ECD%20AND%20HIV/AIDS%20IN%20RWANDA

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ECD AND HIV/AIDS IN RWANDA
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RELEVANT DEMOGRAPHICS
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Demo cont.

• Total pop. 8,272 m
• Size 26,338 sq,km
• Popl. Density 380/sq.km
• lt5 yrs pop. 1,486 m
• lt18 yrs pop. 4,327 m
• IMR 107/1,000
• lt5 MR 196/1,000
• MMR 1,071/100,000
• ANC 1st attendance 92
• Birth at health unit 31.3
• DPT3 88
• Popl. Below poverty line 60
• Population in rural area 83

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THE SITUATION

• High IMR 107/1,000 Life birth one of the highest
  in SSA (Aggravated by HIV/AIDS)
• Approximately 613,000 orphans and 30 due to
  HIV/AIDS (2001/2 UNAIDS)
• Orphans by age groups (lt 15yrs)
• 0-4 15
• 5-9 35
• 10-14 50

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Situation cont.

• Limited testing facilities and willingness to
  test before and during the marriage
• High number of child-headed households and
  growing number of street children
• Limited number of systematic interventions and
  programmes addressing comprehensively the ECD
  problem

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MAJOR PROBLEMS

• High levels of stigma and discrimination
• Lack of adult parental care and provision of
  basic needs to child-headed households
• Limited technical skills in counseling, medical
  care and home care of children affected by
  HIV/AIDS
• Weak coordination and ME mechanisms for existing
  fragmented interventions

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Major problems cont.

• Limited financial and technical resources to
  address ECD HIV/AIDS problem
• Difficulties in laboratory diagnosis of HIV/AIDS
  in young children (infants)
• Requirement for committed adult care giver for
  infected children on ARV
• Psychosocial problems in OVCs due to lack of
  proper care and social guidance

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EXISTING INTERVENTIONS

• National policy on orphans and vulnerable
  children that includes those affected by HIV/AIDS
• National strategic framework plan of action for
  HIV/AIDS including ECD
• Expanding VCT(48)/PMTCT (55) programmes
• Initial stages of ARV treatment of OI
  programmes
• National strategy on infant and young people
  nutrition
• Free UPE policy for 9 years
• Solidarity funds and institutional support for
  indirect costs of basic education for OVC.
• IMCI Programme being developed with
  implementation structures by Ministry of health

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Existing interventions cont.

• Various disjointed aspects of interventions of
  national and community organisations
• Nutritional deficiencies for OVCs and CAA due to
  limitations in capacities and lack of nuclear
  family care and guidance

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FUTURE PERSPECTIVES

• Rapid assessment of the scope and nature of
  interventions at various levels by multiple
  development partners
• Develop a strategic framework for a comprehensive
  national action
• Prepare a national proposal for resource
  mobilisation
• Integrate ECD indicators in the national ME
  System