Complacency the problem as world set to miss global AIDS target-UNICEF

04Dec 2017
The Guardian Reporter
The Guardian
Complacency the problem as world set to miss global AIDS target-UNICEF

IN 2016 around the world, 120,000 children under the age of 14 died of AIDS-related causes, and 18 children were infected with HIV every single hour. If current trends persist, there will be 3.5 million new adolescent HIV infections by 2030,

according to projections from the 2017 UNICEF Statistical Update on Children and AIDS released yesterday.

"It is unacceptable that we continue to see so many children dying from AIDS and so little progress made to protect adolescents from new HIV infections," said Dr Chewe Luo, Chief of HIV for UNICEF. "The AIDS epidemic is not over; it remains a threat to the lives of children and young people and more can and should be done to prevent it."

A UNICEF analysis of demographic trends and new HIV data reveals that targets set in the 2020 Super-Fast-Track framework, developed in 2016 to end AIDS among children, will not be achieved.

There has been some progress in the fight against AIDS, notably in preventing mother to child transmission of HIV. Around 2 million new infections among children have been averted since 2000. However, UNICEF warns that such progress must not lead to complacency as the Statistical Update highlights that children aged 4 and under living with HIV face the highest risk of AIDS-related deaths compared to other age groups.

Globally paediatric HIV testing and treatment is lagging, with only 43 per cent of HIV exposed infants being tested within the recommended first two months of life, and the same percentage of children living with HIV receiving lifesaving antiretroviral treatment.

UNICEF says progress in preventing new HIV infections among adolescents and improving testing and treatment in adolescent populations has been unacceptably slow. Globally, in 2016 alone, 55,000 adolescents (age 10-19) died from AIDS-related causes, 91 per cent of them in sub-Saharan Africa. The data also reveals a worrying gender disparity: for every five adolescent boys living with HIV, there are seven girls of the same age.

Preliminary findings of the Tanzania HIV Impact Survey 2016-17 state that the annual incidence of HIV among people aged 15 to 64 years was 0.29 percent. There are gender disparities. Women have a higher rate of new infections (0.4 per cent) than men (0.17 per cent).

Prevalence of HIV among people aged 15 to 64 years in Tanzania stands at 5 percent, and is two-times higher in women (6.5 percent) than men (3.5 percent). The disparity is most pronounced among younger adults, with women in the age group of 15 to 19 years, 20 to 24 years and 25 to 29 years, all having a higher prevalence than men in the same age group.

In order to achieve the 2030 goal of ending the AIDS epidemic in Tanzania, efforts need to be intensified by investing in and utilizing emerging innovations such as HIV self-testing, pre-exposure prophylaxis and new paediatric drugs; scaling-up response for children, including expanding treatment programmes, and investing in new technology for point-of-care diagnostics; strengthening capacity in the collection of comprehensive, disaggregated testing and treatment data, especially on adolescents, to help inform programming as well as prioritizing interventions for adolescent girls.

The AIDS epidemic must remain a public health concern, according to UNICEF. Innovative solutions must be adopted to speed up progress in preventing HIV infection of children and ensuring those living with HIV get the treatment they need.

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