One SADC, One Vision, One Way Working Together Towards MDG 6: SADC’s Common Vision
description
Transcript of One SADC, One Vision, One Way Working Together Towards MDG 6: SADC’s Common Vision
One SADC, One Vision, One Way
Working Together Towards MDG 6: SADC’s Common Vision
Hon. Benedict Xaba, Minister of Health of Swaziland
International AIDS Conference: Washington DC, USA, 22-27 July 2012
SADC Region
Background
All Member States Committed to MDG 6 By 2015 have halted & reversed the spread of
HIV&AIDS By 2010, achieve universal access to HIV & AIDS
treatment for all those who need it As a community our vision is to enable cooperation &
regional integration by promoting cross-border trade and services
HIV & AIDS, TB and Malaria are among the greatest obstacle to achieving this objective and only healthy nations can promote social and economic growth
Current Status of HIV & AIDS, TB and Malaria
SADC countries remain the most affected by HIV & AIDS, Malaria, and TB because of gender imbalances, culture believes, illiteracy, & poverty
Deepening of regional integration will increase free movement of people, increase trade and reduce poverty
High mobility of people can increase the risks of HIV and other communicable diseases
All SADC countries have reported MDR/XDR-TB cases; HIV-TB co-infection rates from 1% to 80%
75% of people residing in SADC countries are at risk of contracting malaria – most of them children under five & pregnant women
Coordination Mechanisms Structures exists that allow
Member States to plan and implement their decisions collectively
All countries operate based on the 3X1 principle: 1 Strategic Framework 1 Coordinating Entity 1 M&E Framework
Challenges to coordinate many players & stakeholders
Countries Policy Alignment All National Strategies
aligned to agreed targets regionally, continentally and internationally
Heads of States endorsed all global & continental initiatives
Maseru Declaration, SADC Protocol on Health, MDGs, Abuja, UNGASS, NEPAD, African Health Strategy, and HLM resolutions
Coordinating Mechanisms
Achieved/agreed Different levels of national
response adopted frameworks and guidelines
Endorsed Resolutions from High Level Meeting in NY
Uptake of HIV testing is on increase due to “Know your status campaign”
Patients access to ARV’s and PMTCT increased due to GFATM, PEPFAR, and other ICPs
Challenges in- & between countries Case management,
detection, referrals, surveillance systems & patients follow-up
Eligibility criteria for ART still at CD4 250/350
Drug resistance HIV &TB co-infection in most countries
Paediatric treatment for AIDS still weak in all countries
Implementation of Adopted Policies
Achievements A set of core indicators to
agreed upon and in use Annual HIV and TB and
malaria reports used for peer review mechanism & devise feasible solutions
Technical support mainly from country offices of UNAIDS, WHO, UNDP, Roll Back Malaria, etc.
Challenges Monitor progress due to
inconsistence and/or incomplete data submission (validation)
The numbers of new infections, in particular among young people
Integrating HIV & AIDS with SRH, child health, TB and other services
Monitoring Progress in Agreed Commitments
Achievements SADC HIV Fund in place
USD7M as MS initial contribution + 5% of annual contribution per year
Great support directly to Countries from Global Fund, FPEPFAR, Bill & Melinda Gates, USAID, EU,ADB;
USD45M from R9 Global Fund for the SADC HIV Cross-Boarder Initiative for all countries
30M from African Development Bank for AIDS, TB and Malaria for the ADF countries
Challenges 15% of national budgets to
health still a challenge Negotiations to bring down
the price of ARVs, 2nd line regimens
Programs over-dependent on external support putting progress to date at risk
Resource Mobilisation
Working together towards MDG 6: 5-Lessons Learnt
Great work done, still more ahead for SADC Countries to achieve the MDG”s targets by 2015, in particular MDG 6. Through “One SADC, one vision, one way” will get there
There is need to increase domestic resources for health to sustain programs and achievements of last decade
There is need to make efficient and effective use of resources and being accountable for both domestic and ICP’s funds
In times of global financial crises affecting results governments should explore public and private partnership
Thank you
To access documents from SADC's HIV and AIDS Programme, visit: www.k4health.org/toolkits/sadc