Critical enablers and synergies
This presentation is the property of its rightful owner.
Sponsored Links
1 / 14

Melbourne, 23 July 2014 - IAS 2014 Fatiha Terki, WFP PowerPoint PPT Presentation


  • 50 Views
  • Uploaded on
  • Presentation posted in: General

Critical enablers and synergies including nutrition. Melbourne, 23 July 2014 - IAS 2014 Fatiha Terki, WFP. We will discuss…. Investment framework The role of critical enablers How this apply to emergencies with an emphasis on nutrition. What is the role of WFP?.

Download Presentation

Melbourne, 23 July 2014 - IAS 2014 Fatiha Terki, WFP

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Melbourne 23 july 2014 ias 2014 fatiha terki wfp

Critical enablers and synergies

including nutrition

Melbourne, 23 July 2014 - IAS 2014

Fatiha Terki, WFP


We will discuss

We will discuss…

  • Investment framework

  • The role of critical enablers

  • How this apply to emergencies with an emphasis on nutrition.

  • What is the role of WFP?


Melbourne 23 july 2014 ias 2014 fatiha terki wfp

35.3 million people were living with HIV in 2013: SSA, especially southern Africa, has the highest global burden of HIV 70.8%

Estimated number of people living with HIV (2012) and trends in the incidence of new infections from 2001 to 2012 by region

Source: UNAIDS 2013 report.

Using HIV as an entry point presents opportunities for collaboration and health system strengthening interventions that are FN sensitive

2014 UNAIDS Gap Report

HIV infection: epidemiology, pathogenesis, treatment, and prevention. Gary Maartens, Connie Celum, Sharon R Lewin, Lancet 2014. Online June 5, 2014 http://dx.doi.org/10.1016/ S0140-6736(14)60164-1


The world of hiv and aids has changed

The world of HIV and AIDS has changed…

  • Globally, 12.9 M people had started antiretroviral therapy at the end of 2013

  • 5.6 M added since 2010 (33% in SA)

Scale-up of treatment

  • Increased prevalence

    • people on ART are living longer

  • 31 M in 2002

  • 35.3 M in 2012

  • Decreased incidence

  • Reductions in heterosexual transmission

  • PMTCT Scale up

  • 3.4 M in 2001

  • 2.1 M in 2013

  • Children’s new infections decreased by 58%

  • from 580 000 (2002) to 240 000 (2013).

38% decrease

since 2001

  • 2.3 M in 2005

  • 1.6 M by 2012

  • 1.5 M in 2013

  • Decreased Mortality

    • people on ART are living longer

35% decrease

since 2005

National investments have increased – Shared responsibilities and global solidarity

2014 UNAIDS Gap Report

HIV infection: epidemiology, pathogenesis, treatment, and prevention. Gary Maartens, Connie Celum, Sharon R Lewin, Lancet 2014. Online June 5, 2014 http://dx.doi.org/10.1016/ S0140-6736(14)60164-1


Requiring prioritized investment approaches such as the unaids investment framework

…requiring prioritized investment approaches such as the UNAIDS investment framework

In line with the three zeros

Compilation and analysis of evidence of interventions proven to reduce HIV risk, transmission, morbidity, mortality

Models the investments required globally between 2011 and 2020 to revers the epidemic


Key elements of investment framework

Key elements of investment framework

UNAIDS investment framework focuses on high-impact and high-value strategies.

UNAIDS World AIDS day report, 2011

UNAIDS/WHO The treatment 2.0 framework for action, 2011


The investment framework recognizes social protection under synergies with development sectors

The investment framework recognizes social protection under synergies with development sectors

Reduce Risk

Reduce the likelihood of transmission

Reduce mortality and morbidity

  • PMTCT

  • Condom promotion and distribution

  • Key populations

  • Treatment care and support to PLWH

  • Male Circumcision

  • Behavior Change programmes

Basic

Programme

Activities

Critical Enablers – incl. nutrition support

Synergies With Development Sectors

including social protection

Source(s): Schwartlander et al., 2011 Lancet


Melbourne 23 july 2014 ias 2014 fatiha terki wfp

Critical enablers and development synergies are catalyzers for improved prevention, treatment care and support

1

A

B

2

2

Development

synergies

HIV-sensitive

(HIV outcome

is one of many

objectives)

HIV-specific

(sole/primary

objective is an HIV

outcome)

1

Critical enablers

1

Programme

B

Enabler for treatment care and support

May reduce mortality and improve adherence and retention in care

Government entities (National AIDS council and MoH) NGOs

Food and Nutrition Support

UNDP, UNAIDS 2012 Understanding and acting on critical enablers and development synergies


Development synergies why is social protection an important investment for hiv outcomes

Development synergies - Why is social protection an important investment for HIV outcomes?

