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Universal Access Children as the Missing Faces of AIDS  Asia-Pacific
How many children are affected in Africa?
How many children are affected in Asia? Generalized Source: pg 199, 2004 Report on the Global AIDS, UNAIDS ?
Low Prevalence – East Asia & Pacific High Prevalence - Africa Source: 2004 Report on the Global AIDS, UNAIDS Concentrated Low-level Low Prevalence High Generalized “ 99% of the popula-tion in Asia are still HIV negative.  Let’s just keep it that way.” Peter Piot to ADB President and staff in Manila, 22 Feb 2005 0.1 Pakistan 0.5 Nepal 0.1 China 1.2 Myanmar 1.9 Cambodia 0.4 Vietnam 0.4 Malaysia 1.5 Thailand 1.7 Papua New Guinea 0.1 Fiji 0.1 Lao PDR 0.1 Indonesia 0.9 India <0.1 Timor-Leste <0.1 Mongolia No data DPR Korea < 0.1 Philippines HIV Prevalence % (end 2003) Countries
Low Prevalence – East Asia & Pacific High prevalence  – Africa Source: 2004 Report on the Global AIDS, UNAIDS Low Prevalence High Generalized Low Prevalence Generalized Concentrated Low-level High 38.8 Swaziland 37.3 Botswana 28.9 Lesotho 24.6 Zimbabwe 21.5 South Africa 21.3 Namibia 16.5 Zambia 14.2 Malawi 13.5 Central African Republic  8.8 Tanzania  HIV Preva-lence % (end 2003) Countries 0.1 Pakistan 0.5 Nepal 0.1 China 1.2 Myanmar 1.9 Cambodia 0.4 Vietnam 0.4 Malaysia 1.5 Thailand 1.7 Papua New Guinea 0.1 Fiji 0.1 Lao PDR 0.1 Indonesia 0.9 India <0.1 Timor-Leste <0.1 Mongolia No data DPR Korea < 0.1 Philippines HIV Prevalence % (end 2003) Countries
Low Prevalence – East Asia & Pacific High prevalence  – Africa Source: 2004 Report on the Global AIDS, UNAIDS Low Prevalence High Generalized Low Prevalence Generalized Concentrated Low-level High India:  0.9 % ≈ 5.1 million South Africa:  21.5% ≈ 4.8million 38.8 Swaziland 37.3 Botswana 28.9 Lesotho 24.6 Zimbabwe 21.5 South Africa 21.3 Namibia 16.5 Zambia 14.2 Malawi 13.5 Central African Republic  8.8 Tanzania  HIV Preva-lence % (end 2003) Countries 0.1 Pakistan 0.5 Nepal 0.1 China 1.2 Myanmar 1.9 Cambodia 0.4 Vietnam 0.4 Malaysia 1.5 Thailand 1.7 Papua New Guinea 0.1 Fiji 0.1 Lao PDR 0.1 Indonesia 0.9 India <0.1 Timor-Leste <0.1 Mongolia No data DPR Korea < 0.1 Philippines HIV Prevalence % (end 2003) Countries
 
Estimated # between Sub-Saharan Africa & Asia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
International OVC framework  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Knowledge, capacity, commitment & leadership ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: Lynn Sussman, Providing Support to Children Affected by HIV/AIDS &  their families in Low Prevalence Countries of  India and Cambodia: Programmeing Issues, Policy Project, Washinton DC, Jan 2006
 
