1. Gaps in strategic information on MARPs, Sri Lanka Dr Ajith Karawita MBBS, PGD Ven, MD Venereology

3. Category Sri Lanka Land area (sq km) 62,705 Provinces 9 Districts 25 Grama Niladari Divisions (GND) 14,013 Estimated mid year population (2005) 20 million Population density (Person per sq km) 313.7 Average annual growth rate (1981-2001) 1.1

4. HIV Epidemic in Sri Lanka Prepared by SIM Unit, National STD/AIDS Control Programme, Sri Lanka, 2010.

5. Estimates

6. Reported Numbers

7. Number of new HIV cases reported to National STD/AIDS Control Programme, Sri Lanka as of end 2009. National STD/AIDS Control Programme, Sri Lanka, 2009.

8. Prepared by SIM Unit, National STD/AIDS Control Programme, Sri Lanka, 2010. Cumulative HIV Cases by Province as of end 2009 (N=1196)

9. Cumulative HIV cases by mode of transmission as of end December 2009 (N=802) National STD/AIDS Control Programme, Sri Lanka, 2009.

10. Background on Current HIV/AIDS Control in Sri Lanka

12. National STD/AIDS Control Programme, Sri Lanka National STD/AIDS Control Programme and the Central Clinic Strategic Information Management Unit of the National STD/AIDS Control Programme

14. Countries wanted to work towards one system

16. One agreed HIV/AIDS Action Framework that provides the basis for coordinating the work of all partners. National Strategic plan

17. One National AIDS Coordinating Authority, with a broad-based multisectoral mandate.

18. One agreed country-level Monitoring and Evaluation System.

19. Basics on High Risk Activity (HRA) and High Risk Groups (HRG) Main concern here is HIV Transmission, Acquisition and

21. Which populations are most-at-risk? HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA HRA Sub-population. A Sub-population. C Sub-population. B Sub-population. D

26. Priority populations for prevention interventions in low level and concentrated epidemics Intervention: Is a specific set of activities implemented by a project or providers and can be focused at various levels such as the individual, small or large group, community or societal levels.

27. Monitoring and evaluation of intervention strategies for MARPs

28. Framework for indicator selection Input-Activities-Output-Outcome-Impact

30. “ M&E pipeline” (Rugg et al., 2004). Another main strategic point here is simple: not everybody needs to do everything.

32. Gaps in strategic information on MARPs

36. Thank you