Ethiopia - Country Progress Report - unaids

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Report on Progress towards Implementation of the UN Declaration of Commitment on HIV/AIDS 3.2.2.1. Orphans and Vulnerable Children Related UNGASS Indicators Indicator # 10: Support for children affected by HIV/AIDS Disaggregation Value Source/Year Indicator Value: Percentage of orphaned and vulnerable children aged 0-17 whose households received free basic external support in caring for the child Numerator: Number of OVC aged 0-17 who live in households that received at least one of the four types of support (medical, school-related assistance, emotional/ psychological, other social support including socio-economic) for each child (answered Yes to at least one of questions 1, 2, 3, and 4) All 3.50% WMS 2004 All 145,272 Denominator: Total number of OVC aged 0-17 All 4,166,467 Indicator # 12: Orphans – School Attendance Disaggregation Value Source/year Indicator Value: Current school attendance rate of orphans aged 10-14 63.30 % WMS Numerator: Number of children who have lost both parents and who attend 109,507 2004 school Denominator: Number of children who have lost both parents 172,994 According to the single point estimate for 2007, there were about 5.4 million orphans in Ethiopia, of which 898,350 (16.5%) were orphaned by AIDS. Care and support programs targeting orphans aim to provide educational, financial and nutritional support. In 2006/07, it was planned to provide support for 132,260 orphans nationwide and about 116,786 (88%) of these orphans received educational support services, during this fiscal year. However, it should be noted that this achievement represented only 5% of the orphans in need of the care and support services in the country. Greater advocacy efforts are required to mobilize additional societal support for orphans. The national target for 2006/07 was to provide care and support (excluding ART) for 26,736 PLHIV. Ultimately 23,048 received care and support services during the year, or 86.2% of the target and 5.1% of the estimated 449,653 PLHIV believed to need care and support services. Of the 33,991 PLHIV and OVC targeted for income generating activity (IGA) training, about 23,532 (69.2%) received this support in 2006/07. About 20,376 (67.8%) of the planned 30,067 PLHIV and OVC were given seed money for IGA activities. In total, 73.3% of the targeted 39,588 PLHIV and OVC were supported with income generating activities during the year. Regional variation was apparent with respect to achievement of planned targets for the year. The reported achievement for respective region was analyzed against the number of OVC in that region requiring care and support. The regions that reached and supported the greatest proportion of needy OVC were Dire Dawa (36.1%), Afar (10.7%), Addis Ababa (8.6%) and Amhara (8.1%), while Somali and Tigray supported the lowest proportion of OVC during the fiscal year (1.4% and 1.6%, respectively). In general, the percentage of needy OVC receiving care and support services has been very low. Hence, it is imperative to expand care and support programs for OVCs 44 . 44 National HAPCO, Second Report: “Annual HIV/AIDS Monitoring and Evaluation Report – Ethiopia”, 2006/07 32
Report on Progress towards Implementation of the UN Declaration of Commitment on HIV/AIDS 3.2.3. Treatment 3.2.3.1 Antiretroviral Treatment (ART) Related UNGASS Indicators Indicator # 4: HIV Treatment: Antiretroviral Therapy Disaggregation Value Source/Year Indicator Value: Percentage of adults and children with advanced HIV infection receiving ART All adults & children 34.93% Numerator: Number of adults and children with advanced HIV infection who are currently receiving ART in accordance with the nationally approved treatment protocol or (WHO/UNAIDS standards) at the end of the reporting period Denominator: Estimated number of adults and children with advanced HIV infection Indicator # 24: HIV Treatment: Survival After 12 Months on Antiretroviral Therapy Indicator Value: Percentage of adults and children with HIV known to be on treatment 12 months after initiation of antiretroviral therapy Numerator: Number of adults and children who are still alive and on ART at 12 months after initiating treatment Denominator: Total number of adults and children who initiated ART during the 12 months prior to the beginning of the reporting period, including those who have died, those who have stopped ART, and those lost to follow-up. All adults and children All adults and children 90,212 HAPCO M&E, 2008 258,264 Single point estimate, 2007 Disaggregation Value Source/Year All adults & children All adults & children All adults & children 70.36% HAPCO M&E, 2007 2,417 3,435 According to the single point estimate 258,264 PLHIV are in need of ART, including 15,716 children. At the end of December 2007, a total of 90,212 PLHIV were receiving ART, and the number of clients ever started was 122,243. Of the total number of people receiving ART at the end of 2007, 4,534 were children 14 years or younger 45 . Coverage at the end of December 2006 was 21.93%, compared to 34.93% at the end of December 2007: a rapid rate of scale up that was stimulated by the Millennium AIDS Campaign (see Best Practice in Section V). The national health sector Road Map for Accelerated Access to HIV Prevention, Care and Treatment set a target of 110,600 patients receiving ART by the end of 2007. Thus far the country has achieved 81.6% of the target. Comparisons of ever-started figures with PLHIV currently receiving treatment and a recent cohort study by HAPCO suggest a high rate of patients lost to follow up. The cohort study found that nearly 30% of patients who initiated ART either die, stop treatment or are lost to follow up. PEPFAR has estimated lost to follow up at 25% 46 . Efforts to reduce this figure, including an improved patient tracking system, are ongoing. Number of People on ART 100000 90000 80000 70000 60000 50000 40000 30000 20000 10000 0 2004 2005 2006 2007 45 HAPCO, UNICEF, WHO; PMTCT and Pediatric HIV Care Report Card, January 2008. 46 PEPFAR-Ethiopia, Annual Progress Report (Oct 1-Sept 30 2007), January 2008 33
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