Coming to grip   –  not only with children affected but also those Infected
Growing up alone  生存问题
Children affected by AIDS – an emerging issue ,[object Object],[object Object],[object Object],[object Object],[object Object]
Children affected by AIDS – an emerging issue Source: Various country assessments by MOPH, UNICEF or UNCT  -- 76,000 -- -- 30,000 Double orphans 19,200 283,000 Vietnam 9,000 (in 2005 alone thru MTCT) -- China 10,964 9,400 Papua New Guinea 12,000 60,000 Cambodia -- 300,800 Thailand Children living with  HIV At least one parent died of AIDS Country
Low Prevalence – East Asia & Pacific High Prevalence - Africa Concentrated Low Prevalence High Generalized Conducted – final report due Feb 2006 Bangladesh 1.5 1.7 1.2 1.9 0.4 0.1 0.4 0.5 0.1 0.1 0.1 0.9 0.1 HIV Preva-lence %  (end 2003) -- Pakistan Conducted in 2002 Nepal Planned - 2006 + Baseline initiated in Henan, Hubei & Yunnan China Small scale assessment – 2003 Myanmar Conducted, policy in place, national OVC working group set up Cambodia Conducted 2003, along with legal review & assessment of alternative & inst. Care Vietnam Planned – 2006 Malaysia Policy & programmes in place – Good modes in Sanpatong, Chiang Mai Thailand Conducted 2005 Papua New Guinea -- Fiji Conducted in 2004 Lao PDR Planned – 2006 Indonesia Exploring multiple forms of assess. at different  levels  India National assessments - children affected by AIDS Countries
Diverse cultures, local practices & governing systems
Diverse cultures, local practices & governing systems   Tengatenga Care Centre for Children Papua New Guina – 800 languages Kartanim Care Centre Kenan Care Centre Peace Care Centre
Universal Access ,[object Object],[object Object],[object Object],[object Object]
Universal Access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],.
Programmes & coverage Source: “Coverage of Selected   Services for HIV/AIDS Prevention, Care and Support in Low and Middle-Income Countries in 2003”, USAID, UNAIDS, WHO, UNICEf and the Policy Project, June 2004 No data – global coverage survey of OVC due in 2006 Not available Orphans and vulnerable children receiving care and support services  22 20 Southeast Asia region Western Pacific region Children living on the streets covered by prevention programs  64 33 Southeast Asia region Western Pacific region HIV/AIDS education among secondary school students 13 73 Southeast Asia region Western Pacific region HIV/AIDS education among primary school students  0.1 0.0 Southeast Asia region Western Pacific region Voluntary Counseling & Testing Services < 1.0 Asia & Pacific Pediatric AIDS treatment 8 3 Southeast Asia region Western Pacific region Prevention of mother-to-child-transmission  % Global coverage survey (2004) Programme area
Universal Access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hanoi Call to Action, 22 – 24 Mar 2006 ,[object Object],[object Object],[object Object],[object Object]
Hanoi Call to Action, 22 – 24 Mar 2006 ,[object Object],[object Object],[object Object],[object Object]
Thank you Wing-Sie Cheng Regional Adviser, HIV/AIDS UNICEF East Asia & Pacific Regional Office Bangkok, Thailand Email: wscheng@unicef.org

