1. 1 Lambaa.S Member of parliament of Mongolia, Minister of Health National Conference on HIV/AIDS Hotel Chingis, Dec.2-3, 2008 Government role in prevention of HIV/AIDS/STI and lesson learnt

2. 2 -Present situation of HIV/AIDS/STI prevalence -Government role in prevention of HIV/AIDS/STI -Lesson learnt Contents:

3. 3 Present situation of HIV/AIDS/STI…

4. 4 Prevalence of HIV/AIDS in ASIA, 2007 <5% High risk group > 5% High risk group >1% Pregnant women

5. Prevention of HIV/AIDS Prevalence of HIV/AIDS between 15-24 aged young people/ Prevalence of HIV/AIDS between pregnant women 19902000200620072015 ----<0.1 19902000200620072015 --0.0004<0.1 5 Source: Resolution of Parliament, 2008

6. Morbidity of Infectious diseases, 2007 6 Source: Health indicators, MOH, 2007

7. 7 Incidence: Hepatitis, Syphilis, Gonorrhea Source:Health indicators,2008

8. 8 Estimated infection of HIV/AIDS In 2005-2007 442,438 people were tested.  Sentinel surveillance shows: Mongolia is Low prevalence country of HIV/AIDS -HIV/AIDS incidence between pregnant women less than 1% -Other groups of population less than 5%  Estimated HIV/AIDS infected 500. / UN- HIV/AIDS program report/

9. 9 Financial resource for HIV/AIDS/STI activities 2006-2008 Government funding UN, WHO, UHFPA, UNICEF Global found, round 2 Global found, round 5 Global found, round 7 Global found, round 2 and 5 Source: review report, UN 2008

10. 10 Government role in prevention of HIV/AIDS/STI

11. 11 -Millennium development goals - National development policy based on MDG’s -Government action plan 2008-2012 -National Strategy on HIV/AIDS/STI 2006-2011 Prevention of HIV/AIDS: Policy on National Safety and National Development

12. 12 Tasks of National Committee on HIV/AIDS prevention To enhance comprehensive strategy and plan on prevention of HIV/AIDS To strengthen intersectoral collaboration To support partnership To develop Three - one principal: –To plan three-one program –To coordinate by management at national level –To develop integrated monitoring and evaluation system in country

13. 13 One monitoring and evaluation One program National strategy One management NATIONAL COMITTEE Three-One principal

14. 14  Leadership  Partnership  Evidence based  Participation of people living with HIV/AIDS  Enabling environment  Comprehensiveness Working Principles

15. 15 National AIDS Committee

16. 16 Origin of National committee of Mongolia Deputy prime minister, 1992 Minister of Health and social welfare 1996 Prime minister 1997 Prime minister 2000 National committee of Public health 2002 Deputy prime minister 2006 Deputy prime minister 2008 Unit in charge

17. 17 Government Civil society Private sector International NGO’s Donor and sponsor organizations Partnership

18. 18 Information and communication Behavior change Prevention Diagnosis Treatment Health care Social welfare Strategic direction on National prevention of HIV/AIDS/STI

19. 19 In October, 2006 organized first conference for “Low prevalence countries “ by initiative of Government of Mongolia In August, 2008 organized second conference for “Low prevalence country” in Manila, Philippine Low prevalence countries are joining

20. 20 Lesson learnt

21. 21 UNAIDS/S.NOORANI Low prevalence = Don’t accept as priority because of low number of cases Misunderstanding “This will not happen to me ” Do not prioritize the tasks

22. 22 Lesson Constant changes in structure of National Committee responsible for united actions against HIV/AIDS lead to negative outcome by fragmenting the actions Absence of integrated work-plan Lack of government resource for financing

23. 23 Lessons learnt (2) Lack of awareness among Governors and Head of Departments at aimag and city level Poor participation of Health sector Poor linkage of Government and NGO led activities

24. 24 Further steps To stabilize activity of National Committee To approve costed national strategy on prevention of HIV/AIDS/STI Approved policy and operational plan To implement approved policy and operational plan in an effective, strategic, participatory approach Effective adoption of the results of research works and reports in practice

25. 25 WE LEAD-PROMOTE PARTNERSHIP! Thank you for attention