Campaign To End Pediatric HIV CEPA

Presented by: James KamauKETAM

Contribution to the African Civil Society Advocacy forum on universal Access and Resource mobilization 3rd to 5th May 2010 Dar es salaam Tanzania

Pediatric HIV/Aids is central to Maternal and Child Health. It is therefore a critical area that CSOs needs to make sure it has been captured as part of the agenda for mother and child Health. The ongoing Campaign to End Pediatric HIV and AIDS (CEPA) has already developed focused issues that need critical attention by governments in Africa and Globally

What is the CEPA Network? A campaign to mobilize the political will and

financial resources needed to overcome bottlenecks to scaling up pediatric HIV diagnosis, treatment, and care programs.

CEPA Network will accelerate action to reduce the incidence of pediatric HIV/AIDS.

It is designed to measurably improve the delivery of treatment to children and mothers.

Campaign Goal

To increase the coverage rates for prevention of PMTCT (vertical transmission) and pediatric treatment services from the current rates of 30% to 40% to the globally agreed-upon target of 80% and ensure high-quality services.

Strategic Objectives

Family-Centered Care and Nutrition. Early Infant Diagnosis and Treatment. Access to Appropriate Medications. Full Funding to Eliminate Pediatric

HIV/AIDS Stigma and Discrimination : - As a

cross cutting theme.

CEPA Network will

Leverage policy reforms at both global and country levels.

Expand and activate in-country advocacy networks.

Hold governments and decision-makers accountable for tangible progress toward their policy commitments.

Our Focused Countries… Tipping Countries:

Uganda Kenya Tanzania Zambia Nigeria MozambiqueTransition Countries:

Ethiopia Malawi

South Africa Rwanda

The Initiating Partners:

African Network for Care of Children Affected by HIV/AIDS (ANECCA).

Pediatric AIDS treatment for Africa (PATA).

Pan-African Treatment Access Movement (PATAM).

In Kenya: : What We have done so far:::

Current state of affairs 100,000-150,000 children infected with HIV

(projection estimates)

1.5million births annually

HIV prevalence among ANC - 6.9%

100,000 infants exposed to HIV annually Average MTC transmission rates (10-15% from EID data ) 19,000 annual infections through MTCT –Cut

Down by 80% in two years…..

Number of Patients on ARVs as of July 2009

Source: NASCOP

290,000

310,000

Patients

On ARVRequiring ARV

  PatientsOn ARV 290000Requiring ARV 310000

Paediatrics on ARVs as of July 2009

Source: NASCOP

27,07427,403

Paediatic ARV

On ARVRequiring ARV

  Peadiatric ARV

On ARV 27,074

Requiring ARV 27,403

Country Priority areas

Stigma and discrimination Integrating of services Human resources Shortage of Testing sites Procurement and logistics Availability of FDC Government commitment/specific

allocation Alternative funding

Risks.

The global Financial Crises and its impact on local economy;

On-going bureaucratic conflicts between (Two Ministries of health)

Corruption and its implication on funding;

Food security and changing climate dynamics

Pediatric ART

  2008/2009 2009/2010 2010/2011 2011/2012 2012/2013

Number estimated to be in need of ARVs. Based on spectrum modeling 2008 54477 57946 60301 61825 63141

Number currently on ART 27,000        

           

Funding commitments for paediatric ARVs from clinton foundation X X X    

Cost of paediatric ARVs( unit cost based on KNASP III @ annual unit cost of 254 USD 13,837,158 14,718,157 15,316,454 15,703,423 16,037,687

Cost in KSHS ( rate 78 kshs )1,079,298,

3241,148,016,

2461,194,683,

4121,224,866,

9941,250,939,

586

Clinton foundation is the only supporter for procurement of pediatric ARVs currently both 1st and 2nd lineClinton foundation will stop procurement of pediatric ARVs in September 2010 and provide supplies to last 15 months that will cover upto to 2011.

The 3 years marked in X denote existing commitments from CHAI;

The costs are based on unit cost of USD 254 per patient annually. From 2011 , There is no commitment for procurement of Pediatric ARV.

ACTION

No child in Africa should be born HIV+ Lets use the basic rich cultural

norms that we have in place Let the African Governments walk the

talk and put 15% of budget to health Of the 15% lets come up with a 4%

going specifically to the mother and child interventions

INFORMATION: EAST AFRICA BY COUNTRY

Kenya Uganda TanzaniaGlobal Fund Approved Rounds Seven Seven EightTotal Funds Requested 467,909, 711 683,831,269 1,332,963,135Funds Approved 367,075,960 426,637,962 820,766,491Funds Approved for Hiv/Aids (1,2,7),

Malaria (2,4,), TB (2,5,6)

Hiv/Aids (1,3,7), Malaria (2,4,7),TB (2,6)

Hiv/Aids (1,3, 4,8), Malaria (1,4,7,8), TB (3,6)

Total Population 36,000,000 30,000,000 39,000,000

Hiv/AidsNumber of people with is HIV 1.4 million 1 million 1.4 millionPrevalence 7.4% 5.4% 6.4%Number of people on ARVs 230,000 115,000 136,000Number of people requiring ARVs 460,000 350,000 440,000Number of Deaths per day 384 250 385

TBTB Prevalence 122,126 167,703 180,936Incidences 140,548 106,037 123,140

MalariaReported Cases 124,197 12,000,000 10,712,526Reported Deaths per year 135 8,450 14,156Estimated Deaths per year 18, 067 41,256 56,728

Source: Global Fund

Region Amount in Billion Dollars (US)

East Africa 3.34

Southern Africa 2.03East Asia and the Pacific 1.52West and Central Africa 1.33

Eastern Europe and Central Asia 0.9

Latin America and the Caribbean 0.89

South Asia 0.84North Africa and the Middle East 0.69

29%

18%

13%

12%

8%

8%

7%

6%

Percentage in Billion Dollars (US)

East AfricaSouthern AfricaEast Asia and the PacificWest and Central AfricaEastern Europe and Central AsiaLatin America and the CaribbeanSouth AsiaNorth Africa and the Middle East

GLOBAL FUND SUB-REGIONAL DISTRIBUTION:

Source: Global Fund

Thank you

Asante Sana