Partnerships - Making a Difference for Children Partnerships - Making a Difference for Children Affected by HIV/AIDS in ZambiaAffected by HIV/AIDS in Zambia

WORLD AIDS DAY

CONTRIBUTION TO HIV/AIDS TALK WITH AMBASSADORS

At The

Boston University School of Public Health

Center for International Health & Development

Boston University African Studies Center

December 1, 2003

By

H.E. Dr. Inonge Mbikusita-Lewanika

Ambassador Of The Republic Of Zambia

To The United States Of America

BACKGROUNDBACKGROUND

Impact of HIV/AIDS Impact of HIV/AIDS In Kenya & Zambia (as of end 2001)In Kenya & Zambia (as of end 2001)

Adult HIV prevalence: 15% Kenyans living with HIV/AIDS: 2.5

million Kenyan women living with

HIV/AIDS: 1.4 million AIDS deaths in 2001: 190,000 Cumulative AIDS orphans: 890,000

Adult HIV prevalence: 21.5% Zambians living with HIV/AIDS: 1.2

million Zambian women living with

HIV/AIDS: 590,000 AIDS deaths in 2001: 120,000 Cumulative AIDS orphans: 570,000

Source: UNAIDS 2002

(Debrework Zewdie) Global HIV/aids program World Bank

Number of Double Orphans in Kenya & Number of Double Orphans in Kenya & Zambia is Increasing due to HIV/AIDSZambia is Increasing due to HIV/AIDS

Future Projections of AIDS Orphans Future Projections of AIDS Orphans for Selected Countriesfor Selected Countries

Dr. Inonge Mbikusita-Lewanika November 19, 2003

POVERTY•75% - 80% of people below poverty lines of one US$1 per day.

•Some regions as high as 90%.

•Declined economy due to

sale of copper mines & other services

Rapid and wholesale privatization

•Diversification (Agriculture, tourism, small-scale mining).

•Food Production – Bumper harvest 2002/2003.

EDUCATIONSuccesses

•COMMUNITY SCHOOLS.

•Program for the Advancement of Girl’s Education (PAGE).

•Move towards Free Primary Education.

•Pregnant girls can continue education.

Challenges

•Decline in Adult Literacy Programs.

•Fewer teachers in rural areas.

•Longer distances in rural areas.

•Increase in female drop-out rate by 4th Grade.

Dr. Inonge Mbikusita-Lewanika November 19, 2003

HEALTH

•IMR (2001) Under 5 – 164 per 1,000

•MMR – 729% PER 100,000.

•Malaria Incidences – doubled from 235 to 375 per 1,000 in 10 years.

•Malaria Fatalities – from 10.6% (1976) to 51.3% (2001)

•Health facilities Fee-paying

•Patients have to bring their own treatment supplies.

•Hospitals, Clinics -More than 10 miles walk in rural areas.

•Exodus of health workers to other countries

•Decline in outreach services and training of TBA

Ministry of Health(Zambia) 2002.

HIV/AIDS

•Drop in youth infections from 20% to 16%.

•Involvement of Youth, Faith-based, NGOs, Government.

•Awareness Campaigns – radio, theater.

•Women – affected/infected, care givers.

•Orphans - 570,000; 11.5% (1990) to 65.4% (2001) (UCSF Aids Research Institute, USA)

•Strain on care givers and families

•Depleting workforceNational AIDS Council Report 2003 (Zambia).

Current Zambian ScenarioCurrent Zambian Scenario 16% of Adult Population (15 to 49) is HIV16% of Adult Population (15 to 49) is HIV++

Infection rate is higher in women (18%, men-Infection rate is higher in women (18%, men-13%) [NAC Report 2003]13%) [NAC Report 2003]

73% of the population lives under the poverty 73% of the population lives under the poverty line [SCOPE OVC Notes May 2002]line [SCOPE OVC Notes May 2002]

By the end of 2001, there were an estimated By the end of 2001, there were an estimated 570,000 AIDS orphans (ages 0 to 14) living in 570,000 AIDS orphans (ages 0 to 14) living in Zambia Zambia

% of AIDS orphans rose from 11.5% in 1990 % of AIDS orphans rose from 11.5% in 1990 to 65.4% in 2001 [UCSF AIDS Research to 65.4% in 2001 [UCSF AIDS Research Institute, USA]Institute, USA]

BISHOP JOSHUA H.K. BANDABISHOP JOSHUA H.K. BANDA

PARTNERSHIPSPARTNERSHIPS

PARTNERSHIPS

Government

NGOs

Religious Institutions

Schools

Bilateral

Financial Institutions

Multilateral

Gender Policy

Women Groups

Youth Groups

Dr. Inonge Mbikusita-Lewanika

Partnering & Leveraging is KEY to success Partnering & Leveraging is KEY to success

ChurchesPara-Church OrgsFaith-Based MediaInter-Faith Partnerships

LocalPartnersCommunitiesGovernmentCBOsNat’l NGOs

International Partners Global Fund World Bank UN Agencies Bilaterals NGOs

WIDOWS & OVCs BY

HIV/AIDS

COLLABORATION MODEL

BISHOP JOSHUA H.K. BISHOP JOSHUA H.K. BANDABANDA

THE LAZARUS PROJECTTHE LAZARUS PROJECT

A Partnership of

Northmead Assembly of God Church, Crossroads Christian Communication,

Canadian International Development Agency (CIDA),

and UNICEF Zambia.

