Report on Progress of operationalization Report on Progress of operationalization of the M&E guidelines for CABA of the M&E guidelines for CABA

1

Dr. Ajith Karawita, National STD/AIDS Control ProgammeMr. Jayantha Peris, Ministry of Child Development and Women’s Affaires

Overview of the presentationOverview of the presentation

1. Sri Lankan HIV/AIDS situation and CABA2. Situation of M&E indicators among CABA3. Operationalization of the M&E guidelines/

indicators for SAARC regional strategic framework for CABA

1. HIV/AIDS situation 1. HIV/AIDS situation in Sri Lankan in Sri Lankan

HIV situation - Overview

Population 20 m

Estimated No of people living with HIV (2009) 3000

Estimated prevalence <0.1%

Cumulative number of HIV patients reported (as of end Sept 2010)

1285

Cumulative No. ever enrolled in HIV care 756

Number on treatment 290

Proportion of eligible patients on treatment (from the reported)

100%

Level of epidemic in the country Low

Male to female ratio of reported HIV cases 1.5 :1

Cumulative AIDS deaths reported 216

HIV sero-positivity rate for 2009 0.03 %

Number of HIV tests carried out during 2009 397,374

HIV/AIDS situation in Sri LankaHIV/AIDS situation in Sri Lanka

Category Number

Prevalence estimate for number of children 35

Cumulative number of HIV infected Children Reported (as of end Sep 2010)

46

Category Male Female Total

Number of children living with HIV 24 14 38

No of children died of AIDS 5 3 8

Number of Orphans living with HIV 7 3 10

Single parent lost 3 1 4

Both parents lost 4 2 6

HIV and Children as of end Sept 2010

2. Progress of CABA indicators 2. Progress of CABA indicators in Sri Lankain Sri Lanka

Indicator Description

Indicator 1 Country policy and Planning effort index

Indicator 2 Country Child Protection Effort Index

Indicator 3 Percentage of children who are orphans

Indicator 4 Percentage of children who are AIDS orphans

Indicator 5 Percentage of children who are vulnerable

Indicator 6 Percentage of children affected by AIDS

Indicator 7 External support for children affected by AIDS

Indicator 8 Children affected by AIDS receiving minimum package of external support

Indicator 9 Percentage of service organizations that provide care and support to children affected by AIDS

Indicator 10 Percentage of people expressing accepting attitudes towards people living with HIV

Situation of M&E indicators among CABASituation of M&E indicators among CABA

Indicator DescriptionIndicator 1 Country policy and Planning

Effort Index21%

Indicator 2 Country Child Protection Effort Index

43%

Situation of M&E indicators among CABASituation of M&E indicators among CABA

Measurement tool: Measurement tool: Key Informant Interviews; document review

Indicator DescriptionIndicator 3 Percentage of children who

are orphansNot available

Situation of M&E indicators among CABASituation of M&E indicators among CABA

Measurement tool: Measurement tool: Population-based survey or census

Comment:This has not been included in the DHS or census questionnaire. No population-based surveys conducted to get this value.

Indicator DescriptionIndicator 5 Percentage of children who are

vulnerableNot available

Indicator 10 Percentage of people expressing accepting attitudes towards people living with HIV

Not available

Situation of M&E indicators among CABASituation of M&E indicators among CABA

Measurement tool: Measurement tool: Population-based survey

Comment:No population-based surveys conducted on this.

Indicator DescriptionIndicator 6 Percentage of children affected by

AIDSNot available

Situation of M&E indicators among CABASituation of M&E indicators among CABA

Measurement tool: Measurement tool: Household-based surveys, Statistical modelling

Comment:No household surveys done.

Indicator DescriptionIndicator 4 Percentage of children who are

AIDS orphansNot available

Indicator 7 External support for children affected by AIDS

Not available

Indicator 8 Children affected by AIDS receiving minimum package of external support

Not available

Situation of M&E indicators among CABASituation of M&E indicators among CABA

Measurement tool: Measurement tool: Household surveyComment: Comment: No household surveys done

Indicator DescriptionIndicator 9 Percentage/Number of service

organizations that provide care and support to children affected by AIDS

7

Situation of M&E indicators among CABASituation of M&E indicators among CABA

Measurement tool: Measurement tool: Count of organizations that state they provide services to children and families affected by HIV/AIDS

Number of service organizations that provide care and support to children affected by AIDS

1. FPA-Family planning association in collaboration with World Food Programme-monthly food bucket

2. NEST Sri Lanka – protection, care and support for AIDS orphans3. AIDS Foundation Lanka-support for formula feeding4. Hopes Lanka-Financial support for positive children (2000Rs for a

positive child and 600Rs for a Negative child)5. Lanka plus (+)- support for treatment, investigations, care,

lodging, school bags, books etc for positive children6. Positive Hopes Alliance-Home-based care, financial support for

self employment7. Positive Women’s Network- support for school education,

treatment, care, accommodation etc

3. Operationalization3. Operationalization

Inclusion and integration of children affected by HIV/AIDS in to general development and social services

• Not specifically included, but as a general rule, there is no restriction for health, education, social welfare and protection services.

Support for all families in difficult circumstances to keep and raise their children

• Foster parent schemes (public, private, civil society organizations, development partners)

• Subsidy programmes in the economic development ministry

• Scholarships for children• Support for self employment schemes

Legal protection and justice

• National child protection authority act No 50 (1998)- against violence, abuse, exploitation of children

• Probation and child care services department (under the ministry of child development and women’s affaires)

• Children and women department under the labour and labour relation ministry

Thank youThank you