Zimbabwe Operational Plan Report Fy 2013

Author : United States United States Department of State
Publisher : CreateSpace
Page : 128 pages
File Size : 45,5 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503194116

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Zimbabwe Operational Plan Report Fy 2013 by United States United States Department of State Pdf

The country continues to experience a generalized HIV epidemic with an estimated 1.2 million HIV-infected adults and children in 2011 and approximately 58,000 deaths each year. Social, cultural, and economic factors contributing to HIV transmission include transactional sex, multiple and concurrent partners, alcohol abuse, low awareness of HIV infection status, lack of ART use in undiagnosed individuals, poor treatment adherence, and low levels of male circumcision (MC). While prevalence among youth has dropped significantly, it is worth noting that prevalence among girls was twice that of boys of the same age. HIV is the leading cause of death among adults and accounts for over 27% of all deaths among mothers and infants. Maternal mortality rate nearly tripled between 1994 and 2010. Zimbabwe's TB case rate (603 per 100,000) is one of the highest in the world. The TB epidemic in Zimbabwe is largely HIV driven with a very high TB/HIV co-infection rate (at 80%) with an increasing number of MDR and XDR cases. TB is the second leading cause of adult morbidity and mortality in Zimbabwe. National Response - The National AIDS Council (NAC) and the Ministry of Health and Child Welfare (MOHCW) lead the national HIV/AIDS response and have outlined their goals in Zimbabwe National Strategic Plan (ZNASPII) 2011-2015. While the level of institutional leadership within the MOHCW is high in terms of technical direction and policy setting, the capacity for implementation continues to be limited. For the MOHCW low capacity is largely an outcome of limited national resources for programming, which affects its capacity to deploy and adequately train sufficient experienced health professionals, provide adequate commodities, and provide a high level of monitoring and supervision to ensure high quality service delivery. As such, donor resources have been essential to national prevention, care, treatment, and health systems strengthening (HSS) efforts. The majority of HIV/AIDS-related activities are donor funded. Nevertheless, Zimbabwe has not received the magnitude of donor funding that countries with similar HIV burden have been fortunate to access. Zimbabwe is facing potential critical shortages of key inputs to achieve ambitious goals, particularly in the areas of treatment, prevention of mother-to-child transmission (PMTCT), and MC.

Author : United States United States Department of State
Publisher : CreateSpace
Page : 196 pages
File Size : 51,9 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503194175

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Swaziland Operational Plan Report Fy 2013 by United States United States Department of State Pdf

Swaziland is a landlocked kingdom at the epicenter of the global HIV/AIDS pandemic, struggling to mitigate the world's highest prevalence rates of HIV and TB. Economically, Swaziland is closely tied to South Africa, from which it receives 90 percent of its imports and a large proportion of its public sector financing through the Southern African Customs Union (SACU). Compounding the economic situation and exacerbating the strains on the health and social systems was a precipitous fall in revenue resulting from two-thirds cut of SACU customs receipts in 2009. More than half of the population is under 20 and nearly half of the youth are at extremely high risk of HIV. The 2010 Multiple Indicator Cluster Survey (MICS) reported that 45.1% of children and youth fit the definition of orphaned or vulnerable. Traditional family structures have all but collapsed, with only 22 percent of children raised in two-parent households. Gender-based inequalities, violence, poverty and income disparities persist in the country and create significant barriers to effective HIV prevention interventions and the up-take of care and treatment services. Economic growth and development have been deeply impacted by the health crisis, which literally threatens the future of the kingdom. The 2010 MICS reported high rates of malnutrition, with 40.9 percent of children experiencing moderate to severe stunting. Furthermore, anecdotal reports show that food insecurity is one of the main reasons that eligible individuals will not initiate treatment; they fear not having food to take with ARVs. The Swaziland HIV Incidence Measurement Survey (SHIMS) published in late 2012, provides the best data available to date on the epidemic. SHIMS identified a national HIV prevalence of 31 percent among adults 18-49 years of age. A reanalysis of the 2007 Demographic Health Survey data determined prevalence of 31 percent in adults 18-49, indicating that the HIV prevalence in Swaziland has stabilized in the last five years. Adult incidence is high at 2.4 percent, with a significantly higher incidence for women of 3.1 per cent (1.7. per cent for men).

