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The Global Plan is a 5-year initiative launched in 2011 to combat HIV/AIDS. It aims to reduce new childhood HIV infections by 90%, maternal mortality due to AIDS-related causes by 50%, and provide comprehensive support in 22 priority countries. The plan emphasizes partnership and accountability, with annual reports on progress and ministerial meetings. Despite progress, challenges remain in pediatric diagnosis, primary prevention among women, and access to family planning. Community innovations play a crucial role in accelerating progress.
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Setting the Scene: Global Plan Progress, 2011-2015 Deborah von ZinkernagelDirector, Office of the Global Fund and Global Plan AffairsGenevaUNAIDS-PACF Satellite 21st International AIDS Conference, DurbanTuesday 19th July 2016
Global Plan • 5 year plan launched June 2011 at High Level Meeting on HIV and AIDS • Goals: • Reduce the number of new childhood HIV infections by 90% (baseline year 2009) • Reduce maternal mortality due to AIDS-related causes by 50% • 22 priority focus countries where 90% of women living with HIV resided
Global Plan • Partnership • country leadership, women living with HIV and community organizations, IATT and technical partners, implementing NGOs, private sector and charitable organizations, PEPFAR and UNAIDS • Accountability • Annual report on progress • Ministerial meeting and/or meeting of national leadership annually
Overall impact: Percent reduction in new HIV infections among children in the 21 Global Plan Countries 2009-2015
More women are receiving antiretroviral medicines Prong 3: Percent of pregnant women living with HIV who received antiretroviral medicines to prevent transmission to their children, 2009-2015 UNAIDS 2016 estimates, 21 countries
Most countries are providing antiretroviral medicines to over 70% of pregnant women living with HIV….. 2015 Global Plan target: 90%
…. and reduced AIDS-related pediatric deaths Percent reduction in AIDS-related deaths among children 0-4 years living with HIV, 2009 to 2015 UNAIDS 2016 estimates, 21 countries
But we are failing in three key areas • Pediatric diagnosis and treatment • Primary prevention of HIV among women of reproductive age and • Helping women avoid unintended pregnancies
1. Pediatric Diagnosis Only half the HIV-exposed children are diagnosed within two months
There are large gaps between treatment access for children and mothers
2. Stopping HIV infections among women Number of new infections among women 15-49 years, 2009-2015 • There has been only a 5% decline • Together the 21 priority countries have added 4.5m newly infected women 2009-2015 • Demand for PMTCT will remain high UNAIDS 2016 estimates, 21 countries
3. Helping avoid unintended pregnancies Percentage of currently married women with an unmet need for family planning based on the most recent household survey Source: Most recent nationally-representative household survey, 2003-2015, 19 countries *Multiple Indicator Cluster Surveys are based on a slightly different definition of unmet need for family planning
Summary Considerable progress but gaps remain The joint ambitions of the Global Plan energized countries; we should build on this momentum Communities are at the forefront and will provide many of the solutions needed What community innovations have we learned that can help countries accelerate progress even faster?
