done by explaining: The Goals, Methods, Target Group, and Dates Training Workshop 20-30 participants Duration: minimum a long weekend (three days) and max. 1 week Location: a hotel or hostel, to make sure all are intern (improves the bonding and the spirit) Program: The workshop will be started with a pretest evaluation. Mornings: these are mainly filled with lectures and forums on what is normally discussed in a peer ed session. ►► Anatomy of the reproductive system, ►► Facts and figures of the different STIs

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Fundraising

START - PEER EDUCATORS AND TARGET GROUP

SHAPE AND PEER EDUCATION

►► Cover letter - doesn’t belong to the proposal. Should especially be written for the potential funder. Make sure to show the possible outcome for the prospect. ►► Abstract - a brief summary of your entire proposal; ►► Goals - see above; ►► Methods - the ways of carrying out the project (training workshop, games, etc.); ►► Qualifications - what is SCORA and IFMSA; ►► Evaluation - pre- and post-test; ►► Budget - this is to be blown up in a realistic manner. Make sure to include a Board of Recommendation (know little, have big names) as well as a Board of Advisories (know a lot, have contacts, smaller names).

SHAPE AND PEER EDUCATION

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►► Puberty Stages ►► Different Methods of Contraception, ►► Sexual Response Cycle Afternoons: these are dedicated mainly to practice what has been learned earlier in the day (role play and various different exercises ►► Agree/Disagree ►► Difficult Audience ►► Theatre Based Peer Ed ►► How to cater your peer ed session to a particular audience It is important to Point out all possible target groups and how you would need to change up your peer education session for different audiences. Various target groups include: ►► school setting ►► Supporting school doctors / nurses ►► Going out on the streets ►► Peer Education in advanced and vocational schools ►► Peer Education for Pre-pubescent children ►► Peer Educations for adults Ending the workshop – there should be a post-test evaluation.

WHERE TO GO FROM HERE As an example how to proceed after having trained the peers, here is an outline about what the first contact with a school could look like and what should be clear before starting the session. Always remember that you do not necessarily have to go into schools! Keep alternatives in mind and be creative. Only do what you feel comfortable with and what suits your peers and your country. The first contact could be by: ►► Phone ►► Face to Face Meeting ►► Survey or Questionnaire Give a brief information about what, who and how. Avoid overloading people with information. If there is more information needed, distribute it through sending: ►► A Leaflet with all necessary information ►► Proposal ►► An explanation of what your sessions will include, explaining goals and methods After all that is done, a meeting should take place to get a background on the class and prepare the session. The following aspects should be treated: ►► Size of the class and gender distribution (separate girls from boys?) ►► Religious or Ethnic background ►► What the group already knows? ►► Any previous exposure to peer ed? ►► Materials needed for session (Flip Charts, LCD, Computer, etc.) ►► What sessions would like to be included ►► Contact information for any inquiries The program in class should at least last 2 - 4 hours. Good Luck and a lot of fun with your project!

Where to get them?

►► Local and national AIDS organizations ►► NGOs (non governmental organizations) ►► Condoms manufacturers (like Durex and other brands) ►► Regional UNAIDS offices might be able to help out, especially with educational material but maybe also condoms ►► Ask Ministries in your country for money so you can buy condoms

►► UN-agencies have a whole lot of information which you can have a look at on their websites. Usually, they are happy to send you things if you ask. Try to go trough regional offices! ►► Local and national organizations working in the same field as SCORA. ►► Your partner organizations. ►► Other NORAs.

Any preferred time to ask for condoms? And how often should one ask? ►► Try to keep in touch in between. Don’t only contact them if you need something but keep them updated of what you are doing, send them reports of your activities to show them what their condoms are used for. ►► Give the companies time so they can work on your request. Short term notice is not appreciated when you try to get something. ►► Have a certain project that you need things for , i. e. sexual education, World AIDS Day

