Report on Progress of operationalization of the M&E guidelines for CABA 1 Dr. Ajith Karawita, National STD/AIDS Control Progamme Mr. Jayantha Peris, Ministry of Child Development and Women’s Affaires

Overview of the presentation 1.Sri Lankan HIV/AIDS situation and CABA 2.Situation of M&E indicators among CABA 3.Operationalization of the M&E guidelines/ indicators for SAARC regional strategic framework for CABA

1. HIV/AIDS situation in Sri Lankan

HIV situation - Overview Population20 m Estimated No of people living with HIV (2009)3000 Estimated prevalence<0.1% Cumulative number of HIV patients reported (as of end Sept 2010) 1285 Cumulative No. ever enrolled in HIV care756 Number on treatment290 Proportion of eligible patients on treatment (from the reported) 100% Level of epidemic in the countryLow Male to female ratio of reported HIV cases1.5 :1 Cumulative AIDS deaths reported216 HIV sero-positivity rate for % Number of HIV tests carried out during ,374 HIV/AIDS situation in Sri Lanka

CategoryNumber Prevalence estimate for number of children35 Cumulative number of HIV infected Children Reported (as of end Sep 2010) 46 CategoryMaleFemaleTotal Number of children living with HIV No of children died of AIDS538 Number of Orphans living with HIV7310 Single parent lost314 Both parents lost426 HIV and Children as of end Sept 2010

2. Progress of CABA indicators in Sri Lanka

IndicatorDescription Indicator 1Country policy and Planning effort index Indicator 2Country Child Protection Effort Index Indicator 3Percentage of children who are orphans Indicator 4Percentage of children who are AIDS orphans Indicator 5Percentage of children who are vulnerable Indicator 6Percentage of children affected by AIDS Indicator 7External support for children affected by AIDS Indicator 8Children affected by AIDS receiving minimum package of external support Indicator 9Percentage of service organizations that provide care and support to children affected by AIDS Indicator 10Percentage of people expressing accepting attitudes towards people living with HIV Situation of M&E indicators among CABA

IndicatorDescription Indicator 1Country policy and Planning Effort Index 21% Indicator 2Country Child Protection Effort Index 43% Situation of M&E indicators among CABA Measurement tool: Measurement tool: Key Informant Interviews; document review

IndicatorDescription Indicator 3Percentage of children who are orphans Not available Situation of M&E indicators among CABA Measurement tool: Measurement tool: Population-based survey or census Comment: This has not been included in the DHS or census questionnaire. No population-based surveys conducted to get this value.

IndicatorDescription Indicator 5Percentage of children who are vulnerable Not available Indicator 10Percentage of people expressing accepting attitudes towards people living with HIV Not available Situation of M&E indicators among CABA Measurement tool: Measurement tool: Population-based survey Comment: No population-based surveys conducted on this.

IndicatorDescription Indicator 6Percentage of children affected by AIDS Not available Situation of M&E indicators among CABA Measurement tool: Measurement tool: Household-based surveys, Statistical modelling Comment: No household surveys done.

IndicatorDescription Indicator 4Percentage of children who are AIDS orphans Not available Indicator 7External support for children affected by AIDS Not available Indicator 8Children affected by AIDS receiving minimum package of external support Not available Situation of M&E indicators among CABA Measurement tool: Measurement tool: Household survey Comment: Comment: No household surveys done

IndicatorDescription Indicator 9Percentage/Number of service organizations that provide care and support to children affected by AIDS 7 Situation of M&E indicators among CABA Measurement tool: Measurement tool: Count of organizations that state they provide services to children and families affected by HIV/AIDS

Number of service organizations that provide care and support to children affected by AIDS 1.FPA-Family planning association in collaboration with World Food Programme-monthly food bucket 2.NEST Sri Lanka – protection, care and support for AIDS orphans 3.AIDS Foundation Lanka-support for formula feeding 4.Hopes Lanka-Financial support for positive children (2000Rs for a positive child and 600Rs for a Negative child) 5.Lanka plus (+)- support for treatment, investigations, care, lodging, school bags, books etc for positive children 6.Positive Hopes Alliance-Home-based care, financial support for self employment 7.Positive Women’s Network- support for school education, treatment, care, accommodation etc

3. Operationalization

Inclusion and integration of children affected by HIV/AIDS in to general development and social services Not specifically included, but as a general rule, there is no restriction for health, education, social welfare and protection services.

Support for all families in difficult circumstances to keep and raise their children Foster parent schemes (public, private, civil society organizations, development partners) Subsidy programmes in the economic development ministry Scholarships for children Support for self employment schemes

Legal protection and justice National child protection authority act No 50 (1998)- against violence, abuse, exploitation of children Probation and child care services department (under the ministry of child development and women’s affaires) Children and women department under the labour and labour relation ministry

Thank you