Author : United States United States Department of State
Publisher : CreateSpace
Page : 98 pages
File Size : 46,5 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503193160

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Angola Operational Plan Report Fy 2013 by United States United States Department of State Pdf

In 2011, Secretary Clinton called on the world to join in the fight for an AIDS Free generation and in 2012 the Secretary revealed a PEPFAR (President's Emergency Plan for AIDS Relief) Blueprint outlining the path to making this a reality. Aligned with the Global Health Initiative (GHI) Strategy, our Partnership Framework (PF) and the Blueprint's policy imperative, Angola's PEPFAR initiatives are based on strategic, scientifically sound investments to scale-up core HIV prevention to maximize impact. Based on a capacity-building, systems strengthening model, PEPFAR Angola is working with partners to effectively mobilize, coordinate and efficiently use resources to save more lives sooner. The focus will be on key populations, on women and girls to increase gender equality, and ending stigma and discrimination against people living with HIV (Cross Cutting-Appendix A). This will be measured by setting benchmarks that are regularly assessed, with the long term goal of country ownership. The Angola PEPFAR Team will continue to build upon successes of our past, maintaining current programs like supporting the Government of Republic of Angola (GRA-INLS, INSP, CNS) decentralization plan with technical assistance in health systems strengthening, implementation of an enhanced Prevention of Mother-To-Child Transmission (PMTCT) services, building GRA human resources by training local surveillance experts to sustain the country's capacity in strategic information, and supporting the military to strengthen its HIV Prevention Program and promote organizational networking with other military partners at the regional level. In addition to continuing programs, in fiscal year 2014, Angola PEPFAR will expand PMTCT and HIV testing and counseling in Luanda province and coordinate HIV initiatives across borders to demonstrate collaboration with our neighbors in unity toward an AIDS Free generation. The United States Government (USG-Appendix C) utilizes a technical assistance approach in areas identified by the Ministry of Health (MoH). Secretary Clinton stated in her remarks at the 2012 International AIDS conference that we should continue to be focused on supporting high-impact interventions, and make tough decisions driven by science. This is the fundamental goal of the Angola PEPFAR program.

Author : United States United States Department of State
Publisher : CreateSpace
Page : 486 pages
File Size : 47,9 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503194256

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Mozambique Operational Plan Report Fy 2013 by United States United States Department of State Pdf

As part of our two year Country Operational Plan (COP), the 2013 plan supports the global priorities set forth in the AIDS-Free Generation (AFG) policy to: provide antiretroviral treatment (ART) for 6 million people; perform 4.7 million voluntary medical male circumcision (VMMC) procedures; provide antiretroviral (ARV) prophylaxis to 1.5 million HIV-infected pregnant women to prevent mother-to-child transmission (PMTCT); support the Government of Mozambique's (GRM) national "HIV/AIDS Acceleration Plan 2013-2015" (Acceleration Plan) to increase the percentage of eligible adults and children with advanced HIV infection who receive antiretroviral therapy to 80%; increase the percentage of HIV-positive pregnant women who receive ARVs to 90%; and increase the percentage of adult males circumcised in target provinces to 75% by 2015. The Acceleration Plan, developed in collaboration with the PEPFAR Mozambique team, and closely coordinated with the development of the Ministry of Health's Global Fund Round 9 phase II application for HIV/AIDS, prioritizes high-impact interventions and geographic areas, and focuses on a continuum of response by addressing key populations. This year's COP represents result-driven and target-based budget allocations through direct application of PEPFAR Expenditure Analysis and other unit cost data to PEPFAR's contribution to the national targets. Our interventions target priority districts identified in the GRM's Acceleration Plan and ensure strong linkages between counseling and testing, care, treatment, and PMTCT for a robust continuum of response. Our overall budget is carefully aligned to the priorities of an AIDS Free Generation. Prevention activities represent 24% of our overall budget, with 8% allocated to PMTCT for ARV prophylaxis for 61,147 pregnant women, 8% allocated to VMMC to circumcise 224,413 men, 3% reserved for sexual prevention to reach most-at-risk populations (MARPs), 4% dedicated to test and counsel 2.2 million individuals; 33% allocated for antiretroviral (ART) treatment for 380,680 adults and children - including 16% for ARV drugs, 19% dedicated to the care of almost one million HIV infected adults and children - including 10% for orphans and vulnerable children, and 13% budgeted for system strengthening activities to support prevention, care, and treatment goals. HIV commodities, including ARV drugs, represent 23% of the budget. USG management and operations represent 11% of PEPFAR resources.

