A multi-sectoral approach
Realizing that HIV/Aids was a crosscutting issue, the Zambia government started to streamline the disbursement of the available funds for fighting HIV/Aids. Within this process, the National Aids Council plays the role of a coordinator. Part of these funds is invested in treatment while others go to awareness/prevention and care programmes. In 2001, the University Teaching Hospital started to offer ART. Clients pay about 15 dollars for a CD4 estimation and a monthly contribution of 8 dollars towards their drugs. Since then, there has been a phased introduction of ART in all nine provincial health centres.
Although the UN system, including the World Health Organisation, is providing technical, financial and material support, the contribution from part of the donor and NGO sectors is still indispensable. With the support from donors like the Japanese International Co-operation Agency (JICA) and the Norwegian Agency for Development Cooperation (NORAD), voluntary counselling and testing services have been reinforced in the country. Apart from numerous international ones, there are many community-based local NGOs and organisations playing their part in mitigating the impact of HIV/Aids. Some of them run clinics offering free ART. SOS Children’s Villages Zambia is a player in this multi-sectoral approach and recently received grant from Zambia National Aids Network, to carry out more and more intense awareness, prevention and care programmes within the frame of the social outreach programme. The SOS Medical Centre in Lusaka plays the role of a facilitator, providing counselling, testing and care services at the clinic and referring those in need of treatment to the various health centres where they can access free ART.
russell robertson...
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