WHO's Contribution to Scaling Up towards Universal Access to HIV/AIDS Prevention, Care and Treatment 2006-2010 Department of HIV/AIDS - PowerPoint PPT Presentation

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WHO's Contribution to Scaling Up towards Universal Access to HIV/AIDS Prevention, Care and Treatment 2006-2010 Department of HIV/AIDS

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... Prevention of mother to child transmission ... Prevention of HIV transmission within the health care setting New technologies for HIV prevention Positive ... – PowerPoint PPT presentation

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Title: WHO's Contribution to Scaling Up towards Universal Access to HIV/AIDS Prevention, Care and Treatment 2006-2010 Department of HIV/AIDS


1
WHO's Contribution to Scaling Up towards
Universal Access to HIV/AIDS Prevention, Care
and Treatment 2006-2010 Department of HIV/AIDS
2
WHO's Mission in HIV/AIDS
  • WHO's mission in HIV/AIDS is to achieve the
    highest possible standard of health for all
    people by reducing the impact of HIV/AIDS on
    their lives.

3
Universal access - past and present
  • 1977 - 30th WHA "Health for All by 2000"
  • 1978 - International Conference on Primary Health
    Care
  • "universal access to individuals
    and families"
  • 2000 - Millennium Development Goals
  • 2001 - Declaration of Commitment on HIV/AIDS

4
Universal access - past and present
  • 2003 - WHO declares a public health emergency
  • WHO and UNAIDS launch the "3 by 5" Initiative
  • 56th World Health Assembly endorses the Global
    Health Sector Strategy for HIV/AIDS 2003-2007
  • 2005 - Global Task Team recommendations
  • for coordination within the multilateral system
    of the global HIV/AIDS response
  • improving the managerial and technical support to
    country-led HIV/AIDS responses through the
    multilateral system.

5
Universal access - past and present
  • July 2005 G8 leaders announce their intention
    to
  • "work with WHO, UNAIDS and other international
    bodies to develop and implement a package for HIV
    prevention, treatment and care, with the aim of
    as close as possible to universal access to
    treatment for all those who need it by 2010".
  • September 2005 - 60th Session of the UN General
    Assembly endorsement of the goal by all UN Member
    States at the High Level Plenary Meeting

6
Universal access in the health sector
  • Universal access refers to access to prevention,
    treatment, care and support interventions for all
    who need it.
  • Access (availability, affordability and
    acceptability) should be measured at the country
    level within the context of globally accepted
    guiding principles, ensuring access for all in
    need to services that provide a minimal standard
    for quality.
  • Coverage indicates the optimal availability and
    utilization, in accordance with the epidemiology,
    of a specific intervention.
  • Proceedings of a Technical Meeting for the
    Development of a Framework for Universal Access
    to HIV/AIDS Prevention, Care, Treatment and
    Support in the Health Sector

7
Universal access in the health sector
  • "The health sector is wide-ranging and
    encompasses organized public and private health
    services (including those for health promotion,
    disease prevention, diagnosis, treatment and
    care) health ministries nongovernmental
    organizations community groups and professional
    associations as well as institutions which
    directly input into the health care system (e.g.
    the pharmaceutical industry, and teaching
    institutions)."
  • Global Health Sector Strategy for HIV/AIDS
    2003-2007

8
WHO's Strategic Directions for 2006-2010
  • 1. Care and treatment are within the domain of
    the health sector.
  • 2. A significant proportion of prevention
    activities is delivered by the health sector.
  • 3. Target-driven approaches work in public
    health.

9
WHO's Strategic Directions for 2006-2010
  • 4. A public health approach enables rapid
    scaling up of quality interventions.
  • Approaches need to be flexible and responsive to
    different epidemiological contexts.
  • 6. Health systems strengthening and expansion
    is essential for universal access to be achieved.

10
WHO's Strategic Directions for 2006-2010
  1. Enabling individuals to know their HIV status
    through HIV testing and counselling
  2. Accelerating the momentum of HIV/AIDS treatment
    and care scale-up
  3. Maximizing the health sector's contribution to
    HIV prevention
  4. Investing in strategic information to guide a
    more effective HIV/AIDS response
  5. Taking urgent action to strengthen and expand
    health systems

11
Priority Interventions (1)
Strategic Direction I Priority Interventions
Enabling individuals to safely know their HIV status through confidential HIV testing and counselling - Voluntary testing and counseling Provider initiated testing and counseling Infant diagnosis and family counseling
12
Priority Interventions (2)
Strategic Direction II Priority Interventions
Maximizing the health sector's contribution to HIV prevention - Prevention of mother to child transmission (PMTCT) Prevention of sexual transmission - Prevention of HIV transmission through injecting drug use (harm reduction) Prevention of HIV transmission within the health care setting New technologies for HIV prevention Positive prevention for people living with HIV/AIDS
13
Priority Interventions (3)
Strategic Direction III Priority Interventions
Accelerating the scale-up of HIV/AIDS treatment and care Antiretroviral therapy for paediatric and adults HIV/AIDS Prevention and management of opportunistic infections and co-morbidities Care, including nutrition, palliative care and end of life care - Linking HIV/AIDS and tuberculosis services
14
Priority Interventions (4)
Strategic Direction IV Priority Interventions
Investing in strategic information to guide a more effective response - Surveillance of HIV/AIDS and STIs HIV/AIDS treatment monitoring, including HIV drug resistance surveillance and monitoring Monitoring and evaluation of and reporting on the health sector's response towards universal access Operational research
15
Priority Interventions (5)
Strategic Direction V Priority Interventions
Strengthening and expanding health systems - Leadership stewardship - National strategic planning and management - Procurement and supply management - Laboratory strengthening - Human resource development and management - Strategies for sustainable financing
16
Operationalizing WHO's contribution to achieving
universal access
  • Within the Strategic Directions and Priority
    Interventions WHO will
  • Advocate for action and mobilize partnerships
  • Establish and disseminate the evidence base on
    the effectiveness of different health sector
    interventions and models of good practice for
    service delivery
  • Provide global policy guidance

17
Operationalizing WHO's contribution to achieving
universal access
  • 4. Set norms and standards and develop, update
    and adapt assessment, policy, programme and
    monitoring and evaluation tools and guidelines
  • 5. Provide technical support to countries to
    scale up national HIV/AIDS responses in the
    health sector
  • 6. Monitor and evaluate the implementation of
    interventions and programmes and assist countries
    to select indicators and targets.

18
Operationalizing WHO's contribution to achieving
universal access
NEXT STEPS
  • Develop a 2006-2010 detailed operational plan to
    support WHO's contribution
  • Complete the development of the Essential Package
    for Universal Access to HIV/AIDS Prevention,
    Care, Treatment and Support in the Health Sector
    including optimal models for implementation
  • Include as an agenda item for the 59th World
    Health Assembly May 2006
  • Resource mobilization

19
Operationalizing WHO's contribution to achieving
universal access
  • For more information, please visit
  • The WHO Universal Access website
  • http//www.who.int/hiv/universalaccess2010/
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