Prevention: address the multiple social determinants of the epidemic – income inequalities, gender inequalities, social exclusion –and thus contribute to a reduction in new infections,

Treatment: address demand side barriers to access HIV services with potential to improve prevention, treatment and care and support outcomes.

Mitigation: mitigate the significant social and economic impacts of HIV and AIDS on households and individuals,

UNDP, UNAIDS 2012 Understanding and acting on critical enablers and development synergies


Melbourne 23 july 2014 ias 2014 fatiha terki wfp

Nutrition and food security play an important role in humanitarian responses and the HIV continuum of care

Infection

Testing

Pre-ART

ART

1

2

3

4

HIV continuum of care in Humanitarian settings

Expanded

response

Minimum

response

Preparedness

Individual

Role of Nutrition and Food Security

Demand and Supply Sides

Community

Health Systems

Critical Enablers

Synergies with Development Sectors

Source(s): WFP analysis


Wfp is the co convening agency for hiv in humanitarian emergencies in the unaids division of labour

WFP is the co-convening agency for HIV in humanitarian emergencies in the UNAIDS Division of Labour

UNAIDS Division of labour, 2010


Melbourne 23 july 2014 ias 2014 fatiha terki wfp

Close relationship between HIV and food insecurity and malnutrition

  • Increased nutritional needs through metabolic changes

  • Reduced appetite and ability to take food

  • Reduced ability of body to absorb nutrients

  • Reduced access to food due to morbidity/low productivity

HIV

Food insecurity and malnutrition

  • Increased morbidity and mortality

  • Potentially negative coping behaviour that increases likelihood of HIV transmission (e.g., unprotected, transactional sex)

  • Food insecurity may prevent people from seeking a diagnosis and/or initiating and adhering to treatment

Source(s): WFP analysis


Melbourne 23 july 2014 ias 2014 fatiha terki wfp

Food and nutrition supports treatment success by (1) facilitating nutritional recovery and (2) access to treatment

1

Nutritional

stabilization/recovery

  • Faster weight gain (rebuilding of body tissues that were lost)

  • Increased strength of immune system

  • Increased drug effectiveness

Food and nutrition interventions

Treatment outcomes

  • Nutrition Assessment, Education, Counselling and support (NACS)

  • Food supplements

  • Household support

  • Reduced morbidity

  • Reduced mortality

  • Reduced transmission

  • Improved quality of life

2

Access to treatment

  • Increased treatment uptake

  • Increased treatment adherence and retention in care

Source(s): WFP analysis


Wfp has significant expertise in food and nutrition programmes in the context of hiv

WFP has significant expertise in food and nutrition programmes in the context of HIV

What is WFP’s role?

1

2

Adviser to government on nutrition integration into HIV policies & programmes

Implementer of own programmes in line with government policies

Technical advice to include F&N into HIV / AIDS national strategies, implementation plan, and protocols

Technical advice to include F&N into funding proposals (e.g., GFATM)

  • WFP supports 33 countries with HIV programmes

    • Care and treatment: 68%

    • Mitigation and safety nets: 32%

    • ART adherence rates are over 80% in significant proportion1 of programs

  • Total HIV/TB beneficiaries receiving support in 2013: 1,324,097

    • HIV: 701,644

    • TB: 416,517

    • OVCs: 205,936

WFP is one of the few agencies working on demand side of HIV/TB, Nutrition,

maternal and child health services during emergencies

  • 73% of programmes reporting ART adherence

  • Source(s): WFP’s SRP Analysis – HIV and TB Programmes 2013


  • Login