impact of aids
TRANSCRIPT
00002-E-1 – 1 December 2000
HIV / AIDS IN KENYA
IMPACT OF THE EPIDEMIC
DR. MOHAMED S. ABDULLAH
CHAIRMAN
NATIONAL AIDS CONTROL COUNCIL
00002-E-2 – 1 December 2000
Children (<15 years) estimated to be living Children (<15 years) estimated to be living with HIV/AIDS as of end 2000with HIV/AIDS as of end 2000
Western Europe
4 1004 100North Africa & Middle East
16 00016 000Sub-Saharan
Africa
1.5 million1.5 million
Eastern Europe &Central Asia
15 00015 000East Asia & Pacific
7 2007 200South & South-East Asia
210 000210 000
Australia & New Zealand
< 200< 200
North America
11 00011 000Caribbean
11 00011 000
Latin America
30 00030 000
Total: 2.0 millionTotal: 2.0 million
00002-E-3 – 1 December 2000
Estimated adult and child deaths Estimated adult and child deaths from HIV/AIDS during 2000from HIV/AIDS during 2000
Western Europe
7 0007 000North Africa & Middle East
24 00024 000Sub-Saharan
Africa
3.0 million3.0 million
Eastern Europe &Central Asia
14 00014 000East Asia & Pacific
25 00025 000South & South-East Asia
470 000470 000
Australia & New Zealand
< 500< 500
North America
20 00020 000Caribbean
32 00032 000
Latin America
50 00050 000
Total: 3.6 millionTotal: 3.6 million
00002-E-4 – 1 December 2000
Adults and children estimated to be living Adults and children estimated to be living with HIV/AIDS as of end 2000with HIV/AIDS as of end 2000
Western Europe
540 000540 000North Africa & Middle East
400 000400 000Sub-Saharan
Africa
28.3 million28.3 million
Eastern Europe & Central Asia
700 000700 000
South & South-East Asia
5.8 million5.8 million
Australia & New Zealand
15 00015 000
North America
920 000920 000Caribbean
390 000390 000
Latin America
1.4 million1.4 million
Total: 40.1 millionTotal: 40.1 million
East Asia & Pacific
640 000640 000
00002-E-5 – 1 December 2000
Estimated deaths in children Estimated deaths in children (<15 years)(<15 years) from HIV/AIDS during 2000from HIV/AIDS during 2000
Western Europe
< 100< 100North Africa & Middle East
7 1007 100Sub-Saharan
Africa
500 000500 000
Eastern Europe &Central Asia
< 500< 500East Asia & Pacific
1 0001 000South & South-East Asia
40 00040 000
Australia & New Zealand
< 100< 100
North America
< 100< 100Caribbean
3 1003 100
Latin America
3 0003 000
Total: 600 000Total: 600 000
00002-E-6 – 1 December 2000
Estimated number of adults and childrenEstimated number of adults and childrennewly infected with HIV during 2000newly infected with HIV during 2000
Western Europe
30 00030 000North Africa & Middle East
80 00080 000Sub-Saharan
Africa
4.2 million4.2 million
Eastern Europe &Central Asia
250 000250 000East Asia & Pacific
130 000130 000South & South-East Asia
780 000780 000
Australia & New Zealand
500500
North America
45 00045 000Caribbean
60 00060 000
Latin America
150 000150 000
Total: 6.0 millionTotal: 6.0 million
00002-E-7 – 1 December 2000
Estimated number of children Estimated number of children (<15 years)(<15 years) newly infected with HIV during 2000newly infected with HIV during 2000
Western Europe
< 500< 500North Africa & Middle East
11 00011 000Sub-Saharan
Africa
620 000620 000
Eastern Europe &Central Asia
600600East Asia & Pacific
2 6002 600South & South-East Asia
65 00065 000
Australia & New Zealand
< 100< 100
North America
< 500< 500Caribbean
4 2004 200
Latin America
7 3007 300
Total: 800 000Total: 800 000
00002-E-8 – 1 December 2000
Cumulative number of children estimated to have Cumulative number of children estimated to have been orphaned by AIDS* at age 14 or youngerbeen orphaned by AIDS* at age 14 or younger
at the end of 1999at the end of 1999
Western Europe
9 0009 000North Africa & Middle East
15 00015 000Sub-Saharan
Africa
13.1 million13.1 million
Eastern Europe &Central Asia
500500 East Asia & Pacific
5 6005 600South & South-East Asia
850 000850 000
Australia & New Zealand
< 500< 500
North America
70 00070 000Caribbean
85 00085 000
Latin America
110 000110 000
Total: 15.2 millionTotal: 15.2 million * HIV-negative children who have lost their mother or both parents to AIDS before the age of 15 years
00002-E-9 – 1 December 2000
IMPACT OF AIDS IN KENYA
Demographic Impact� Highest sero-prevalence in women is between 25-29 years
� Highest sero-prevalence in men is between 30-39 years
� Women five times more infected than men (15-19 years age group)
� More than one million orphans generated by epidemic
� More than 2.2 million Kenyans infected at present
00002-E-10 – 1 December 2000
IMPACT OF AIDS IN KENYA
Demographic Impact
� Life expectancy: 52 years from 64 years
� Infant mortality rate: 74 from 53
� Child mortality rate: 113 from 92
� Maternal mortality: 650 from 240
00002-E-11 – 1 December 2000
IMPACT OF AIDS IN KENYA
Impact in Education
� Skilled and experienced teachers are dying
� Significant others are alive but incapacitated
� Newly trained teachers are reduced by illness and death.
