report highlights “children should be the first to benefit from our successes in defeating hiv,...
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REPORT HIGHLIGHTS
“Children should bethe first to benefit from oursuccesses in defeating HIV,and the last to suffer fromour failures.”
Anthony Lake, Executive Director
EXECUTIVE SUMMARY #1
• An AIDS-free generation is within reach, and it starts with children
• Globally, more than 850,000 new HIV infections among children were averted between 2005 and 2012
• Ensuring the health of pregnant and breastfeeding women living with HIV is central to protecting babies from acquiring HIV
• More children are accessing antiretroviral therapy (ART), but progress achieved for children lags behind progress achieved for adults
EXECUTIVE SUMMARY #2
• An AIDS-free generation cannot be achieved, without adolescents
• Adolescents are the only age group in which AIDS-related deaths have increased
• Discrimination, poverty, inequalities, and harsh laws often prevent adolescents from seeking and receiving testing, health care and support
• Too many children and adolescents die because they miss out on HIV treatment and care
EXECUTIVE SUMMARY #3• Innovations are taking us closer to an AIDS-free
generation. • With a renewed push, innovations that strengthen
linkages to services can accelerate the pace of progress, especially at local levels
• Examples of innovations – “One pill” once per day, point of care devices, mobile technology
• For the first time in the history of the epidemic we have the knowledge and tools to achieve an AIDS-free generation
EXECUTIVE SUMMARY #4
• An AIDS-free generation is becoming reality with the help of cross-sectoral partnerships
• Social protection and child protection, care and support must underpin efforts to scale up high-impact interventions through the first two decades of life
• To achieve an AIDS-free generation requires addressing inequities and reaching the most vulnerable children and families
RESPONDING TO HIV IN THE FIRST DECADE OF LIFE
CHAPTER ONE
© UNICEF South Africa/2013/Marinovich
“Children should be the first to benefit from our successes in defeating HIV, and the last to suffer from our failures.”
Anthony LakeExecutive Director, UNICEF
1.5 million pregnant women living with HIV
More progress since 2009 than the previous decade
62% of pregnant women living with HIV reached, to prevent mother-to-child transmission
Children half as likely as adults to get the treatment they need
Most infections in sub-Saharan Africa
The gap between adults and children by country
% OF ART COVERAGE AMONG ELIGIBLE ADULTS (AGED 15+), CHILDREN (AGED 0-14) AND ALL AGES IN THE 22 GLOBAL PLAN PRIORITY COUNTRIES, 2012
Inequity
Only 39% of infants tested in time
RESPONDING TO HIV IN THE SECOND DECADE OF LIFE
CHAPTER TWO
©UNICEF/NYHQ2012-1507/Jayasuriya
New infections among adolescents could be halved by 2020 by scaling up high-impact interventions and working across sectors.
Girls most vulnerable in most regions
Marked differences between females and males in some countries
Almost two-thirds of adolescents living with HIV are in ESA
Half of adolescents living with HIV are in six countries
Adolescent AIDS -related deaths: the only group where deaths are increasing
Infections among adolescents not slowing fast enough
Most adolescents don’t know their HIV status
Future prospects for adolescents- 2 million infections averted -
20002001
20022003
20042005
20062007
20082009
20102011
20122013
20142015
20162017
20182019
20200
50,000
100,000
150,000
200,000
250,000
300,000
Generalized epidemic countries
Scenario 1: BaseScenario 2: IdealScenario 3: DelayedScenario 4: Low
Future prospects for adolescents
20002001
20022003
20042005
20062007
20082009
20102011
20122013
20142015
20162017
20182019
20200
50,000
100,000
150,000
200,000
250,000
300,000
Concentrated epidemic countries
Scenario 1: BaseScenario 2: IdealScenario 3: DelayedScenario 4: Low
CHAPTER THREE
PARTNERSHIPS FOR AN AIDS-FREE GENERATION
“Eliminating new HIV infections among children is an ambitious but achievable goal. With the support of the Every Woman Every Child movement, and AIDS-free generation can be ours. There is no better investment than the health of women and children.”
Ban Ki-moon Secretary-General of the United Nations
© UNICEF/ZIMA2011-00003/Pirozzi
United Nations Children’s Fund, Towards an AIDS-Free Generation: Children and AIDS, Sixth Stocktaking Report 2013,UNICEF, New York, 2013
Focusing on the first and second decades of life, the Children and AIDS: Sixth Stocktaking Report, 2013: • reviews the HIV burden among children and
adolescents and the progress being made • identifies key strategies to accelerate access
to HIV prevention, treatment, protection, care and support for children and adolescents
• summarizes opportunities arising from recent scientific advances, new technology and emerging practice innovations
• seeks to mobilize national and international efforts to keep children HIV-free and ensure that children living with HIV remain AIDS-free.
For supporting data and materials, please visit: www.childrenandaids.org
Email: [email protected]