HIV/AIDS Prevention and Care Program in Southern Sudan

Fast Facts:
• Project Document
• 2009 Annual Report -
  Global Fund Grants in Southern Sudan
Location: In all ten states of Southern Sudan
Duration: 1 Aug 2006 - 31July 2011
Focus area: Responding to HIV/AIDS
Contributions(USD): GFATM: 13,606,297
Partners: Southern Sudan AIDS Commission, Ministry of Health, World Health Organization, UNICEF, Catholic Diocese of Torit
Delivery(USD): 2010: 7,851,952
2009: 7,008,520
2008: 4,761,000
2007: 2,880,000
Contact person in UNDP: Madelena Monoja
The recent civil war in Southern Sudan is believed to have been a factor in the limited spread of HIV & AIDS, as the country was closed off from extensive interaction with other countries. Southern Sudan therefore experiences a relatively low incidence of HIV & AIDS with prevalence rates estimated at around 2.6% of the adult population. The peace process and subsequent opening of the Southern Sudan borders and the interior may well present a problem with the potential risk of increased HIV & AIDS transmission. There is limited statistical evidence and data to provide an accurate picture of the patterns and key drivers of the epidemic in the country.

The 2004 Sudan Millennium Development Goals Unified Interim Report states that since September 2002, Sudan has faced a country-wide challenge when it comes to HIV & AIDS. There are however regional variations in that the prevalence of HIV & AIDS infection is higher in the southern states, eastern states, Khartoum and White Nile State. Almost all transmission, 94%, is the result of heterosexual transmission, with vertical transmission from mother to child accounting for 2.4%. Sudan’s situation is made even more difficult since the epidemic has taken a grip in neighbouring countries – and there is free movement across the porous borders. HIV prevalence rates may be higher in areas of Southern Sudan that have experienced greater population mobility and contact with other neighbouring countries, such as Uganda, DRC, and Ethiopia that are reported to have higher HIV & AIDS prevalence rates.

The objectives of the HIV/AIDS Prevention and Care Programme in Southern Sudan are:
• To improve knowledge and practice of preventive measures relating to HIV and sexually transmitted infections in the general adult population, youth, and vulnerable population sub-groups.
• To develop and expand treatment, care and support services for people and families living with HIV & AIDS.
• To build the capacity of the Southern Sudan AIDS Commission, NGOs and local institutions to effectively manage and monitor HIV & AIDS programmes.

Snapshots of the project's major achievements
• This project supported the development of the first HIV & AIDS Strategic Framework, HIV Policy, Monitoring and Evaluation Framework and Behavioural Change Communications Strategy for Southern Sudan.
• A Southern Sudan Network of people living with HIV was formed in 2007
• The project is supporting sentinel surveillance in 24 ante-natal care clinics across Southern Sudan to further assist with gathering accurate data.
• This is the only project providing anti-retroviral therapies (ARTs) for people living with HIV in all of Southern Sudan. So far nine ART centres have being established across Southern Sudan.
•3,757 people living with HIV are accessing ART services from these centres against a target of 2,250; over 8,000 people have received opportunistic infection prophylaxis and treatment; while over 38,000 patients received comprehensive Sexually Transmitted Infection case management.
• Currently over 109,922 people have tested for HIV in the various voluntary counselling and testing centres supported by this project.
• This project also supports safe blood practices and universal precautions services in all 55 transfusion centres in Southern Sudan.
• Over 16,000 sex workers; over 160,000 people with high risk behaviours (members of uniformed services, women in informal trade activities, displaced persons, transport operators); and over 154,481 young people have been reached with HIV & AIDS prevention services.
• 538 HIV positive pregnant women are receiving a complete course of anti-retroviral prophylaxis to reduce the risk of mother to child transmission.
• This project also supports training of health care providers in voluntary confidential counselling and testing, ART and sexually transmitted infection management: 290 service deliverers have been trained on voluntary counselling and testing.
• This project contributes to strengthening health system in Southern Sudan through; staff recruitments, trainings, procurement of vehicles, IT equipment, laboratory equipment and consumables, condoms and related drugs.

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