6 Combat HIV/AIDS, malaria and other diseases
Where we are?
Goal 6 is likely to be partially met as the targets for combating HIV/AIDS will be met, but reducing the incidence of malaria and tuberculosis (TB) lags behind. While there has not been much progress in reducing the incidence of malaria, there are no indications that the disease is growing in frequency. Planned campaigns such as the Roll Back Malaria initiative have helped to stabilize and possibly start to reverse incidence. The TB prevalence rate is difficult to assess because of stigma, but the treatment success rate of 85% on average is encouraging. HIV prevalence appears to have been stabilized at a rate of just over 1.5% of the general population, with pockets of higher prevalence among certain groups. Treatment options are widely available free of charge, but fear of stigma appears to be a larger obstacle to effective treatment than access.
The Government of Sierra Leone has made a strong political commitment to combat the HIV/AIDS, Malaria and TB epidemics. These efforts led to the establishment of the National HIV/AIDS Council in 2002 and the development of special programmes on malaria and TB as part of the national health delivery system.
To continue to support facilitate the reversal of the epidemics, three main areas of intervention have been identified: prevention, care and support.
- Increase HIV/AIDS awareness to influence positive behavioural change.
- Increase access to voluntary confidential counseling and treatment and testing.
- Stigma reduction through awareness and the implementation of the Prevention and Control of HIV and AIDS Act, 2007.
- Provision of test kits, ARVs, and other medical supplies at health facilities across the country.
- Improving human resource development and training for effective HIV/AIDS prevention, care and support.
- Provision of test kits, Anti-Retroviral Treatment, and other medical supplies at health facilities across the country.
- Operational research on drug resistance, discordance, new drivers of the epidemic and survival rates.
- Scale-up malaria case management including home management of malaria using Community Health Volunteers.
- Multiple Disease Prevention:
- Distribution of Insecticide Treated Bednets
- Indoor Residual Spraying
- Intermittent treatment of pregnant women
- Improved advocacy, information, education and communication and social mobilization efforts.
- Programme strengthening and partnership and improved Monitoring and Evaluation frameworks and practices.
- Establish more centres for Directly Observed Treatment Short-course (DOTS) course across the country.
- Establish more diagnostic centres.
- Increase the general awareness on TB.
- Effective integration of TB into the national health delivery systems.
UNDP's work in Sierra Leone
UN family hands over palm oil processing plant and information platform to the agribusiness centre on Africa Day
Director General of the UN Industrial Development Organisation (UNIDO), Kandeh Yumkella, along with a high powered delegation from the Peacebuilding Commission and the UN family inmore
The 8 Millennium Development Goals
- 1 Eradicate extreme hunger and poverty
- 2 Achieve universal primary education
- 3 Promote gender equality and empower women
- 4 Reduce child mortality
- 5 Improve maternal health
- 6 Combat HIV/AIDS, malaria and other diseases
- 7 Ensure environmental sustainability
- 8 Develop a global partnership for development
Targets for MDG6
- Halt and begin to reverse the spread of HIV/AIDS
- HIV prevalence among population aged 15-24 years
- Condom use at last high-risk sex
- Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS
- Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years
- Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it
- Proportion of population with advanced HIV infection with access to antiretroviral drugs