Global Thematic Fund Briefings 2013

HIV/AIDS ANDCHILDRENAnalysis of

Achievements and

Challenges

Ken Legins, on behalf of

Craig McClure,

Associate Director, HIV/AIDS

8 September 2014

UNICEF Vision 2014-2017

UNICEF vision for an AIDS Free Generation:

All children and their families are protected from HIV infection

and live free from AIDS.

Estimated number of new HIV infections in children (aged 0-14 years): Global trend and

projections, 2001-2015

Note: Coverage data on ARVs for PMTCT in 2010 and 2011 cannot be compared with previous years as they do not include single-dose nevirapine, which is

no longer recommended by WHO

Elimination of mother-to-child transmission of HIV (eMTCT) is within reach and mothers’ health is more front and centre in efforts to prevent HIV among

children.

Top 4 Challenges

Option B or B+ has now been adopted in all the 22 priority Global Plan

countries, but the pace of implementation needs to increase

Globally close to 80% of

countries have adopted

Option B or B+ in their

national program

Source: lATT/WHO Global Update on the Health Sector Response to HIV, 2014.

Inequity

Finding the balance between horizontal versus vertical service delivery systems

https://www.youtube.com/watch?

v=zcm7ukzxeJ4

ELIJAH

9

Unacceptable inequality: AIDS deaths rising among adolescents

0

50,000

100,000

150,000

200,000

250,000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Children aged 0–4 Children aged 5–9 Adolescents aged 10-19 Young people aged 20–24

Deaths in adolescents

aged 10 - 19

Deaths in children aged

0 – 4 years

Deaths in children aged

5 – 9 years

Deaths in young people

aged 20 - 24

Source: UNAIDS 2012 HIV and AIDS estimates

8273 73 72 72 70 70 70 70 69 69 69 69

62 6050 49

3829 29

1827 27 28 28 30 30 30 30 31 31 31 31

38 4050 51

6271 71

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Pe

r ce

nt

(%)

% female % male

Source: UNAIDS 2012 HIV and AIDS estimates

A Tale of Two Epidemics

New HIV Infections in Adolescents in 20 Countries with Highest Number of

New HIV Infections, 2012

Top 4 Challenges

https://www.youtube.com/watch?

v=sdYXVCMPMww&list=PLzfcpxK7

Y8rROlGE4bRfkGxEFCNAT7VzK&ind

ex=6

EVELYN

Cross Cutting – Social Protection & HIV

• Leverage existing evidence and experience on how protection, care and support of children and adolescents is critical to achieving key HIV outcomes.

• Propose innovative solutions to challenges, seizing opportunities to integrate and link the services needed to achieve an AIDS-free generation.

• Mobilize action, and equip policy makers and practitioners to develop plans that embed protection, care and support in the HIV response and national development plans to achieve an AIDS-free generation.

UNICEF leading a Global Response

Thematic contributions to MTSP focus areas and humanitarian response, 2013: US$359 million

Contributions from other resources (OR) for HIV/AIDS

Funding the Global HIV response

• HIV ODA: In 2012, the most recent year for which there are data, donor government assistance for HIV totaled US$7.86 billion and, in real terms, remained essentially flat compared to 2011 (US$7.63 billion)

• Presence: UNAIDS (119), UNICEF (114), Canada (108), the Global Fund (108), and Sweden (96).

• Magnitude: U.S. (61%), Global Fund (19%), U.K. (4%), UNAIDS (3%), and the World Bank (2%).

• Domestic funding for HIV has exceeded international investments. The report, Together we will end AIDS, states that low- and middle- income countries invested US$ 8.6 billion for the response in 2011, an increase of 11% over 2010. International funding however remained flat at 2008 levels (US$ 8.2 billion)

Who leads?

Leveraging the Global HIV funders

• Country Presence

• An Integrated response across all MTSP areas

• Partnerships/Convener at global, regional and country levels to responds to the needs of women and children

• Technical leadership for an integrated, lifecycle approach.

• Programming for equity – reaching the socially excluded

PEPFAR and Global Fund and Domestic Resources –What do we bring?

What are we doing now in 2014: Part I

Main Goals

• 1st Decade: Achieve the goals of the Global Plan – focus on decentralized planning and integration and promote “Double Dividend” goals.

• 2nd Decade: Launch and promote the goals of All-In; Drive Scale-up of High Impact Interventions among key affected populations of young people.

& Challenges

• 1st Decade: Achieve the goals of the Global Plan – focus on decentralized planning and integration

• 2nd Decade: Launch All-In; Drive Scale-up of High Impact Interventions among key affected populations of young people.

What are we doing now in 2014: Part II

https://www.youtube.com/watch?

v=zUy8q4ZAFLE&index=3&list=PLzf

cpxK7Y8rROlGE4bRfkGxEFCNAT7Vz

K

DREAM

United Nations Children’s Fund

3 United Nations Plaza

New York, NY 10017, USA

Tel: 212-326-7000

www.unicef.org

© United Nations Children’s Fund

June 2013