Transcript Document

Achieving Scale:
The Global Campaign on
Children and AIDS
Achieving Scale:
The Global
Campaign on
Children and AIDS
Penny Campbell
Programme Officer, Adolescents
& HIV/AIDS
UNICEF Jamaica
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.
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.
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 childfocused fund-raising activities and mobilise significant
additional funds for children affected by HIV/AIDS.
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.
Making global HIV/AIDS commitments
work for children
MDGs
UNGASS Declaration of
Commitment
MTSP 2006 - 2009
Global Campaign
Eradicate extreme
poverty and hunger
Prevent HIV infection
among young people
and reduce their
vulnerability
Reduce adolescent
risks and
vulnerability to
HIV/AIDS
Primary Prevention
Achieve universal
primary education
Promote gender equality
and empower women
Reduce child mortality
Improve maternal health
Combat HIV/AIDS,
malaria and other
diseases
Ensure environmental
sustainability
Develop a global
partnership for
development
Reduce the
proportion of infants
infected
Develop & implement
comprehensive care
strategies
Develop and
implement national
policies and
strategies / capacity
building
Reduce paediatric
HIV infections;
increase treatment
coverage for women
and children
More orphans and
vulnerable children
receive quality
support
PMTCT
Paediatric treatment
Protection, care and
support for orphans
and vulnerable (Health
/ Education / Protection)
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.
P 1 – Primary Prevention:
GTT Lead: UNFPA, UNESCO Support: UNICEF, UNODC & others
Target:
 By 2010, reduce the percent of young people living with HIV by
25% globally .
• 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:
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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
P 2 – PMTCT Plus:
GTT Lead: UNICEF, WHO
Support: UNFPA, WFP & others
Target:
 By 2010, offer PMTCT services to 80% of women in need.
• 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
P 3 – Paediatric AIDS
GTT Lead: WHO
Support: UNICEF & others
Target:
 By 2010, provide antiretroviral treatment or Cotrimoxazole to 80%
of children needing treatment or prophylaxis.
• 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
P 4 – Protect orphans and vulnerable children
GTT Lead: UNICEF
Support: WFP, WHO, ILO & others
Target:
 By 2010, reach 80% of children most in need.
• 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
Partnerships
Partnerships: the way to achieve scale (I)
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 (II)
Interventions
Partnerships
Primary Prevention
UNAIDS, UNFPA, UNODC, UNDP, UNESCO, UNESCO, ILO,
World Bank, PEPFAR, bilateral donors, NGOs, FBOs and
others
PMTCT Plus
UNAIDS, WHO, WFP, GFATM
PEPFAR, Columbia University, Elizabeth Glaser Pediatric
AIDS Foundation, , bilateral donors, NGOs, FBOs and others
Paediatric Treatment
UNAIDS, WHO, WFP
PEPFAR, Clinton Foundation, ICH, FHI, bilateral donors,
NGOs, FBOs and others
Protection, care and
support for children
affected by HIV/AIDS
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
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;
Thank you!