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Children and Aids Fifth Stocktaking Report 2010

Children and Aids Fifth Stocktaking Report 2010

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Advocacy and investment on behalf of children affected by AIDS have had an impact, and the goal of eliminating mother-to-child transmission of HIV appears within reach. But for every problem solved or advance made, new challenges and constraints have arisen. This Children and AIDS: Fifth Stocktaking Report examines current data, trends and the progress that’s been made - pointing out disparities in access, coverage and outcomes - and calls for concrete actions to benefit the millions of children, women and families worldwide who bear the burden of the epidemic.
Advocacy and investment on behalf of children affected by AIDS have had an impact, and the goal of eliminating mother-to-child transmission of HIV appears within reach. But for every problem solved or advance made, new challenges and constraints have arisen. This Children and AIDS: Fifth Stocktaking Report examines current data, trends and the progress that’s been made - pointing out disparities in access, coverage and outcomes - and calls for concrete actions to benefit the millions of children, women and families worldwide who bear the burden of the epidemic.

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Published by: The United Nations Children's Fund on Dec 01, 2010
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Children and AIDS
Fith Stocktaking Report, 2010
 
CHILDRENAND AIDS:FIFTHSTOCKTAKINGREPORT, 2010
CONTENTS
Page 1
I. Introduction
Page 5
II. Prevention o mother-to-child transmission
Page 11
III. Paediatric care and treatment
Page 17
IV. Preventing inection among adolescents andyoung people
Page 22
V. Protection, care and support or children aectedby HIV and AIDS
Page 28
VI. Call to action
Page 31
Reerences
Page 34
Annex: Notes on the data
Page 36
Goal 1. Preventing mother-to-child transmission oHIV in low- and middle-income countries
Page 39
Goal 2. Providing paediatric treatment in low- andmiddle-income countries
Page 43
Goal 3. Preventing inection among adolescents andyoung people
Page 46
Goal 4. Protecting and supporting children aectedby HIV and AIDS
This
Children and AIDS: Fifth Stocktaking Report 
is dedicated to the memory o Thembi Ngubane.Cover photo:
Thembi Ngubane, 19 years old inthe photograph, with her boyriend and their16-month-old daughter outside Thembi’s home inCape Town (South Arica). At 17, Thembi becamepregnant and chose to be tested ater learningthat a ormer boyriend had become ill. Shediscovered she was HIV-positive, then enrolledin a PMTCT programme. Her baby was born HIV-ree. Later, she became an active peer educator,promoting the use o prevention services amongyoung people. In 2006, Thembi and her AIDS diarywere eatured in a documentary broadcast byNational Public Radio in the United States. In 2009,she died o drug-resistant TB, at the age o 24.© UNICEF/NYHQ2006-1376/PirozziUNAIDS, the Joint United Nations Programme onHIV/AIDS, brings together the eorts and resourceso 10 UN system organizations to the global AIDSresponse. Co-sponsors include UNHCR, UNICEF,WFP, UNDP, UNFPA, UNODC, ILO, UNESCO, WHOand the World Bank. Based in Geneva, the UNAIDSsecretariat works on the ground in more than75 countries worldwide.For any corrigenda ound subsequentto printing, please visit our website at<www.unice.org/publications>.For any data updates subsequent to printing,please visit <www.childino.org>.ISBN: 978-92-806-4552-1Sales No.: E.10.XX.9
 
1
I. INTRODUCTION
For nearly three decades, HIV and AIDS have beendevastating individuals and amilies with the tragedy ountimely death and medical, nancial and social burdens.Although children’s concerns have always been presentwithin the great spectrum o need associated with HIV, theyhave to some extent been overshadowed by the very scale othe epidemic in the adult population.Thanks to improved evidence and accelerated action,however, the story o how the AIDS epidemic is aectingchildren is being rewritten.No longer a sidebar crowded out by the broader compellingnarrative o HIV and AIDS, children are now central tostrategies and actions to avert and address the consequenceso the epidemic. It is estimated that more than 1,000babies continue to be born with HIV every day, many othem destined to die beore age two i they do not receivemedication.
1
Mothers are still dying. Adolescents are stillbecoming inected with HIV because they have neither theknowledge nor the access to services to protect themselves,and those inected at birth are struggling to reconcile theiremerging adulthood with their HIV-positive status.But advocacy and investment on behal o children have hadan impact, and the goal o virtual elimination o mother-to-child transmission by 2015 appears within reach. In 2005, orexample, only 15 per cent o HIV-positive pregnant womenin low- and middle-income countries received antiretroviralsor the prevention o mother-to-child transmission (PMTCT)o HIV; in 2009, 53 per cent o women in need receivedantiretrovirals or PMTCT.
2
In 2005, only 75,000 children under15 in need received antiretroviral treatment. Today, that gureis approximately 356,400, around 28 per cent o those in need.
3
 In 2005, 5.2 million young people aged 15–24 were living withHIV; today, an estimated 5.0 million are.
4
Beore 2005 in manysub-Saharan Arican countries, children who had lost both
    ©     U    N    I    C    E    F    /    N    Y    H    Q    2    0    0    9  -    0    7    4    7    /    N   e   s    b    i   t   t
UNITE FOR CHILDRENUNITE AGAINST AIDS 

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World Aids Day today. Please share in recognition of all the amazing, transformative work that UNICEF does and has yet to do, with everyone's help.
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UNICEF's 2010 report about children and AIDS
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