1. Anti-HIV/AIDS Campaign in Addis Ababa HIV/AIDS Situation The Response to the Epidemic AchievementsChallenges The Way Forward

2. HIV/AIDS SITUATION- Epidemiology The first serologic evidence in the City was found in 1984 among hospital patients The first serologic evidence in the City was found in 1984 among hospital patients The first AIDS cases were diagnosed in 1986 The first AIDS cases were diagnosed in 1986 Prevalence is determined through four sentinel surveillance sites starting from 1995 Prevalence is determined through four sentinel surveillance sites starting from 1995 In 1996 =16.4% In 1996 =16.4% 1999/2000=15.05% 1999/2000=15.05% 2001=15.6% 2001=15.6%

3. HIV Surveillance Prevalence 1995- 2001 Age Group 19951996199720002001 15-1915.518.914.68.611.1 20-2428.121.618.816.915.5 25-2923.418.618.516.419.5 >0r=309.617.816.514.315.6

4. Estimated and Projected Number of People Infected with HIV in Thousands

5. Number of New AIDS cases Each Year in Thousands

6. COMULATIVE AIDS DEATHS IN THOUSANDS

7. HIV/AIDS Impact –Increase in the number of Orphans of AIDS= 60,000 –Increase burden to the health service »57% of Hospital beds Occupied by AIDS patients »On average a family has to expend 1800 birr/year/Patient for treating OIs

8. Response to the Epidemic Consensus was reached at by all the members of the City Council in 1999 that Interventions Consensus was reached at by all the members of the City Council in 1999 that Interventions –were poor in quality, coverage and Community involvement –Lacked consistency and sustainability –Were poorly coordinated –Were generally considered the responsibility of the Ministry of Health and the Health Bureau

9. Response to the Epidemic Cont, The Council decided to create The Council decided to create –A City level, 6 Zonal and 28 Wereda Councils and Executive boards to coordinate, scale up and to make the response multi-sectoral –Anti-HIV Task forces were established in 20 Sector bureaus and Offices –The Addis Ababa HAPCO to technically assist the Councils

10. Response to the Epidemic Cont, Following this, EMSAP was implemented in 16 Weredas, 210 Kebeles and 11 of the Sector Bureaus Funding support was given to over 120 Organizations

11. Recent response to the Epidemic- Establishment of HIV/AIDS Councils Establishment of HIV/AIDS Councils -One City level Council with over 80 members chaired by the Mayor -One City level Council with over 80 members chaired by the Mayor -Ten Sub-city level Councils each led by the Sub- city Chief Executive Manager -Ten Sub-city level Councils each led by the Sub- city Chief Executive Manager -203 Kebele level Councils with 20,300 members\ -203 Kebele level Councils with 20,300 members\ Establishing HIV/AIDS Prevention and Control Offices at all levels Establishing HIV/AIDS Prevention and Control Offices at all levels

12. Response to the Epidemic cont. The Office focuses on The Office focuses on –Establishing HIV/AIDS Prevention and Control Offices at all levels –Establishing Partnership with bilateral and International Organizations-WB, WFP, CDC, UNICEF, FHI etc –Mainstreaming HIV AIDS into Sectors to make the Response to the epidemic Expanded and Comprehensive

13. Response to the Epidemic cont. The Office focus on The Office focus on –Creating and supporting networks among stakeholders and programs to facilitate information exchange and avoid duplication of efforts –building the Capacity of Coordinators and Program implementers through partnerships with local and international Organizations – the quality, accessibility, and utilization of Programs –Determining, Supporting and Sharing Innovative and Best Practices

14. Achievements Government’s commitment has improved a lot Government’s commitment has improved a lot Community Involvement has increased very much Community Involvement has increased very much The Capacity of Communities to look at their problems, to plan on their solutions and to implement them is Increasing from time to time The Capacity of Communities to look at their problems, to plan on their solutions and to implement them is Increasing from time to time Programs’ Coverage has improved Programs’ Coverage has improved Encouraging results are coming out of the BSS- 2001 Results in some areas Encouraging results are coming out of the BSS- 2001 Results in some areas

15. Achievements cont. Declining Prevalence 1995-2001 Age Group 19951996199720002001 15-1915.518.914.68.611.1 20-2428.121.618.816.915.5 25-2923.418.618.516.419.5 >0r=309.617.816.514.315.6

16. Challenges No Strategic Plan for the City’s Response to HIV/AIDS No Strategic Plan for the City’s Response to HIV/AIDS Inadequate Capacity at all levels of both implementers and coordinators Inadequate Capacity at all levels of both implementers and coordinators No Centers and standards for trainings and Services No Centers and standards for trainings and Services Relatively low Workplace Interventions Relatively low Workplace Interventions No/few Youth Centers No/few Youth Centers Dependency Syndrome related to Care and Support Programs Dependency Syndrome related to Care and Support Programs Inadequate Financial supports for programs/projects \ Inadequate Financial supports for programs/projects \ Little or no M and E Little or no M and E

17. The Way Forward Build the Capacity of both Coordinators and Implementers Build the Capacity of both Coordinators and Implementers Produce a Strategic Plan for the City’s Response to HIV/AIDS Produce a Strategic Plan for the City’s Response to HIV/AIDS Create a City level Database and Systems of Information Collection and dissemination Create a City level Database and Systems of Information Collection and dissemination Establish and support forums and networks Establish and support forums and networks Improve Service delivery Systems Improve Service delivery Systems Facilitate Leadership Development Programs Facilitate Leadership Development Programs Design and Implement M and E Design and Implement M and E Etc, Etc,

18. Finally Let’s Fight HIV/AIDS Together ! Let’s Fight HIV/AIDS Together !