Author : United States United States Department of State
Publisher : CreateSpace
Page : 92 pages
File Size : 43,7 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 150319311X

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Cameroon Operational Plan Report Fy 2013 by United States United States Department of State Pdf

Cameroon is a lower-middle income country with a population of 20 million representing over 275 ethnic groups. Cameroon's epidemiological profile is dominated by communicable diseases such as malaria and HIV (prevalence of 4.3%, DHS 2011); and an increased prevalence in non-communicable diseases, such as diabetes and cardiovascular disease. Maternal mortality is estimated at 782 per 100,000 live births, while the under-five mortality rate is estimated at 122 per 1,000 live births. Funding for health is approximately 5% of the 2013 budget. In 2010, private spending (out of pocket) accounted for 70.4% of total health expenditure (including 94.5% in the form of direct payments); 13.2% of the funding was provided by external resources; while government funds covered 16.4% of total expenditures on health (World Bank Report on Health and Health Systems in Cameroon, 2012). The significant financial burden on households to finance health care consequently affects access to and use of health services in Cameroon.

Author : United States United States Department of State
Publisher : CreateSpace
Page : 290 pages
File Size : 41,9 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503193594

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Malawi Operational Plan Report Fy 2013 by United States United States Department of State Pdf

The Republic of Malawi has a population of nearly 16 million people living in an area of 118,484 square kilometers (approximately the size of Ohio). As one of the poorest countries in the world, currently ranked 171 out of 187 on the Human Development Index, Malawi has faced an uphill battle to achieve improvements in key health indicators. Malawi is faced with double-digit HIV prevalence, one of the highest malaria prevalence rates in the world, and a population that is expected to double by 2030. These challenges are putting increasing pressure on land, natural resources and social services. Malawi is well known in the region for its innovations in public health programming, and maintains a well-coordinated health donor environment, under the leadership of the Sector Wide Approach (SWAp) Secretariat in the Ministry of Health (MoH). The strong national commitment and leadership to improved health outcomes, with support from development partners, has significant achievements to show for it: Malawi is on track to meet MDG 4, reducing child mortality by two-thirds by 2015 HIV prevalenceamongst 15-49 year olds has declined from 11.8 % in 2004 to 10.6% in 2010 per the Malawian Demographic and Health Survey (MDHS) Maternal mortality has decreased from 1,120 per 100,000 live births in 2000 to 675 in 2010 Fertility has declined from 6.3 births in 2000 to 5.7 births per woman in 2010 Modern contraceptive use has increased from 26% in 2000 to 42% in 2010. Modeling of 2010 ANC data and the 2010 MDHS data shows just under one million Malawians living with HIV, 19% of whom are children under 15, and 47% of whom are adult women. AIDS is the leading cause of death, with an estimated 44,000 deaths in 2011, and is a major contributing factor to Malawi's low life expectancy of 54 years. TB continues to be a challenge and co-morbidity with HIV is common. The WHO estimated 29,000 new cases of all forms of TB in 2011, with approximately 62% in PLHIV. While there has been a significant increase in TB treatment success rate of 87% (up from 67% in 2001), the overall case detection rate remains about 66%.

