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UNAIDS Tracking Progress on Universal Access

UNAIDS Tracking Progress on Universal Access

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Published by: Laura Lopez Gonzalez on Oct 09, 2012
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 Tracking progress toward Universal Access inEastern and Southern Africa
Over the last five years, countries in Eastern and Southern Africa have establishedambitious targets required for scaling up Universal Access to prevention, treatment, careand support. In most countries, setting targets was integrated within the process of drafting National Strategic Plan on AIDS and was carried out through inclusiveconsensus building exercises.Below is a snapshot of the progress made by countries in terms of achieving universalaccess targets at the end of 2009.
TreatmentUniversal Access indicator:
Percentage of women, men and children with advancedHIV infection who are receiving antiretroviral combination therapy
 The total number of people on treatment increased by 7.5 times over the last five years,with 5.2 million people accessing life-saving drugs in 2009, compared to 700,000 in2004. However, 10 million people living with HIV who are eligible for treatment under thenew WHO guidelines are still in need.The scaling up of treatment is profoundly affecting sub-Saharan Africa. At the end of 2009, 27% of adults and children eligible for antiretroviral therapy were receiving it in theregion overall, compared to just 2% seven years earlier. At the end of 2009, there were an estimated 3.18 million people on antiretroviraltreatment in eastern and southern Africa. In the region, approximately 41% of those inneed of treatment are receiving it.Under the prior treatment guidelines that prevailed in 2009, six countries in Eastern andSouthern Africa (Botswana, Mozambique, Namibia, Rwanda, Swaziland and Zambia)had already achieved national universal access targets for antiretroviral treatment a full12 months before the December 2010 deadline.Under the revised 2010 guidelines, with their increased denominator for treatmenteligibility, only one country in the region (Zambia) had achieved its 2010 target for antiretroviral treatment. However, a number of additional countries (Botswana,Mozambique, Namibia, Rwanda, and Swaziland) were by December 2009 very close toachieving their revised universal access targets.South Africa, while it has the biggest ARV programme in the world in terms of absolutenumbers, has the lowest coverage of Southern African countries.
Global Report on the AIDS Epidemic, 2008 and 2010
2009Universal AccessTargetsCountry 2007WHO 2010guidelinesWHO 2006guidelines
 Angola 25% 24% 35% 50%Botswana 79% 83% >95% 80%Comoros not reported 18% 26% 100%Eritrea 13% 37% 39% 76%Ethiopia 29% 37% 51% 75%Kenya 38% 48% 65% 80%Lesotho 26% 48% 68% 80%Madagascar 4% 2% 4% 30%Malawi 35% 46% 63% 80%Mauritius 22% 22% 38% 75%Mozambique 24% 26% 45% 39%Namibia 88% 76% >95% 90%Rwanda 71% 88% >95% 100%Seychelles not reported not reported not reported not reportedSouth Africa 28% 37% 56% 70%Swaziland 42% 59% 85% 60%Tanzania31% (135,696people)30% (199,413people)44% 350,000 peopleUganda 33% 53%
53% 80%Zambia 46% 64% 85% 60%Zimbabwe 17% 34% 49% 100%
Care and supportUniversal Access indicator 
: Percentage of orphans and vulnerable children (boy/girl)aged under 18 living in households whose household have received a basic externalsupport package The support package could include food, education, health care,family/home and/or community support
  As the number of orphaned and vulnerable children continues to grow, adequate supportto families and communities needs to be assured. In practice, care and support for orphaned children comes from families and communities. As a foundation for thissupport, it is important that households are connected to additional support from external
Uganda UNGASS Country Report, 2008
2007 data: UNICEF:
Third Stocktaking Report 
, 2008; 2009 data:
Global Report on the AIDSEpidemic,
sources. The total number of children aged 10 to 17years who have lost their parents due to HIV increased to 16.6 million in 2009. Almost 90% of HIV positive children live in sub-Saharan Africa. The number of orphansdue to AIDS living in six countries - Kenya, Nigeria, South Africa, Uganda, Tanzania andZimbabwe - is more than 9 million.More than 10% of all children have lost one or both of their parents due to AIDS inZimbabwe (16%) , Lesotho (13%) and Botswana and Swaziland (12%).Whilst scaling up support for children affected by AIDS remains a priority, very fewhouseholds with orphans and vulnerable children (OVCs) are receiving externalsupport. The UNGASS and Unite for Children, Unite against AIDS target of 80% of households with orphans and vulnerable children receiving free, basic and externalsupport was not met by many countries in 2009.Overall, in eastern and southern Africa, less than 50% of households in were receivingsupport for OVCs with South Africa having the highest coverage at 75% of households.Such support included education assistance, medical care, clothing, financial supportand psychosocial services.
Country 2007 2009 Universal Access Targets
 Angola not reported 17% 28%Botswana 34% (2004) 31% 95%Comoros not reportednot reported100%Eritrea 4%not reported49%Ethiopia 4% (2004)not reported43%Kenya 21% not reported 75%Lesotho 25% (2004) not reported 80%Madagascar 7% (2003)not reportednot reportedMalawi 19% (2006)18%80%Mauritius not reportednot reportednot reportedMozambique not reported 22% 30%Namibia 17%not reported35%Rwanda 13% (2005) not reported 4%Seychelles 100% (2006) not reported not reportedSouth Africa 67% 75% 90%Swaziland 41%not reported61%Tanzania 51% (2006) 16% 30%Uganda 11% (2006)not reported41%Zambia 16%not reported50%Zimbabwe 31% (2006) 21% 50%

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