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HIV/AIDS

HIV/AIDS. Dr. Constance Carrino Director Office of HIV/AIDS Bureau for Global Health. OVERVIEW. Changes in…. resources accountability partners how we operate More changes over the next five years. Change: More Funding. HIV/AIDS & Infectious Disease Funding FY 93-03 ($ millions).

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HIV/AIDS

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  1. HIV/AIDS Dr. Constance Carrino Director Office of HIV/AIDS Bureau for Global Health

  2. OVERVIEW • Changes in…. • resources • accountability • partners • how we operate • More changes over the next five years

  3. Change: More Funding

  4. HIV/AIDS & Infectious Disease Funding FY 93-03 ($ millions)

  5. Change: More accountability

  6. Congressional & ExecutiveExpectations • High interest (thru directives, earmarks & communication) about certain activities, e.g. MTCT & OVC • Congress wants more evidence • President also has high expectations and sees HIV/AIDS as a priority

  7. The Expanded Response:Global Targets-2007 • Reduce HIV prevalence by 50% in 15-24 y.o. in high prevalence countries • MAINTAIN PREVALENCE AT <1% IN 15-49 Y.O. IN LOW PREVALENCE COUNTRIES • Access to basic care to 25% of HIV infected • Access to PMTCT services to 25% HIV infected women • Access to basic services to 25% OVC

  8. AccountabilityWhat USAID needs • ROUTINE MONITORING and STANDARD INDICATORS • HIV seroprevalence levels (annual) • changes in sexual risk reduction behavior (every 3-5 years) • progress on implementation/coverage (annual)

  9. Change: More Partners

  10. USG Resources for HIV/AIDS

  11. CDC’s Global AIDS Program (GAP) ANE Countries as of 10/02 • Cambodia • China • India • Thailand

  12. USAID Cooperating Agencies • Coordination within USAID is also important . • The number of USAID partners involved in HIV/AIDS is growing. • 50 central programs received field support for HIV/AIDS in FY 02.

  13. Change: How we operate “Stepping up the War against HIV/AIDS”

  14. Technical Areas • Prevention • Care & Treatment • OVC • PMTCT • Capacity building • Multisectoral (as outlined in Child Survival Guidance) • IDU, MSM, Male circumcision

  15. Stepping up the War:New Elements • Focus resources on more priority countries. • Strengthen regional offices. • Provide support for basic countries. • Increase staff rapidly where needed. • Strengthen management and tracking. • Establish a central Commodity Promotion Fund

  16. Priority Country Criteria • Magnitude and severity of the epidemic • Risk of rapid increase in prevalence • Enabling policy environment/country stability • Potential return on investment • US foreign policy and national interest • Availability of other sources of funding

  17. More Priority Countries (Rapid Scale-Up and Intensive Focus) • AFRICA: Ethiopia, Ghana, Kenya, Malawi, Mozambique, Nigeria, Rwanda, Senegal, South Africa, Tanzania, Uganda, Zambia, Zimbabwe • LAC: Brazil, DR, Haiti, Honduras • ANE: Cambodia, India, Indonesia, Nepal • E&E: Russia, Ukraine

  18. Strengthen Regional Programs • The regional offices will: • analyze the epidemic regionally; • assist basic and priority countries develop sound programs; • develop regional programs; • partner with other donors and help countries develop proposals; and • support non-presence countries as needed.

  19. Basic Countries • in basic countries, we maintain: • technical assistance • training • commodity support, and • M & E.

  20. More Money to the Field • Resources for field: Increase • FY 2001 $192 million (61%) • FY 2003 $389 million (78%) • Resources for AID/W: Decline • FY 2001 $71 million (23%) • FY 2003 $68 million (14%)

  21. In sum: More money, more attention, more partners

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