The World Bank AIDS-SUS (National AIDS Program - National Health Service) (P113540)
|
|
- Malcolm Bailey
- 6 years ago
- Views:
Transcription
1 LATIN AMERICA AND CARIBBEAN Brazil Health, Nutrition & Population Global Practice IBRD/IDA Specific Investment Loan FY 2010 Seq No: 11 ARCHIVED on 24-Dec-2015 ISR21939 Implementing Agencies: Departamento de Vigilancia, Prevencao e Controle de DST e AIDS e Hepatite Viral Key Dates Key Project Dates Bank Approval Date:18-May-2010 Planned Mid Term Review Date:18-Mar-2013 Original Closing Date:31-Dec-2014 Effectiveness Date:01-Dec-2010 Actual Mid-Term Review Date:22-Mar-2013 Revised Closing Date:31-Dec-2015 Project Development Objectives Project Development Objective (from Project Appraisal Document) The proposed project development objectives are the following: (i) Increase access and utilization of HIV/AIDS and Sexually-Transmitted Diseases (STD) prevention, care and treatment services by Groups Most at Risk; and, (ii) Improve the performance of the National HIV/AIDS and STD Program through decentralized implementation, improved governance and results-based management. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Improving Surveillance, Prevention and Control of HIV/AIDS and STD:(Cost $ M) Building Decentralized Governance and Innovation Capacity:(Cost $7.83 M) Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Unsatisfactory Overall Implementation Progress (IP) Moderately Unsatisfactory Moderately Unsatisfactory Overall Risk Rating Moderate Moderate Implementation Status and Key Decisions 12/24/2015 Page 1 of 13
2 The achievement of development objective is expected to be moderately unsatisfactory by the end of Project. A closing mission was carried out during December 7-9, 2015, in which the World Bank team reviewed and confirmed the many achievements of the National Response to HIV in Brazil; however, it s difficult to attribute such achievements to the AIDS-SUS Project. The Brazilian AIDS policy is driven by the following considerations: innovation ( Inovação ), scientific evidence ( Evidência científica ), broad-based dialogue ( Diálogo com todos os atores ), integration with the national health care system ( Atuação inserida no SUS ), and international cooperation ( Inserção internacional ). Overall, incidence rates of AIDS remain fairly stable in Brazil. But this masks important changes. Rates have gone down in some of the areas that were originally hit hardest by the epidemic but have gone up in other areas, such as the Northeast, that initially had much lower rates. Rates in young adults ages have been going up. After years in which the epidemic seemed to be spreading beyond the most affected groups to the general population, this trend now seems to have reversed, with the male to female ratio of cases having gone back up to 2.0 after having fallen to 1.5 several years ago. This reconcentration seems mainly driven by rising rates of infection in young gay men. The most recent national survey of the general population in Brazil (PCAP, 2013), financed by the Bank-financed project, demonstrates that, despite high rates of knowledge about condoms, rates of condom use with casual partners remains stagnant. About 67% report using a condom the last time they had casual sex and 55% report always using a condom with casual partners, and condom use with regular partners is much lower (about 20%). This is despite many years of promotion of condoms in Brazil. This is in the context of increasing sexual risk in terms of numbers of people reporting multiple sexual partners. From 2004 to 2013, the proportion of Brazilian adults reporting more than 10 partners in their life rose from 19.2% to 43.9% and the proportion reporting more than five casual partners in the past year rose from 4.1% to 12.1%. Whether this is because people are now less fearful of AIDS or whether it is due to societal changes that have nothing to do with AIDS is unknown. Because of this reality, Brazil needs additional prevention strategies to supplement condom promotion. DDAHV has moved from a condom-centric approach towards Prevenção combinada, in which individuals are offered multiple options for prevention. The Ministry of Health endorsed the recent Vancouver consensus that the scientific data now show that it is clearly beneficial, both for individual patients and from the public health perspective (to reduce the chance of transmission to others), to start antiretroviral treatment as early as possible in everyone with HIV infection. This consensus also encourages making pre-exposure prophylaxis (PrEP). PrEP available to people at high risk for infection. Brazil was one of the first countries to adopt treatment as prevention or TasP (i.e., treating everyone with HIV as soon as they are known to be infected.) This requires people to know their HIV status to be effective, so a top priority of DDAHV is to increase testing. There is certainly room for improvement in this regard, as 37% of Brazilians report having ever been tested for HIV, and 14% have been tested in the past year. Current efforts to increase testing focus on those at highest risk rather than massive screening of the general population, which has had very low yields in the past in terms of positives detected. Measures to increase testing have included providing more test kits and increasing capacity for laboratory testing. The program Viva Melhor Sabendo has gone outside of health care settings to provide HIV saliva testing to key populations. Use of HIV rapid testing has increased, and new legislation will now allow sales of self-administered HIV saliva test kits in pharmacies. Pilot projects include testing done by community health workers and peer testing by NGOs. Progress has been made in implementing TasP and moving toward the goals. The 90% goal for viral suppression among patients receiving TARV is already being met. It is estimated that 83% of infected people know their status, although this number is harder to measure and based on mathematical modeling. The middle step has so far proven the hardest, with 63% of known HIV-positives currently receiving TARV, but this number has been going up. In 2015, the number of people on TARV increased from 404,000 to 450,000, and 41% of people starting TARV have a CD4 count of over 500. Other strategies included in prevenção combinada include expanded use of antiretroviral drugs for prevention in HIV-negative persons, including postexposure prophylaxis (PEP) and pre exposure prophylaxis (PrEP). Guidelines for PEP have recently been streamlined and simplified. Demonstration projects testing PrEP are currently underway, and general implementation is planned for Cooperation with civil society continues with funding of NGOs working with HIV/AIDS at both the national and decentralized level. Risks Systematic Operations Risk-rating Tool 12/24/2015 Page 2 of 13
