Making it happen!
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Transcript of Making it happen!
Making it happen!
In Support of the Global Plan Towards
the Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive
Number of new HIV child infections if:
- PMTCT coverage/regimen at 2009 levels- Prong 3 (ARV/ART to 90% of HIV+ PW)- Prongs 1, 2 and 3 (50% reduction Incidence, unmet FP to Zero, and 90%
ARV/ART)- Prongs 1, 2, and 3 and limit BF to 12 months
367,000
72,000 (79%)
95,000 (73%)
138,000 (60%)
Value in 2015(% reduction)
345,000
216,000
184,000
153,000
123,00096,000
72,000
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
2009 2010 2011 2012 2013 2014 2015
Estimated New HIV infections among children: Different scenarios for 25 countries
Page 7
22 priority countries: Angola, Botswana, Burundi, Cameroon, Chad, Côte d’Ivoire, Democratic Republic of the Congo, Ethiopia, Ghana, India, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, South Africa, Swaziland, Uganda, United Republic of Tanzania, Zambia and Zimbabwe.
Two global targets by 2015 :
• Reduce the number of new HIV infections among children by 90%.
• Reduce the number of AIDS-related maternal deaths by 50%.
Prong 1: primary
prevention of HIV
Target: 50% reduction in HIV incidence in women of reproductive age Page 18 & 63
• Sero-conversion during pregnancy
• Women may be at increased risk of HIV during pregnancy & breast-feeding
Page 19
Prong 1 Package of Essential Services• Information and counselling to
reduce sexual transmission• HIV testing & counselling
(repeat, couples, post-test counselling for HIV negative pregant women); referral for or on site treatment
• Treatment for prevention• STI screening and management • Condoms (female and male):
promotion, provision & building skills for negotiation & use
• Blood safety and anaemia prevention to reduce blood-related transmission
• GBV prevention and impact mitigation Page 22 - 25
Prong 2: prevention
of unintended
pregnancies
Target: reduce unmet family planning need to zero (among all women) MDG 5B
Page 26 & 63
Prong 2 Package of Essential Services• Information & counselling to
support reproductive rights, including preventing unintended pregnancies
• Clinical HIV management • Rights-based family
planning counselling and services
• STI screening and management
• GBV prevention and impact mitigation
• Stigma and discrimination eradication
Page 31 - 33
Five Key Strategies 1: Link SRH and HIV at
the policy, systems and service delivery levels
2: Strengthen community engagement
3: Promote greater involvement of men
4: Engage organizations of people living with HIV
5: Ensure non-discriminatory service provision in stigma-free settings Page 50
• Fast‐tracking men/couples who come for ANC• Providing clinical services for men who come (e.g.
blood pressure screening, health check‐ups)• Peer support for men living with HIV.• Performance‐based agreement, with male
engagement as one of the reportable indices• Male champions to encourage other men to act• Letters to partners encouraging clinic visits• Transport vouchers for couples • CHWs mobilising men• Ecole de Mari
(“husband schools”)
Strategy 3: Engage Men
Page 57