DEMOCRATIC REPUBLIC OF CONGO Accelerating progress toward reducing - PowerPoint PPT Presentation

DEMOCRATIC REPUBLIC OF CONGO Accelerating progress toward reducing the incidence, prevalence and mortality by HIV/AIDS and Malaria CEB Regular Session 28 April 2015, Paris Stefano Severe, United Nations Resident Coordinator, a.i Ahmadou Moustapha Ndiaye, World Bank Country Director

MIXED PROGRESS ON HIV-AIDS HIV HIV- -AIDS situation is improving but considerable challenges remain AIDS situation is improving but considerable challenges remain HIV HIV - - AIDS situation is improving but considerable challenges remain AIDS situation is improving but considerable challenges remain HIV prevalence stabilized at 1.2% • New infections reduced • Increased PMTCT • Increased ARV coverage (40%) treatment (46%) • Deaths reduced 50000 101089 46000 10506 40000 40000 79978 34000 8575 64 219 59 792 30000 25000 43 878 39 224 20000 4 176 28 576 2 1542 6642 881 21 960 2 098 10000 1 116 0 2007 2008 2009 2010 2011 2012 2013 2014 2007 2008 2009 2010 2011 2012 2013 2007 2008 2009 2010 2011 2012 2013 2014 Number of new infections Annual number of AIDS deaths Tenuous legal and social environment -- Discrimination and stigmatization -- Gender-based violence remain

MIXED PROGRESS ON MALARIA Bednet Availability and Usage 100% 75% Bednet availability in households 50% 25% Reduction in prevalence 0% 2007 2007 2010 2013 31% Availability of Malaria Treatment Drugs 2013 (ACT) 23 % 100% 75% Increase in bednet coverage, but high • sustainability risk 50% Shift in drug availability and concerns • 25% about quality Limited biological confirmation of 0% • diagnostics 2007 2010 2013

BOTTLENECK ASSESSMENT Fragmentation at operational level Inadequate quantities, poor • • Sub-optimal use of available management, allocation and low • resources motivation of health workers Weak data systems • Insufficient quantity and poor • quality of drugs and other inputs Low knowledge of norms and • standards for HIV-AIDS and malaria control Low coverage HIV-AIDS services, • uneven coverage of bed nets Tenuous legal and social • environment for HIV-AIDS Low utilization of health services • Low financing: 1/10th Sub-Saharan • due to financial, conflict-related and African average other barriers Financing gaps for ARVs , PTCMT and • Weak community platforms, • bed nets insufficient focus on behavior High proportion (40%) financed by • change interventions households, leading to inequity

HOW TO ACCELERATE CHANGE Harmonization Community Financing Supply System & Coordination Platform • Extend • Increase • Ensure Community • mobilization harmonized financing for availability of strategy in at least health package health key inputs 50% of health to 80% of the (domestic and • Reinforce the zones country foreign) national drug Strengthen • • Accelerate • Support supply system – capacity of civil modernization development of use it! society, youth of the health long-term • Bed net groups, Parliament and management financing distribution the justice sector information strategy every three for HRs system years on HIV-AIDS