3 Risk Category Rating at Approval Previous Rating Current Rating Political and Governance -- Moderate Moderate Macroeconomic -- Moderate Moderate Sector Strategies and Policies -- Low Low Technical Design of Project or Program -- Low Low Institutional Capacity for Implementation and Sustainability -- Substantial Moderate Fiduciary -- Moderate Moderate Environment and Social -- Low Low Stakeholders -- Low Low Other Overall -- Moderate Moderate Results Project Development Objective Indicators Indicator 1: Proportion of MSM reporting condom use the last time they had sex in the last 12 months (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 Positive trend. As there was no alternative source of data, results would be measured only twice during Project life: at the beginning (baseline) and at the end of the Project (through a new research that would be financed by the loan). As previously mentioned in the "Issues for Management Attention" section, results for this indicator will not be available by the end of the Project nor for the ICR due to delays in the consultants' selection process to carry out the research. According to the Borrower's estimates, results for this indicator are expected to be available in December Following the May 2015 Bank mission, the Ministry of Health prepared a technical note (dated August 31, 2015) providing an alternative source to calculate this indicator. The research on Behaviors, Attitudes and Practices of the Brazilian Population aged 15 to 64 years old (PCAP) was used to extract the MSM population, and results for this indicator were 67.8% (2013) - 95% confidence interval 58.5% %, which shows important progress compared to the baseline. Also note N=175 MSM, while upcoming research will cover a total of 4,200 MSM in 12 municipalities. Indicator 2: Proportion of female SW reporting condom use at last sex with client in the last 12 months (Percentage, Custom) 12/24/2015 Page 3 of 13
4 Value Date 31-Dec Dec Oct Dec-2015 Negative trend, although questionable because of the wide confidence interval. As there was no alternative source of data, results would be measured only twice during Project life: at the beginning (baseline) and at the end of the Project (through a new research that would be financed by the loan). As previously mentioned in the "Issues for Management Attention" section, results for this indicator will not be available by the end of the Project nor for the ICR due to delays in the consultants' selection process to carry out the research. According to the Borrower's estimates, results for this indicator are expected to be available in December Following the May 2015 Bank mission, the Ministry of Health prepared a technical note (dated August 31, 2015) providing an alternative source to calculate this indicator. The research on Behaviors, Attitudes and Practices of the Brazilian Population aged 15 to 64 years old(pcap) was used to extract the SW population, and results for this indicator were 65.2% (2013) - 95% confidence interval (CI) 49.2% %, which shows deterioration of this indicator compared to the baseline. However, because of the wide CI, these results may not reflect the reality. Also note N=52 SW, while upcoming research will cover a total of 4,200 SW in 12 municipalities. Indicator 3: Proportion of People who use Drugs (PUD) reporting condom use at last sex in the last 12 months. (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 Target not achieved. Actual results below baseline. Latest and final results (2013). No more updates expected. Indicator 4: Coverage of PLWHA accessing condoms (Percentage, Custom) Value Date 31-Dec Dec Dec Dec-2015 Positive trend, substantial increase compared to the baseline. Indicator to be measured again on December 31, Updated results will be available for the ICR. 12/24/2015 Page 4 of 13
5 Indicator 5: Coverage of persons deprived of liberty accessing condoms (Percentage, Custom) Value Date 31-Dec Dec Dec Dec-2015 Positive trend, although showing slow progress compared to the baseline. Indicator to be measured again on December 31, Updated results will be available for the ICR. Indicator 6: Proportion of SES with epidemiological information on STDs, HIV and AIDS on institutional websites (Percentage, Custom) Value Date 31-Dec Dec Dec Dec-2015 End target surpassed (2014). Indicator to be measured again on December 31, Updated results will be available for the ICR. Indicator 7: Proportion of SMS Capital Cities with epidemiological information on STDs, HIV and AIDS on institutional websites (Percentage, Custom) Value Date 31-Dec Dec Dec Dec-2015 End target surpassed (2014). Indicator to be measured again on December 31, Updated results will be available for the ICR. Indicator 8: Proportion of CSO projects with disbursements linked to DDAHV s implementation index for timeliness, financial compliance and achievement of objectives (Percentage, Custom) 12/24/2015 Page 5 of 13
6 Value Date 31-Dec Dec Oct Dec-2015 Positive trend, substantial increase compared to the baseline. This indicator will be measured again on December 31, Six projects are subject to be assessed, which could increase achievement to 96%, surpassing end target. Indicator 9: Strategic agenda for the period for STD/ HIV/AIDS (Text, Custom) Value NA Proposal sent to Secretariat of Surveillance in March 2015 Agenda estrategica revisada para Strategic agenda revised and available on the web for Date 31-Dec Mar Oct Dec-2015 Target achieved. No more updates expected. Percentage of PVHA aged 18+ on ART at least in the last six months who are virologically suppressed (VL level < or equal 1000 copies/ml) (Percentage, Custom) Value Date 31-Dec Oct Dec-2020 Target achieved. End target refers to the target established as part of the Sustainable Development Goals. Percentage of people on ART at least in the last six months who are virologically suppressed (VL level < or equal 1000 copies/ml) (Percentage, Custom) 12/24/2015 Page 6 of 13
