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
Donors: GFTAM – The Global Fund for Fighting Tuberculosis , AIDS and Malaria
Total Funds Available: US $ 29,421,145
Partners: WHO, UNAIDS, UNICEF, UNFPA, Sudan Family Planning, Muslim AID.
Delivery for 2007: US $ 5,586,467.14
Contact person in UNDP: Fatima El-Sheik, Senior Programme Officer,
fatima.elsheikh@undp.org

Background
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).

Objectives
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
• Presented a total of 9,600 people with outreach activities such as raising awareness sessions among the youth and amongst vulnerable and high risk groups in all northern states.
• Exposed 4,800 young people to HIV/AIDS education in and out of school settings in Jebel Awlia and in Khartoum State.
• Completed counseling and testing of 3,000 new people who sought voluntary screening.
• Completed counseling and testing of 1,500 pregnant women who sought voluntary testing.
• Provided a total of 53 homes with care services in some of the existing retroviral treatment sites, where there are links with NGOs or outreach counseling services. These efforts will further be supported and standardized.



 
 
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