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11 June, 2003

Children Orphaned and made Vulnerable by HIV/AIDS : The Crisis, Consequences and Responses American Evangelicals Respond to the Global AIDS Crisis, June 11-12. 11 June, 2003. 15 – 39%. 5 – 15%. 1 – 5%. 0.5 – 1.0%. 0.1 – 0.5%. 0.0 – 0.1%. not available.

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11 June, 2003

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  1. Children Orphaned and made Vulnerable by HIV/AIDS: The Crisis, Consequences and ResponsesAmerican Evangelicals Respond to the Global AIDS Crisis, June 11-12 11 June, 2003

  2. 15 – 39% 5 – 15% 1 – 5% 0.5 – 1.0% 0.1 – 0.5% 0.0 – 0.1% not available 42 million people living with HIV/AIDS outside region

  3. Orphans (under 15) 25 million orphans due to AIDS Developed AIDS 1980 1983 1986 1989 1992 1995 1998 2002 2005 2007 2010 The delayed effect is yet to comeEpidemic Curves - HIV, AIDS & Orphans 40 35 30 Millions 25 HIV infected 20 15 10 5 0 Source: UNAIDS/UNICEF, 2002

  4. The hardest hit countries Percent of children under age 15 that are orphans in Sub-Saharan Africa, 2005 20-25 (4) 15-19 (7) 10-14 (21) 5 -9 (9) 0 -4 (1) Percent (%) Source: Children on the Brink, 2002

  5. 68% 24% Non Orphans Double Orphans Mozambique 96 94 91 91 90 85 85 84 82 81 77 70 70 68 67 65 65 61 54 52 50 45 45 43 37 34 31 24 Both parents alive, living with at least one parent Both parents dead Orphans are less likely to be in school Source: MICS/UNICEF & DHS, 1997 - 2001

  6. Care for orphans by extended family Relationship of double orphans with head of household they live in Ethiopia Zimbabwe Source: DHS, 1999-2001

  7. 4 key areas of action 1. Equal access to basic services. • education, water/sanitation, health, nutrition, etc. • Psychological & emotional support for families • home based care & counseling • IECD & PMTCT • succession planning • sports/ recreation, etc

  8. 4 key areas of action - continued • Inheritance and protection legislation • Birth registration • Will writing • Protection laws and legal support • Prolong the lives of parents: • Positive living through nutrition, fitness • “Essential” drugs

  9. Institutional Care – Last Resort • Institutional care conflicts with the right of every child to live and develop in a family environment • Increasing institutional care is an expensive “solution” to expand “the problem”

  10. OUTCOMES • Mobilising communities to ensure protection and care • e.g. Swaziland, Malawi, Zimbabwe, Mekong countries • Getting/keeping children in school • e.g. Kenya, Swaziland

  11. OUTCOMES • Increased inheritance and protection • e.g. Namibia, Zimbabwe • Parents / caregivers living longer • e.g.Jamaica, Malawi • Vital registration, including birth certificates • e.g. Uganda, Malawi

  12. THE BOTTOM LINE The Challenge is Scale What has to be done: • OVC on the political and resource agenda • $ 1 Billion per year • Powerful partnerships: global/ regional • Critical, stronger UNICEF Role

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