Making it happen!

In Support of the Global Plan Towards

the Elimination of New HIV Infections among Children by 2015 and Keeping their Mothers Alive

Number of new HIV child infections if:

- PMTCT coverage/regimen at 2009 levels- Prong 3 (ARV/ART to 90% of HIV+ PW)- Prongs 1, 2 and 3 (50% reduction Incidence, unmet FP to Zero, and 90%

ARV/ART)- Prongs 1, 2, and 3 and limit BF to 12 months

367,000

72,000 (79%)

95,000 (73%)

138,000 (60%)

Value in 2015(% reduction)

345,000

216,000

184,000

153,000

123,00096,000

72,000

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

2009 2010 2011 2012 2013 2014 2015

Estimated New HIV infections among children: Different scenarios for 25 countries

Page 7

22 priority countries: Angola, Botswana, Burundi, Cameroon, Chad, Côte d’Ivoire, Democratic Republic of the Congo, Ethiopia, Ghana, India, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, South Africa, Swaziland, Uganda, United Republic of Tanzania, Zambia and Zimbabwe.

Two global targets by 2015 :

• Reduce the number of new HIV infections among children by 90%.

• Reduce the number of AIDS-related maternal deaths by 50%.

Page 6

Page 9

Prong 1: primary

prevention of HIV

Target: 50% reduction in HIV incidence in women of reproductive age Page 18 & 63

• Sero-conversion during pregnancy

• Women may be at increased risk of HIV during pregnancy & breast-feeding

Page 19

Prong 1 Package of Essential Services• Information and counselling to

reduce sexual transmission• HIV testing & counselling

(repeat, couples, post-test counselling for HIV negative pregant women); referral for or on site treatment

• Treatment for prevention• STI screening and management • Condoms (female and male):

promotion, provision & building skills for negotiation & use

• Blood safety and anaemia prevention to reduce blood-related transmission

• GBV prevention and impact mitigation Page 22 - 25

Prong 2: prevention

of unintended

pregnancies

Target: reduce unmet family planning need to zero (among all women) MDG 5B

Page 26 & 63

Prong 2 Package of Essential Services• Information & counselling to

support reproductive rights, including preventing unintended pregnancies

• Clinical HIV management • Rights-based family

planning counselling and services

• STI screening and management

• GBV prevention and impact mitigation

• Stigma and discrimination eradication

Page 31 - 33

Page 37

Five Key Strategies 1: Link SRH and HIV at

the policy, systems and service delivery levels

2: Strengthen community engagement

3: Promote greater involvement of men

4: Engage organizations of people living with HIV

5: Ensure non-discriminatory service provision in stigma-free settings Page 50

• Fast‐tracking men/couples who come for ANC• Providing clinical services for men who come (e.g.

blood pressure screening, health check‐ups)• Peer support for men living with HIV.• Performance‐based agreement, with male

engagement as one of the reportable indices• Male champions to encourage other men to act• Letters to partners encouraging clinic visits• Transport vouchers for couples • CHWs mobilising men• Ecole de Mari

(“husband schools”)

Strategy 3: Engage Men

Page 57

Contents1. Implement package of

services within stigma-free integrated SRH & HIV services

2. Utilise key entry points to integrating services for HIV and sexual and reproductive health

3. Strengthen national programme implementation

4. Carry out five key strategies Page 2