PEPFAR N

Breakout Session:

Adolescent Girls and Young

Women

Namibia COP 2018 Stakeholder Meeting

January 31, 2018

Epidemiological and Contextual

2

AGYW

PLHIV by Gender and Age

Nu

mb

er

of

Pers

on

s

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

<15 15-19 20-24 25-29Female Male

2016 ANC Sentinel Surveillance

0

5

10

15

20

25

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HIV Prevalence 2016 (15-24)

HIV Prevalence Among Pregnant Women 15-24 years

% of women age 15-49 who have ever experienced physical violence since age 15 –by region

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Source: NDHS13

Percentage of women age 15-19 who have begun childbearing

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

Source: NDHS13

National Strategic Framework for HIV/AIDS 2017/18-2021/22

Background

NSF has prioritised interventions that will contribute to the achievement of the following impact results by 2022

• Priority 1: HIV new infections reduced by 75%

• Priority 2: HIV related deaths reduced by 75%

• Priority 3: Elimination of MTCT to less than 2%

• Priority 4: 100% of newly identified PLHIV enrolled & retained on ART

• Priority 5: TB/HIV co-infection reduced by X%

• Priority 6: Domestic contribution towards the national multisectoral HIV and AIDS response

increased to 80%

NSF Priorities

Namibia has prioritised high impact programmes and interventions, complemented by a set of priority social and programmatic enablers

8

9

NSF: Premised on Principles

• Accelerate and intensify targeted high impact interventions that will reduce new HIV infections and AIDS related deaths.

• Promote efficiency and effectiveness, strategic partnerships and meaningful participation by all stakeholders to ensure nobody is left behind.

• Leverage resources (financial, technological, information, and human) to sustainably support the HIV multisectoral response.

• Strengthen an enabling social, policy and legal environment necessary to support the design and delivery of comprehensive services, with equitable access, uptake and utilisation.

10

Strategic Objectives, Current and Proposed Activities under DREAMS

11

Strategic Objective Current Activities (COP17) Proposed Activities (COP 18)

Increased access to HIV counseling and testing services for individuals at elevated risk

• Increase Adolescent friendly services for testing

• Referral for testing from OVC and school health programs

Increase access to and quality of integrated HIV and SRH services for adolescents and young women

• Increase Adolescent friendly services for HIV and SRH in Oshikoto, Khomas, and Zambezi

• Increase services at safe spaces • Youth friendly condom campaigns

Improved linkage to other HIV/SRH prevention, care and treatment services and GBV prevention and care services

• Increased linkages with school based HIV/GBV prevention programming

• Prevention programming at safe spaces targeted toward out of school girls

• Increased nursing staff present at schools in DREAMS districts for prevention, screening and referral

• Family programming for parents of AGYW

Questions for Discussion

• What are the remaining gaps and challenges in program implementation?

• Where do you see as opportunities to target this population?

• Are PEPFAR’s strategic objectives and activities responding to gaps/challenges?

• Are PEPFAR’s activities PEPFAR’s activities aligning with the NSF?

• OTHER

12

PEPFAR: The DREAMS Core Package

Empower

Girls & Young Women

and reduce risk

Mobilize Communities for

change

Strengthen Families

Reduce Risk

of Sex Partners

Community

Mobilization &

Norms Change

School-

Based

Interventions

Characterization of male

partners to target highly

effective interventions

(ART, VMMC)

Youth-friendly sexual and

reproductive health care

(Condoms, HTC, PrEP,

Contraceptive Mix, Post-

violence care)

Social Protection

(Cash Transfers,

Education

Subsidies,

Combination

Socio-Economic

Approaches)

Parenting/

caregiver

Programs

Social Asset

Building

Additive

Funding

VMMC

Additive

Funding

TX for

Men