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Ending the HIV Epidemic: Programme Directions for Adolescents Dr Susan Kasedde

Ending the HIV Epidemic: Programme Directions for Adolescents Dr Susan Kasedde Senior Advisor HIV & Adolescents UNICEF, NYHQ. # EndAdolescentAIDS. Acknowledgements. Peter Gordon Donna Futterman David Ross Bruce Dick Rachel Baggaley Catherine Sozi Bill Kapogiannis

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Ending the HIV Epidemic: Programme Directions for Adolescents Dr Susan Kasedde

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  1. Ending the HIV Epidemic: Programme Directions for Adolescents Dr Susan Kasedde Senior Advisor HIV & Adolescents UNICEF, NYHQ #EndAdolescentAIDS

  2. Acknowledgements • Peter Gordon • Donna Futterman • David Ross • Bruce Dick • Rachel Baggaley • Catherine Sozi • Bill Kapogiannis • The Way Home, Ukraine • Zvandiri, Zimbabwe • Volunteers for Children Development Foundation, Thailand • Federation of Sexual and Gender Minorities and Young Key Affected Populations, Nepal • Craig McClure • Chewe Luo • Amaya Gillespie • Natalie Amar • Tom Fenn • Pat Lim Ah Ken • Pricilla Idele • Tyler Porth • Paul Nary • Olena Sakovych • Magdalene Mayer • Abdelkader Bacha • Wing-Sie Cheng • Nonglak Boonyabuddhi

  3. Unacceptable inequality: AIDS deaths rising among adolescents Source: UNAIDS 2012 HIV and AIDS estimates

  4. HIV and AIDS Among Adolescents One in five people are aged between 10 and 19 2.1 million adolescents live with HIV, 1.7 million (82%) in Sub-Saharan Africa, girls account for 60% In all other regions: HIV concentrated in key populations Two thirds of all new HIV infections in 2012 were among adolescent girls HIV is now the second leading cause of death among adolescents, 300 deaths every day

  5. Programme Guidance on HIV Testing and Counseling and Care in Adolescents Guidance document Policy Brief Implementation Toolkit http://apps.who.int/iris/bitstream/10665/94334/1/9789241506168_eng.pdf?ua=1 http://apps.who.int/iris/bitstream/10665/94561/1/9789241506526_eng.pdf http://apps.who.int/adolescent/hiv-testing-treatment/

  6. Review of Evidence Executive Summary: Opportunities for Action and Impact Epidemiology of HIV and AIDS Among Adolescents Systematic Review of Systematic Reviews Impact and Cost of HIV/AIDS Investment Framework for Adolescents What Programs Work for Adolescent Girls? Young Key Populations in Asia Pacific Lessons Learned: Scale-Up of Voluntary Medical Male Circumcision Lessons Learned: Scale-up of Adolescent Contraceptive Services Lessons Learned From HPV Vaccine Delivery Preventing Sexual Violence and HIV in Children Commentary: Innovations in Programming Operational Research Priorities

  7. Key Findings from Systematic Review

  8. In their words …

  9. 4 The IDEA What Can We Do? Investmore and invest smarter in adolescents Deliverwhat works and strengthen Data on adolescents Empower and Engage adolescents Accelerate our response

  10. INVEST in Adolescents

  11. Investment Framework (IF) Reduce Risk Reduce the likelihood of transmission Reduce mortality and morbidity • PMTCT • Condom promotion and distribution • Key populations • Treatment care and support to PLWH • Male Circumcision • Behavior Change programmes Basic Programme Activities Critical Enablers SYNERGIES WITH DEVELOPMENT SECTORS

  12. Smarter investments can decrease new infections New HIV Infections Generalized epidemic settings Source: Stover, J. et al., JAIDS. (66) Jul, 1, 2014

  13. Estimated Resource Needs for Adolescents: Modeling Results Sector Synergies 40% Enablers 25% Programs 33% Source: Stover, J. et al., JAIDS. (66) Jul, 1, 2014

  14. Tailored DELIVERY Informed by DATA

  15. Data Informed Delivery • Albania: Inclusion of adolescent key populations in M&E systems • Bangladesh: National strategy for adolescent key populations informed by population size estimates • Tanzania & Zambia: Generating data on HTC and treatment coverage for coverage for adolescents

  16. A Tale of Two Epidemics New HIV Infections in Adolescents in 20 Countries with Highest Number of New HIV Infections, 2012

  17. Sexual Violence • Sexual violence and HIV: History of abuse increases risk of HIV infection • Sexual abuse: 18% of girls and 7% of boys • Surveys by Together for Girls partnerships show higher rates of abuse • Institutions and authorities don’t always act in the interest of children

  18. Adolescent Key Populations

  19. EMPOWER & ENGAGE Adolescents

  20. EMPOWER & ENGAGE Adolescents • Advocacy • Programme design • Demand for services • Implementation support • Monitoring

  21. ACCELERATE. Step Up the Pace!

  22. Thank You!

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