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Campaign To End Pediatric HIV CEPA Presented by: James Kamau KETAM. Contribution to the African Civil Society Advocacy forum on universal Access and Resource mobilization 3 rd to 5 th May 2010 Dar es salaam Tanzania.

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Campaign to end pediatric hiv cepa presented by james kamau ketam

Campaign To End Pediatric HIV

CEPA

Presented by: James Kamau

KETAM


Contribution to the African Civil Society Advocacy forum on universal Access and Resource mobilization 3rd to 5th May 2010 Dar es salaam Tanzania


  • Pediatric HIV/Aids is central to Maternal and Child Health. It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally


What is the cepa network
What is the CEPA Network? It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • A campaign to mobilize the political will and financial resources needed to overcome bottlenecks to scaling up pediatric HIV diagnosis, treatment, and care programs.

  • CEPA Network will accelerate action to reduce the incidence of pediatric HIV/AIDS.

  • It is designed to measurably improve the delivery of treatment to children and mothers.


Campaign goal
Campaign Goal It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • To increase the coverage rates for prevention of PMTCT (vertical transmission) and pediatric treatment services from the current rates of 30% to 40% to the globally agreed-upon target of 80% and ensure high-quality services.


Strategic objectives
Strategic Objectives It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • Family-Centered Care and Nutrition.

  • Early Infant Diagnosis and Treatment.

  • Access to Appropriate Medications.

  • Full Funding to Eliminate Pediatric HIV/AIDS

  • Stigma and Discrimination : - As a cross cutting theme.


Cepa network will
CEPA Network will It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • Leverage policy reforms at both global and country levels.

  • Expand and activate in-country advocacy networks.

  • Hold governments and decision-makers accountable for tangible progress toward their policy commitments.


Our focused countries
Our Focused Countries… It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • Tipping Countries:

    • Uganda

    • Kenya

    • Tanzania

    • Zambia

    • Nigeria

    • Mozambique

      Transition Countries:

  • Ethiopia

    • Malawi

      South Africa

      Rwanda


The initiating partners
The Initiating Partners: It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • African Network for Care of Children Affected by HIV/AIDS (ANECCA).

  • Pediatric AIDS treatment for Africa (PATA).

  • Pan-African Treatment Access Movement (PATAM).


In kenya what we have done so far
In Kenya: : What We have done so far::: It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally


Current state of affairs
Current state of affairs It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • 100,000-150,000 children infected with HIV (projection estimates)

  • 1.5million births annually

  • HIV prevalence among ANC - 6.9%

  • 100,000 infants exposed to HIV annually

  • Average MTC transmission rates

    (10-15% from EID data )

  • 19,000 annual infections through MTCT –Cut Down by 80% in two years…..


Number of patients on arvs as of july 2009
Number of Patients on ARVs as of July 2009 It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

Source: NASCOP


Paediatrics on arvs as of july 2009
Paediatrics on ARVs as of July 2009 It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

Source: NASCOP


Country priority areas
Country Priority areas It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • Stigma and discrimination

  • Integrating of services

  • Human resources

  • Shortage of Testing sites

  • Procurement and logistics

  • Availability of FDC

  • Government commitment/specific allocation

  • Alternative funding


Risks
Risks. It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  • The global Financial Crises and its impact on local economy;

  • On-going bureaucratic conflicts between (Two Ministries of health)

  • Corruption and its implication on funding;

  • Food security and changing climate dynamics


  • Clinton foundation is the only supporter for procurement of pediatric ARVs currently both 1st and 2nd lineClinton foundation will stop procurement of pediatric ARVs in September 2010 and provide supplies to last 15 months that will cover upto to 2011.

  • The 3 years marked in X denote existing commitments from CHAI;

  • The costs are based on unit cost of USD 254 per patient annually. From 2011 , There is no commitment for procurement of Pediatric ARV.


Action
ACTION pediatric ARVs currently both 1st and 2nd line

  • No child in Africa should be born HIV+

  • Lets use the basic rich cultural norms that we have in place

  • Let the African Governments walk the talk and put 15% of budget to health

  • Of the 15% lets come up with a 4% going specifically to the mother and child interventions


Information east africa by country
INFORMATION: EAST AFRICA BY COUNTRY pediatric ARVs currently both 1st and 2nd line

Source: Global Fund


GLOBAL FUND SUB-REGIONAL DISTRIBUTION: pediatric ARVs currently both 1st and 2nd line

Source: Global Fund


Thank you
Thank you pediatric ARVs currently both 1st and 2nd line

  • Asante Sana


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