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ECD AND HIV/AIDS IN RWANDA

ECD AND HIV/AIDS IN RWANDA. RELEVANT DEMOGRAPHICS. Demo cont…. Total pop. 8,272 m Size 26,338 sq,km Popl. Density 380/sq.km <5 yrs pop. 1,486 m <18 yrs pop. 4,327 m IMR 107/1,000 <5 MR 196/1,000 MMR 1,071/100,000 ANC 1 st attendance 92%

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ECD AND HIV/AIDS IN RWANDA

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  1. ECD AND HIV/AIDS IN RWANDA

  2. RELEVANT DEMOGRAPHICS

  3. Demo cont…. • Total pop. 8,272 m • Size 26,338 sq,km • Popl. Density 380/sq.km • <5 yrs pop. 1,486 m • <18 yrs pop. 4,327 m • IMR 107/1,000 • <5 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%

  4. 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 (< 15yrs) 0-4 15% 5-9 35% 10-14 50%

  5. 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

  6. 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 M&E mechanisms for existing fragmented interventions

  7. 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

  8. 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

  9. 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

  10. 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 M&E System

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