FHI commits to:
-Triple its current reach of pediatric treatment in one year by rapidly scaling up ART delivery to an additional 20,000 children at more than 200 sites in at least 10 countries.
-Help parents stay healthy to prevent their children from becoming orphans
-Ensure that families have access to a safety net of essential services, skills, and opportunities that equip children and their parents to thrive for years to come
In coordination with the Clinton Foundation, Supply Chain Management System, host governments and other country stakeholders in the 10 countries, FHI will initiate meetings to finalize treatment scale up plans, including a joint quantification exercise and procurement plan to ensure an adequate supply of drugs, diagnostics and test kits ateach identified FHI site.
As an experienced provider of ART in resource-poor settings, FHI recently exceeded targets for treating children at several sites in Kenya and Rwanda. Following this success, FHI is setting its most ambitious - yet achievable - goal for treating children with ART to date: more than tripling its current reach by placing an additional 20,000 children on ART in one year.
FHI was inspired, in part, by the Clinton HIV/AIDS Initiative's (CHAI) goal of treating 100,000 children living with HIV/AIDS by the end of 2007. As FHI strives to achieve its own pediatric treatment goal, it will explore partnering with CHAI and seek its support in the form of drugs, diagnostics, and other commodities.
MEASURES OF SUCCESS
FHI will measure its results-based program in terms of:
- number of children put on treatment
- number of parents kept alive
- number of orphans averted
- number of families served with comprehensive programs
- average household income
family-reported quality of life
Procurement plan for additional drugs, diagnostics and commodities finalized for pediatric component in 10 target countries
An estimated 25 to 33 percent of all untreated HIV-infected children die before their first birthday, 50 percent or more by their second birthday, and 80 percent by their fifth. Antiretroviral therapy (ART) can dramatically improve the life of an HIV-positive child, prolonging it by untold years. Mortality can be cut by up to 80 percent with early access to needed therapies.
By the year 2010, the number of children orphaned by AIDS is expected to more than double to 25 million or more globally - equal to the number of people who have died of AIDS since HIV was first recognized 25 years ago. More than 80 percent of orphans around the globe live in sub-Saharan Africa, a quarter of whom have lost one or both parents to AIDS. In Zambia, for example, 20 percent (1.2 million) of all the nation's children are orphans - half due to AIDS.
With HIV infections on the rise worldwide, FHI is committing its global resources to help avert this tragedy. By making families the entry-point for additional support, FHI aims to prevent untold numbers of children from becoming orphans with its initiative.
Since 1971, FHI has been at the forefront of public health research, prevention, care, and treatment in the developing world. FHI delivers services and conducts research in HIV/AIDS, other infectious diseases and reproductive health. With nearly 1,800 staff globally and experience in more than 100 countries, FHI has worked with national governments and local communities to improve the lives and well-being of some of the world's most vulnerable people.
To be most effective, both the pediatric AIDS and preventing orphaning efforts will expand on FHI's extensive global HIV treatment programs and integrate lessons from two successful FHI pilot initiatives: Nuru ya Jamii ('Light of the Family' in Kiswahili) and LifeWorks.
Nura ya Jamii is a Kenyan initiative to establish community owned and operated drop-in centers for families affected by HIV. The program has successfully linked HIV-infected families to critical services such as life-saving antiretroviral therapy, comprehensive medical care, social services, food from local farms, as well as education in local farming techniques.
LifeWorks attacks many of the underlying causes of HIV - joblessness, poverty, and food insecurity. The initiative addresses employment needs of vulnerable populations by providing relevant training and life skills development, by creating new jobs in the private sector and by supporting new, indigenous businesses in partnership with the private sector in Kenya.
The lessons from these pilot projects will be married and adapted to each target country. FHI's comprehensive program will provide an array of health and development services that - when delivered in concert - will reclaim a generation lost by preventing orphaning and building healthier families and communities.
SEEKING: financial resources, implementing partners, best practices information, media and marketing assistance. NA
Expanding access to ART for additional children and parents in an environment of growing donor concern over 'treatment mortgages' will require greater commitment by the private sector to ensure that children do not become the first victims of ART demand triage. Pharmaceutical company partners are needed more than ever to contribute essential drugs, diagnostics, test kits and other medical supplies; volunteer physicians and healthcare workers are needed to train providers especially in more remote locations; financial sector partners are needed to contribute start-up capital or loans to accelerate the start-up of small and medium enterprises to create jobs for economically vulnerable families; and business development experts are needed to guide communities in the launch of sustainable development initiatives in food security, economic strengthening and expansion of community-based health insurance.
FHI welcomes partners of all kinds and looks forward to the opportunity to share their own insights and experience.
OFFERING: implementing partners, best practices information, media and marketing assistance. Accountability, Good Stewardship, Strong
FHI has nearly 40 years of public health expertise including more than 2,500 dedicated and experienced staff in the US and over 60 countries in the developing world as well as an extensive network of indigenous partner organizations providing vital services and support to vulnerable communities in the developing world. FHI is a global leader in establishing and diffusing evidence-based public health practice that is making a difference in the delivery of HIV and broader development programming around the world. We are eager to share our expertise in research and programs and learn from the collective wisdom of CGI and its partners.