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Lesotho PMTCT is a success story – NAC NSP Progress update

The Prevention of Mother To Child Transmission (PMTCT) is among one of the best practice programs of HIV prevention in Lesotho. This was said by the National AIDS Commission (NAC) Director of Communications, Policies and Strategies Mr. Motlalepula Khobotlo when presenting progress of National Strategic Plan (NSP) 2006 - 2011 implementation at the annual NAC partnership forum held in Maseru on June, 16 2011.


Caption: Former NAC Policy and Strategy Director made presentations. Participants at the NAC forum

 

He said more babies born from HIV positive mothers are reported HIV negative but the challenge is to encourage all women to visit antenatal clinics and have births in hospitals to make this program a success.


According to Mr. Khobotlo, Condom distribution is still less than the country’s demand unless if the program implementers are not reporting about condom distribution.


The NSP progress report show that Multiple and Concurrent Partners (MCP) is still the key driver of HIV transmission. Therefore he said the Behaviour Change Communications (BCC) strategy and activities are geared towards encouraging people to reduce multiple partners and stick to one love/faithfulness.


HIV Testing and Counseling (HTC) is a key in fighting the HIV and AIDS disease but there is other sector of society that are still reluctant to know their HIV status. On the progress of Medical Male Circumcision, he said the program has not been rolled out as comprehensive campaign yet but just conducted according to individuals needs.


Among the donors that contributed to fund the NSP 2006 – 2011 activities include Global Fund Round 2 HIV and TB, Round 5 HIV, Round 7 HIV, Round 8 HIV/HSS and TB as well as Round 9HIV. Other donors are PEPFAR, Millennium Challenge Account (MCA), United Nations (UN) family, European Union, Irish aid, GTZ, World Bank as well as Government budget and local institutions and private sector.


Following the implementation of NSP, currently the survival rate of HIV positive people is 74% which is attributed to ARV consumption but there are still challenges of defaults and lack of treatment adherence.


The NSP 2006 – 2011 activities address the needs of different groups of society namely orphans and vulnerable children, prisoners, people with disabilities, sex minorities, herdboys, workplaces, infected and affected people and the community at large.


However, Mr. Khobotlo said not all indicators in the NSP were met by 100%, but tremendous progress were made in different areas to scale up national response namely PMTCT, PEP and HTC adding that Behaviour Change remain as a major challenge attributed to rapid HIV transmission.


Meanwhile the new NSP 2011 – 2016 which is now ready was also presented to the participants at this forum. This NSP address all gaps identified in the previous one and made new strategies to address the previous gaps.


The vision of the new NSP is to guide the Kingdom to significantly reduce new infections, and ensure people on treatment live long and productive lives and build strong social safety nets for OVCs and vulnerable households.


The priorities areas to be addressed in the new NSP include : to accelerate and intensify HIV prevention in order to reduce new infection by 50% by 2015/16, to scale up universal access to quality treatment, care and support, to mitigate the impact of HIV as well as to monitor and evaluate programs through HIV researches.


Participants at the NAC forum were stakeholders who fund and implement different program areas as stipulated in the new and old NSPs as well infected and affected communities drawn from all districts in the country.

 
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