7 Value Date 31-Dec Oct Dec-2015 Positive trend. End target refers to the target established at the Strategic Agenda of the Ministry of Health. Overall Intermediate Results Indicators Indicator 1: Proportion of MSM reporting having been tested for HIV in the last 12 months (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 Negative trend. Results below the baseline. As there was no alternative source of data, results would be measured only twice during Project life: at the beginning (baseline) and at the end of the Project (through a new research that would be financed by the loan). As previously mentioned in the "Issues for Management Attention" section, results for this indicator will not be available by the end of the Project nor for the ICR due to delays in the consultants' selection process to carry out the research. According to the Borrower's estimates, results for this indicator are expected to be available in December Following the May 2015 Bank mission, the Ministry of Health prepared a technical note (dated August 31, 2015) providing an alternative source to calculate this indicator. The research on Behaviors, Attitudes and Practices of the Brazilian Population aged 15 to 64 years old (PCAP) was used to extract the MSM population, and results for this indicator were 17.1% (2013) - 95% confidence interval 11.1% %. Also note N=175 MSM, while upcoming research will cover a total of 4,200 MSM in 12 municipalities. In 2013, the MOH launched the "test by peers" outreach program (Live Better Knowing - Viva Melhor Sabendo) in partnership with CSOs, aimed at testing the most vulnerable population. In total, partnership agreements were established with 53 CSOs, and 30,000 tests were performed in 20 out of 27 states. Covered population included 1,125 travesties, 487 transsexuals, 1,051 male sex workers, and 5,364 MSM. A new round of the program has already been launched. 12/24/2015 Page 7 of 13
8 Indicator 2: Proportion of female SW reporting having been tested for HIV in the last 12 months (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 Positve trend, although questionable because of the wide confidence interval. As there was no alternative source of data, results would be measured only twice during Project life: at the beginning (baseline) and at the end of the Project (through a new research that would be financed by the loan). As previously mentioned in the "Issues for Management Attention" section, results for this indicator will not be available by the end of the Project nor for the ICR due to delays in the consultants' selection process to carry out the research. According to the Borrower's estimates, results for this indicator are expected to be available in December Following the May 2015 Bank mission, the Ministry of Health prepared a technical note (dated August 31, 2015) providing an alternative source to calculate this indicator. The research on Behaviors, Attitudes and Practices of the Brazilian Population aged 15 to 64 years old (CAP) was used to extract the SW population, and results were 21.0% (2013) - 95% confidence interval 5.0% %, which shows a positive trend compared to the baseline. However, because of the wide CI, these results may not reflect the reality. Also note N=52 SW, while upcoming research will cover a total of 4,200 SW in 12 municipalities. The MOH launched the "test by peers" outreach program (Viva Melhor Sabendo) in partnership with CSOs in 2013, aimed at testing the most vulnerable population. In total, partnership agreements were established with 53 CSOs, and 30,000 tests were performed in 20 out of 27 states. Covered population included 5,577 female sex workers. A new round of the program has already been launched. Indicator 3: Proportion of PUD reporting having been tested for HIV in the last 12 months (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 End target surpassed. Latest and final results (2013). No more updates expected. In 2013, the MOH launched the "test by peers" outreach program (Live Better Knowing - Viva Melhor Sabendo) in partnership with CSOs, aimed at testing the most vulnerable population. In total, partnership agreements were established with 53 CSOs, and 30,000 tests were performed in 20 out of 27 states. Covered population included 4,215 drug users. A new round of the program has already been launched. 12/24/2015 Page 8 of 13
9 Indicator 4: Proportion of Specialized Care Services (SAE-SUS) that provide condoms. (Percentage, Custom) Value Date 31-Dec Dec Dec Dec-2015 End target surpassed. Latest and final results. No more updates expected. Indicator 5: Proportion of pregnant women tested for HIV during prenatal visits (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 End target achieved. Latest and final results (2013). No more updates expected. Indicator 6: Proportion of pregnant women tested for syphilis during prenatal visits (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 End target achieved. Latest and final results (2013). No more updates expected. 12/24/2015 Page 9 of 13
10 Indicator 7: Sexually active population reporting having been tested at least once for HIV (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 End target not achieved. Latest and final results (PCAP 2013). No more updates expected. Indicator 8: Proportion of HIV-positive patients with first CD4 count below 200 cells/mm3 (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 Positive trend. Indicator to be measured again in December 31, Updated results will be available for the ICR. Indicator 9: Proportion of eligible municipalities that receive Incentive Policy funds. (Percentage, Custom) Value Date 31-Dec Dec Oct Dec-2015 End target surpassed. Criteria changed, increasing the number of municipalities eligible to receive fund to fund incentives. Latest and final results. No more updates expected. 12/24/2015 Page 10 of 13
11 Indicator 10: SES that carried out training in management and governance (Percentage, Custom) Value Date Dec Oct Dec-2015 End target surpassed. Latest and final results. Indicator 11: All SES and SMS Capital City trained on epidemiological surveillance (Number, Custom) Value Date 31-Dec Dec Oct End target surpassed. Latest and final results. Indicator 12: Number of analytical studies carried out. (Text, Custom) Value 0 Procurement processes finalized. Pending contract signing 1 carried out 5 carried out Date 31-Dec Oct Oct Dec-2015 End target not achieved. The Behavioral Survey for the Brazilian population (PCAP 2013) was financed by the Bank. The DDAHV is preparing a list of analytical studies concluded and and financed by Govt's funds and this data will be available for the ICR. 12/24/2015 Page 11 of 13
