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
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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%.
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Prong 1: primary prevention of HIV Target: 50% reduction in HIV incidence in women of reproductive age Page 18 & 64
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
Prong 2: prevention of unintended pregnancies Target: reduce unmet family planning need to zero (among all women) MDG 5B Page 26 & 64
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 32-34
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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 51
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
Contents 1. Implement package of services within stigma- free integrated SRH & HIV services 2. Utilise key entry points to integrating services for HIV and sexual and reproductive health 3. Strengthen national programme implementation 4. Carry out five key strategies Page 2