ecd and hiv aids in rwanda n.
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ECD AND HIV/AIDS IN RWANDA

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ECD AND HIV/AIDS IN RWANDA. RELEVANT DEMOGRAPHICS. Demo cont…. Total pop. 8,272 m Size 26,338 sq,km Popl. Density 380/sq.km <5 yrs pop. 1,486 m <18 yrs pop. 4,327 m IMR 107/1,000 <5 MR 196/1,000 MMR 1,071/100,000 ANC 1 st attendance 92%

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Presentation Transcript
demo cont
Demo cont….
  • Total pop. 8,272 m
  • Size 26,338 sq,km
  • Popl. Density 380/sq.km
  • <5 yrs pop. 1,486 m
  • <18 yrs pop. 4,327 m
  • IMR 107/1,000
  • <5 MR 196/1,000
  • MMR 1,071/100,000
  • ANC 1st attendance 92%
  • Birth at health unit 31.3%
  • DPT3 88%
  • Popl. Below poverty line 60%
  • Population in rural area 83%
the situation
THE SITUATION
  • High IMR 107/1,000 Life birth one of the highest in SSA (Aggravated by HIV/AIDS)
  • Approximately 613,000 orphans and 30% due to HIV/AIDS (2001/2 UNAIDS)
  • Orphans by age groups (< 15yrs)

0-4 15%

5-9 35%

10-14 50%

situation cont
Situation cont….
  • Limited testing facilities and willingness to test before and during the marriage
  • High number of child-headed households and growing number of street children
  • Limited number of systematic interventions and programmes addressing comprehensively the ECD problem
major problems
MAJOR PROBLEMS
  • High levels of stigma and discrimination
  • Lack of adult parental care and provision of basic needs to child-headed households
  • Limited technical skills in counseling, medical care and home care of children affected by HIV/AIDS
  • Weak coordination and M&E mechanisms for existing fragmented interventions
major problems cont
Major problems cont….
  • Limited financial and technical resources to address ECD & HIV/AIDS problem
  • Difficulties in laboratory diagnosis of HIV/AIDS in young children (infants)
  • Requirement for committed adult care giver for infected children on ARV
  • Psychosocial problems in OVCs due to lack of proper care and social guidance
existing interventions
EXISTING INTERVENTIONS
  • National policy on orphans and vulnerable children that includes those affected by HIV/AIDS
  • National strategic framework & plan of action for HIV/AIDS including ECD
  • Expanding VCT(48)/PMTCT (55) programmes
  • Initial stages of ARV & treatment of OI programmes
  • National strategy on infant and young people nutrition
  • Free UPE policy for 9 years
  • Solidarity funds and institutional support for indirect costs of basic education for OVC.
  • IMCI Programme being developed with implementation structures by Ministry of health
existing interventions cont
Existing interventions cont….
  • Various & disjointed aspects of interventions of national and community organisations
  • Nutritional deficiencies for OVCs and CAA due to limitations in capacities and lack of nuclear family care and guidance
future perspectives
FUTURE PERSPECTIVES
  • Rapid assessment of the scope and nature of interventions at various levels by multiple development partners
  • Develop a strategic framework for a comprehensive national action
  • Prepare a national proposal for resource mobilisation
  • Integrate ECD indicators in the national M&E System