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Campaign To End Pediatric HIV CEPA Presented by: James Kamau KETAM

Campaign To End Pediatric HIV CEPA Presented by: James Kamau KETAM. Contribution to the African Civil Society Advocacy forum on universal Access and Resource mobilization 3 rd to 5 th May 2010 Dar es salaam Tanzania.

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Campaign To End Pediatric HIV CEPA Presented by: James Kamau KETAM

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  1. Campaign To End Pediatric HIV CEPA Presented by: James Kamau KETAM

  2. Contribution to the African Civil Society Advocacy forum on universal Access and Resource mobilization 3rd to 5th May 2010 Dar es salaam Tanzania

  3. Pediatric HIV/Aids is central to Maternal and Child Health. It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

  4. What is the CEPA Network? • A campaign to mobilize the political will and financial resources needed to overcome bottlenecks to scaling up pediatric HIV diagnosis, treatment, and care programs. • CEPA Network will accelerate action to reduce the incidence of pediatric HIV/AIDS. • It is designed to measurably improve the delivery of treatment to children and mothers.

  5. Campaign Goal • To increase the coverage rates for prevention of PMTCT (vertical transmission) and pediatric treatment services from the current rates of 30% to 40% to the globally agreed-upon target of 80% and ensure high-quality services.

  6. Strategic Objectives • Family-Centered Care and Nutrition. • Early Infant Diagnosis and Treatment. • Access to Appropriate Medications. • Full Funding to Eliminate Pediatric HIV/AIDS • Stigma and Discrimination : - As a cross cutting theme.

  7. CEPA Network will • Leverage policy reforms at both global and country levels. • Expand and activate in-country advocacy networks. • Hold governments and decision-makers accountable for tangible progress toward their policy commitments.

  8. Our Focused Countries… • Tipping Countries: • Uganda • Kenya • Tanzania • Zambia • Nigeria • Mozambique Transition Countries: • Ethiopia • Malawi South Africa Rwanda

  9. The Initiating Partners: • African Network for Care of Children Affected by HIV/AIDS (ANECCA). • Pediatric AIDS treatment for Africa (PATA). • Pan-African Treatment Access Movement (PATAM).

  10. In Kenya: : What We have done so far:::

  11. Current state of affairs • 100,000-150,000 children infected with HIV (projection estimates) • 1.5million births annually • HIV prevalence among ANC - 6.9% • 100,000 infants exposed to HIV annually • Average MTC transmission rates (10-15% from EID data ) • 19,000 annual infections through MTCT –Cut Down by 80% in two years…..

  12. Number of Patients on ARVs as of July 2009 Source: NASCOP

  13. Paediatrics on ARVs as of July 2009 Source: NASCOP

  14. Country Priority areas • Stigma and discrimination • Integrating of services • Human resources • Shortage of Testing sites • Procurement and logistics • Availability of FDC • Government commitment/specific allocation • Alternative funding

  15. Risks. • The global Financial Crises and its impact on local economy; • On-going bureaucratic conflicts between (Two Ministries of health) • Corruption and its implication on funding; • Food security and changing climate dynamics

  16. Clinton foundation is the only supporter for procurement of pediatric ARVs currently both 1st and 2nd lineClinton foundation will stop procurement of pediatric ARVs in September 2010 and provide supplies to last 15 months that will cover upto to 2011. • The 3 years marked in X denote existing commitments from CHAI; • The costs are based on unit cost of USD 254 per patient annually. From 2011 , There is no commitment for procurement of Pediatric ARV.

  17. ACTION • No child in Africa should be born HIV+ • Lets use the basic rich cultural norms that we have in place • Let the African Governments walk the talk and put 15% of budget to health • Of the 15% lets come up with a 4% going specifically to the mother and child interventions

  18. INFORMATION: EAST AFRICA BY COUNTRY Source: Global Fund

  19. GLOBAL FUND SUB-REGIONAL DISTRIBUTION: Source: Global Fund

  20. Thank you • Asante Sana

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