Report for Hiv and Aids Annual Partnership Forum
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REPORT FOR HIV AND AIDS ANNUAL PARTNERSHIP FORUM 27 May 2009 NATIONAL AIDS COMMISSION Powered to conquer HIV and AIDS REPORTING PERIOD APRIL 2008-MARCH 2009 Table of Contents Acronyms ………………………………………………………………………………….. 2 - 3 Tables and Figures................................................................................................... 4 – 5 Executive Summary………………………………………………………………………. 6 – 7 Chapter 1: Introduction and Background ……………………………………………… 8 – 9 Chapter 2: Management and Coordination…………………………………………….. 10 – 29 Chapter 3: Prevention…………………………………………………………………….. 30 – 45 Chapter 4: Treatment Care and Support……………………………………………….. 46 – 49 Chapter 5: Impact Mitigation……………………………………………………………… 50 – 56 Chapter 6: District Synthesis …………………………………………………………….. 57 – 76 Chapter 7: Conclusions …………………………………………………………………… 77 – 78 Page 1 of 80 Prepared by: The National AIDS Commission List of Acronyms ART - Anti – Retroviral Therapy ALAFA - Apparel Lesotho Alliance to fight AIDS ALE - Association of Lesotho Employers ANC - Anti Natal Clinics ART - Anti Retroviral Therapy AZT - Zedovodine and Lamuvodine BCC - Behavioral Change Communication CBO - Community Based Organizations CBCG - Community Based Care Givers CCAC - Community Council AIDS Committee CHAI - Clinton HIV and AIDS Initiative CHAL - Christian Health Association of Lesotho CRS - Catholic Relief Services DAC - District Aids Coordinators DCI - Development Cooperation for Ireland DHS - Demographic Health survey EGPAF - Elizabeth Glaser Pediatric AIDS Foundation ESP - Essential Service Package EU - European Union FIDA - Federation of Women Lawyers FTE - Full Time Equivalent GFCU - Global Fund Coordination Unit GFTAM - Global Fight against TB and Malaria GIPA - Greater Involvement of People living with HIV-AIDS GTZ - German Technical Support HBC - Home Based care HTC - HIV Testing and Counseling ICAP - International Centre for AIDS, Care & Treatment Programs IEC - Information, Education and Communication IGA - Income Generating Activities IMAAI - Integrated Management of Adults and Adolescent Illnesses JSI - John Snow Incorporation KATSEFA - Karolelano ea Tsebo Facilitators Association KYS - Know Your Status LBTS - Lesotho Blood Transfusion Services LCCI - Lesotho Chamber of Commerce & Industries LCN - Lesotho Council Non-governmental Organizations LENASO - Lesotho Network of AIDS Service Organization LENEPWHA - Lesotho Network of People living with HIV and AIDS LIRAC - Lesotho Inter Religious AIDS Consortium LRA - Lesotho Revenue Authority LRCS - Lesotho Red Cross Society LOMSHA - Lesotho Output Monitoring System for HIV and AIDS LHDA - Lesotho Highlands Development Authority MCC - Millennium Challenge Corporation MoT - Modes of transmission Page 2 of 80 Prepared by: The National AIDS Commission MOET - Ministry of Education and Training MCP - Multiple and Concurrent Sexual partnership MCC - Millennium Challenge Corporation MOFDP - Ministry of Finance and Development Planning MOHSW - Ministry of Health and Social Welfare MOLE - Ministry of Labour and Employment MOLG - Ministry of Local Government MSF - Medicines Sons Frontiers NASA - National AIDS Spending Assessment NAC - National AIDS Commission NACOSH - National Advisory Council on Occupational Safety and Health NDSO - National Drug Supply Organisation NGO - Non-Governmental Organisation NSP - National Strategic Plan OFL - Office of the First Lady OPD - Out Patient Department OVC - Orphans and Vulnerable Children PACT - Private Agencies in Cooperation Together PEP - Post Exposure Prophylaxis PIH - Partners in Health PMTCT - Prevention of Mother to Child Transmission PSI - Population Service International SAfAIDS - Southern HIV and AIDS Information Dissemination Service SADC - Southern African Development Community STI - Sexual Transmitted Infections TB - Tuberculosis TWG - Technical Working Group UN - United Nations UNFPA - United Nations Population Fund UNGASS - United Nations General Assembly special Session USG - United States Government WFP - World Food Program WHO - World Health Organization XDR TB - Extra- resistant TB Page 3 of 80 Prepared by: The National AIDS Commission Tables and figures Tables Table 1: NAC/SAfAIDS statistics for visitation to the Resource Centre from October to March......... 12 Table 2: Disbursement to sub-recipients Vs Expenditure……………………………………………….. 20 Table 3: 2008 Expenditure Global Fund money according to thematic areas for all HIV grants ….. 23 Table 4 Implementing Partners and Line Ministries supported by NAC……………………………….. 22 Table 5: Total Grants…………………………………………………………………………………………. 23 Table 6: Linking the Evidence Based Information to Decision Making…………………………………. 23 Table 7: Human Resources targets and results …………………………………………………………. 