MIN/Sp/AU/CAMH3/6 HIV/AIDS
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Figure 4.6: % countries with selected M&E/HIV surveillance
activities, WHO African Region, 2007
Special Population
surveillance
HIVDR plan
M&E plan
Implement ANC
surveillance
31
37
60
83
In this era of ART and PMTCT scale up, the development of HIV drug resistance
(HIVDR) is inevitable. In collaboration with partners, WHO has developed a
global HIV drug resistance network—known as ResNet—for monitoring the
magnitude of HIVDR. As of 2007, 13 countries in the region have developed
national HIVDR plans.
Monitoring and evaluation (M&E) is an area that received less attention and
investment in the past. Since member states have committed themselves to
several global resolutions and declarations that require proper planning,
establishment of effective M&E systems is inevitable. Many countries are
beginning to understand the importance of M&E for program planning and
tracking of the level of implementation of key interventions. About 60% of
countries reported having M&E plans—in order to track the health sector
response toward Universal Access for HIV prevention, care, and treatment.
Sudan is in the process of improving surveillance and M & E by developing a
National Monitoring and Evaluation Framework with standardized HIV core
indicators. Somalia on the other hand is boosting up M & E efficacy in the
response within the context of the Global Fund sub-recipients and building up
Regional Partnerships in order to address HIV vulnerability and cross-border
mobility in the Horn of Africa.
4.
CONCLUSION
Since 2006, Member States took giant steps toward the Universal Access for HIV
prevention, care, and treatment. Among documented achievements include:
increased access to ART, PMTCT and HTC.
In addition, national, bilateral, multilateral commitments have increased and
therefore were contributing factors of the 2007 achievements. Despite these
achievements, the coverage of priority intervention—HTC, PMTCT, and ART—is
still low. The number of new infections is still high and in some countries
increasing. Therefore, the fight against HIV/AIDS is far from over.