Scaling up the National Response for Prevention and Treatment of HIV/AIDS in Sudan

Fast Facts:
Project document and reports:
• Implementation Manual for Global Fund Grants Sub-Recipients
• Monitoring & Reporting of Financial and Programmatic Performance
• Project document
Location: All 15 Northern States of Sudan
Duration: January 2007 - 2012
Focus area: Responding to HIV/AIDS
Contributions(USD): GFTAM: 39,679,266
Partners: WHO, UNAIDS, UNICEF, UNFPA, Sudan Family Planning, Muslim AID.
Delivery(USD): 2010: 17,627,882
2009: 3,213,625
2008: 13,090,070
2007: 5,586,467
Contact person in UNDP: Fatima El-Sheik, Senior Programme Officer,

According to the national survey conducted by the Sudan National AIDS Programme (SNAP) in 2002, Sudan is the most severely affected country in North Africa and the Middle East with an estimated 500,000 people living with HIV/AIDS, and mostly in need of antiretroviral therapy (ART). Despite the fact that the epidemiological data is limited, it is believed that the country is in the early stages of a generalized HIV/AIDS epidemic, with an almost exclusively heterosexual transmission pattern. The adult prevalence rate of HIV has been estimated at 1.6%, with specific population group prevalence rates ranging from 0.5% to 2.5% in the northern part of the country.

The 2002 survey showed a low awareness of HIV/AIDS, with only 53% of the population being aware of the sexual transmission risk of HIV/AIDS, and a total of 640,000 individuals being infected with HIV. It has been reported that 0.5% limited sentinel surveillance testing during 2004 yielded prevalence rates of 0.95% (18/1900) among pregnant women, 1.9% (9/465) among symptomatic sexually transmitted disease (STD) infected patients, and 2.3% (33/1436) among TB patients. False beliefs about HIV/AIDS transmission were common, as were indicators of strong stigma. In fact 44% of respondents said that they would not share a meal with an infected individual, 31% would not nurse a patient, and 30% would not allow an infected child or teacher to attend school.

To address this situation, in January 2007 UNDP launched a project called: Scaling-up the National Response for Prevention and Treatment of HIV/AIDS in Sudan, with the support of the Global Fund to Fights AIDS, TB and Malaria (GFATM).

The project’s main objective is to reduce the HIV/AIDS transmission and mortality rate in Sudan.

With this in mind, the project’s specific objectives are as follows:
• Enhance and reduce risk behaviour through raising awareness on HIV/AIDS and other STDs amongst the general population, and vulnerable and high risk groups in all states.
• Ensure quality Voluntary, Confidential Counseling and Testing (VCCT) services are available and utilized in all states.
• Ensure access to condoms through free distribution and social marketing outlets in target communities.
• Establish a system of non-remunerated voluntary blood donors (NRVBD), to gradually replace the existing higher-risk replacement family donation. Six regional blood banks will be established along with the formation of six mobile blood collection teams.
• Ensure people living with HIV/AIDS receive care and support and a targeted 40,000 will have begun receiving Antiretroviral Treatment, by 2012.

Snapshots of the project's major achievements
• Global Fund outreach activities benefited 875,594 people from the general population.
• A total of 332,045 people from vulnerable groups were reached by community outreach activities.
• HIV/AIDS education in Out-of-School settings provided to 239,747 young people.
• A total of 3,373 specialists trained to deliver youth education including trainers, school teachers and counselors of drop-in-center.
• Life-based HIV/AIDS education provided to 232 schools and drop-in centers.
• Testing and counseling process completed by 75,275 people; including 10,713 pregnant women.
• A total of 3,130,721 condoms distributed for free with GF resources
• A total of 5,003,424 condoms sold through social marketing using Global Fund resources.
• A total of 42,240 blood units which were collected from voluntary non-remunerated blood donors were transfused in government hospitals.
• Antiretroviral combination therapy provided to 42 service delivery points.
• A total of 3,217 people with advanced HIV infection received ARV combination therapy
• A total of 5,013 people with HIV infection received diagnosis and treatment for opportunistic infections).
• A total of 719 HIV positive TB patients received ART during TB treatment
•The UNDP Global Fund in 2009 supported 12 service delivery centers run by People Living with HIV/AIDS Association for the chronically ill and families affected by HIV/AIDS.
• Home based care including ART adherence support was provided to 388 patients.
• Antiretrovirals and selected diagnostic/treatment provided to 42 treatment sites
• The Ministry of General Education printed textbooks and trained 20,000 teachers across Sudan in HIV/AIDS life skills curriculum The curriculum placed emphasis on group discussions, role playing and games that carry messages on the threat of AIDS; as well as the danger of stigma and discrimination


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