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Wing sie cheng

  • 1. Universal Access Children as the Missing Faces of AIDS Asia-Pacific
  • 2. How many children are affected in Africa?
  • 3. How many children are affected in Asia? Generalized Source: pg 199, 2004 Report on the Global AIDS, UNAIDS ?
  • 4. Low Prevalence – East Asia & Pacific High Prevalence - Africa Source: 2004 Report on the Global AIDS, UNAIDS Concentrated Low-level Low Prevalence High Generalized “ 99% of the popula-tion in Asia are still HIV negative. Let’s just keep it that way.” Peter Piot to ADB President and staff in Manila, 22 Feb 2005 0.1 Pakistan 0.5 Nepal 0.1 China 1.2 Myanmar 1.9 Cambodia 0.4 Vietnam 0.4 Malaysia 1.5 Thailand 1.7 Papua New Guinea 0.1 Fiji 0.1 Lao PDR 0.1 Indonesia 0.9 India <0.1 Timor-Leste <0.1 Mongolia No data DPR Korea < 0.1 Philippines HIV Prevalence % (end 2003) Countries
  • 5. Low Prevalence – East Asia & Pacific High prevalence – Africa Source: 2004 Report on the Global AIDS, UNAIDS Low Prevalence High Generalized Low Prevalence Generalized Concentrated Low-level High 38.8 Swaziland 37.3 Botswana 28.9 Lesotho 24.6 Zimbabwe 21.5 South Africa 21.3 Namibia 16.5 Zambia 14.2 Malawi 13.5 Central African Republic 8.8 Tanzania HIV Preva-lence % (end 2003) Countries 0.1 Pakistan 0.5 Nepal 0.1 China 1.2 Myanmar 1.9 Cambodia 0.4 Vietnam 0.4 Malaysia 1.5 Thailand 1.7 Papua New Guinea 0.1 Fiji 0.1 Lao PDR 0.1 Indonesia 0.9 India <0.1 Timor-Leste <0.1 Mongolia No data DPR Korea < 0.1 Philippines HIV Prevalence % (end 2003) Countries
  • 6. Low Prevalence – East Asia & Pacific High prevalence – Africa Source: 2004 Report on the Global AIDS, UNAIDS Low Prevalence High Generalized Low Prevalence Generalized Concentrated Low-level High India: 0.9 % ≈ 5.1 million South Africa: 21.5% ≈ 4.8million 38.8 Swaziland 37.3 Botswana 28.9 Lesotho 24.6 Zimbabwe 21.5 South Africa 21.3 Namibia 16.5 Zambia 14.2 Malawi 13.5 Central African Republic 8.8 Tanzania HIV Preva-lence % (end 2003) Countries 0.1 Pakistan 0.5 Nepal 0.1 China 1.2 Myanmar 1.9 Cambodia 0.4 Vietnam 0.4 Malaysia 1.5 Thailand 1.7 Papua New Guinea 0.1 Fiji 0.1 Lao PDR 0.1 Indonesia 0.9 India <0.1 Timor-Leste <0.1 Mongolia No data DPR Korea < 0.1 Philippines HIV Prevalence % (end 2003) Countries
  • 7.  
  • 8.
  • 9.
  • 10.
  • 11.  
  • 12. Coming to grip – not only with children affected but also those Infected
  • 13. Growing up alone 生存问题
  • 14.
  • 15. Children affected by AIDS – an emerging issue Source: Various country assessments by MOPH, UNICEF or UNCT -- 76,000 -- -- 30,000 Double orphans 19,200 283,000 Vietnam 9,000 (in 2005 alone thru MTCT) -- China 10,964 9,400 Papua New Guinea 12,000 60,000 Cambodia -- 300,800 Thailand Children living with HIV At least one parent died of AIDS Country
  • 16. Low Prevalence – East Asia & Pacific High Prevalence - Africa Concentrated Low Prevalence High Generalized Conducted – final report due Feb 2006 Bangladesh 1.5 1.7 1.2 1.9 0.4 0.1 0.4 0.5 0.1 0.1 0.1 0.9 0.1 HIV Preva-lence % (end 2003) -- Pakistan Conducted in 2002 Nepal Planned - 2006 + Baseline initiated in Henan, Hubei & Yunnan China Small scale assessment – 2003 Myanmar Conducted, policy in place, national OVC working group set up Cambodia Conducted 2003, along with legal review & assessment of alternative & inst. Care Vietnam Planned – 2006 Malaysia Policy & programmes in place – Good modes in Sanpatong, Chiang Mai Thailand Conducted 2005 Papua New Guinea -- Fiji Conducted in 2004 Lao PDR Planned – 2006 Indonesia Exploring multiple forms of assess. at different levels India National assessments - children affected by AIDS Countries
  • 17. Diverse cultures, local practices & governing systems
  • 18. Diverse cultures, local practices & governing systems Tengatenga Care Centre for Children Papua New Guina – 800 languages Kartanim Care Centre Kenan Care Centre Peace Care Centre
  • 19.
  • 20.
  • 21. Programmes & coverage Source: “Coverage of Selected Services for HIV/AIDS Prevention, Care and Support in Low and Middle-Income Countries in 2003”, USAID, UNAIDS, WHO, UNICEf and the Policy Project, June 2004 No data – global coverage survey of OVC due in 2006 Not available Orphans and vulnerable children receiving care and support services 22 20 Southeast Asia region Western Pacific region Children living on the streets covered by prevention programs 64 33 Southeast Asia region Western Pacific region HIV/AIDS education among secondary school students 13 73 Southeast Asia region Western Pacific region HIV/AIDS education among primary school students 0.1 0.0 Southeast Asia region Western Pacific region Voluntary Counseling & Testing Services < 1.0 Asia & Pacific Pediatric AIDS treatment 8 3 Southeast Asia region Western Pacific region Prevention of mother-to-child-transmission % Global coverage survey (2004) Programme area
  • 22.
  • 23.
  • 24.
  • 25. Thank you Wing-Sie Cheng Regional Adviser, HIV/AIDS UNICEF East Asia & Pacific Regional Office Bangkok, Thailand Email: wscheng@unicef.org

Hinweis der Redaktion

  1. Some epidemiologists argue that Asia will never reach the stage of Africa. But the concerns here is with Asia’s huge population size. India’s 0.8% already means an estimated 5 million infected. About one-fourth of Africa’s total 22 million. South Africa’s 21.5% represents 4.8 million people, lower than India’s 0.8%.
  2. Some epidemiologists argue that Asia will never reach the stage of Africa. But the concerns here is with Asia’s huge population size. India’s 0.9% already means an estimated 5 million infected. About one-fourth of Africa’s total 22 million. South Africa’s 21.5% represents an estimated 4.8 million people, lower than India’s 0.9%.