2014 Strategic Plan Annual Results Briefing HIV/AIDS Craig McClure Associate Director, HIV 15 June 2015 Danny Kaye
CONTEXT AT OUTSET OF 2014 3.2m 240,000 23% vs. 37% 3.2 million children (0 14 years) living with HIV in lowand middle- income countries. 240,000 new HIV infections occurred among children (0 14 years) in low- and middle-income countries in 2013. 23% of children (0 14 years) living with HIV in low- and middle-income countries received life-saving ART in 2013 vs. 37% of adults. #1 and #2 #1 leading cause of death of adolescents in Africa and #2 worldwide, is AIDS. 2.1m 64% 2.1 million adolescents (10 19 years) were living with HIV in 2013 more than 80% of whom live in sub- Saharan Africa. 64% of the 250,000 new HIV infections among older adolescents (15 19 years) were among girls in 2013.
CONTEXT AT OUTSET OF 2014 Global number of new HIV infections among children <15: 2001-2013 3 Estimated number of new HIV infections in children (aged 0 14): global trend, percent decline, and projection, 2001 2015 Source: UNICEF analysis of UNAIDS 2013 HIV and AIDS estimates, July 2014.
CONTEXT AT OUTSET OF 2014 AIDS-related deaths are declining rapidly for all age groups... except adolescents 50,000 87,500 Children aged 0 4 Children aged 5 9 Adolescents aged 10-19 Young people aged 20 24 25,000 62,500 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Estimated number of AIDS-related deaths among children aged 0 9, adolescents aged 10 19 and young people aged 20 24, 2001 2013 Source: UNICEF analysis of UNAIDS 2013 HIV and AIDS estimates, July 2014. 4
SP 2014-17 OUTPUTS & PROGRAMME AREAS Improved and Equitable Use of Proven HIV Prevention and Treatment Interventions by Children, Pregnant Women and Adolescents 5
RESULTS HIGHLIGHTS Updated Option B+ and Paediatric Treatment Toolkit Option B+ M&E Framework MomConnect
RESULTS HIGHLIGHTS Updated Paediatric ARV Formulary List Optimizing HIV Treatment Access for Pregnant and Breast Feeding Women Initiative (OHTA) Point of Care Project (UNITAID) MoRES Guidelines for HIV
RESULTS HIGHLIGHTS Country Fact Sheets for ALL IN JAIDS on Adolescents Fique Sabendo Jovem (Youth Aware)
RESULTS HIGHLIGHTS Protection, Care, and Support Evidence generation, policy dialogue and South to South Learning Cash Transfers Emergency/Resilience Call to Action Social Protection & Prevention Brief PMTCT guidance in humanitarian settings HIV in the Ebola response Interagency Group HIV and risk-informed programmed guidance and tools Country support and review of lessons learned ART guidelines in Crises Lessons Learned: 2013 Floods in Gaza Province, Mozambique
STRATEGIC PARTNERSHIPS
CHALLENGES AND OPPORTUNITIES 1 st Decade MNCH and HIV integration Health system strengthening Paediatric treatment innovation Stigma and discrimination 2 nd Decade DATA on adolescents and HIV HIV testing for adolescents/age of consent Gender inequality and criminalization of key populations Meaningful engagement of adolescents and youth Across Decades Political will Financing, including universal health schemes HIV in Emergencies not a priority 11
EXPENDITURES 4,030,935 107,115,838 USD 107,115,838 USD 37,451,004 65,633,899 EXPENDITURE FOR HIV AND AIDS, BY FUNDING SOURCE, 2014 EXPENDITURE FOR HIV AND AIDS, /BY REGION, 2014 12
FUTURE WORKPLAN 1 st Decade Intensified support to eight high HIV burden countries towards eliminating new HIV infections in children Expand Double Dividend approach for evidence-based alignment of maternal and child survival goals with efforts to end paediatric AIDS Support countries to use new paediatric drug formulations, point of care infant diagnostics 2 nd Decade Continued rollout of AADM/MoRES tool to strengthen data, decentralized programming and monitoring of results Expand engagement of adolescents and youth in all four workstreams of ALL IN Focus on prevention results for adolescent girls, MSM and transgender, adolescents who sell sex and adolescents who inject drugs Support countries to expand PrEP for older adolescents at highest risk of HIV infection Across Both Decades Promote innovation (technologies and approaches), especially SMS and social media platforms, new prevention and treatment technologies, health/community linkages Optimize context-specific cross-sectoral approaches to ending AIDS and strengthening human development - working with health, nutrition, social policy, child protection, education, gender equality and human rights. Work with the UNAIDS Secretariat and Cosponsors to make the Joint Programme fit for purpose in the post-2015 13 era
An AIDS-Free Generation is within reach Thank you