Integrating HIV prevention, care and treatment in subSaharan Africa

1
Integrating HIV prevention, care and treatment in
sub-Saharan Africa
Satellite Session August 6, 2008XVII Annual
International AIDS Conference
The testing and scaling up of intervention models
involving women and youth
2
Overview

• HIV Prevalence in sub-Saharan Africa
• Treatment Coverage
• The Situation for Women and Youth
• Integrating Prevention, Care and Treatment

3
HIV Prevalence in sub-Saharan Africa

• 23 million people living with HIV
• 60 of all infections globally
• More than half (57) are female 10 are children
• 2 million new infections per year
• Southern and East Africa are hardest hit
• Zimbabwe 16
• South Africa 19
• Tanzania 7

4
Treatment Coverage and Access

• Treatment coverage increased from 2 in 2003 to
  23 in 2006 region-wide
• However, coverage varies widely between countries
  and populations
• 70 coverage in Rwanda
• lt20 in Zimbabwe and Tanzania
• South Africa wealthiest country in SSA with only
  28 coverage
• Barriers include poor health care
  infrastructure inadequate supply distribution
  issues lack of trained care providers

5
Women and Youth

• Women under age 25 are 2-3 times more likely than
  males to be HIV infected
• Fueled by poverty and gender inequities
• Treatment coverage is not systematically biased
  against women, but is severely constrained in
  marginalized populations (e.g. sex workers, IDUs)
  
• Coverage for PMTC is only 5
• Only 60,000 -100,000 of 800,000 children in need
  are on treatment

6
Integrating Prevention, Care and Treatment

• Efficient use of resources cost-effective
• Facilitates the use of treatment funds for care
  and prevention
• Integrative approach reduces stigma services are
  provided regardless of sero-status
• Comprehensive approach to prevention reducing
  risk of acquisition among uninfected, as well as
  secondary transmission among positives

7
Integrating Prevention, Care and Treatment

• Novel strategies to improve and integrate
  prevention, care and treatment
• SHAZ! (Shaping the Health of Adolescents in
  Zimbabwe)
• Womens Co-Op South Africa
• The Youth Health Corps for Community-based
  Prevention, Care and Treatment
• From research into practice scaling up of
  effective programs

8
Integrating HIV prevention, care and treatment in
sub-Saharan Africa
Satellite Session August 6, 2008XVII Annual
International AIDS Conference
The testing and scaling up of intervention models
involving women and youth