IMPACTS OF HIV AND AIDS ON AFRICA

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IMPACTS OF HIV AND AIDS ON AFRICA

• PRESENTATION BY
• PAN-COMMONWEALTH CSO NETWORK ON HIV/AIDS
• DURING
• THE COMMONWEALTH AFRICA SYMPOSIUM ON THE
  INTERNATIONAL MIGRATION OF HEALTH WORKERS
• Gaborone, Botswana
• 16-18 June 2009

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Presentation Overview

• State of HIV and AIDS in Africa
• Impacts of HIV AIDS
• Role of HWs in Addressing HIV AIDS
• Impacts of Migration on HIV AIDS
• Impacts of HIV AIDS on Migration
• Role of CSO in Addressing HIV AIDS
• Pan-Commonwealth Network on HIV AIDS in Africa
• Network Relationship with the CW Foundation
• Past Network Activities Achievements
• Current Network Focus
• What the Network Can do on HW migration

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STATE of HIV and AIDS IN AFRICA

• Commonwealth is home to 30 of worlds
  population, but carries 60 of HIV and AIDS
  global burden (WHO, 2007)
• In 2007, 77 of the worlds AIDS related deaths
  reported from Africa
• Sub-Saharan Africa (SSA) is home to 68 of the
  worlds PLWHA 90 of the worlds infected
  children.
• At the end of 2007, 22 million PLWHA and 1.9 new
  infections reported from SSA (Commission on
  HIV/AIDS Governance in Africa, 2008.)

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HIV Prevalence (UNAIDS, 2008)
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Impacts of HIV AIDS on Africa

• Household level
• National Economies
• OVC
• Agriculture Food Security
• Education Sector
• Reduced life expectancy
• Stigma and discrimination
• Gender concerns

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Role of Health Workers in the fight against HIV
AIDS

• Treatment, Care Support
• Training community based care providers
• HIV AIDS Research
• Monitoring Evaluation of Interventions and Drugs

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Impacts of Migration on HIV AIDS in Africa

• Migration leads to constrained workforce, which
  may lead to
• Inability to conduct effective prevention
  programs eg education, counseling etc, hence
  inability to contain new infections
• Poor or inadequate services for PLWHA, leading to
  earlier deterioration and death
• Poor monitoring follow up on care drug intake
• Inefficient medical research
• Migration leads to more migrations
• sets up a vicious cycle of events in that due to
  too much work, morale goes down staff may opt
  to leave

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Impacts of HIV AIDS on HWs Migration from Africa

• Increased workload and skill demands due to AIDS
• Increased risk of caring for the sick under
  deplorable working condition
• HWs getting HIV infection and migrating to
  countries where they can get good treatment,
  care support

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Role of CSOs in addressing HIV/AIDS in Africa

• Government responses have proven inadequate in
  the face of the enormity of HIV/AIDS
• CSOs have maintained frontline positions in
  addressing HIV/AIDS since it was known to exist
  in the 80s
• Roles have included
• Voluntary counseling Testing,
• Care Support to PLWHA affected communities
• Community institutional capacity building
• Lobbying, Advocacy research
• CSOs have had comparative advantages due to their
  grassroots existence, flexibility, ability to
  function on limited funding relative
  transparency.

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Pan-Commonwealth Network on HIV AIDS IN Africa

• Regional network of HIV AIDS Service CSOs in
  African Commonwealth countries
• Established in 2006 following declaration of HIV
  AIDS as a global emergency by C/W heads of
  govt in 2005
• Membership from the entire SSA Commonwealth
• Has a Current membership of 15 countries--
  Cameroon, Swaziland, Uganda, The Gambia, Kenya,
  Tanzania, Ghana, Lesotho, Zambia,
• Nigeria, Sierra Leone, Malawi, Mozambique,
  Botswana and South Africa

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P-C Network Vision Mission

• Vision
• Create an HIV and AIDS free Commonwealth through
  strategic networking, coordination Programming
  while putting PLWHA at the center of development
  process
• Mission
• bring together key CSOs working with PLWHA
  affected communities through promotion of
  partnerships, effective programming, knowledge
  sharing, resource mobilisation accountable
  governance in the fight against HIV AIDS within
  the African Commonwealth

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P-C Network Objectives

• Improve government /CSO/ private sector working
  relations,
• Promote effective HIV and AIDS programming,
  coordination, resource mobilisation governance
  among CSO national governments
• Enhance skills development for HIV/AIDS CSOs

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P-C Network Objectives cont

• Document, evaluate share knowledge, skills,
  best practices challenges
• develop effective fund raising strategies aimed
  at govts, private sector International bodies
• Effective HIV/AIDS policy Lobbying at national,
  regional global levels

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P-C Network Structure Core Values

• central secretariat (currently in Malawi, with
  biannual rotation within the membership states
• Has sub-networks at national local levels
• Operations guided by core values of shared
  vision, inclusiveness, accountability,
  transparency, empowerment, integration equality

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P-C Network Relationship With Commonwealth
Foundation

• CF spearheaded its creation establishment
• Institutional development of network secretariat
• Capacity building of network Sub-network
  members
• Financial support to network activities at
  regional and national levels

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P-C Network Past Activities Achievements

• Conducted capacity building workshop for its
  regional partners in Uganda in 2007
• contributed to CSOs statement to the 2007
  Commonwealth Heads of Government Meeting (CHOGM)
• Conducted national level capacity building
  workshops for HIV/AIDS Service CSOs in 2008
• Currently evaluating HIV/AIDS national level
  projects in Malawi, Nigeria, Swaziland, Lesotho,
  Namibia, Uganda, Kenya Cameroon

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P-C Network Current Issues of Focus

• Governments to provide a conducive environment
  for CSOs independent operation
• Governments to develop better policies to deal
  with HIV and AIDS issues
• policy reforms relating to copy rights and
  patents
• Public-Private Partnerships
• More funding towards HIV AIDS prevention,
  treatment, care, research and development
• Women empowerment gender sensitive programming.
• Capacity building of CSOs HIV healthcare
  providers.

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WAY FORWARD What Network Can do on HW
Migration.

• Advocacy and lobbying for good employment
  policies within health care systems at national
  regional levels
• Reach grassroots communities HWs through
  strategic advocacy to inculcate positive
  attitudes towards national development
• Lobby governments (CW non-CW) adopt the
  commonwealth Code of Practice for International
  Recruitment.

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Cont Way Forward

• Lobby poor and rich countries develop policy
  options that would include exchange programs
  among health staff to gain experiences and
  minimize migrations
• Engage in lobbying and advocacy efforts in
  partnership with government and Commonwealth
  health professional bodies
• Lobby governments to implement CW Code of
  Practice other documents/instruments

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Motivation

• To this day we continue to lose the best
• among ourselves because the lights in the
• developed world shine brighter
• Nelson Mandela-
• How can we make our own lights shine brighter?
• END
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