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
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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
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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
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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
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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
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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
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1.5 million pregnant women living with HIV
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More progress since 2009 than the previous decade
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62% of pregnant women living with HIV reached, to prevent mother-to-child transmission
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Children half as likely as adults to get the treatment they need
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Most infections in sub-Saharan Africa
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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
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Only 39% of infants tested in time
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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.
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Girls most vulnerable in most regions
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Marked differences between females and males in some countries
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Almost two-thirds of adolescents living with HIV are in ESA
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Half of adolescents living with HIV are in six countries
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Adolescent AIDS -related deaths: the only group where deaths are increasing
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Infections among adolescents not slowing fast enough
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Most adolescents don’t know their HIV status
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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
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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
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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
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United Nations Children’s Fund, Towards an AIDS-Free Generation: Children and AIDS, Sixth Stocktaking Report 2013,UNICEF, New York, 2013
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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]