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The Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping their Mothers Alive Since its launch in 2011, the Global Plan has helped to catalyse efforts to tackle HIV in children and their mothers across Millennium Development Goals 4 (reduce child mortality), 5 (improve maternal health) and 6 (combat HIV, tuberculosis and malaria). While covering all low- to middle-income countries, it focuses on the 22 priority countries that account for almost 90 per cent of the world’s pregnant women living with HIV as well as almost 90 per cent of new infections among children. The Global Plan focuses on achieving two global targets:
• Target 1: Reduce the number of new HIV infections among children by 90 per cent • Target 2: Reduce the number of AIDS-related maternal deaths by 50 per cent. In 2011, the cost of achieving the Global Plan targets for 17 of the 22 priority countries was estimated at around US$1 billion per year over five years, 43 per cent of which is for providing PMTCT services to pregnant women living with HIV and treatment for their own health, 37 per cent for the prevention of primary HIV infection, 12 per cent for paediatric ART and 8 per cent for family planning.20 Several countries – including Botswana, Namibia and South Africa – are making substantial domestic investments towards achieving the goals of the Global Plan. Major international donors to this effort include the Global Fund to Fight AIDS, Tuberculosis and Malaria and the United States President’s Emergency Plan for AIDS Relief (PEPFAR).
FIGURE 1.2 Estimated number of new HIV infections in children (aged 0–14): Global trend and projections, 2001–2015 600,000
Estimated trend Projected trend
500,000 400,000
26% decline over 8 years (average 18,000 per year), 2001–2009
300,000
Global Plan target: 90% reduction by 2015
35% decline over 3 years (average 47,000 per year), 2009–2012
200,000 100,000
85% decline needed over 3 years (average 74,000 per year), 2012–2015
0 2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Source: UNICEF analysis of UNAIDS 2012 HIV and AIDS estimates.
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