Progress on scaling up towards universal access in West and Central Africa October 2006

For all enquiries, please contact Dr Grunitzky Bekele, Regional Director for West and Central Africa, at [email protected]

Progress towards universal access in West and Central Africa 20

Number of countries (total 25)

20 18 16

18

17

14 12 10

13 9

8 6

6 4

4

4

2 0 Consultations Targets set-up held

Roadmap developed

Work plan costed

Mar-06 Oct-06

Progress towards universal access in West and Central Africa Annual work plans costed: 6

Roadmap developed: 13 (6+7)

Targets set-up: 17 (13+4)

National consultations held: 20 (17+3) National consultations in progress/ planned: 5

Benin, Burkina-Faso, Burundi, Cameroun, Ghana, Nigeria Chad, Cote d’Ivoire, Congo-DRC, Mali, Mauritania, Senegal, Sierra Leone Cape Verde, Central African Republic, Gabon, Togo Congo-Brazzaville, Guinea, The Gambia

Guinea-Bissau, Equatorial Guinea, Liberia, Niger, Sao Tome & Principe

Universal access in West and Central Africa

Mauritania Mali Niger Senegal Gambia Guinea Bissau

Chad Guinea

Sierra Leone Liberia

Burkina Faso Benin Togo

Nigeria

Côte d’Ivoire

Ghana

Central African Republic Cameroon Equatorial Guinea Gabon Congo

Sao Tome & Principe

N = 25 Universal access targets endorsed (N = 16) Universal access targets set, but not endorsed (N = 1) Universal access targets not drafted (N = 8)

Democratic Republic of Congo

Burundi

Civil society participation in universal access in West and Central Africa

Mauritania Mali Niger Senegal

Chad

Gambia Guinea Bissau Guinea Sierra Leone Liberia

Burkina Faso Benin Togo

Nigeria

Côte d’Ivoire

Ghana

Central African Republic Cameroon Equatorial Guinea Gabon

Sao Tome & Principe

N = 25 Established consultative process (N = 20) Have not yet established consultative process (N = 5)

Congo Democratic Republic of Congo

Burundi

Sénégal

M a li

DR Congo

Gabon

CongoB ra za

C a m e ro u n

90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

B e n in

% of HIV positive pregnant women receiving a complete course of ARV prophylaxis to reduce the risk of mother to child transmission

2005 2008 2010

Percentage of women, men and children with advanced HIV infection who are receiving antiretroviral treatment

100.0% 90.0% 80.0% 70.0% 60.0%

2005 2008 2010

50.0% 40.0% 30.0% 20.0%

Togo

Sierra Leone

Senegal

Mali

Ghana

Gabon

DR Congo

Chad

Burkina faso

0.0%

Benin

10.0%

Civil society involvement • At country level – Civil society involvement varies by country, but level of involvement and variety of organisations are increasing over time

• At continental/global level – Considerable civil society involvement in regional consultations and global follow-up (Brazzaville Consultation, Abuja Heads of State Meeting, African delegation at 2006 High Level Meeting – New York)

Support provided by UNAIDS Regional Support Team • Overall: – Facilitation of national consultations and target setting process through regular teleconference calls with UNAIDS Country Coordinators, Theme Group Chair and National AIDS Commission – Facilitation of continental consultations on universal access (Brazzaville Consultation, Abuja Heads of State Meeting) – Support to and active involvement in the development of a common African position on scaling up towards universal access in preparation of the 2006 High level Meeting, New York – Continuously monitoring of quality and analysis of collected data on universal access in the region

Support provided by UNAIDS Regional Support Team (continued) • To civil society: – UNAIDS Regional Support Team advocated through UNAIDS Country Officer and National AIDS Commission for active involvement of civil society in the national consultation and target setting process – Regional Support Team gave extensive technical and financial support to civil society to participate in the formulation of a common African position on scaling up towards universal access for the 2006 High Level Meeting, New York

Lessons learned The process of national consultations and roadmap development: – facilitates consensus building among partners about how to scale up towards universal access – creates a renewed interest in intensifying prevention interventions in order to sustain treatment efforts – countries that hold national consultations as a separate process -not linked to the review of the National Strategic Framework - have difficulties in target setting – developing realistic costed annual work plans to scale up towards universal access seems the most difficult step

Lessons learned (cont) The data collection process highlighted: – unequal quality of data in/between countries – reliable baseline data sometimes missing – existing data not easily accessible (no national database) – calculation of core and recommended indicators problematic due to denominator data not easily available

Recommendations • Promote full integration of the scaling up towards universal access and joint reviews of the National Strategic Framework • Further support countries to develop one monitoring and evaluation system, including a common national database • Build capacity for developing costed work plans • Continue to advocate for meaningful civil society participation