26 Table 8: Staff recruited and remunerated under Round % GFCU………………………………………. 27 Table 9: Number of people provided with HTC 2008/09 financial year……………………………… 28 Table 10: Annual PMTCT statistics from 2004-2008 including 1st Quarter 2009……………………… 38 Table 11: condoms distributed …………………………………………………………………………….. 42 Table 12: TB/HIV co-infection 2008/09 financial year………………………………………………….. 49 Table 13: Number of OVC supported …………………………………………………………………….. 51 Table 14: List of Homes of Orphans and Vulnerable Children and their location……………………….53 Table 14: Demographic Data by district ………………………………………………………………….. 58 Table 15: Establishment of district committees ………………………………………………………….. 59 Table 16: Current No. of HTC service providers ………………………………………………………… 63 Table 17: Establishment of district M&E TWGs…………………………………………………………... 63 Table 18: Proportion of HTC sites by district ……………………………………………………………. 64 Table 19: No. of people counseled and tested ………………………………………………………… 65 Table 20: No. of condoms distributed by gender……………………………………………………… 66 Table 21: Comparison of condom distribution ………………………………………………………… 67 Table 22: Youth out of school reached …………………………………………………………………. 69 Table 23: IEC material distributed by district ……………………………………………………….. 70 Table 24: No. of ART sites per district ……………………………………………………………….. 71 Table 25: No. of people on ART by district………………………………………………………….. 72 Table 26: No. of people received HBC………………………………………………………………. 73 Table 27: No. of OVC receiving care and support………………………………………………… 74 Table 28: Number of People who received Home-Based Care and Support by District…………… 75 Table 29: Number of OVC received care and support by district and gender ……………………. 76 Figures Figure 1: HIV Prevalence by Districts 2004 DHS ………………………………………………………. 9 Figure 2: IEC Material Distributed during the financial year 2008/09………………………………….. 31 Figure 3: Number of people provided with HTC for the financial year 2008/09 ……………… 34 Figure 4: Number of people HIV tested by age groups………………………………………………….. 35 Figure 5: Cumulative number of Clients tested. ………………………………………………………..… 36 Figure 6: HTC trends from 2004 to 2008…………………………………………………………………… 36 Figure 7: Proportion of people knowing their status………………………………………………………. 36 Figure 8: Number of women counseled and tested 2005 – 2007……………………………………….. 39 Figure 9: Blood Units Screened for HIV and AIDS in 2008/09 financial year …………………………. 39 Figure 10: Number of Condoms Distributed in the financial year 2008/09………………………… 41 Figure 11: Youth Out of School provided with Life Skills…………………………………………………. 43 Figure 12: Number of people receiving Home Based Care………………………………………………. 47 Page 4 of 80 Prepared by: The National AIDS Commission Figure 13: Number of Adults on ART by Gender………………………………………………………… 48 Figure 14: Trends of Adults and Children Enrolled on ART……………………………………………….48 Figure 15: Number of OVC received Care and Support in 2008/09 financial year ………………… 51 Figure 16: No. of people tested by district and their status …………………………………………..…. 65 Figure 17: No. of condoms distributed by gender………………………………………………………… 67 Figure 18: No. of condoms distributed ………………………………………………………………. 68 Figure 19: Youth out of school reached with lifeskills……………………………………………… 69 Figure 20: No. of youth provided with lifeskill ……………………………………………………….. 69 Figure 21: IEC Material distributed ……………………………………………………………………. 71 Figure 22: No. of people enrolled by ART by district…………………………………………………… 72 Figure 23: No. of people received HBC………………………………………………………………….. 74 Figure 24: No. of OVC receiving care and support……………………………………………………… 75 Page 5 of 80 Prepared by: The National AIDS Commission EXECUTIVE SUMMARY This Annual HIV and AIDS response report is developed and compiled by the National AIDS Commission (NAC). This report consolidates annual programmatic progress made in 2008/09 financial year ((April 2008 - March 2009). The success of the development of this report is solely due to programmatic reporting from various implementing partners, line ministries, None Governmental Organizations, Faith Based Organizations; Civil Society Organizations, development partners and the private sector. The established National Technical Working Groups also provided technical support in review and technical advice to the development of the report. The report covers the four thematic areas which are then complemented by the synthesis section drawn from all the ten districts. These thematic areas include Management and Coordination; Prevention; Treatment, Care and Support; and Impact Mitigation. Discussion of the thematic areas is preceded by an introductory chapter (chapter 1), which provides background and the context of the report. The next chapter (Chapter 2) of Management and Coordination covers areas such as advocacy, public and legal