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Report on Progress of operationalization Report on Progress of operationalization of the M&E guidelines for CABA of the M&E guidelines for CABA
1
Dr. Ajith Karawita, National STD/AIDS Control ProgammeMr. Jayantha Peris, Ministry of Child Development and Women’s Affaires
Overview of the presentationOverview of the presentation
1. Sri Lankan HIV/AIDS situation and CABA2. Situation of M&E indicators among CABA3. Operationalization of the M&E guidelines/
indicators for SAARC regional strategic framework for CABA
1. HIV/AIDS situation 1. HIV/AIDS situation in Sri Lankan in Sri Lankan
HIV situation - Overview
Population 20 m
Estimated No of people living with HIV (2009) 3000
Estimated prevalence <0.1%
Cumulative number of HIV patients reported (as of end Sept 2010)
1285
Cumulative No. ever enrolled in HIV care 756
Number on treatment 290
Proportion of eligible patients on treatment (from the reported)
100%
Level of epidemic in the country Low
Male to female ratio of reported HIV cases 1.5 :1
Cumulative AIDS deaths reported 216
HIV sero-positivity rate for 2009 0.03 %
Number of HIV tests carried out during 2009 397,374
HIV/AIDS situation in Sri LankaHIV/AIDS situation in Sri Lanka
Category Number
Prevalence estimate for number of children 35
Cumulative number of HIV infected Children Reported (as of end Sep 2010)
46
Category Male Female Total
Number of children living with HIV 24 14 38
No of children died of AIDS 5 3 8
Number of Orphans living with HIV 7 3 10
Single parent lost 3 1 4
Both parents lost 4 2 6
HIV and Children as of end Sept 2010
2. Progress of CABA indicators 2. Progress of CABA indicators in Sri Lankain Sri Lanka
Indicator Description
Indicator 1 Country policy and Planning effort index
Indicator 2 Country Child Protection Effort Index
Indicator 3 Percentage of children who are orphans
Indicator 4 Percentage of children who are AIDS orphans
Indicator 5 Percentage of children who are vulnerable
Indicator 6 Percentage of children affected by AIDS
Indicator 7 External support for children affected by AIDS
Indicator 8 Children affected by AIDS receiving minimum package of external support
Indicator 9 Percentage of service organizations that provide care and support to children affected by AIDS
Indicator 10 Percentage of people expressing accepting attitudes towards people living with HIV
Situation of M&E indicators among CABASituation of M&E indicators among CABA
Indicator DescriptionIndicator 1 Country policy and Planning
Effort Index21%
Indicator 2 Country Child Protection Effort Index
43%
Situation of M&E indicators among CABASituation of M&E indicators among CABA
Measurement tool: Measurement tool: Key Informant Interviews; document review
Indicator DescriptionIndicator 3 Percentage of children who
are orphansNot available
Situation of M&E indicators among CABASituation of M&E indicators among CABA
Measurement tool: Measurement tool: Population-based survey or census
Comment:This has not been included in the DHS or census questionnaire. No population-based surveys conducted to get this value.
Indicator DescriptionIndicator 5 Percentage of children who are
vulnerableNot available
Indicator 10 Percentage of people expressing accepting attitudes towards people living with HIV
Not available
Situation of M&E indicators among CABASituation of M&E indicators among CABA
Measurement tool: Measurement tool: Population-based survey
Comment:No population-based surveys conducted on this.
Indicator DescriptionIndicator 6 Percentage of children affected by
AIDSNot available
Situation of M&E indicators among CABASituation of M&E indicators among CABA
Measurement tool: Measurement tool: Household-based surveys, Statistical modelling
Comment:No household surveys done.
Indicator DescriptionIndicator 4 Percentage of children who are
AIDS orphansNot available
Indicator 7 External support for children affected by AIDS
Not available
Indicator 8 Children affected by AIDS receiving minimum package of external support
Not available
Situation of M&E indicators among CABASituation of M&E indicators among CABA
Measurement tool: Measurement tool: Household surveyComment: Comment: No household surveys done
Indicator DescriptionIndicator 9 Percentage/Number of service
organizations that provide care and support to children affected by AIDS
7
Situation of M&E indicators among CABASituation of M&E indicators among CABA
Measurement tool: Measurement tool: Count of organizations that state they provide services to children and families affected by HIV/AIDS
Number of service organizations that provide care and support to children affected by AIDS
1. FPA-Family planning association in collaboration with World Food Programme-monthly food bucket
2. NEST Sri Lanka – protection, care and support for AIDS orphans3. AIDS Foundation Lanka-support for formula feeding4. Hopes Lanka-Financial support for positive children (2000Rs for a
positive child and 600Rs for a Negative child)5. Lanka plus (+)- support for treatment, investigations, care,
lodging, school bags, books etc for positive children6. Positive Hopes Alliance-Home-based care, financial support for
self employment7. Positive Women’s Network- support for school education,
treatment, care, accommodation etc
3. Operationalization3. Operationalization
Inclusion and integration of children affected by HIV/AIDS in to general development and social services
• Not specifically included, but as a general rule, there is no restriction for health, education, social welfare and protection services.
Support for all families in difficult circumstances to keep and raise their children
• Foster parent schemes (public, private, civil society organizations, development partners)
• Subsidy programmes in the economic development ministry
• Scholarships for children• Support for self employment schemes
Legal protection and justice
• National child protection authority act No 50 (1998)- against violence, abuse, exploitation of children
• Probation and child care services department (under the ministry of child development and women’s affaires)
• Children and women department under the labour and labour relation ministry
Thank youThank you
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