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MATERIALS

TIPS AND TRICKS IN SCORA

CONDOMS

SOME TOPICS SCORA IS DEALING WITH

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HIV/AIDS - WHAT IS IT ALL ABOUT The global percentage of adults living with HIV has leveled off since 2000, and now with an increased focus on getting to zero (zero new HIV infections, zero discrimination and zero AIDS-related deaths) rates are further decreasing. In 2012, UNAIDS announced that there was a more than 50% reduction in the rate of new HIV infections in 25 lowand-middle income countries. In 2011, there were approximately 2.5 million new HIV infections (compared to 5.4 million in 2000) and 1.7 million HIV related deaths (compared to 2.8 million in 2000). Globally, there were an estimated 34 million people living with HIV in 2011. The rate of new infections has fallen in several countries but globally these favorable trends are at least partially offset by increases in new infections in other countries. Sub-Saharan Africa remains the region most heavily affected by HIV, accounting for 70 per cent of all people living with HIV (25 million people living with HIV) and for 75 per cent of AIDS deaths in 2012, mostly among children. However, some of the most worrisome increases in new infections are now occurring in populous countries in other regions, such as Indonesia, the Russian Federation and various highincome countries. In virtually all regions outside subSaharan Africa, HIV disproportionately affects young key affected populations: injecting drug users, men having sex with men, sex workers & their clients, and prisoners. Women and girls face a range of HIV-related risk factors and vulnerabilities that men and boys do not, mainly as a result of gender imbalance and societal norms that ensure continued oppression of women. Often women and girls cannot choose who to marry, who to have sex with and when or insist on condom use. Illiteracy rates among women are nearly 50% higher than among men in many countries. Only a small fraction of land is owned by women.

Half of all women live on less than US $ 2 a day. Criminal laws and inheritance laws make it easy for men to take advantage of women. Girls already make up the majority of children not in school. Education is a key defense against the spread of HIV. If attending school they are often taken out when AIDS affects the family to run the household and to take care of the sick relatives. Generally women and girls provide the biggest part of homebased care. Often girls marry men significantly older than they are, and these men are more likely to have had other partners and therefore are more likely to have been exposed to HIV. Women are much more likely to contract HIV from a single act of unprotected sex with an HIV-infected partner (male-tofemale transmission during sex is about twice likely to occur as female-to-male transmission). In sub-Saharan Africa about 2 million children younger than 15 years are living with HIV. They make up almost 8% of the people living with HIV in the region. Again one of the main focuses of the UNAIDS Gettting to Zero is the prevention of mother-to-child transmission. The number of children newly infected with HIV declined by 40-59% between 2009 and 2011. Despite these decreases, currently coverage of services to prevent mother-to-child transmission of HIV in sub-Saharan Africa is only at 59%. (Information taken from the annual report of UNAIDS of 2013)

Reproductive health (as defined by the International Conference on Population and Development, Cairo, 1994) is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes at all stages of life. Reproductive health therefore implies that people are able to have a satisfying and safe sex life and that they have the capability to reproduce and the freedom to decide if, when, and how often to do so. Women and men have the right to be informed and to have access to safe, effective, affordable and acceptable methods of family planning of their choice, as well as other methods of their choice for regulation of fertility, which are not against the law. They also have the right of access to appropriate health-care services that will enable women to go safely through pregnancy and childbirth and provide couples with the best chance of having a healthy infant. Reproductive Health Care Reproductive health care is defined as the constellation of methods, techniques, and services that contribute to reproductive health and well being by preventing and solving reproductive health problems. It also includes sexual health, the purpose of which is the enhancement of life and personal relations, and not merely counseling and care related to reproduction and sexually transmitted diseases. In support of this aim, WHO's reproductive health program has developed four broad programmatic goals: ►► Experience healthy sexual development and maturation and have the capacity for equitable and responsible relationships and sexual fulfillment.

Reproductive Rights Reproductive rights are certain human rights that are already recognized in national laws, international human rights documents and other consensus documents. These rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. It also includes their right to make decision concerning reproduction free of discrimination, coercion and violence, as expressed in human rights documents. In the exercise of this right, they should take into account the needs of their living and future children and their responsibilities towards their communities. Why are the reproductive rights not always respected and followed? Inadequate levels of knowledge about human sexuality and inappropriate or poor-quality reproductive health information and services are some of the reasons. Other explanations include the prevalence of high-risk sexual behaviour; discriminatory social practices; negative attitudes towards women and girls; and the limited power many women and girls have over their sexual and reproductive lives.

