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THE ABUJA FRAMEWORK FOR
ACTION FOR THE FIGHT AGAINST HIV/AIDS, TUBERCULOSIS AND OTHER RELATED INFECTIOUS DISEASES
IN AFRICA
African Heads of State and
Government recognize the challenge of developing feasible policies, strategies, structures
and processes to ensure adequate prevention and control of HIV/AIDS, Tuberculosis and
Other Related Infectious Diseases (ORID). This Framework for Action articulates the
commitments made in the Abuja Declaration on HIV/AIDS, Tuberculosis and Other Related
Infectious Diseases into strategies followed by subsequent activities. Member States will
implement the activities in close collaboration with all stakeholders.
The Mechanism for
Implementation, Monitoring and Follow up will ensure that the Framework for Action is
implemented in a sustainable manner. It will also ensure that the actions are well
coordinated and that evaluation and feedback are continuous.
The primary goal is to arrest
and reverse the accelerating rate of HIV infection, TB and ORID and to achieve this, the
following are the guiding objectives:
To advocate for optimal
translation of earlier commitments of African Leaders into social and resource
mobilization for sustainable programming of Primary Health Care.
To develop policies and
strategies aimed at preventing HIV, Tuberculosis and other related infections, and at
controlling the impact of the epidemic on socio-economic development in Africa.
To establish sustainable
mechanisms for national and external resource mobilization for prevention, and treatment
of the persons living with HIV/AIDS.
To ensure that we attend to
the needs of vulnerable groups such as children, the youth, women and persons with
disabilities, workers and mobile populations.
The following Framework for
Action has been provided with the view to achieving those objectives:
Member States are urged to
adopt the Framework for Action for the continent in order to develop and strengthen their
own Action Plans.
The OAU Secretariat is
requested to follow-up the development and implementation of national Action Plans of
Member States and Mechanisms for Monitoring and Evaluation.
The OAU Secretariat, in
collaboration with Members of the Bureau, in consultation with Regional Economic
Communities, is mandated to develop the strategic Framework into an Action Plan for the
Continent to be presented to the Ministers of Health at the World Health Assembly to be
held in Geneva in May 2001, and thereafter to the Heads of State and Government in Lusaka
Summit in July 2001 though the President of the Federal Republic of Nigeria.
The OAU Secretariat is
requested to develop its own operational plan.
THE ABUJA FRAMEWORK FOR
ACTION FOR THE FIGHT AGAINST HIV/AIDS, TUBERCULOSIS AND OTHER RELATED INFECTIOUS DISEASES
| Priority
Areas |
Strategies
|
| I.
Leadership at national, regional and continental levels to mobilize society as a whole to
fight HIV/AIDS, TB and ORID. |
Provision
of an enabling environment at all levels of leadership in society. |
| II.
Improvement of Information, Education and Communication |
-
Mobilize the formal and informal education sectors. - Develop appropriate information system for the population |
| III.
Protection of Human Rights |
-
Develop a multi-sectoral national programme for awareness of and sensitivity to the
negative impact of the pandemic to people especially vulnerable groups - Enact relevant legislation to protect the rights of
people infected and affected by HIV/AIDS and TB
- Strengthen existing legislation to:
- address Human Rights violations and gender
inequities; and
- respect and protect the rights of infected
and affected people;
- Harmonize approaches to Human Rights
between nations for the whole continent.
- Assist women in taking appropriate
decisions to protect themselves against HIV./AIDS. |
| IV.
Access to treatment, care and support |
-
Integration of HIV/AIDS and TB Programnmes in primary health care services - Promote and strengthen the continuum of care in a
decentralized manner.
- Ensure development of community-based
networks
- Expand Directly Observed Treatment for
Tuberculosis. |
| V.
Access to affordable drugs and technologies |
- Enact
and utilize appropriate legislation and international trade regulations to ensure the
availability of drugs at affordable prices and technologies for the treatment, care and
prevention of HIV/AIDS, TB and Other Related Infectious Diseases. |
| VI.
Strengthening health Systems |
-
Development and strengthening of infrastructure - Capacity-building
- Human Resource Development |
VII.
Resources Mobilization:
- National
- International
|
-
Collaboration with all national partners in order to mobilize additional financial
resources to fight against the pandemic. - Create and increase of HIV/AIDS, TB and ORID national budget line
to facilitate access to diagnosis, care and drugs as well as to reagents for diagnosing
other infectious diseases.
- Integrate International Partnership against
HIV/AIDS, TB and ORID at all levels of society in Member States
- Integrate Regional policies and partnership
programmes for migrants and refugees.
- Support the creation of the Global Fund to
fight HIV/AIDS in Africa
- Support the creation of the Global TB Fund.
- Advocate for increased grants not loans.
- Advocate for debt cancellation. |
| VIII.
Research and Development on HIV/AIDS, TB and Other Related Infectious Diseases including
vaccines, traditional medicines and indigenous knowledge. |
-
Promote and support research and development for vaccines and drugs for HIV/AIDS. - Promote research and development of herbal
medicines.
- Promote research and development on
nutrition.
- Discourage the promotion of unproven
medicines and remedies for HIV infections. |
| IX.
Poverty, Health and Development |
-
Develop/promote income generating capacity of families particularly those affected by the
epidemic; - Promote
concessionary credit facilities to families especially women in rural areas;
- Promote good nutritional practices. |
| X.
Monitoring and Evaluation |
-
Strengthen Health Information System -
Establish a surveillance system for HIV infections.
- Organize regular meetings on access to
treatment. |
| XI.
Partnership |
-
Strengthening national and regional network - Establishing developmental Coordinating Units
- Development of networks of Experts and
Institutions
- Promote South-South cooperation
- Promote public - private partnership |
| XII.
Prevention of the spread of HIV/AIDS, TB and Other Related Infectious Diseases. |
-
Ensure access to quality voluntary confidential counseling and testing; - Ensure blood safety;
- Promote appropriate management of STIs and
TB;
- Improve access to programmes for prevention
of mother-to-child transmission;
- Ensure access to barrier methods;
- Ensure prevention of occupational hazards
to health workers and others from exposure to HIV/AIDS and TB;
- Improve Information, Education and
Communication at community level. |
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