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WHO 2015 GUIDELINES AND FAST TRACKING TOWARDS 90-90-90: Regional perspective
Photo Credit: Lucy Perry/Hamlin F.Relief and Aid Fund Australia ICASA 2017 Abidjan 4-9 December 2017 CDS | Regional Office Brazzaville (Congo)
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African Region HIV Epi data
An estimated 25.6 million people were living with HIV in An estimated 14.9 million people were on antiretroviral therapy in mid-2017. An estimated people became newly infected with HIV in 2016 deaths were attributed to HIV-related causes in 01/12/2018 | Title of the presentation
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Targets HIV-related deaths reduced to below 287,000 from a baseline of 790,000; 90% of people diagnosed with HIV receive antiretroviral therapy New HIV infections reduced to from the baseline of 1,400,000 90% of people living with HIV and key populations report no discrimination in the health sector. All countries have integrated essential HIV/AIDS services into national health financing arrangements. S. 2017 |
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ADOPTING A TREAT ALL APPROACH- ESA
Source: World Health Organization, 2017. S. 2017
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ADOPTING A TREAT ALL APPROACH- WCA
Source: World Health Organization, 2017. S. 2017
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TOWARDS THE 90–90–90 TARGETS - ESA
Source: UNAIDS special analysis, 2017 S. 2017
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TOWARDS THE 90–90–90 TARGETS -WCA
Source: UNAIDS special analysis, 2017 S. 2017
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IN ESA - RESOURCE AVAILABILITY IS NEAR FAST-TRACK LEVELS
HIV resource availability by source, 2006–2016, and projected resource needs by 2020, eastern and southern Africa* S. 2017
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BIG FINANCING GAP IN WESTERN AND CENTRAL AFRICA
HIV resource availability by source, 2006–2016, and projected resource needs by 2020, western and central Africa* UNAIDS S. 2017
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Implications for Africa
Almost 26 million in Africa are now eligible for antiretroviral medicines. Programmatic implications Integrated delivery of HIV service across all programmes Institutionalising appropriate community based service delivery models Health systems implications Design stronger procurement and supply management systems More efficient patient monitoring will be needed, Laboratory capacity for viral load testing will have to be strengthened Innovative use of human resources Significant financial implications
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What countries need to do
Provide the required leadership for the national HIV/AIDS response Continue the dialogue necessary to ensure that national standards of HIV prevention and treatment are keeping pace with important scientific developments. Initiate discussions on financing the HIV response with a view to increase domestic resources and international support Address social and legal barriers that may be impeding progress. Review national HIV/AIDS strategic and operational plans
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CONCLUSION Significant progress towards the targets of the regional HIV/AIDS framework Progress is not even as the WCA region is being left behind: critical to emphasize the WCA Catch up plan to triple the ART coverage by 2020, New HIV infections are not declining as fast as needed especially among adults. HIV Prevention among children, adolescents, young women should be given preeminence among Need for increased/sustained leadership, accountability and real time monitoring Strategies hinged on human rights principles are required to fast-track the response towards ending the AIDS epidemic S. 2017
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Thank you. Cité du Djoué, P.O.Box 06 www.afro.who.int/
Photo Credit: USAID in Africa WHO Regional Office for Africa Cité du Djoué, P.O.Box 06 Brazzaville Republic of Congo CDS | Regional Office Brazzaville (Congo)
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