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Resource Needs for the Protection, Care and Support of Children Affected by AIDS

Resource needs for the Protection, Care and Support of Children Affected by AIDS Stuart Kean, World Vision International. Resource Needs for the Protection, Care and Support of Children Affected by AIDS. John Stover, Lori Bollinger: Futures Institute Rachel Yates, Priscilla Idele: UNICEF.

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Resource Needs for the Protection, Care and Support of Children Affected by AIDS

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  1. Resource needs for the Protection, Care and Support of Children Affected by AIDSStuart Kean, World Vision International

  2. Resource Needs for the Protection, Care and Support of Children Affected by AIDS John Stover, Lori Bollinger: Futures Institute Rachel Yates, Priscilla Idele: UNICEF

  3. Purpose • Purpose: Estimate the resources required to achieve higher coverage of key actions for the protection of children affected by AIDS • Update of 2005 estimates • Working group: UNICEF, Futures Institute, PEPFAR, World Vision, World Bank, Boston University

  4. Key Changes From 2005 Estimates 2005 2013 Mix of government and NGO programs More focus on support to households and communities Cash transfers to households Community savings schemes Block grants Social care • Focus on NGO material support to the child • Most resources needed for provision of food

  5. Key components for calculating resource needs • How do we define the population in need? • What types of support should be included? • How will the support be delivered? • What are our coverage goals? • What are the unit costs?

  6. Defining Children in Need* • Populations • Orphans HIV+ children • Vulnerable children** • Not living with either parent, or • Lost one or both parents, or • No educated adults in household • Economic Situation • Living in households that are below the poverty line • Living in households in the bottom two wealth quintiles * Includes 121 low- and middle-income countries ** UNICEF. Measuring the Determinants of Childhood Vulnerability, ICF/UNICEF, September 2012.

  7. Defining Children in Need • AIDS-Related: Orphans (children aged 0-17 who have lost one or both parents to any cause) and children aged 0-14 living with HIV and • Living in a household in the bottom two quintiles 68 million in 2013 and will decline to 52 million by 2020 • Living in a household below the international poverty line 52 million in 2013 and will decline to 48 million by 2020 • All Vulnerable Children: Children not living with either parent, or who have lost one or both parents, or who are living in a household with adults with no education and living in a household ranked in the bottom two wealth quintiles 310 million in 2013 and will increase to 314 million by 2020

  8. Population in need may decline Decline is due to expansion of ART keeping parents alive, better PMTCT programs avoiding new HIV+ infections and economic growth reducing numbers in absolute poverty

  9. Interventions • Economic support • Direct material support • Cash transfers to families • Village savings schemes • HIV insurance • Education support • Early childhood development • Block grants for education • Scholarships for primary and secondary school • Training for education staff • Out-of-school clubs • Community-based services • Social workers • Community care workers • Accountability • Administration and support • Governments • NGOs • Policy/legislation • M&E • Not yet included • Pediatric palliative care • Prevention of gender-based violence • Alternative care (foster homes, small group homes, etc.) These interventions represent consensus between UNICEF and PEPFAR that can mitigate HIV consequences and support prevention and treatment efforts

  10. Percent of Services Provided by NGOs

  11. Coverage Targets by 2020“Ambitious but Achievable” scenario

  12. Annual Unit Costs (2012 US$)Summary of 111 Reports Costs also include add-ons for administration (5%), policy/legislation (5%) and M&E (10%)

  13. Resource Needs by RegionOrphans and HIV+ children in poverty

  14. Resource Needs by TypeOrphans and HIV+ children in poverty

  15. Number of Children SupportedOrphans and HIV+ children in poverty

  16. Limitations • Some interventions not yet included due to limited cost data • Information on current coverage of services is missing for some services

  17. Conclusions • A likely decline in numbers of children in need offers opportunities to significantly increase coverage of key services • Increases in resources required to achieve target coverage are modest • Shifting mix of services means a greater role for government

  18. Estimated Resource Needs in 2020 by Definition of Population in Need & Coverage Scenarios (US$ billions) • *Children not living with either parent, or who have lost one or both parents, or who are living in a household with adults with no education and living in a household ranked in the bottom two wealth quintiles

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