Format Country report / context analysis with a focus on HIV-AIDS

 FrontPage, Health

RED = original text format country analysis

BLACK = link tekst

BLUE/PURPLE = link

1. Short description of current status regarding HIV-AIDS in country

• number of people infected (by sex and age)

• prevalence (by sex and age)

• mortality rate due to AIDS

• number of AIDS orphans

trends over time

•  Demographic and Health Survey: HIV/AIDS survey indicators database www.measuredhs.com/hivdata/ind_tbl.cfm (Anke)
• WHO Core Health Indicators (select: morbidity):  www3.who.int/whosis/core/core_select.cfm?strISO3_select=ALL&strIndicator_select=ALL&intYear_select=latest&language=english (Anita 10/4/7)
•  WHO global atlas - Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections 2006,  http://www.who.int/globalatlas/predefinedReports/EFS2006/index.asp?strSelectedCountry=PH  (Bernadette 13/4/07)
• UNaids countries, http://www.unaids.org/en/Regions_Countries/Countries/default.asp (Bernadette 25/04/07)

2 National Policies

• actual strategies

  • specific attention for gender, women, youngsters, vulnerable groups (such as disabled people, prisoners etc.?

  • specific attention to prevention?

  • Use of condoms?

  • Attention for harm reduction?

  • Multi-sectoral approaches? And at what levels?

  • Is policy focusing on HIV-AIDS part of Sexual and Reproductive Health Policy (SHR)?

    • Any linkages with SHR?

    • Any linkages with family planning?

  • Any attention for the effects of HIV-AIDS? How? What?

3 Is HIV-AIDS integral part of other government policies such as

2. 1. PRSPs?

   2. Health policies

   3. Education policies

   4. Social/welfare policies

   5. Other?

 4 What national structures do exist?

2. 1. National coordination team?

      1. Who are the stakeholders?

      2. Decentralized?

   2. What is their responsibility?

   3. Multi-sectoral participation and collaboration(see earlier)

   4. Civil society representation and participation?

   5. Any consumer organizations?

   6. Lobby-advocacy movements?

   7. National umbrella

 5 Law and legislation

2. 1. Prevention

   2. Care and cure

   3. Legal position caregivers/providers in case of infection

 6 Financial issues

2. 1. Total budgets/spending on HIV-AIDS per annum

   2. Local contributions (which sources?)

   3. International contributions (which sources, amounts and trends over time)? E.g.

      1. Global Fund

      2. Bill and Melinda Gates Foundation

      3. Clinton Foundation

      4. PEPFAR

      5. World Bank

 7 Detailed description of local situation (by sex, age, rural vs urban and vulnerable groups)

2. 1. Access to information

   2. SRH

   3. PMTC

   4. Protective measures (such as condoms)

   5. Harm reduction (e.g. male – female condoms, access to clean needles for drug-users)

   6. Access to and utilization of VCT services

   7. Knowledge, attitudes, behaviour and skills (information from KAP studies!)

8 Treatment

2. 1. Access to treatment

      1. Utilization of services (divided by free and paid services)

      2. Costs of treatment per capita

      3. Availability of services

      4. Stakeholders providing services?

      5. Financier of treatment – services (role insurance?)

 9 Role of religious or faith-based organization

2. 1. Collaboration with government

   2. Collaboration with (I)NGOs

   3. Executing own programmes: which ones?

10 Other relevant contextual information (e.g. economy, culture, history, political system)

 11Conclusions