Author : United States United States Department of State
Publisher : CreateSpace
Page : 244 pages
File Size : 41,9 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503193144

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Botswana Operational Plan Report Fy 2013 by United States United States Department of State Pdf

The U.S.-Botswana health partnership remains strong and effective. HIV-associated mortality has been reduced by more than half since treatment became available, and the rate of new infections has declined. Botswana's HIV treatment and Prevention of Mother to Child Transmission (PMTCT) programs are models for their coverage and quality of services. The rate of mother to child HIV transmission in Botswana has declined to

Author : United States United States Department of State
Publisher : CreateSpace
Page : 506 pages
File Size : 50,6 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503194124

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Zambia Operational Plan Report Fy 2013 by United States United States Department of State Pdf

The recent 2012 UNAIDS World AIDS Day Report showed significant improvements in HIV and AIDS-related results globally. In general, new HIV infections declined among children; there were fewer AIDS-related deaths; and there were increased investments in the response to HIV and AIDS. Zambia, like many countries, has recorded significant improvements in all three key areas. According to the report, between 2001 and 2011, Zambia reduced new HIV infections by 58%, while the country also cut AIDS-related deaths by more than 50%. The 2007 Zambia Demographic and Health Survey (2007 ZDHS) measured adult HIV prevalence at 14.3%. With the population currently standing at 13.1 million people with 61% in rural areas and 39% in urban areas, Zambia still has one of the world's most devastating HIV and AIDS epidemics, with more than one in seven adults living with HIV. Infection rates are twice as high in urban as in rural areas, while life expectancy is estimated at 49 years in what is still a generalized epidemic [UNAIDS Report on the Global AIDS Epidemic (2010)]. The HIV epidemic is geographically diverse, with provincial prevalence levels ranging from 6.8% to 20.8%. The Northern and Northwestern provinces have the lowest prevalence, just below 7%. Both provinces are predominantly rural, with low population density and high levels of poverty. In contrast, Lusaka, Central and Copperbelt Provinces are more densely populated, with large urban areas and have prevalence levels of 17% and higher. The most recent UNAIDS Report on the Global AIDS Epidemic (2012 UNAIDS) estimated Zambia's HIV prevalence among 15-49 year olds to have declined to 12.5%. The country is awaiting the results of the newly-started DHS that will enable an update to the most recent HIV and AIDS statistics. The six key drivers of the HIV and AIDS epidemic in Zambia are: 1) high rates of multiple concurrent partnerships; 2) low and inconsistent condom use; 3) low rates of voluntary medical male circumcision (VMMC); 4) population mobility; 5) vulnerable groups with high risk behaviors; and 6) mother-to-child transmission (MTCT). In addition, other factors such as gender inequality, disparity, socio-cultural practices, and stigma interact with these drivers to sustain high levels of risk and vulnerability.

Author : United States United States Department of State
Publisher : CreateSpace
Page : 592 pages
File Size : 49,9 Mb
Release : 2014-11-12
Category : Electronic
ISBN : 1503194159

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Uganda Operational Plan Report Fy 2013 by United States United States Department of State Pdf

