1. Achieving Scale: The Global Campaign on Children and AIDS

2. Achieving Scale: The Global Campaign on Children and AIDS Penny Campbell Programme Officer, Adolescents & HIV/AIDS UNICEF Jamaica

3. Why a Campaign? (I) HIV/AIDS is hitting the world's children and adolescents hard: Every day, –Over 5,000 young people aged 15-24 are newly infected with HIV; –2,000 new paediatric infections mostly from mother-to-child transmission; –1,400 children under 15 die of AIDS-related illness After more than 20 years, –Overwhelming majority of adolescents and young people do not know how to avoid the disease; –Less than 10% of pregnant women testing HIV-positive are receiving services to prevent transmission to their infants and antiretroviral treatment for their own infection; –Less than 3% of the children who have lost a parent due to AIDS receive public support or services. HIV/AIDS is undermining efforts in the areas of child health and nutrition, education, protection and childhood care.

4. Why a Campaign? (II) Only ten years are left before the 2015 deadline for reaching the MDG of halting and beginning to reverse the spread of HIV/AIDS. Without decisive action, infection rates will rise even in countries which are currently least affected. Untold millions of children, adolescents and young people in the path of the epidemic are at risk and need protection. The world must act now, urgently and decisively, to put children at the centre of the HIV/AIDS agenda and ensure an AIDS-free generation.

5. Campaign Goals To provide a child-focused framework for country-level programmes around ‘Four Ps’ To provide a platform for child-focused advocacy on global HIV/AIDS issues To put the missing face of children affected by HIV/AIDS at the centre of the HIV/AIDS agenda and make their voice is heard in communication about HIV/AIDS To provide a platform and an information base for child- focused fund-raising activities and mobilise significant additional funds for children affected by HIV/AIDS.

6. Call to Action As the UN agency with the mandate for children, UNICEF is calling upon every part of global society – governments and agencies, activists and scientists, corporations and community workers and as many others as possible – to join together in a campaign to support national efforts to ensure this is the last generation of children that must bear the burden of HIV/AIDS.

7. Making global HIV/AIDS commitments work for children MTSP 2006 - 2009 Reduce adolescent risks and vulnerability to HIV/AIDS More orphans and vulnerable children receive quality support Reduce paediatric HIV infections; increase treatment coverage for women and children Paediatric treatment Global Campaign PMTCT Primary Prevention Protection, care and support for orphans and vulnerable (Health / Education / Protection) UNGASS Declaration of Commitment Reduce the proportion of infants infected Develop & implement comprehensive care strategies Develop and implement national policies and strategies / capacity building Prevent HIV infection among young people and reduce their vulnerability MDGs Promote gender equality and empower women Reduce child mortality Improve maternal health Eradicate extreme poverty and hunger Achieve universal primary education Ensure environmental sustainability Develop a global partnership for development Combat HIV/AIDS, malaria and other diseases

8. Programmatic interventions The four “Ps” of the Campaign: Prevention: limit the spread of AIDS through forthright national leadership, widespread public awareness and intensive prevention efforts to protect children and adolescents from infection. PMTCT Plus: drive to national coverage of comprehensive package of PMTCT + treatment, care and support to women and their families. Paediatric treatment: Paediatric HIV drug formulations and cotrimoxazole to prevent opportunistic infections in infants integrated into public health and child survival programmes. Protection, care and support for orphans and vulnerable children: Provide basic services including education, healthcare, nutrition and psycho-social support to children and adolescents driven into poverty and deprived of protective family environment.

9. P 1 – Primary Prevention: GTT Lead: UNFPA, UNESCO Support: UNICEF, UNODC & others Collaborate with and complement ongoing partner efforts to support national and sub-national programmes in primary prevention. Age and gender sensitive information, skills and services Prevention activities: Behaviour change communication School-based and community-based life skills Balanced and comprehensive prevention strategies Youth friendly health centers Peer educators Counseling, testing and control of STIs Communication materials & media Participation Strategies responsive to risk factors Inclusion of HIV/AIDS risks and vulnerabilities in emergencies Target:  By 2010, reduce the percent of young people living with HIV by 25% globally.

10. P 2 – PMTCT Plus: GTT Lead: UNICEF, WHO Support: UNFPA, WFP & others Interventions: PMTCT Plus services Testing ARVs for HIV+ women and children single/-dose ARVs for PMTCT safe delivery support group for positive women/info on staying negative follow-up programme for families home based care nutritional support and infant feeding Development of policies, guidelines and training Integration into MCH services Target:  By 2010, offer PMTCT services to 80% of women in need.

11. P 3 – Paediatric AIDS GTT Lead: WHOSupport: UNICEF & others Interventions: Paediatric Services: Cotrimoxazole for HIV+ children Linkages to child survival (Vitamin A, infant feeding, immunization, ITN, ORT, Antibiotics for ARI) Paediatric formulations, pricing Forecasting, supply management training of health workers operational support for clinics/centers treatment of opportunistic infections nutritional support Target:  By 2010, provide antiretroviral treatment or Cotrimoxazole to 80% of children needing treatment or prophylaxis.

12. P 4 – Protect orphans and vulnerable children GTT Lead: UNICEFSupport: WFP, WHO, ILO & others Interventions: Services for orphans and vulnerable children: Education: school fees, books, uniforms, assessments, vocational training Nutrition + Food Health Care Family/home support + community-based responses Economic and psycho-social support Prolong lives of parents Resources for families and caregivers Target:  By 2010, reach 80% of children most in need.

13. Partnerships Partnerships are the “overarching P” in the Campaign. The campaign will mobilise child-focused support to ensure that the ‘missing face of children’ appears in the roll-out of the ‘Three Ones’ (UNAIDS), the expansion of 3 by 5 (WHO), national Poverty Reduction Strategies (UNDP), national HIV/AIDS control programmes (UNAIDS) and other partnership strategies Governments, NGOs, FBOs, global funding mechanisms, youth and sporting organizations are equally important partners. Partnerships: the way to achieve scale (I)

14. Partnerships: the way to achieve scale (II) Interventions UNAIDS, UNFPA, UNODC, UNDP, UNESCO, UNESCO, ILO, World Bank, PEPFAR, bilateral donors, NGOs, FBOs and others UNAIDS, WHO, WFP PEPFAR, Clinton Foundation, ICH, FHI, bilateral donors, NGOs, FBOs and others Paediatric Treatment PMTCT Plus Primary Prevention Protection, care and support for children affected by HIV/AIDS UNAIDS, WHO, WFP, GFATM PEPFAR, Columbia University, Elizabeth Glaser Pediatric AIDS Foundation,, bilateral donors, NGOs, FBOs and others PEPFAR, GFATM Education: UNESCO, World Bank, WFP, Glob. Coal. on Women and AIDS Health: WHO, UNFPA. Psychosocial Support: REPSSI Social Protection: World Bank, DFID M&E / Research: Futures Group, UNAIDS bilateral donors, NGOs, FBOs and others Partnerships

15. Role of UNICEF (I) In line with its mandate and track record for children, and as a UNAIDS cosponsor, UNICEF will lead the campaign; Campaign will support UN lead agencies and main partners around 4 Ps, advocacy, communications, resource mobilization to achieve AIDS-free generation; Campaign will provide and platform to possible joint programming Campaign will promote missing face of children in national HIV/AIDS programmes, CCMs, UNDAF, Theme Groups, Interagency Task Teams and other fora and coalitions;

16. Thank you!