1. Identifying and Harnessing Opportunities Abiola L
Identifying and Harnessing Opportunities Abiola L. Thompson Tilley-Gyado December 6, 2011
OWN, SCALE-UP & SUSTAIN
The 16th International Conference on AIDS & STIs in Africa
4 to 8 December 2011, Addis Ababa

2. Identifying and Harnessing Opportunities Towards
The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
Identifying and Harnessing Opportunities Towards
ZERO
New infections
Discrimination/Stigma
AIDS-related Deaths

3. 30 years on AIDS is still about
The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
30 years on AIDS is still about
Women particularly in childbearing age
Children infected as result of mothers lacking access to treatment
Children /adolescents taking on roles ill-prepared for as
Carers to ailing parents
Heads of households
Support to frail, impoverished grandparents forced to bury their own children
Stigma that continues to dictate the tempo

4. What are we doing: Programmatic
The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
What are we doing: Programmatic
Prevention
Women and adolescents serving as agents of change as well as recipients. Advocates and counsellors PMTCT programmes yet 1,000 babies infected every day,
Advocacy and Fund raising
Treatment
Universal uptake of PMTCT only in 6 countries
Adolescents and Children
in School clubs disseminating information
WAD
Livelihood programmes
Behaviour change including abstinence condom promotion STI treatment
28% of the 1.27 million children currently estimated to be in need of ART are receiving

5. What we are doing: Strategic
The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
What we are doing: Strategic
Mainstreaming eg Ethiopia making AIDS part of everyday activity
Integrating
Reproductive Health MNCH, FP, ANC, IMCI
?Education,
Strengthening health system:
New Partnerships of all actors: Government, civil society and communities.

6. The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
Way Forward
Social mobilisation through PHC strengthening and integration
Integration with other services ? Adolescent-friendly centres
Conditional cash transfers
Active participation of all young people
Realisation of children/young people rights

7. The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
How do we deal with
Discordancy among teenagers with a growing no of infected children coming into adolescence
Millions of out of school youngsters
Teenagers still locked to system in Early marriages
MSM with the doors of the closets still locked due to tradition etc
with marriage still most significant risk for them

8. To get to ZERO Responses must be
The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
To get to ZERO Responses must be
Child/youth centred
Rights based
Right to life : treatment for CABA
Right to Protection
FROM INFECTION :
Primary Prevention; PMTCT Access to Prevention Information
FROM STIGMA
FROM VIOLENCE
Right to Participate in programmes targeting them
Right to Family Life : Prolonging life of parents

9. To get to Zero Confront Rights Violation Tradition/Culture Corruption
The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
To get to Zero Confront
Rights Violation
Create and Expand space for women and children
Tradition/Culture
Early Marriage
MSM
Corruption
Communities to take lead in ensuring transparency and accountability
Non-strategic programming
Poor governance

10. What Opportunities and Tools
The 16th International Conference on AIDS & STIs in Africa, Addis Ababa
What Opportunities and Tools
Policies
Social Policy Framework including Social Protection
ACRWC- An Africa fit for Children +Youth Charter
Protocol on Women’s Rights
Declaration on MNCH
Technologies
Advocates for PMTCT
Advocates for Male Circumcision
Treatment Advocate access for women adolescents and children