In September 2012, the Ministry of Health (MOH) released the results of the Uganda AIDS Indicator Survey (UAIS) 2011, which indicated that Uganda continues to experience a severe HIV epidemic. HIV prevalence in the general population (15 to 59 years old) is estimated to be 7.3% in 2011, compared to 6.4% in 2004-5. HIV prevalence is higher among women (8.3%) than among men (6.1%). Compared to the 2004/5 UAIS survey, the magnitude of change in HIV prevalence varied across regions: Central, Western, Southwestern and Northern regions remain the worst-affected while modest declines in prevalence were recorded in the East-Central and Mid-Eastern regions. Of particular concern is the rise in HIV prevalence among young people aged 15-24 years generally and in all age groups specifically in the West Nile and North-East regions that previously were least affected. UNAIDS projects the number of new annual infections at 150,000 (2011), an increase from 120,000 in 2004. AIDS mortality is estimated at 62,000 deaths in 2011, the lowest estimate in a long decline since 2000, reflecting the significant expansion of ART. The UNAIDS' most recent World AIDS Day Report warned of increasing unprotected sex (both sexes) and multiple partners (women). The estimated number of people infected with HIV has risen to 1.39 million, 55% of whom are female and 14% are children under the age of 15 years. HIV is predominantly heterosexually transmitted, accounting for 75-80% of new infections. However, population subgroups show that the most affected and the risk factors and drivers of HIV infections have evolved in recent years. Studies show an HIV prevalence of 1.2% in university students, 15-40% in fishing communities, 37% among sex workers, 18% in the partners of sex workers, and 13% in the group of men with a history of having sex with men. Strikingly, 35% of new infections occur amongst self-reported monogamous individuals which raises concerns regarding rising multiple concurrent partnerships. The remaining transmissions are largely due to mother-to-child HIV transmission. In response to the 2011 UAIS results, PEPFAR revised its programmatic and technical approaches and targets to better respond to Uganda's escalating epidemic. The 2013 COP is based on scientific evidence, prioritized proven interventions, resources matched effectively across subpopulations, and efforts directed towards sources of new infections to assist the HIV/AIDS epidemic response in Uganda. The 2013 COP is the product of a consultative process that involved the GOU, PEPFAR implementing partners (IP) and bilateral and multilateral donors.

Author : Morna, Colleen Lowe,Dube, Sifiso
Publisher : Gender Links
Page : 406 pages
File Size : 45,5 Mb
Release : 2016-02-22
Category : Social Science
ISBN : 9780992243357

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SADC Gender Protocol 2015 Barometer by Morna, Colleen Lowe,Dube, Sifiso Pdf

In August 2008, Heads of State of the Southern African Development Community adopted the ground-breaking SADC Protocol on Gender and Development. This followed a concerted campaign by NGOs under the umbrella of the Southern Africa Gender Protocol Alliance. The SADC Gender Protocol is the only sub-regional instrument that brings together existing global and continental commitments to gender equality and enhances these through time bound targets. Aligned to Millennium Development Goal Three, the original 28 targets of the Protocol targets expire in 2015. Now that 2015 is here, we need to step back, assess and reposition. In June 2014, SADC Gender Ministers agreed to review the targets of the Gender Protocol in line with the Sustainable Development Goals (SDGs). In May this year, ministers added that they want the Protocol to be accompanied by a Monitoring, Evaluation and Results Framework. The 2015 Barometer shows that implementation is now the biggest missing gap in the quest for gender equality. Now is the time to strengthen resolve, reconsider, reposition, and re-strategise for 2030. SADC GENDER PROTOCOL BAROMETER • 2015 2015 is here! In August 2008, Heads of State of the Southern African Development Community adopted the ground-breaking SADC Protocol on Gender and Development. This followed a concerted campaign by NGOs under the umbrella of the Southern Africa Gender Protocol Alliance. The SADC Gender Protocol is the only sub-regional instrument that brings together existing global and continental commitments to gender equality and enhances these through time bound targets. Aligned to Millennium Development Goal Three, the original 28 targets of the Protocol targets expire in 2015. Now that 2015 is here, we need to step back, assess and reposition. In June 2014, SADC Gender Ministers agreed to review the targets of the Gender Protocol in line with the Sustainable Development Goals (SDGs). In May this year, ministers added that they want the Protocol to be accompanied by a Monitoring, Evaluation and Results Framework. The 2015 Barometer shows that implementation is now the biggest missing gap in the quest for gender equality. Now is the time to strengthen resolve, reconsider, reposition, and re-strategise for 2030.