BISHOP JOSHUA H.K. BISHOP JOSHUA H.K. BANDABANDA

AN EXAMPLE

BISHOP JOSHUA H.K. BISHOP JOSHUA H.K. BANDABANDA

Lazarus ProjectLazarus Project

Located in Lusaka with 2 residences for rescued Street children:Located in Lusaka with 2 residences for rescued Street children:

Chudleigh home (25 boys, 7-12 yrs) Chudleigh home (25 boys, 7-12 yrs)

Project Farm house (30 boys, 13-18 yrs)Project Farm house (30 boys, 13-18 yrs)

BISHOP JOSHUA H.K. BISHOP JOSHUA H.K. BANDABANDA

HIV/AIDS - The Greatest HIV/AIDS - The Greatest Orphan Maker In AfricaOrphan Maker In Africa

75 000 Street kids in Zambia, More than 46% orphaned by AIDS

Program ThrustProgram Thrust

OutreachRehabilitationIntegration

BISHOP JOSHUA H.K. BISHOP JOSHUA H.K. BANDABANDA

BISHOP JOSHUA H.K. BISHOP JOSHUA H.K. BANDABANDA

Inspired by Lazarus (below) who came to us in 1999 from a dysfunctional home with alcoholic parents,

who have since 2001, died of AIDS

Lazarus is now in school & making remarkable progress

The Lazarus NameThe Lazarus Name

BISHOP JOSHUA H.K. BISHOP JOSHUA H.K. BANDABANDA

ImpactImpact 25 boys (7-12 yrs) sheltered & placed in School25 boys (7-12 yrs) sheltered & placed in School

30 boys sheltered at Lazarus Farm & engaged in 30 boys sheltered at Lazarus Farm & engaged in skills training skills training

13 boys graduated, assisted through micro-finance & 13 boys graduated, assisted through micro-finance & integrated in societyintegrated in society

Reaching 150 boys each month through soup daysReaching 150 boys each month through soup days

Dec. 2002 – in partnership with UNICEF- targeted Dec. 2002 – in partnership with UNICEF- targeted 500 house-holds with love packages500 house-holds with love packages

RECENT STATEMENTS BY

ZAMBIA GOVERNMENT LEADERS

H.E. LEVY P. MWANAWASA, SC.

THE PRESIDENT OF ZAMBIA

AT A MEETING OF TRADITIONAL RULERS

(KINGS, QUEENS, CHIEFS & CHIEFTAINESSES)

AT

MULUNGUSHI CONFERENCE CENTRE

NOVEMBER 23, 2003

MWANAWASA CALLS FOR MWANAWASA CALLS FOR THE CARING OF ORPHANSTHE CARING OF ORPHANS

We need to re-invent a tradition practice that has no place for orphans, President Levy Mwanawasa said yesterday.

Addressing a conference on the role of chiefs in the fight against HIV/AIDS at Lusaka’s Mulungushi International Conference Centre, President Mwanawasa said there was need for traditions to look at every orphan as a child to everyone.

President Mwanawasa said this was the first time that the chiefs had come together to build a coalition to fight HIV/AIDS since it was acknowledged in the 1980’s

MINISTER OF HEALTHMINISTER OF HEALTHHON. DR. BRIAN CHITUWOHON. DR. BRIAN CHITUWO

NOVEMBER 24, 2003

ZAMBIA’S CHALLENGE IS ZAMBIA’S CHALLENGE IS TO AVOID DUPLICITY IN TO AVOID DUPLICITY IN

FIGHTING HIV/AIDS, SAYS FIGHTING HIV/AIDS, SAYS CHITUWOCHITUWO

Zambia’s challenge is to harmonize resources to avoid duplicity in the fight against HIV/AIDS, Health Minister, Dr. Brian Chituwo has said.

DEPUTY MINISTER OF FINANCEDEPUTY MINISTER OF FINANCEHON. M. CHITALA, MPHON. M. CHITALA, MP

ADDRESSING PARLIAMENT “HIV/AIDS MUST BE STOPPED”

HIV IS A SERIOUS WAR THAT HAS INVADED HIV IS A SERIOUS WAR THAT HAS INVADED HUMANITY - CHITALAHUMANITY - CHITALA

HIV/AIDS is a serious war that has invaded humanity, Finance Deputy Minister Mbita Chitala said yesterday. Contributing to the debate to adopt the report of the committee on legal affairs, governance, human rights and gender matters, Chitala said HIV/AIDS had robbed Zambia of her sons and daughters.

“The ARVS (Antiretroviral drugs) we have introduced are only enough for 7,000 people” he said “The world should hear us, we are pleading.”

Chitala said the task of resolving the HIV/AIDS problem remained with leaders in promoting prevention.

“All of us in this House should go for testing first so that we can spread this approach to the constituents,” he said.

Chitala said those who went into compounds and deliberately infected innocent people when found out must be punished severely.

“HIV/AIDS must be stopped,” he said.

A STRATEGY TO HIV/AIDSA STRATEGY TO HIV/AIDS

Improve Maternal Health Combat HIV/AIDS,

Malaria and other diseases

Ensure Environmental Sustainability

Develop a Global partnership for Development

MILLENNIUM DEVELOPMENT GOALS/NEPAD

Eradicate Extreme Poverty and Hunger

Achieve Universal Primary Education

Promote Gender Equality

Reduce Child Mortality

AUDITORGENERALCLERK OF

NATIONALASSEMBLEY

HOLDCRITICAL

PORTFOLIOS

CHAIR/ElectoralReform Com.

Double #PermanentSecretaries

Double#Members

Parliament

Triple #Local

Government

AMBASSADORUSA & CANADA

FEMALESAPPOINTED

Women in Decision-MakingWomen in Decision-Making

Fair Trade

Girls & Women’s EducationAnd Training

Translation of localResources to Cash

Privatization that BenefitsLocal People

Support to Local femaleEntrepreneurs

FACTORS IN ACHIEVING MDGS

NEPAD

(African Union)

Dr. Inonge Mbikusita-Lewanika