Eb briefing hiv_strategy


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Eb briefing hiv_strategy

  1. 1. Global Health Sector Strategy for HIV, 2011-2015: Overview Department of HIV/AIDS 12 January 2011
  2. 2. Resolution WHA 63.19 asks for …. <ul><li>A WHO HIV/AIDS strategy for 2011-15 </li></ul><ul><li>To be developed through inclusive consultative process </li></ul><ul><li>Be aligned with broader strategic frameworks </li></ul><ul><li>Considers the changing international public health architecture </li></ul>
  3. 3. Presentation structure <ul><li>Structure and key features of Strategy </li></ul><ul><li>Consultation process </li></ul><ul><li>Next steps </li></ul>
  4. 4. Background <ul><li>Three elements </li></ul><ul><li>Reaffirms global goals for the health sector response to HIV </li></ul><ul><li>Proposes four strategic directions to guide national HIV responses </li></ul><ul><li>Provides a framework for WHO action at global, regional and country levels (a &quot;corporate approach to HIV&quot;) </li></ul><ul><li>Alignment & coherence </li></ul><ul><li>Aligned with UNAIDS Strategy 2011-2015 </li></ul><ul><li>Coherent with other health sector strategies (e.g. reproductive health; Stop TB; STIs; Public Health, Innovation and IP)… </li></ul><ul><li>Compliments strategies of partners (e.g. PEPFAR) </li></ul>
  5. 5. Strategy Outline <ul><li>Introduction </li></ul><ul><ul><li>Alignment with UNAIDS and other strategies </li></ul></ul><ul><ul><li>Principle features and guiding principles of strategy </li></ul></ul><ul><li>Strategic context (&quot;situation analysis&quot;) </li></ul><ul><li>Global vision, goals and four strategic directions (&quot;the onion&quot;) </li></ul><ul><li>Policies and interventions for countries </li></ul><ul><li>WHO action </li></ul><ul><li>Strategy implementation </li></ul>
  6. 6. Section I: Introduction <ul><li>Principal features </li></ul><ul><li>Defines health sector role within a multisectoral response </li></ul><ul><li>Global in scope but recognizes diversity of epidemics and need to tailor responses in countries. </li></ul><ul><li>Embeds HIV in the broader health agenda, aims at programmatic linkages and broader health outcomes. </li></ul><ul><li>Aims to enhance effectiveness and efficiency, ensure equity and improve quality and coverage of HIV programmes </li></ul><ul><li>Looks towards sustainability through strengthening health and community systems and addressing social determinants. </li></ul>
  7. 7. Section II: Strategic Context & Considerations <ul><li>HIV service coverage low, poorly targeted & poor quality </li></ul><ul><li>Linkages between HIV and other programmes not optimized – e.g. MNCH, TB services </li></ul><ul><li>Weak health systems hinder HIV responses – e.g. data use, access to medicines, inadequate human resources </li></ul><ul><li>Structural barriers impede access to services and increase vulnerability – e.g. stigma in the health work force that marginalizes most-at-risk populations </li></ul>
  8. 8. Challenges <ul><li>Less than 40% of people living with HIV know their status </li></ul><ul><li>Only 28% of children in need of HIV treatment had access in 2009 </li></ul><ul><li>Coverage of prevention interventions among groups at higher risk for HIV infection remains <50% in many countries </li></ul><ul><li>In low income countries only 48% of blood donations were being screened in quality assured manner </li></ul><ul><li>38% of countries reporting experienced at least one or more stock-out of antiretroviral drugs in health facilities in 2009 </li></ul><ul><li>18% of patients initiating treatment were lost to follow-up during the first year </li></ul>
  9. 9. Evolving context – public health <ul><li>Early treatment for people with HIV is not only life-saving but a critical element of prevention </li></ul><ul><li>Strong HIV response contributes to reducing maternal and child mortality </li></ul><ul><li>Antiretroviral drugs given to pregnant and breastfeeding women can virtually eliminate HIV in children - Elimination of transmission from mother to child by 2015 </li></ul><ul><li>New prevention technologies (eg, microbicide gels, PrEP, etc.) </li></ul><ul><li>Efficiency gains through greater integration and decentralization of services </li></ul>
  10. 10. Section III: Global Vision <ul><li>A world free of new HIV infections and where all people living with HIV enjoy long and healthy lives </li></ul>