12 Indicator 13: Proportion of DSEI with plan to control HIV/AIDS and other STDs implemented (Percentage, Custom) Value Date 31-Dec Jun Oct Dec-2015 End target achieved. Latest and final results. The indicator is measured by: (a) implementation of STI syndromic approach, (b) availability of HIV and syphilis diagnosis; (c) availability of prevention of mother to child transmission of HIV/AIDS and syphilis; and (d) distribution of condoms. Data collection was monitored since 2012 with much difficulties, and there were many gaps in The information system SIASI v.4 was introduced in To-date data collection is almost up-to-date for 2014 and first quarter of The Action Plans (4 actions) have been fully implemented in the 34 DSEI, meeting the indicator to satisfaction. Indicator 14: Proportion of individuals with HIV, followed up by SISCEL, who are notified by SINAN (Percentage, Custom) Value Date 31-Dec Jun Jun Dec-2015 End target surpassed. Indicator to be measured again on December 31, Updated results will be available for the ICR. Overall Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P IBRD Effective USD % Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P IBRD Effective 18-May Oct Dec Dec Dec /24/2015 Page 12 of 13
13 Cumulative Disbursements Restructuring History Level 2 Approved on 15-Oct-2014 Related Project(s) There are no related projects. 12/24/2015 Page 13 of 13
Implementation Status & Results Brazil AIDS-SUS (National AIDS Program - National Health Service) (P113540)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Brazil AIDS-SUS (National AIDS Program - National Health Service) (P113540) Operation Name: AIDS-SUS
More informationImplementation Status & Results Mali Mali - Multi-sectoral HIV/AIDS Project (P082957)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Mali Mali - Multi-sectoral HIV/AIDS Project (P082957) Operation Name: Mali - Multi-sectoral HIV/AIDS
More informationThe World Bank Ghana - Maternal, Child Health and Nutrition Project (P145792)
Public Disclosure Authorized AFRICA Ghana Health, Nutrition & Population Global Practice IBRD/IDA Investment Project Financing FY 2014 Seq No: 7 ARCHIVED on 25-Sep-2017 ISR29449 Implementing Agencies:
More informationImplementation Status & Results Burkina Faso Health Sector Support & Multisectoral AIDS Project (P093987)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Burkina Faso Health Sector Support & Multisectoral AIDS Project (P093987) Operation Name: Health
More informationImplementation Status & Results Benin Second Multisectoral HIV/AIDS Control Project (P096056)
Public Disclosure Authorized Public Disclosure Authorized losure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Benin Second Multisectoral HIV/AIDS Control Project
More informationL/C/TF Number(s) Closing Date (Original) Total Project Cost (USD) IBRD Dec ,000, Original Commitment 67,000,
Public Disclosure Authorized Independent Evaluation Group (IEG) 1. Project Data Report Number : ICRR0020346 Public Disclosure Authorized Project ID P113540 Country Brazil Project Name BR AIDS-SUS Practice
More informationImplementation Status & Results India India: Third National HIV/AIDS Control Project (P078538)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results India India: Third National HIV/AIDS Control Project (P078538) Operation Name: India: Third National
More informationPublic Disclosure Copy
Public Disclosure Authorized AFRICA Nigeria Health, Nutrition & Population Global Practice IBRD/IDA Specific Investment Loan FY 2013 Seq No: 7 ARCHIVED on 22-Dec-2015 ISR21893 Implementing Agencies: Public
More informationImplementation Status & Results Nepal Avian Influenza Control Project (P100342)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Nepal Avian Influenza Control Project (P100342) Operation Name: Avian Influenza Control Project
More informationImplementation Status & Results Vietnam HIV/AIDS Prevention (P082604)
Public Disclosure Authorized Public Disclosure Authorized Implementation Status & Results Vietnam HIV/AIDS Prevention (P082604) Operation Name: HIV/AIDS Prevention (P082604) Project Stage: Implementation
More informationImplementation Status & Results Burkina Faso Reproductive Health Project in Burkina Faso (P119917)
losure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Burkina Faso Reproductive Health Project in Burkina
More informationProgram to control HIV/AIDS
90-90-90 Program to control HIV/AIDS Hamid Sharifi Associate Professor in Epidemiology [sharifihami@gmail.com] 1 Targets for ending the AIDS epidemic 2 New HIV infections in low- and middle-income countries,
More informationTowards universal access
Key messages Towards universal access Scaling up priority HIV/AIDS interventions in the health sector September 2009 Progress report Towards universal access provides a comprehensive global update on progress
More informationWorld Health Organization. A Sustainable Health Sector
World Health Organization A Sustainable Health Sector Response to HIV Global Health Sector Strategy for HIV/AIDS 2011-2015 (DRAFT OUTLINE FOR CONSULTATION) Version 2.1 15 July 2010 15 July 2010 1 GLOBAL
More informationGovernment of Canada Federal AIDS Initiative Milestones
HIV in Canada: Trends and Issues for Advancing Prevention, Care, Treatment and Support Through Knowledge Exchange Michael R Smith, Senior Policy Advisor, Programs and Coordination Division, Centre for
More informationReport No. PID11503 ST. KITTS AND NEVIS-KN: HIV/AIDS... PREVENTION AND CONTROL PROJECT. Latin America and Caribbean Region. Sector Health (100%)
Report No. PID11503 Project Name ST. KITTS AND NEVIS-KN: HIV/AIDS... PREVENTION AND CONTROL PROJECT Region Latin America and Caribbean Region Sector Health (100%) Project ID P076798 Borrower(s) ST. KITTS
More informationART for prevention the task ahead
ART for prevention the task ahead Dr Teguest Guerma WHO/HQS WHO's role and vision Status of the epidemic Overview Progress and challenges in treatment and prevention scale up ART for prevention Questions
More informationPEPFAR SOLUTIONS PLATFORM (BETA) WHAT WAS THE PROBLEM? WHAT IS THE SOLUTION?
