Dr Susan Zimba –Tembo Professional Officer – WHO 1 st March 2013, Crest Golf Hotel

 HIV Prevalence 14.3%  PLHIV 1.1 million  Goal to expand the national response to mitigate the effects of HIV/AIDS and opportunistic infections, by improving access to quality care, treatment and support services  Programme based on WHO/UNAIDS treatment 2.0 principles

 Five pillars o I – Optimize drug regimens o II – Promote diagnostics using point of care and other simplified technologies o III – Reduce costs o IV – Adapt delivery systems o V – Mobilize communities, protect human rights

 ART introduced in public sector in 2002  Abolished user fees in 2004  Rapid scale up 143 in 2003 to 344,000  Coupled with increase in ART sites from 3 to 500  Decentralised service delivery with task shifting  Making progress towards universal access 76.5% (2011)

8 million 15 million

 Deaths due to AIDS were averted approximately 50, 000 lives saved in 2011  Total death rate in adults declined from 1.02 percent in 2000 to 1.31 percent in 2011  Total death rate among infants declined from 19 percent in 1997 to 5.3 percent in 2011  For children aged 1-4 years the decline was from 17.1 percent in 1999 to 8.8 percent.

 Geographical and age disparities in ART coverage  Early infant diagnosis  Growing need especially with policy change- test and treat  Adherence and retention in care including emerging drug resistance  Point of care diagnostic services  Human resource

 Universal access can be reached  Further scale-up must address disparities and inequities  With new evidence and new policies, the number of persons eligible for ART will increase  Forward-looking policies, more effective and innovative approaches, together with further investments  ARVs for treatment and prevention are a powerful tool towards ending the HIV epidemic