National Plans of Actions (NPAs) in WCAR Children and HIV and AIDS Christine Nare / HIV/AIDS specialist UNICEF Regional Office - WCAR.

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Transcript National Plans of Actions (NPAs) in WCAR Children and HIV and AIDS Christine Nare / HIV/AIDS specialist UNICEF Regional Office - WCAR.

National Plans of Actions (NPAs)
in WCAR
Children and HIV and AIDS
Christine Nare / HIV/AIDS specialist
UNICEF Regional Office - WCAR
The Epidemic in West and Central Africa (2006)
Mauritania
Mali
Niger
Senegal
Gambia
Guinea Bissau
Guinea
Sierra Leone
Chad
Burkina
Faso
Benin
Côte Ghana
Togo
Liberia d’Ivoire
Nigeria
Central Africa Republic
Cameroon
Equatorial Guinea
Sao Tome &
Principe
Gabon
DR Congo
Congo
Source: 2006 Report on the global AIDS epidemic, UNAIDS
The burden of AIDS in WCAR (2006)
•Nearly 1/3 of the world’s children living with AIDS
are from WCAR
•Nearly 1/4 of the world’s women living with AIDS
are from WCAR
•Nearly 1/4 of the world’s children who have been
orphaned by AIDS are from WCAR
•WCAR receives less than 1/3 of the global effort
click here for 2006 UNAIDS numbers
Development of NPAs
•Currently a total of 12 countries with NPAs but with
various stages of development in terms of scope, quality and
completeness:
Two categories of countries:
• 1. Seven countries with operational and costed NPAs: BurkinaFaso, Cote d’Ivoire, Nigeria, Central African Republic, Mali, Benin,
Senegal
• 2. Five countries with incompleted or draft NPAs: Sierra-Leone,
Liberia, Guinea, Ghana, Togo
• Perspectives:
• By end of 2007 : all the 12 countries will have operationalized and costed
NPAs.
• New NPAs : Democratic Republic of Congo (DRC),Cameroon, Gabon
Definitions
•General definition : Children under 18:
• who are orphans or living with parents with HIV or chronically sick
• who need selective or permanent social protection due to precarious
socio-economic situation within or outside a family
• Who bear a substantial risk of suffering significant physical, emotional or
mental harm
•Specific groups included in the definitions and programmes:
•
•
•
•
•
•
•
Orphans
Children infected
Street children
Children with physical or mental Handicap
Chidren victims of all form of abuse and exploitation
Children living in poor households
Migrant , child soldiers, refugees children, beggars…
RAAAP Outcomes
Activity
Burkina CAR
C.Ivoire DRC
Nigeria Ghana
Mali
SitAnalysis
Yes
Yes
Yes
No
No
Yes
Yes
Coordination
mechanism
yes
Yes
Yes
In
Yes
Prog
No
Yes
NPA
Yes
Yes
Yes
No
Yes
In Prog
Yes
NPA Costed
Yes
Yes
Yes
NA
Yes
NA
No
NPA ratified by
Gov
No
Yes
Yes
NA
Yes
NA
Yes
NPA M&E
system
Yes
Yes
Yes
NA
Yes
NA
No
NPA in national No
dev. Plans
Yes
Yes
NA
Yes
NA
No
Resource
mobilized/NPA
No
Yes
In Prog
NA
In Prog NA
No
Submission to
GF- R6 / OVC
Yes
Yes
Yes
-
No
No
No
NPAs Scope
• All integrate the 5 key strategies of the framework for the
protection, Care and support of Orphans and Vulnerable Children
living in a world with HIV and AIDS
• strengthening the capacities of families
• Mobilize & support community-based responses
• Ensure access to essential services for Children (Education,
Health, social protection)
• Ensure improved policy and legislation to protect the most
vulnerable
• Raise awareness & create enabling environment
• Do we need NPAs? Yes, advocacy, fund raising and
programming tool
• Do we need comprehensive NPAs in all countries or
sector-led responses?
NPA Budgets
Time Frame
Total Cost
In $
Cost/year ($)
Cost/Child/year
BurkinaFaso
5 years
(2006-2010)
94,485,403
18, 897,081
$ 2.36
CAR
5 years
(2005-2009)
30, 700,000
6,140,000
$ 3.00
Cote
d”ivoire
2 years
(2004-2006)
6,675,496
3,337,748
$ 0.48
Nigeria
5 years
(2006-2010)
1, 607,897,254
321,579,451
$ 4.66
Challenges
•Development of NPAs: relevance, scope and approach
• participative for ownership/sustainability, RAAAP? Lighter process,
sectoral plans?
•Definitions of target group
• Difficulty in identifying the targets group
• Have implications in the cost of NPA
• Low quality of situation analysis
•CO and Gov. limited capacity to provide Quality TA for NPA
development & implementation
•Competing priorities because of relative low HIV prevalence
and broader poverty issue - OVC/CABA not yet recognized as a
priority development issue
Challenges
•Funding the countries NPAs
•Resource mobilization: impediments to funding:
• Discrepancy between ministries who have the responsibility
for NPAs development and implementation and those who
have the mandate to mobilize resources for HIV/AIDS (CI,
BF)
• Limited fund raising capacity by ministries in charge of OVC
• Most of the WCAR countries are not priority countries for
“big” funding sources such as DFID, PEPFAR
IATT support for NAPs’ implementation
• Support review of OVC/CABA definitions in low
prevalence countries for a better context specific
planing
• Promote sector–led responses and provide
guidance for their implementation
• Promote better focus on strengthening civil
society and NGOs capacities for fund raising and
NPAs implementation
IATT support for NAPs’ implementation
• Advocate for increased funding for system
strengthening : institutional capacity building of
line ministries for a coordinated response and
M&E system
• Undertake joint review missions in countries
for identification of bottlenecks and Technical
Assistance support