The state of the national response to prevent HIV among young people:
Download
1 / 25

The state of the national response to prevent HIV among young people: - PowerPoint PPT Presentation


  • 63 Views
  • Uploaded on

The state of the national response to prevent HIV among young people: A review of national reporting in 20 high-prevalence countries. I Birdthistle , S Dringus, L Knight, E Yankah , P Idele, C Suzuki, L Nguyen, S Kasedde. Outline.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The state of the national response to prevent HIV among young people:' - josh


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

The state of the national response to prevent HIV among young people:

A review of national reporting

in 20 high-prevalence countries

I Birdthistle, S Dringus, L Knight, E Yankah, P Idele, C Suzuki, L Nguyen, S Kasedde


Evidence based r ecommendations steady ready go review

Outline young people:

Evidence-Based Recommendations(Steady, Ready, Go! Review)

  • Purpose of the review

  • Methods

  • Epidemiology of HIV in countries studied

  • Review Findings

  • Conclusions


Purpose of the review young people:

For 20 countries with generalized HIV epidemics, national reports were reviewed to assess the national response for YP in terms of:

  • Planning

    What priority is given to prevention among YP aged 10-24 in national AIDS plans?

    2.Implementation

    Are HIV prevention programs reaching young people? If so, through what activities and settings?

  • Financing

    What are the absolute and relative amounts spent on youth-specific prevention activities, and are they adequate?


Methods young people:


20 countries included in review
20 countries included in review young people:

East Africa (7)

Kenya, Malawi, Mozambique, Tanzania, Uganda, Zambia, Zimbabwe

Southern Africa (5)

Botswana, Lesotho, Namibia, South Africa, Swaziland

West Africa(3)

Cote d’Ivoire, Ghana, Nigeria

Central Africa (3)

Cameroon, Central African Republic, Gabon

Caribbean (2)

The Bahamas, Guyana


Documents r eviewed
Documents young people: Reviewed

And other important national reports where available (e.g., National Strategies for Behavior Change; National HIV Prevention Strategy, etc)


Epidemiological young people: Context:

‘Know Your Epidemic’


Epidemiological Context: Summary young people:

Progress toward the UNGASS goal for YP

*Source: Intl Group on Analysis of Trends, Sex TransmInf 2010 [national data for 3 points in time]

^Source: UNAIDS Global AIDS Report 2010 [data for 2 points in time: 2001 and 2009]


Epidemiological Context: Summary young people:

Progress toward the UNGASS goal for Young People

*Source: Intl Group on Analysis of Trends, Sex TransmInf 2010 [national data for 3 points in time]

^Source: UNAIDS Global AIDS Report 2010 [data for 2 points in time: 2001 and 2009]


Epidemiological young people: Context: Summary

Progress toward the UNGASS goal for YP

*Source: Intl Group on Analysis of Trends, Sex TransmInf 2010 [national data for 3 points in time]

^Source: UNAIDS Global AIDS Report 2010 [data for 2 points in time: 2001 and 2009]


Epidemiological Context young people: :

HIV prevalence by gender and age

Swaziland


Epidemiological Context: young people:

Numbers of orphans 2001-2009

Numbers of orphans in 2001 and 2009

Source: UNAIDS Global Epidemic Report 2010


Findings from the review young people:

The state of national response

1. Planning

2. Implementation

3. Financing

…and the quality of national reporting


Part young people: 1: National Planning

The review of all current and most recent National AIDS Plans showed that:

  • All 20 countries include youth-specific strategies in their current national AIDS plan.

  • A wide range of youth-specific strategies are included across countries

  • School-based HIV prevention is the youth-specific strategy most often included …


Part young people: 1: National Planning


Findings from the review young people:

The state of national response

1. Planning

2. Implementation

3. Financing

…and the quality of national reporting


Scale young people: of Programmes for YP

“The majority of people in need have access to...?”


Evidence based r ecommendations steady ready go review1

Evidence-based programming: young people:

‘Steady, Ready, Go!’ review of research

Evidence-Based Recommendations(Steady, Ready, Go! Review)

Adapted from SRG2 review in JoAH 2011


In-School Investment in Young People Focuses on young people: Lifeskills Education


Assessing Quality young people:


Findings from the review young people:

The state of national response

1. Planning

2. Implementation

3. Financing

…and the quality of national reporting


Funding young people: for HIV Prevention

Breakdown of National AIDS Spending by ‘Broad Area’ in 2008


Funding young people: for Youth-Specific

HIV prevention

Proportion of all national HIV prevention funds spent on youth-specific prevention


Spending by Beneficiary young people:

Example Cote d’Ivoire (2008)

OVC: 3%

Children and youth out of school: 0%

Junior high / high school students: 0.47%

General population of young people (15-24): 1.05%

So, who are the main beneficiaries…?

1. General population not disaggregated: 50%

2. People living with HIV/AIDS, not disaggregated: 27%


Conclusions young people:

  • Young people are a priority within national plans and strategies.

  • Relatively little is reported on youth specific coverage and investments in priority areas like HTC and condom promotion.

  • The intervention most widely planned, implemented and reported on for youth is school-based prevention.

  • Limited targeted spending on youth and predominant source of funding for youth programmes from external rather than government resources.

  • Critical to strengthen:

    • routine age-specific reporting

    • validation of quality

    • alignment of investments with evidence

    • domestic funding to ensure sustainability and effective scale of delivery.


ad