Presentation1.pptx

Introduction Despite sub-Saharan Africa [SSA] constituting just 12% of the world’s population, the region has the highest burden of HIV with 70% of HIV infection in general and 80% of new infections among young people occuring in the region. Diverse intervention programmes have been implemented among young people but with minimal translation to behavior change. lobal trends in HIV infection demonstrate an overall increase in HIV prevalence and substantial declines in AIDS related deaths largely attributable to the survival benefits of antiretroviral treatment. SubSaharan Africa carries a disproportionate burden of HIV, accounting for more than 70% of the global burden of infection. Success in HIV prevention in sub-Saharan Africa has the potential to impact on the global burden of HIV. METHODS systematic review to identify innovative financing instruments used for domestic HIV/AIDS financing in sub–Saharan Africa, international health financing and financing in non–health sectors. analysis on peer–reviewed and grey literature published between 2002 and 2014. We examination of the nature and volume of funds mobilized with innovative financing, then in consultation with leading experts, identified instruments that held potential for financing the HIV response.

Discussion The possibility of an AIDS free generation cannot be realized unless we are able to prevent HIV infection in young women. he HIV epidemic in this region is generalised but young women, men who have sex with men, transgender people, sex workers, prisoners and people who inject drugs are at an increased vulnerability to infection. Improved availability of provider-initiated and community-based HIV testing services now means three out of four people living with HIV are aware of their status. The number of people living with HIV in East and Southern Africa continues to increase, but access to antiretroviral treatment is increasing as well. Although laws and cultural traditions vary between Eastern and Southern African countries, there are a number of ingrained cultural, structural and legal barriers that act as barriers to HIV prevention. SOCIO ENVIRONMENTAL THEORIES OF HIV East and Southern Africa is the region most affected by HIV in the world and is home to the largest number of people living with HIV. Structural constraints on ability to navigate prevention and treatment options require particular attention in sub-Saharan Africa. These prevailing challenges— most notably poverty, housing, food security, unemployment, substance abuse, crime, and violence—were sometimes more overbearing than HIV.

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Conclusion

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A limited number of innovative financing instruments contributed a very modest share of funding toward domestic HIV/ AIDS programs. Several innovative financing instruments successfully applied in other sectors could be used to augment domestic financing toward HIV/AIDS programmes. Insufficient financial resources, combined with the lack of strategic information, has led to many high-impact HIV prevention programmes not being implemented to the necessary standard or scale in the region.

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Fundamental barriers to treatment, particularly HIV-related stigma and discrimination and HIV-specific criminal legislation, must also be overcome. Removing such barriers would encourage more people to get tested and seek out treatment, reducing the burden of HIV across the region.

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Recommendation