Author : United States. Congress. House. Committee on Appropriations. Subcommittee on State, Foreign Operations, and Related Programs
Publisher : Unknown
Page : 1404 pages
File Size : 55,7 Mb
Release : 2015
Category : United States
ISBN : IND:30000146512052

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State, Foreign Operations, and Related Programs Appropriations for 2016 by United States. Congress. House. Committee on Appropriations. Subcommittee on State, Foreign Operations, and Related Programs Pdf

Author : Morna, Colleen Lowe,Dube, Sifiso
Publisher : Gender Links
Page : 421 pages
File Size : 47,6 Mb
Release : 2014-10-25
Category : Social Science
ISBN : 9780992243302

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SADC Gender Protocol 2014 Barometer by Morna, Colleen Lowe,Dube, Sifiso Pdf

In August 2008, Heads of State of the Southern African Development Community adopted the ground-breaking SADC Protocol on Gender and Development. This followed a concerted campaign by NGOs under the umbrella of the Southern Africa Gender Protocol Alliance. By the 2013 Heads of State summit, 13 countries had signed and 12 countries had ratified the SADC Gender Protocol. The Protocol is now in force. With one year to go, time is ticking to 2015, when governments need to have achieved 28 targets for the attainment of gender equality. In keeping with the Alliance slogan: Yes we must! this 2014 Barometer provides a wealth of updated data against which progress will be measure by all those who cherish democracy in the region. The world, and SADC, is also looking to the future with the post 2015 agenda. Now is the time to strengthen resolve, reconsider, reposition, and re-strategise for 2030.

Author : Division of Behavioral and Social Sciences and Education,Institute of Medicine,Board on Children, Youth, and Families,Board on Global Health,Committee on the Outcome and Impact Evaluation of Global HIV/AIDS Programs Implemented Under the Lantos-Hyde Act of 2008
Publisher : National Academies Press
Page : 848 pages
File Size : 55,5 Mb
Release : 2013-06-27
Category : Medical
ISBN : 9780309267847

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Evaluation of PEPFAR by Division of Behavioral and Social Sciences and Education,Institute of Medicine,Board on Children, Youth, and Families,Board on Global Health,Committee on the Outcome and Impact Evaluation of Global HIV/AIDS Programs Implemented Under the Lantos-Hyde Act of 2008 Pdf

The U.S. government supports programs to combat global HIV/AIDS through an initiative that is known as the President's Emergency Plan for AIDS Relief (PEPFAR). This initiative was originally authorized in the U.S. Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 and focused on an emergency response to the HIV/AIDS pandemic to deliver lifesaving care and treatment in low- and middle-income countries (LMICs) with the highest burdens of disease. It was subsequently reauthorized in the Tom Lantos and Henry J. Hyde U.S. Global Leadership Against HIV/AIDS, Tuberculosis, and Malaria Reauthorization Act of 2008 (the Lantos-Hyde Act). Evaluation of PEPFAR makes recommendations for improving the U.S. government's bilateral programs as part of the U.S. response to global HIV/AIDS. The overall aim of this evaluation is a forward-looking approach to track and anticipate the evolution of the U.S. response to global HIV to be positioned to inform the ability of the U.S. government to address key issues under consideration at the time of the report release.

Author : Anonim
Publisher : Unknown
Page : 1532 pages
File Size : 52,5 Mb
Release : 2024-06-02
Category : Electronic
ISBN : 8210379456XXX

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Congressional Record by Anonim Pdf

Author : Anonim
Publisher : Government Printing Office
Page : 1486 pages
File Size : 55,7 Mb
Release : 2024-06-02
Category : Political Science
ISBN : 8210379456XXX

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Fiscal Year 2013 Appendix, Budget of the U.S. Government by Anonim Pdf

Presents detailed information on individual programs and appropriation accounts that constitute the budget. Includes for each Government department and agency the text of proposed appropriations language, budget schedules for each account, new legislative proposals, and explanations of the work to be performed and the funds needed, and proposed general provisions applicable to the appropriations of entire agencies or groups of agencies. NOTE: NO FURTHER DISCOUNTS FOR ALREADY REDUCED SALE ITEMS.