  11. 11. Section III: Global goals <ul><li>Overarching goals </li></ul><ul><ul><li>Universal access to HIV prevention, treatment and care </li></ul></ul><ul><ul><li>Contribute to MDG6 and other MDGs (3, 4, 5 and 8) </li></ul></ul><ul><li>Specific goals </li></ul><ul><ul><li>Reduce new HIV infections </li></ul></ul><ul><ul><li>Eliminate HIV infection in children </li></ul></ul><ul><ul><li>Reduce HIV-related mortality </li></ul></ul><ul><ul><li>Reduce TB-related mortality </li></ul></ul>
  12. 12. Strategic Directions
  13. 13. Section IV: Priority policies & interventions for countries <ul><li>SD1 – Optimize HIV specific interventions </li></ul><ul><ul><li>HIV testing & counselling </li></ul></ul><ul><ul><li>HIV prevention (including PMTCT, sexual transmission, IDUs) </li></ul></ul><ul><ul><li>HIV treatment and care (including HIV/TB) </li></ul></ul><ul><ul><li>Comprehensive HIV services for MARPs </li></ul></ul><ul><li>SD2 – Strengthen linkages with key services: </li></ul><ul><ul><li>TB </li></ul></ul><ul><ul><li>MNCH </li></ul></ul><ul><ul><li>Sexual and reproductive health </li></ul></ul><ul><ul><li>Drug dependence treatment and harm reduction </li></ul></ul><ul><ul><li>Chronic care and non-communicable diseases </li></ul></ul><ul><ul><li>Blood and injection safety </li></ul></ul>
  14. 14. Section IV: Priority policies & interventions for countries <ul><li>SD3 – Build strong systems </li></ul><ul><ul><li>Service delivery models </li></ul></ul><ul><ul><li>Health financing </li></ul></ul><ul><ul><li>Health workforce </li></ul></ul><ul><ul><li>Strategic information </li></ul></ul><ul><ul><li>HIV medicines, diagnostics and other commodities </li></ul></ul><ul><ul><li>Strategic planning </li></ul></ul><ul><li>SD4 – Reduce vulnerability and remove structural barriers </li></ul><ul><ul><li>Health in all policies </li></ul></ul><ul><ul><li>Stigma and discrimination and human rights </li></ul></ul><ul><ul><li>Gender equality </li></ul></ul><ul><ul><li>Community systems </li></ul></ul><ul><ul><li>Humanitarian crises </li></ul></ul><ul><ul><li>Laws and regulations </li></ul></ul>
  15. 15. Section V: What WHO will do <ul><li>Support countries implement national HIV programmes through WHO's six core functions </li></ul><ul><li>Focus on 5 key contributions </li></ul><ul><ul><li>Scale-up and innovation in HIV prevention (Prevention Revolution) </li></ul></ul><ul><ul><li>Treatment and care optimization (Treatment 2.0) </li></ul></ul><ul><ul><li>Health for women and children (Elimination of HIV in Children) </li></ul></ul><ul><ul><li>Health sector information and planning </li></ul></ul><ul><ul><li>Health equity and HIV </li></ul></ul>
  16. 16. Section VI: Strategy Implementation <ul><li>Optimizing WHO HIV programme structure </li></ul><ul><li>WHO as a Cosponsor of UNAIDS </li></ul><ul><li>Collaboration with other partners </li></ul><ul><li>Monitoring and evaluating progress and reporting </li></ul>
  17. 17. Consultation process <ul><li>Broad and inclusive consultation process involving all key stakeholders and constituencies </li></ul><ul><li>More than 60 direct consultations with major constituencies and in all WHO regions </li></ul><ul><li>Civil society consultation and inclusion of CS in country consultations </li></ul><ul><li>7-week on-line consultation </li></ul><ul><li>Overall, 109 Member States, and over 2,000 individuals or organizations provided input </li></ul>
  18. 18. The Strategy - Consultation streams <ul><li>Member States – Regional consultations </li></ul><ul><li>UNAIDS family and PCB members </li></ul><ul><li>Community – People living with HIV and key populations </li></ul><ul><li>Broader civil society – NGOs, FBOs, CBOs </li></ul><ul><li>Development partners </li></ul><ul><li>Strategic and Technical Advisory Committee on HIV/AIDS </li></ul><ul><li>Web-based consultation </li></ul><ul><li>Internal WHO </li></ul><ul><li>Guided by external advisory group (incl. Member States, UNAIDS, Global Fund, development agencies, civil society) </li></ul>
  19. 19. Next Steps <ul><li>128 th WHO Executive Board, January 2011 </li></ul><ul><ul><li>Recommendation to WHA </li></ul></ul><ul><li>64 th World Health Assembly, May 2011 </li></ul><ul><ul><li>Possible endorsement of Strategy </li></ul></ul><ul><li>Operationalization of Strategy </li></ul><ul><ul><li>Support countries to implement national programmes </li></ul></ul><ul><ul><li>Plan WHO Secretariat action </li></ul></ul><ul><ul><ul><li>Integrate into WHO Programme Budget </li></ul></ul></ul><ul><ul><ul><li>Regional adaptations through Regional Committees and Offices </li></ul></ul></ul><ul><ul><li>Promote coherence with key partner strategies and plans </li></ul></ul>