� Production has either stagnated or even reduced
� Teaching, research production, national develop planning affected
� Leadership in implementation of strategies affected
00002-E-12 – 1 December 2000
IMPACT OF AIDS IN KENYA
Impact in Education
Large numbers of children are kept out of school because:
• they are needed to help at home,
• they have to care for sick family members
• they have to work to increase the family income.
• families cannot afford school fees
00002-E-13 – 1 December 2000
IMPACT OF AIDS IN KENYA
Impact on Children
� Increased proportion of vulnerable children
� Increased incidence of child labour.
� House holds are headed by children
� No support from the state or family around them.
� Rising rates of child sexual abuse
00002-E-14 – 1 December 2000
IMPACT OF AIDS IN KENYA
Impact in Agriculture� Agriculture is the primary economic sector of Kenya
� Engages about 74% of the labour force
� Accounts for 24.5% per cent of gross domestic product.
� Main production of food either for themselves or for the country
� A threat to the country’s food security
� Fertile lands of families remain idle shortage of agricultural labour
� Loss of skills and experience in large & small scale farming
00002-E-15 – 1 December 2000
IMPACT OF AIDS IN KENYA
Impact in Health� Increases number of people seeking health services
� it increases demand on health care providers
� Increases demand on health facilities
� increases need for human resource production
� it increases the overall cost of health care in the country.
00002-E-16 – 1 December 2000
IMPACT OF AIDS IN KENYA� The Dilema
� treating AIDS versus preventing HIV infection
� treating AIDS versus treating other illnesses
� spending on health versus spending on other demanding public services
� skilled health personnel have died, Replacing them Vs Other cadre
� Many are rendered incapable of further service, but need the income
� direct cost of treating a new AIDS patient at Kshs.45,680,
� indirect costs amount to Kshs 638,560
� access to and quality of health care have worsened
00002-E-17 – 1 December 2000
IMPACT OF AIDS IN KENYA
Industrial Sector
� Industrial Sector accounts for 13.3% of GDP
� Frequency of absenteeism increased
� Expenditures on illness and death have increased
� 52 per cent of total costs are HIV/AIDS-related costs.
00002-E-18 – 1 December 2000
IMPACT OF AIDS IN KENYA
Industrial Sector� loss of skilled manpower,
� demand for manufactured products has reduced
� industrial sector economically vulnerable.
� per capita expenditure on health is $ 9 per year.
� Cost per employee is $ 30 per year.
� informal sector 47.4% of the GDP also affected
00002-E-19 – 1 December 2000
IMPACT OF AIDS IN KENYA
Social Impact� survivors are dependants left without economic support
� epidemic has overwhelmed traditional systems of adoption
� OVC without a steady resource base.
� early teens heading households,
� Children & Women are on the streets
� increased crime rates
� Increased psychologic and spiritual needs.
� traumatic effects of bereavement
00002-E-20 – 1 December 2000
IMPACT OF AIDS IN KENYA
Presidents Statement:
“AIDS is not just a serious threat to our social and economic
development, it is a real threat to our very existence… AIDS
has reduced many families to the status of beggars… no
family in Kenya remains untouched by the suffering and
death caused by AIDS… the real solution of the spread of
AIDS lies with each and everyone of us”
00002-E-21 – 1 December 2000
IMPACT OF AIDS IN KENYA
Government Accelerated Intervention:
- Declaration of AIDS as a national disaster
- Formation of the National AIDS Control Council
- Formulation of the National Strategic Plan
- Formation of a comprehensive Institutional Framework
- Formulation of Legal Framework and Policy Guidelines
- Allocation of Dedicated Resources for HIV/AIDS
- Enhancement of Political Commitment
00002-E-22 – 1 December 2000
IMPACT OF AIDS IN KENYA
Priority Interventions
� Advocacy for Prevention
� Treatment, Continuum of Care and Support
� Mitigation of Socio-Economic Impacts
� Monitoring, Evaluation and Research
� Effective Management and Coordination of the National
Response