Materiais SAfAIDS Portugueses
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The process of formulation of the present strategic plan for STI/HIV/AIDS for the period 2003-2008 began during a technical meeting on HIV/AIDS accomplished on February 5, 2003 involving representatives of the Ministries, NGOs (Non Governmental Organizations), Churches and the business sector on which was established work Groups that delineated the process of elaboration of NEP and it accomplished an inquiry to analyze the answer capacity to HIV/AIDS of the provinces and of the different national institutions.
Botswana's National HIV/AIDS Strategic Framework 2003-2009 represents a departure from the past and into new ways of thinking and acting in the fight against HIV and AIDS. It takes the experience of building multi-sectoral responses to HIV/AIDS, both here in Botswana and internationally, and moulds them into an aggressive, forward-looking framework with the central aim of ensuring and driving implementation. This departure, this new thinking, is absolutely critical for Botswana, as it presents a crucial and definitive opportunity to radically address the epidemic and avert what is already becoming a national catastrophe. Botswana can be seen as a leader in efforts to combat the epidemic and there is no other option but success. It must be remembered by all that what is done here will serve as the foundation of a renewed and aggressive response to the epidemic in the sub-region, the continent, and beyond.
To effectively fulfil its mandate to co-ordinate the national response under the national strategic plan on AIDS 2006-2011, the National AIDS Commission (NAC) needs to understand the scope and effect of HIV and AIDS interventions in Lesotho. In order do this, a functional and robust M & E system needs to be in place. This document is the implementation plan of the national M & E framework to which all stakeholders have committed to using as part of the ‘three ones' principles
The HIV and AIDS epidemic in Lesotho is of a mature pattern, with a high case-fatality ratio, large numbers of orphans and vulnerable children, increasing mother-to-child transmission, decreasing life expectancy, declining productivity, affecting the national economy and very high demands on the health care system. The prevalence of HIV in Lesotho is estimated at 23.2% of adult Basotho aged 15 to 49 years by 2005, translating to approximately 266, 000 adult men and women living with HIV infection. The prevalence is particularly high in urban areas at levels of 28.8% compared to 21.8% in the rural areas with a considerable variation in prevalence rates by district. The HIV prevalence is highest among the 15 to 49 years age-bracket and skewed towards women with 55% of diagnosed cases of HIV, and more among young women than young men of similar age with a ratio percentage of more than 60% to less than about 30% for young males.
The HIV & AIDS and STI Strategic Plan for South Africa 2007-2011 flows from the National Strategic Plan of 2000-2005 as well as the Operational Plan for Comprehensive HIV and AIDS Care, Management, and Treatment. It represents the country's multisectoral response to the challenge with HIV infection and the wide-ranging impacts of AIDS
The situation analysis above calls for vigorous measures in order to attain the indicators depicted therein. It is within that perspective that the objectives outlined below have been formulated. All the objectives are formulated with a 5-year timeline from the date of commencement of implementation of the Plan. However, the evolution of the most important objectives spans a period of 10 years. In many cases, the goals to be achieved by the end of the first or of the third year of implementation of the Plan are also outlined.
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