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NATIONAL HIV PREVENTION STRATEGY 2009-2013

Nigerian Boat Regatta Sets Sail toward Healthier Horizons In Nigeria, small grant awardee So-Healthi hosted a boat regatta to raise awareness about pneumonia and the fact that it kills nearly 180,000 Nigerian children each year. The event focused on educating families about prevention and treatment of the illness and drew more than 300 participants. During the event, a medical team examined babies and children for pneumonia, and local government officials announced that pneumococcal vaccine doses donated by Pfizer were being administered in their state that day. In addition, traditional birth attendants reported that the activities of So-Healthi had helped them to adopt practices that will help prevent. | Republic of Malawi NATIONAL HIV PREVENTION STRATEGY 2009-2013 June 2009 TABLE OF CONTENTS ACRONYMS.4 ACKNOWLEDGEMENTS.6 PREFACE.7 1.0 INTRODUCTION.8 1.1 National HIV Prevention Strategy.8 1.2 Rationale.8 1.3 Development Process.9 2.0 BACKGROUND.11 2.1 HIV Situation in Malawi.11 2.2 Epidemiological Patterns of HIV in Malawi.11 2.2.1 HIV Prevalence by age and sex.11 2.2.2 HIV Prevalence by some socio-economic characteristics.12 2.2.3 HIVprevalence and risk factors among the youth.13 2.2.4 HIVprevalence among couples in marital relationships includingyouth.14 2.2.5 HIV by occupation andplace.15 2.2.6 Paediatric HIV.15 2.2.7 Subgroups with very high incidence of HIV.15 2.2.8 Sources of new HIV infections.16 2.3 Factors facilitating HIV transmission in Malawi.17 2.3.1 Multiple and concurrent sexualpartnerships.18 2.3.2 Discordancy in long-term couples one partner HIV-negative and one positive .18 2.3.3 Late initiation of ART.18 2.3.4 The TB HIV Co-epidemic.18 2.3.6 Low and inconsistent condom use.19 2.3.7 Suboptimal implementation of HIVprevention within clinical settings includingprovision of HTC.19 2.3.8 Other determinant- facilitating HIV transmission.20 3.0 HIV PREVENTION RESPONSE IN MALAWI.22 3.1 Coverage and effectiveness of HIV prevention programmesmes in Malawi.22 3.1.1 Behaviour change communications.22 3.1.2 Teaching of life skills education and peer education.22 3.1.3 Advocacy sessions and community-based campaigns.23 3.1.4 Condom programmesming.23 3.1.5 HIV testing and counseling HTC .24 3.1.6 Promotion ofprevention of mother to child transmission of HIV.24 3.1.7 Blood safety and infection prevention.24 3.1.8 STI management.25 3.1.9 Education campaigns against stigma and discrimination due to HIV.25 3.1.10 Workplace prevention interventions.25 4.0 GOAL STRATEGIC OBJECTIVES AND GUIDING PRINCIPLES.26 4.1 goal.26 4.2 Strategic objectives.26 4.3 Strategic Objectives for cross-cutting issues.26 4.4 Guiding principles.26 5.0 STRATEGIC OBJECTIVES APPROACHES AND .