HIV

1. HIV/AIDS IN NAMIIBIA’S ANTI-POVERTY PROGRAMME UNECA THIRD MEETING OF AFRICAN LEARNING GROUP ON THE POVERTY REDUCTION STRATEGY Presented by Mrs PT Akwenye, NPCS-Namibia

2. OUTLINE The impact of the HIV/AIDS pandemic on growth, human capital, food security and state structures The degree to which HIV and AIDS concerns have been reflected in PRSPs

3. AREAS OF DISCUSSION INTRODUCTION NATIONAL POLICY FRAMEWORK PLANS, STRATEGIES AND PROGRAMMES - CONCLUSIONS

4. INTRODUCTION HIV/AIDS is both a course and aggravation of poverty; Inter-relationship between HIV/AIDS, poverty and inequality is very important; Cumulative impact on HIV/AIDS seriously challenges political and administrative systems. WHY?

5. Namibia has a young population (15-59 years of age makes up 52% of the 1.8 population; The epidemic disproportionately affects young adults – most productive segment; Results are negative impact on households, productive and social sectors; INTRODUCTION (continued)

6. NATIONAL POLICIES VISION 2030 Chapter IV of V2030 document focuses on welfare and wellbeing of the Namibian people V2030 stated that negative impact of HIV/AIDS on health and longevity of the people resulted from a decrease in the population growth rate from 3% to 2.6 % between 1991-2001 Projections are that even in the worst scenario Namibia will have a population of about 3.0 million by 2030; In order to reduce the HIV incidences, V2030 advocates for aggressive implementation of the national HIV/AIDS reduction plan.

7. SECOND NATIONAL DEVELOPMENT PLAN (NDP2) This is a 5 years Plan – 6 of these plans will implement V2030; One of the 8 objectives is “to combat a further spread of HIV/AIDS”; Chap. 8 of the plan is on HIV/AIDS; National HIV/AIDS Control Programme together with Short Term Action Plan 1990-1992) were launched in 1990 by His Excellency the President; Medium Term Plan was also put in place (1992-1998)

8. NDP2 CONTINUED NDP2 made provision for the establishment of AIDS Coordination Programme both at national and at regional level; MAJOR OBJECTIVES OF CHAP.8 Mobilise all Namibians to prevent further spread of HIV infection; Ensure that all Namibians living with HIV and their families have access to services that are affordable;

9. NDP2 CONTINUED Support and strengthened the National and Regional programme Management structure; and Solicit and facilitate continuous support from national and international community. In addition, strategies ( key words – multi sectoral response; main streaming of HIV/AIDS in all activities) and Programmes (Info and Education; Condom progr; Care support; regional coordination) are also highlighted in the plan.

10. NPRAP This is a programme for Poverty Reduction Strategy; Elaborate on PRS, describes measures that should be taken to ensure its implementation; identifies programmes, projects and services that focus on poverty reduction over a 5 year period (2001-05) Not a new programme, but ministries and regional councillors are oriented to focus on poverty reduction in order to prevent marginalisation of the poverty reduction activities. Proposes a number of key themes for action and stresses the theme of mainstreaming.

11. NPRAP Stated that efforts should be made to ensure that poverty reduction programmes and projects simultaneously reduces HIV/AIDS prevalence. It contains 63 Action Profiles; Action 1 – 4: infrastructure Action 5 – 12: education Action 13 – 18: health Action 18 – 24: agriculture Action 25 – 26: tourism Action 27 – 39: SME development Action 40: labour-based works Action 41 – 44: grant-based transfer Action 45 – 46: public service Action 47 – 50: decentralisation Action 51 – 56: implementation Action 57 – 61: monitoring Action 62: review Action 63: HIV/AIDS mainstreaming Action 63 calls for all implementer of the 62 Action profile to ensure that their efforts in poverty reduction contributes to the reduction of HIV/AIDS prevalence.

12. NPRAP Action 63 calls for all implementer of the 62 Action profile to ensure that their efforts in poverty reduction contributes to the reduction of HIV/AIDS prevalence.

13. MTP – II (1999-2004) This is a five years Strategic Plan on HIV/AIDS for Namibia; Was born out of realisation that the increase of HIV/AIDS requires concerted national expanded response; Calls for public, private sector and NSA to have a clear and focused goals, objectives and strategies in addressing the epidemic;

14. OBJECTIVES There are six objectives but three are the same as in NDP2; Others are: To empower the individual families and community members with knowledge and skills on prevention, home bases care and self protection against the disease; To ensure that all Namibians with HIV and their families are not discriminated To establish national and regional programme management structures for the coordination and monitoring of the implementation of national response to the HIV/AIDS epidemic in Namibia.

15. STRUCTURE OF HIV/AIDS COORDINATION National AIDS Committee (NAC); National Multi-sectoral Co-ordination Committee (NAMACOC); National AIDS Advisory Committee (NAEC); Regional AIDS Coordination Committee (RACOC)

16. SECTOR OBLIGATIONS Each sector or office has its obligation as stated in the MTP-II according to the objective; Action taken; Target population served; key actors involved. (Eg. OP (pg 1); Youth, sport, culture and Entertainment (pg 26))

17. CURRENT PROGRAMME Mother to Child Transmission (MTCT) implemented at Windhoek and Oshakati Awareness Campaign: All stakeholders are involved as required by the MTPII – most on the forefront are Ministries of Info & Broadcasting and HSS. They produce info.-educ.-communication materials.

18. CURRENT PROGRAMME (CONT.) Care for those infected and affected Formulation of Guidelines on the care of orphans; Material assistance to people living with HIV / AIDS; Training of community care-givers in all aspects; Establish revolving fund for the procurement and distribution of home based care kits.

19. GLOBAL FUND NAMIBIA will be benefiting from Global Fund for prevention, treatment and awareness campaign of HIV/AIDS, TB and Malaria Funds will be utilised by MOHSS, MOEd; and MOIB but the major players are Civic Organisation.

20. CONCLUSION Condensing the incidences of HIV/AIDS will result in low cost at both households and national level – resources will than be available for other activities which might lead to economic growth. Mortality rate will reduce and more adults can participate in economic activities; Supply and demand in education sector will improve – supply of teachers will not be eroded; Health care services will not be under pressure etc. The main challenge is the implementation of the plans; monitoring and evaluation of those plans With or without major impact assessment available, Namibia has enough information to make a decision. THANK YOU!