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Reproductive Health

►► Achieve their desired number of children safely and healthily, when and if they decide to have them. ►► Avoid illness, disease, and disability related to sexuality and reproduction and receive appropriate care when needed. ►► Be free from violence and other harmful practices related to sexuality and reproduction.

SOME TOPICS SCORA IS DEALING WITH

WHAT IS REPRODUCTIVE HEALTH

SOME TOPICS SCORA IS DEALING WITH

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Adolescents are particularly vulnerable because of their lack of information and access to relevant services in many countries. It is important to target these people before they establish their sexual and reproductive beliefs and behaviours. Equally so, older women and men have distinct reproductive and sexual health issues, which are often inadequately addressed.

GENDER

What is the difference between sex and gender? Sex includes the biological and physiological characteristics of men and women while gender is socially constructed roles and behaviours. The UN has approved, as one of the Millennium Development Goals, to promote gender equality and empower women.

What can we do then? 1. Educate ourselves. 2. Educate other medical students about gender issues related to health like: • Rape • Contraception • Rights to your own sexuality • Domestic violence • Circumcision 3. Make statements and increase the consciousness in society. Gender values are not the same in different times or places. Therefore actions on this issue have to be suited for each countries needs. But remember - it is possible to make a change! Further Reading

Why is gender important? Women make up 70% of the worlds poor and only hold 6 % of seats in National Cabinets. This gives them less power to protect their rights. Women have less access to education, which is proved to be an important factor for good health. Gender issues concerns both men and women. The culture could expect men to be more risk taking and there is an expectation of men to be more violent. This leads to harm for both men and women. HIV/AIDS increases more among women today but they have less access to treatment. Gender is an aspect of life that follows us in everything we do. (WHO)

►► www.who.int/gender/en/ (gender department of the World Health Organization) ►► www.un.org/womenwatch (United Nations Division for the Advancement

In recent years, SCORA and IFMSA have developed several partnerships and Memorandum of Understandings (MOU) with key external partners. IFMSA is a partner organisation in a new UNAIDS initiative The PACT. The PACT is a collaboration framework agreed to by youth-led and youth serving organisations within the AIDS movement. IFMSA is the lead organisation on Theme 1 and Priority 1: Integrate HIV into Sexual and

IFMSA has also recently signed an MOU with Ipas. Ipas is a global nongovernmental organization dedicated to ending preventable deaths and disabilities from unsafe abortion. This partnership is allowing IFMSA to run training sessions at Pre-Regional Meetings in the following regions: Africa, Eastern Mediterranean and the Americas. The workshops will focus on developing participants understanding of maternal health and the role of safe abortion in preventing significant morbidity and mortality throughout these heavily affected regions. It will also focus on developing advocacy skills in medical students, providing them the tools to influence key stakeholders, such as governments. SCORA is also currently working with the Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization. The main focus of the collaboration is on adolescent health. During the 66th World Health Assembly, IFMSA, under the leadership of SCORA, held the first ever youth-led side event in partnership with the department on adolescent health. One of the highlights of the event was the attendance of the WHO Director General, Dr Margaret Chan, who declared, â&#x20AC;&#x153;I love youth!â&#x20AC;? to the audience. SCORA is also currently working on developing a report on adolescent health with the department.

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Each year SCORA is represented at a variety of high-level international meetings by Team of Officials members like the President, LO SCORA and SCORA D, as well as by delegations of SCORAngels from around the world. External opportunities present themselves at a variety of events such as the World Health Assembly, UN General Assembly and surrounding events, various consultations on the International Conference on Population and Development and at International AIDS Society Conferences, like AIDS2014 and regional AIDS conferences like the International Congress on AIDS in Asia and the Pacific (ICAAP). At these meetings, SCORA members actively advocate for the vision and mission of SCORA as well as to ensure the realisation of goals set out in our policy statements. IFMSA is also represented by the Regional Assistant for Asia Pacific on the Interagency Task Team on Young Key Affected Populations, and is looking to expand its reach to other regions.

SCORA ON AN INTERNATIONAL LEVEL

Reproductive Health (SRH) services and polices, and Governments are held accountable for delivering on global, regional and national commitments made for SRH, including comprehensive sexuality education, respectively. IFMSA is also a participant in Theme 3: Remove laws that prevent young people from accessing services and Theme 5: Post2015 development agenda.

