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Ghana’s HIV Response

Ghana’s HIV Response. The Ghana Team: Richard N. Amenyah Matilda Owusu-Ansah Evelyn Awittor Lord Dartey Mercy Bannerman. Background. 1985 National Advisory Council on AIDS (NACA) National Technical Committee on AIDS (NTCA) 1986 First AIDS Case diagnosed in Ghana 1987

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Ghana’s HIV Response

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  1. Ghana’s HIV Response The Ghana Team: Richard N. Amenyah Matilda Owusu-Ansah Evelyn Awittor Lord Dartey Mercy Bannerman

  2. Background • 1985 • National Advisory Council on AIDS (NACA) • National Technical Committee on AIDS (NTCA) • 1986 • First AIDS Case diagnosed in Ghana • 1987 • National AIDS/STD Control Programme (NACP) • Sept 2000 • Ghana AIDS Commission

  3. Goals of the National Response To achieve Universal Access, the goals of the National Response as outlined in the NSF II are: •  Reducing new infections among vulnerable groups and the general population; • Mitigating the impact of the epidemic on the health and socio-economic systems as well as infected and affected persons; and • Promoting healthy life-styles, especially in the area of sexual and reproductive health.

  4. Thematic areas • Within the framework of Universal Access to prevention, treatment, care and support by 2010, the NSF II is programmed around 7 thematic areas: • Policy, Advocacy and Enabling Environment • Coordination and Management of the Decentralized Response • Mitigating the Economic, Socio-cultural and Legal Impacts • Prevention and Behavioral Change Communication • Treatment, Care and Support • Research, Surveillance, Monitoring and Evaluation • Mobilization of Resources and Funding Arrangement

  5. National HIV Prevalence

  6. Ghana’s gains • Strategic planning [NSF I –(2001-2005) and NSF II-(2006-2010), JPR (2004, 2007), 5-POW, APOW] • Policy formulation (National HIV Policy-2004) • Decentralized implementation of the National response • Prevention programmes (Near Universal awareness) • Treatment and care and support (5th year of ART) • Human rights issues (anti-stigma campaigns) • Monitoring and evaluation (M&E Plans for all Levels) • Increased participation of CSOs and GIPA (Partnership Forum, TWG etc) • Impact mitigation (OVCs, NHIS for PLHIVs, IGAs)

  7. UNIVERSAL ACCESS: NATIONAL TARGETS FOR GHANA [1] Impact target: UNAIDS estimated 50% reduction of the proportion of infants infected with HIV. [2] National AIDS Spending Assessment (NASA). Abbreviations: GHS –Ghana Health Service , GSS – Ghana Statistical Service, TBD- To be determined, MoFEP- Ministry of Finance and Economic Planning , MICS – Multiple Cluster Study, BSS-Behaviour Surveillance Survey, HSS-HIV Sentinel Survey, NACP- National AIDS Control Programme, GDHS-Ghana Demographic Health Survey

  8. Key issues in HIV response • Prevention • An increasing trend in HIV new infections • Slow rate of behavior change • Low risk perception • Low uptake of prevention services • High levels of stigma • Weak link between community and health services • Weak integration of HIV programs into sexual reproductive health programs • Low priority for workplace HIV prevention programs • Inadequate Operational research on prevention services

  9. Treatment care and support • 16% of adults who need HAART are on therapy • 10% of HIV infected children <15 years in need of HAART are on HAART • 10% of HIV infected pregnant women have received antiretrovirals to reduce the risk of mother to child transmission (past 12 months) • New combination ARV prophylaxis introduced • Weak Home Based care programs • Inadequate human resource to support services

  10. Coordination/Management • Weak Coordination of the multi-sectoral response • Weak M & E particularly on Prevention activities

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