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Washington, D.C., World Bank, .  p.HIV infection has taken root in South Asia, and poses a serious threat to development and poverty alleviation efforts in the region. The current trend of increasing HIV infections, combined with heightened social and economic vulnerabilities that are fueled by massive population movements (cross-border/rural-urban migration and trafficking), a pervasive sex industry, and the presence of injecting drug use, highlights the urgent need to act quickly and effectively. Denial of the HIV/AIDS epidemic has led to devastating economic and social consequences, which are now well documented. Recognizing this potential threat, South Asian countries, with the support of the donor community, have intensified the fight against HIV/AIDS; the speed, level, and quality of response, however, continue to vary across the region. There is a need for sustained advocacy to increase political commitment and for operationally relevant analytic work to improve the technical efficiency and effectiveness of the national programs. Financial resources to fight HIV/AIDS in South Asia have increased significantly over the past few years, with new donors such as the Global Fund and the Gates Foundation taking a greater prominence in supporting country efforts. Resource constraints, however, remain; as there is a growing demand, as well as increasing commitment, of the national programs to provide anti-retro viral treatment, and at the same time, scale up prevention. As such, South Asian countries recognize the importance of making better decisions for how best to allocate resources available for HIV/AIDS prevention. There is, however, a need to strengthen capacity of the national programs to undertake analysis and to utilize this information for policy formulation and program design. The World Bank, being the leader in providing economic advice on AIDS, has a clear and strong comparative advantage, in relation to other agencies, including UN partners and bilaterals, to assist the South Asia region in addressing this need. (excerpt)
UNFPA fifth country programme of assistance to the government of Kenya, 1997 to 2001. Framework for the reproductive health sub-programme.
[Unpublished] 1997 Dec. xiii, 32 p.This project between the UN Population Fund and Kenya's Ministry of Health proposes to strengthen technical and institutional capacity at all levels in the effective provision of reproductive health (RH) services during 1997-2001. The aims are to increase quality and accessibility of RH by a specific percentage, to reduce maternal mortality by 20%, to reduce perinatal morbidity and mortality by 30%, and to increase contraceptive prevalence by 20% in selected districts and Nairobi slums. The aims are also to provide youth-appropriate RH services, to reduce the spread of sexually transmitted infections (STIs) including HIV/AIDS, and to intensify IEC activities in support of RH services and other activities. This proposal describes the background, justification, and health reforms in Kenya; the RH achievements and lessons learned; selected issues to be addressed in the national RH program; goals; strategies and activities; monitoring and evaluation; the institutional framework; related activities and funding sources; and the summary budget. The budget will be shared between the Government (60%) and implementing nongovernmental organizations (40%). About 10% will be directed to IEC. The total summary budget is US$13 million. The main strategy for preventing STIs and HIV/AIDS is to integrate the education within day-to-day activities of health staff and to train service providers (SPs) at all levels. Surgical gloves and male-friendly services will be provided to all SP points. Technical support will be provided by advisers in Addis Ababa, selected national consultants, and field office program staff.
UNFPA fifth country programme of assistance to Kenya, 1997 to 2001. Strengthening reproductive health planning and management capacity of Ministry of Health.
[Unpublished] 1998 Feb. , 43,  p.This proposal describes a reproductive health (RH) program during 1997-2001 in Kenya that is supported by the UN Population Fund (UNFPA). The program builds upon prior achievements and lessons learned and supports the Ministry of Health (MOH) in efforts to strengthen the MOH's RH planning and management capacity. The project aims to strengthen institutional capacity; increase access and quality of integrated RH services; and address issues of safe motherhood, sexual and RH of adolescents and youth, sexually transmitted infections (STIs) including HIV/AIDS, and IEC. It is expected that by 2001, 38% of service delivery points will have been strengthened with integrated RH services. 6% of other services will be upgraded for closing the distance within 5 km to services among 25% of women who lack such access. The maternal mortality ratio will be reduced by 20%. Perinatal morbidity and mortality rates will be reduced by 30%. Contraceptive prevalence will be increased by 20% in selected districts and Nairobi slums. Adolescents should have more accurate and appropriate information, counseling, and services. The program should have increased community awareness of STIs and HIV/AIDS, counseling, and health facilities for reducing transmission of STIs. IEC should have been intensified by 2001. This proposal includes a description of the logical framework, the background-justification, project goals, strategies, institutional framework, advance preparations, government follow-up, UNFPA assistance and input, projected budget, justification of government input, and other related activities and funding.