Albania (OMA) Algeria (Le Souk) Argentina (IFMSA-Argentina) Armenia (AMSP) Australia (AMSA) Austria (AMSA) Azerbaijan (AzerMDS) Bahrain (IFMSA-BH) Bangladesh (BMSS) Belgium (BeMSA) Bolivia (IFMSA Bolivia) Bosnia and Herzegovina (BoHeMSA) Bosnia and Herzegovina - Rep. of Srpska (SaMSIC) Brazil (DENEM) Brazil (IFMSA Brazil) Bulgaria (AMSB) Burkina Faso (AEM) Burundi (ABEM) Canada (CFMS) Canada-Quebec (IFMSA-Quebec) Catalonia - Spain (AECS) Chile (IFMSA-Chile) China (IFMSA-China) Colombia (ASCEMCOL) Costa Rica (ACEM) Croatia (CroMSIC) Czech Republic (IFMSA CZ) Denmark (IMCC) Dominican Republic (ODEM) Ecuador (IFMSA-Ecuador) Egypt (EMSA) Egypt (IFMSA-Egypt) El Salvador (IFMSA El Salvador) Estonia (EstMSA) Ethiopia (EMSA) Finland (FiMSIC) France (ANEMF) Georgia (GYMU) Germany (BVMD) Ghana (FGMSA) Greece (HelMSIC) Grenada (IFMSA-Grenada) Guatemala (ASOCEM) Haiti (AHEM) Hong Kong (AMSAHK) Hungary (HuMSIRC) Iceland (IMSIC) India (MSAI) Indonesia (CIMSA-ISMKI) Iran (IFMSA-Iran) Iraq (IFMSA-Iraq) Israel (FIMS) Italy (SISM) Jamaica (JAMSA) Japan (IFMSA-Japan) Jordan (IFMSA-Jo) Kenya (MSAKE) Korea (KMSA)

Kurdistan - Iraq (IFMSA-Iraq/Kurdistan) Kuwait (KuMSA) Kyrgyzstan (MSPA Kyrgyzstan) Latvia (LaMSA Latvia) Lebanon (LeMSIC) Libya (LMSA) Lithuania (LiMSA) Luxembourg (ALEM) Malaysia (SMMAMS) Mali (APS) Malta (MMSA) Mexico (IFMSA-Mexico) Montenegro (MoMSIC Montenegro) Morocco (IFMSA-Morocco) Mozambique (IFMSA-Mozambique) Namibia (MESANA) Nepal (NMSS) New Zealand (NZMSA) Nigeria (NiMSA) Norway (NMSA) Oman (SQU-MSG) Pakistan (IFMSA-Pakistan) Palestine (IFMSA-Palestine) Panama (IFMSA-Panama) Paraguay (IFMSA-Paraguay) Peru (APEMH) Peru (IFMSA Peru) Philippines (AMSA-Philippines) Poland (IFMSA-Poland) Portugal (PorMSIC) Romania (FASMR) Russian Federation (HCCM) Rwanda (MEDSAR) Saudi Arabia (IFMSA-Saudi Arabia) Serbia (IFMSA-Serbia) Sierra Leone (SLEMSA) Slovakia (SloMSA) Slovenia (SloMSIC) South Africa (SAMSA) Spain (IFMSA-Spain) Sri Lanka (SLMSA) St-Kitts and Nevis (IFMSA-SKN) Sudan (MedSIN-Sudan) Sweden (IFMSA-Sweden) Switzerland (SwiMSA) Taiwan (IFMSA-Taiwan) Tanzania (TAMSAz) Tatarstan-Russia (TaMSA-Tatarstan) Thailand (IFMSA-Thailand) The former Yugoslav Republic of Macedonia (MMSA-Macedonia) The Netherlands (IFMSA-The Netherlands) Tunisia (ASSOCIA-MED) Turkey (TurkMSIC) Uganda (FUMSA) United Arab Emirates (EMSS) United Kingdom of Great Britain and Northern Ireland (Medsin-UK) United States of America (AMSA-USA) Venezuela (FEVESOCEM) Zambia (ZAMSA)