Creating Equitable and Sustainable Access for HIV Products and Services in Vietnam Using a Total Market Approach to Reach Epidemic Control among Key Populations COUNTRY: Vietnam IMPLEMENTING PARTNER: PATH
More informationBUDGET AND RESOURCE ALLOCATION MATRIX
Strategic Direction/Function ILO Strengthened capacity of young people, youth-led organizations, key service providers and partners to develop, implement, monitor and evaluate HIV prevention programmes
More informationTranslating Science to end HIV in Latin America and the Caribbean
Translating Science to end HIV in Latin America and the Caribbean Mexico City, Mexico, 17 th - 18 th and 21 st April www.iasociety.org IAS 2017 post-conference workshop, 17 April 2018 Challenges for PrEP
More informationASEAN Declaration of Commitment on HIV and AIDS: Fast-Tracking and Sustaining HIV and AIDS Responses To End the AIDS Epidemic by 2030
ASEAN Declaration of Commitment on HIV and AIDS: Fast-Tracking and Sustaining HIV and AIDS Responses To End the AIDS Epidemic by 2030 1. WE, the Heads of State and Government of the Association of Southeast
More informationPublic Disclosure Authorized. Public Disclosure Authorized. Public Disclosure Authorized. Public Disclosure Authorized. Report No.
Public Disclosure Authorized Report No. PID11512 Project Name BRAZIL-BR-AIDS & STD Control III Region Latin America and Caribbean Region Sector Health (100%) Project ID P080400 Public Disclosure Authorized
More informationSatisfactory Satisfactory Moderate
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Indonesia ID-TF NATIONAL PROGRAM FOR COMMUNITY EMPOWERMENT IN RURAL AREAS HEALTHY AND BRIGHT GENERATION
More informationL/C/TF Number(s) Closing Date (Original) Total Project Cost (USD) IDA Jun ,000,000.00
Public Disclosure Authorized Independent Evaluation Group (IEG) 1. Project Data Report Number : ICRR0020903 Public Disclosure Authorized Public Disclosure Authorized Project ID P116167 Country Niger Project
More informationThe road towards universal access
The road towards universal access Scaling up access to HIV prevention, treatment, care and support 22 FEB 2006 The United Nations working together on the road towards universal access. In a letter dated
More informationBotswana Advocacy paper on Resource Mobilisation for HIV and AIDS
Republic of Botswana Botswana Advocacy paper on Resource Mobilisation for HIV and AIDS Page 1 June 2012 1.0 Background HIV and AIDS remains one of the critical human development challenges in Botswana.
More informationWhich Scale Up Strategies/Programmatic Mixes are most Cost-Effective? Iris Semini UNAIDS May 2018
Which Scale Up Strategies/Programmatic Mixes are most Cost-Effective? Iris Semini UNAIDS May 2018 Outline Scaling up for Impact Critical Point of the Response Choices of strategies Accelerating Implementation
More informationWHO recommendations for HIVDR surveillance and their application in Latin America and the Caribbean
WHO recommendations for HIVDR surveillance and their application in Latin America and the Caribbean Giovanni Ravasi Pan-American Health Organization, Brazil ravasigi@paho.org Regional Consultation on HIV
More informationTreat All : From Policy to Action - What will it take?
Strategy Finance Integration Cascade of services People centred Political Will Treat All : From Policy to Action - What will it take? Thursday, 9 June, 13.00 14.30 Conference Room 11, United Nations Questions
More informationPublic Disclosure Authorized. Public Disclosure Authorized. Public Disclosure Authorized. Public Disclosure Authorized. Report No.
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Project Name Region Sector Project ID Borrower(s) Implementing Agency Environment Category
More informationIBRDDDA DATA SHEET TEMPLATE FOR PROJECT PAPER
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Date: October 13, 2009 Country: Trinidad and Tobago Project Name: HIV/AIDS Prevention
More informationImplementation Status & Results Guinea Health Sector Support Project (P065126)
losure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Guinea Health Sector Support Project (P065126) Operation
More informationHarm Reduction in Nigeria
Harm Reduction in Nigeria Needs, gaps, and responses to ensure access to effective HIV prevention, treatment and care for people who inject drugs February 2018 This document is made possible by the generous
More informationProject Name Barbados-HIV/AIDS Prevention and Control Project ID
Report No. PID10562 Project Name Barbados-HIV/AIDS Prevention and Control (@)... Project Region Sector Project ID Latin America and the Caribbean (LCR) Other Population; Health & Nutrition BBPE75220 Borrower
More informationTechnical Guidance Note for Global Fund HIV Proposals
Technical Guidance Note for Global Fund HIV Proposals UNAIDS I World Health Organization I 2011 Rationale for including this activity in the proposal The World Health Organization (WHO), the Joint United
More informationIntegrated Safeguards Data Sheet (Initial)
THE WORLD BANK GROUP InfoShop Date Prepared/Updated: 10/25/2002 Section I - Basic Information Integrated Safeguards Data Sheet (Initial) 25025 A. Basic Project Data Country: MOLDOVA Project ID: P074122
More informationExecutive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services
United Nations DP/FPA/CPD/BRA/5 Executive Board of the United Nations Development Programme, the United Nations Population Fund the United Nations Office for Project Services Distr.: General 26 September
More informationChildren and AIDS Fourth Stocktaking Report 2009
Children and AIDS Fourth Stocktaking Report 2009 The The Fourth Fourth Stocktaking Stocktaking Report, Report, produced produced by by UNICEF, UNICEF, in in partnership partnership with with UNAIDS, UNAIDS,
More informationExecutive Board of the United Nations Development Programme and of the United Nations Population Fund
United Nations DP/FPA/CPD/BRA/4 Executive Board of the United Nations Development Programme and of the United Nations Population Fund Distr.: General 9 October 2006 Original: English UNITED NATIONS POPULATION
More informationViiV Healthcare s Position on Prevention in HIV
ViiV Healthcare s Position on Prevention in HIV ViiV Healthcare is a company 100% committed to HIV, and we are always looking to move beyond the status quo and find new ways of navigating the challenges
More informationHIV Prevention Prioritization & Implementation Brief: Gombe State
HIV Prevention Prioritization & Implementation Brief: Gombe State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse
More informationHIV Prevention Prioritization & Implementation Brief: Lagos State
HIV Prevention Prioritization & Implementation Brief: Lagos State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse
More informationImplementation Status & Results Indonesia ID-TF ADDITIONAL FINANCING OF PNPM RURAL III FOR GENERASI (COMM.CCT) SCALING-UP PROGRAM (P122032)
Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Indonesia ID-TF ADDITIONAL FINANCING OF PNPM RURAL III FOR GENERASI (COMM.CCT) SCALING-UP PROGRAM
More informationThe Comprehensive Package: The simple truth about our response to drug related HIV. Dr. Monica Beg, Signe Rotberga UNODC
The Comprehensive Package: The simple truth about our response to drug related HIV Dr. Monica Beg, Signe Rotberga UNODC HIV among injecting drug users Why is it so important? 30% global HIV infections
More informationA RESOLUTION IN SUPPORT OF AB 2640 ( GIPSON) PUBLIC HEALTH: HIV.
CITY COUNCIL MAY 16, 2016 CONSENT CALENDAR SUBJECT: INITIATED BY: A RESOLUTION IN SUPPORT OF AB 2640 ( GIPSON) PUBLIC HEALTH: HIV. MAYOR LAUREN MEISTER PREPARED BY: ( Hernan Molina, Governmental Affairs
More informationHIV Prevention Prioritization & Implementation Brief: Kaduna State
HIV Prevention Prioritization & Implementation Brief: Kaduna State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse
More informationWHO Global Health Sector Strategies HIV; Viral Hepatitis; Sexually Transmitted Infections
Common structure Universal Health Coverage SDGs Cascade of services Vision, Goals and Targets Costed Actions WHO Global Health Sector Strategies 2016-2021 HIV; Viral Hepatitis; Sexually Transmitted Infections
More informationAnnex A: Impact, Outcome and Coverage Indicators (including Glossary of Terms)
IMPACT INDICATORS (INDICATORS PER GOAL) HIV/AIDS TUBERCULOSIS MALARIA Reduced HIV prevalence among sexually active population Reduced HIV prevalence in specific groups (sex workers, clients of sex workers,
More informationHIV Prevention Prioritization & Implementation Brief: Anambra State
HIV Prevention Prioritization & Implementation Brief: Anambra State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse
More informationIMPLEMENTATION COMPLETION AND RESULTS REPORT (IBRD-75560) ON A LOAN IN THE AMOUNT OF US$10 MILLION JAMAICA FOR A SECOND HIV/AIDS PROJECT
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank Report No: ICR2783 IMPLEMENTATION COMPLETION AND RESULTS REPORT
More informationDEPARTMENT OF HEALTH RESPONSE TO KEY POPULATIONS
DEPARTMENT OF HEALTH RESPONSE TO KEY POPULATIONS KEY POPULATIONS PREVENTION INTERVENTIONS Ms E Marumo HIV PREVENTION STRATEGIES 13 June 2017 1 Background SA has about 7.1 million people living with HIV
More informationPROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Project Name Region Sector Project ID Borrower(s) Implementing Agency PROJECT INFORMATION
More informationGetting to Zero Mecklenburg
Getting to Zero Mecklenburg Update on the Community Plan to Reduce New Cases of HIV in Mecklenburg County Gibbie Harris Health Director Mecklenburg County Public Health December 2018 Snapshot of HIV in
More informationMiami-Dade County Getting to Zero HIV/AIDS Task Force Implementation Report
1 Miami-Dade County Getting to Zero HIV/AIDS Task Force Implementation Report Make HIV History! Know the Facts Get Tested Get Treated 2017-2018 7/9/2018 1 2 7/9/2018 2 3 Progress on the Getting to Zero
More informationUNGASS COUNTRY PROGRESS REPORT Republic of Armenia
UNGASS COUNTRY PROGRESS REPORT Republic of Armenia Reporting period: January 2006 December 2007 I. Status at a glance The Armenia UNGASS Country Progress Report was developed under the overall guidance
More informationHepatitis and HIV Co-Infection: Situation in Ukraine.
2nd Central and Eastern European Meeting on Viral Hepatitis and Co-Infection with HIV Hepatitis and HIV Co-Infection: Situation in Ukraine. Pavlo Skala Associate Director: Policy & Partnership Ukraine
More informationMiami-Dade County Getting to Zero HIV/AIDS Report
1 Miami-Dade County Getting to Zero HIV/AIDS Report Make HIV History! Know the Facts Get Tested Get Treated Implementation Report 2017-2018 2/12/2018 1 2 2/12/2018 2 3 Progress on the Getting to Zero :
More informationImplementation Status & Results Afghanistan National Solidarity Program III (P117103)
losure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized The World Bank Implementation Status & Results Afghanistan National Solidarity Program III (P117103)
More informationHIV Prevention in Brazil
Original Articles 33 HIV Prevention in Brazil K. Bell (Kristen Bell) Original Articles University of Scranton of Panuska College of Professional Studies, Office of Undergraduate Admissions, 800 Linden
More informationSouth Asia Multi Sector briefs on HIV/AIDS
South Asia Multi Sector briefs on HIV/AIDS Transport and Infrastructure Why HIV and AIDS Matter to the Transport and other Infrastructure Sectors Between 2-3.5 million people in South Asia are living with
More information2016 United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030
S T A T E M E N T 2016 United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030 World leaders commit to reach three goals and 20 new Fast-Track Targets
More informationUnited Nations Development Programme (UNDP) Sudan. Grant Closure Plan HIV Round 5 Global Fund Grant Grant Number: SUD-506-G08-H. Sudan.
United Nations Development Programme (UNDP) Sudan Grant Closure Plan HIV Round 5 Global Fund Grant Grant Number: SUD-506-G08-H Sudan June 2012 Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP
More informationChallenges and Opportunities for Responding to HIV/AIDS in LDCs. Mazuwa Banda Department of HIV/AIDS World Health Organization
Challenges and Opportunities for Responding to HIV/AIDS in LDCs Mazuwa Banda Department of HIV/AIDS World Health Organization Outline of Presentation Global HIV/AIDS epidemic HIV/AIDS and LDCs Challenges
More informationNYS PrEP Programming. Lyn Stevens, NP, MS, ACRN Office of the Medical Director, AIDS Institute PrEP Monitoring in NYC and NYS February 19, 2016
NYS PrEP Programming March 21, 2016 Lyn Stevens, NP, MS, ACRN Office of the Medical Director, AIDS Institute PrEP Monitoring in NYC and NYS February 19, 2016 March 21, 2016 2 New York State Priorities
More informationIFMSA Policy Statement Ending AIDS by 2030
IFMSA Policy Statement Ending AIDS by 2030 Proposed by IFMSA Team of Officials Puebla, Mexico, August 2016 Summary IFMSA currently acknowledges the HIV epidemic as a major threat, which needs to be tackled
More informationHIV in the United Kingdom
HIV in the United Kingdom Valerie Delpech and Alison Brown on behalf of the HIV and AIDS Reporting Section National Infection Service Public Health England Released 15 December 2017 Undetectable=Untransmittable
More informationHealth (60%);Other social services (20%);Central government administration (20%) Project ID
Project Name PROJECT INFORMATION DOCUMENT (PID) APPRAISAL STAGE Report No.: AB3401 Additional Financing for the Chad Second Population and HIV/AIDS Project Region AFRICA Sector Health (60%);Other social
More informationRapid Assessment of Sexual and Reproductive Health
NIGER Rapid Assessment of Sexual and Reproductive Health and HIV Linkages This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual and
More informationScaling up priority HIV/AIDS interventions in the health sector
TOWARDS UNIVERSAL ACCESS? Scaling up priority HIV/AIDS interventions in the health sector Yves Souteyrand, WHO October 2011 Towards universal access targets UN General Assembly High level Meeting June
More informationUsing Routine Health Information to Improve Voluntary Counseling and Testing in Cote d Ivoire
Using Routine Health Information to Improve Voluntary Counseling and Testing in Cote d Ivoire Data Demand and Information Use Case Study Series MEASURE Evaluation www.cpc.unc.edu/measure Data Demand and
More informationSurveillance of Recent HIV Infections: Using a Pointof-Care Recency Test to Rapidly Detect and Respond to Recent Infections
Surveillance of Recent HIV Infections: Using a Pointof-Care Recency Test to Rapidly Detect and Respond to Recent Infections WHAT WAS THE PROBLEM? As countries make progress towards universal coverage of
More informationImplementation of testing (and other interventions along the Continuum of Care)
Implementation of testing (and other interventions along the Continuum of Care) Jonathan Mermin, MD, MPH National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention U.S. Centers for Disease Control
More informationImplementation of PrEP in Kenya
Implementation of PrEP in Kenya National AIDs & STI Control Program Ministry of Health November 2017 HIV in Kenya Context Kenya has the world s fourth largest HIV burden, 1.5 million people living with
More informationASEAN Activities on Increasing Access to ARV and HIV Related Supplies
ASEAN Activities on Increasing Access to ARV and HIV Related Supplies Consultation on Integrating Prevention and Management of STI/HIV/AIDS into Reproductive, Maternal and Newborn Health Services and the
More informationColloque scientifique : L économie de la prévention Analysis of Cost-Effectiveness of HIV Prevention
Colloque scientifique : L économie de la prévention Analysis of Cost-Effectiveness of HIV Prevention Julia Walsh MD, MSc Professor School of Public Health University of California Berkeley Objectives Cost-effectiveness
More informationSTRATEGIC PLAN AGAINST VIRAL HEPATITIS IN SENEGAL ( ) POLICY BRIEF
PROGRAMME NATIONAL DE LUTTE CONTRE LES HEPATITES STRATEGIC PLAN AGAINST VIRAL HEPATITIS IN SENEGAL (2019-2023) POLICY BRIEF 1 INVESTING IN THE FIGHT AGAINST HEPATITIS B AND C IN SENEGAL NATIONAL STRATEGIC
More informationHIV PREVENTION, DIAGNOSIS, TREATMENT AND CARE FOR KEY POPULATIONS
POLICY BRIEF HIV PREVENTION, DIAGNOSIS, TREATMENT AND CARE FOR KEY POPULATIONS CONSOLIDATED GUIDELINES JULY 2014 Policy brief: Consolidated guidelines on HIV prevention, diagnosis, treatment and care for
More informationHIV Treatment as Prevention (TasP)
HIV Treatment as Prevention (TasP) Last updated: April 3, 2019 Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject What Is Treatment as Prevention?
More informationImproving outcomes The UK s achievements in managing and preventing the HIV epidemic and how we should approach public health priorities
Improving outcomes The UK s achievements in managing and preventing the HIV epidemic and how we should approach public health priorities Professor Kevin Fenton Senior Advisor, Public Health England Director,
More informationPERFORMANCE INDICATOR REFERENCE SHEETS FOR KEY POPULATIONS
Linkages Across the Continuum of HIV Services for Key Populations Affected by HIV (LINKAGES) Project PERFORMANCE INDICATOR REFERENCE SHEETS FOR KEY POPULATIONS OCTOBER 2017 Introduction LINKAGES Across
More informationHIV/AIDS in China. -A A Potential epidemic? Kong-Lai Zhang, MD Professor, Department of Epidemiology, Peking Union Medical College Beijing, CHINA
HIV/AIDS in China -A A Potential epidemic? Kong-Lai Zhang, MD Professor, Department of Epidemiology, Peking Union Medical College Beijing, CHINA September 12, 2008 1 HIV epidemic in Asia General Population
More informationHIV Viral Load Testing Market Analysis. September 2012 Laboratory Services Team Clinton Health Access Initiative
HIV Viral Load Testing Market Analysis September 2012 Laboratory Services Team Clinton Health Access Initiative Agenda Background on Viral Load Testing Growth of Global Viral Load Market Factors Impacting
More informationDocument of The World Bank FOR OFFICIAL USE ONLY PROJECT APPRAISAL DOCUMENT ON A PROPOSED LOAN IN THE AMOUNT OF US$67 MILLION TO THE
Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Document of The World Bank FOR OFFICIAL USE ONLY PROJECT APPRAISAL DOCUMENT ON A PROPOSED
More informationIATT Webinar: Cuba Validation of Elimination of Mother-to-Child Transmission of HIV and Syphilis July 13, 2015
IATT Webinar: Cuba Validation of Elimination of Mother-to-Child Transmission of HIV and Syphilis July 13, 2015 Summary of Key Points Global Validation Criteria and Process, WHO Standardized criteria developed
More informationCHANGING THE HIV/AIDS PARADIGM Strategic Plan FY 2014/15 FY 2019/20
CHANGING THE HIV/AIDS PARADIGM Strategic Plan FY 2014/15 FY 2019/20 The Progress is Real Dramatic advances in prevention and treatment related to HIV/AIDS have provided us with the tools to end the AIDS
More informationENDING THE EPIDEMICS: A NATIONAL, STATE, AND CITY APPROACH
ENDING THE EPIDEMICS: A NATIONAL, STATE, AND CITY APPROACH Murray Penner Executive Director MISSION AND VISION READY TO END THE EPIDEMICS NASTAD s vision is a world free of HIV and viral hepatitis. NASTAD
More informationFINANCING FRAMEWORK: RESOURCE REQUIREMENT for the KENYA NATIONAL AIDS STRATEGIC PLAN (KNASP)
H A R A M B E E Republic of Kenya FINANCING FRAMEWORK: RESOURCE REQUIREMENT for the KENYA NATIONAL AIDS STRATEGIC PLAN (KNASP) 2005-2010 POLICY Preparation and printing of this document was made possible
More informationRepublic of Bulgaria. Reporting period: January 2003 December National Committee on Prevention of AIDS and STDs at the Council of Ministers
UNGASS Indicators Country Report Republic of Bulgaria National Committee on Prevention of AIDS and STDs at the Council of Ministers Reporting period: January 2003 December 2005 Table of contents Acronyms
More informationNAMIBIA INVESTMENT CASE
NAMIBIA INVESTMENT CASE OUTLINE Why an Investment Case for HIV Response in Namibia? Investment Scenarios Can we achieve Fast Track and End AIDS as public health threat by 2030? Can we afford it? Efficiencies:
More informationViral Load Suppression/Any HIV Care 84%
1 2 Viral Load Suppression/Any HIV Care 84% 3 Key Policy Advancements 4 Implementati on of 30% rent cap affordable housing project Expansion of data sharing Elimination of written consent for HIV Testing
More informationRenewing Momentum in the fight against HIV/AIDS
2011 marks 30 years since the first cases of AIDS were documented and the world has made incredible progress in its efforts to understand, prevent and treat this pandemic. Progress has been particularly
More informationUNGASS Declaration of Commitment on HIV/AIDS: Core Indicators revision
UNGASS Declaration of Commitment on HIV/AIDS: Core Indicators revision Updated version following MERG recommendations Context In light of country reports, regional workshops and comments received by a
More informationMalaysian Consensus Guidelines on Antiretroviral Therapy Cheng Joo Thye Hospital Raja Permaisuri Bainun Ipoh
Malaysian Consensus Guidelines on Antiretroviral Therapy 2017 Cheng Joo Thye Hospital Raja Permaisuri Bainun Ipoh Acknowledgement Table of contents Evolution of when to initiate therapy ART improves survival
More informationHIV/AIDS Prevention, Treatment and Care among Injecting Drug Users and in Prisons
HIV/AIDS Prevention, Treatment and Care among Injecting Drug Users and in Prisons Ministerial Meeting on Urgent response to the HIV/AIDS epidemics in the Commonwealth of Independent States Moscow, 31 March
More informationConnecting the Community. Advancing the HIV Response in Baltimore and Jackson.
Connecting the Community. Advancing the HIV Response in Baltimore and Jackson. Connecting the Community. Advancing the HIV Response in Baltimore and Jackson. The Motivation: What the Numbers Say ACCELERATE!
More informationThe estimated prevalence of cases in Jordan is 0.02%. These estimates are based on several existing factors outlined below. The fact that these
I. General Context: 1.1.Introduction. The Jordanian National AIDS Programme Jordan has a population of 4.9 million. The adult literacy rate for 1998 was estimated to be 88.6% (Human Development Report
More informationUNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP
UNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP WHY UNAIDS NEEDS YOUR SUPPORT Over the past 35 years, HIV has changed the course of history. The massive global impact of AIDS in terms
More informationMaking the Money Work AIDS Strategy and Action Plan (ASAP)
Making the Money Work AIDS Strategy and Action Plan (ASAP) A service of UNAIDS Caribbean Regional Workshop Patrick L. Osewe World Bank June 4-15, 2007. Mexico ASAP Website: www.worldbank.org/asap 1 Global
More informationHIV Prevention Prioritization & Implementation Brief: Benue State
HIV Prevention Prioritization & Implementation Brief: Benue State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse
More information