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| | |National HIV/AIDS Strategic Framework II | |2010-2014 |

National AIDS Commission
Republic of Liberia

TABLE OF CONTENTS

Forewordiv

Prefacev

Acknowledgementsvi

Abbreviations Usedvii

EXECUTIVE SUMMARY 1.

1.INTRODUCTION 9.

1.1Background 9.

1.2Demographic and health profile 9.

2.HIV/AIDS IN LIBERIA12.

2.1The Epidemiology of HIV/AIDS In Liberia12.

2.2Potential drivers of the HIV epidemic14.

2.2.1The impact of war and extreme poverty14.
2.2.2Collapse of the public health-care system15. 2.2.3Violence and sexual and gender-based violence16.

2.3Key populations at risk (or vulnerable) and affected by HIV/AIDS18.

2.3.1(Young) women and girls18.

2.3.2Women and girls involved in transactional sex or sex work

– victims of human trafficking21.

2.3.3(Young) men and clients of sex workers – including mobile men22. 2.3.4Men who have sex with men (MSM) 23.
2.3.5Infants born to HIV-infected mothers24.
2.3.6People living with HIV/AIDS (PLHIV) 25.
2.3.7Orphans and vulnerable children (OVCs) 26.

3.LIBERIA’S NATIONAL HIV/AIDS RESPONSE TO DATE27.

3.1Management, coordination and financing27.

3.1.1National management and coordination structures27. 3.1.2Multisectoral involvement and coordination28. 3.1.3HIV/AIDS in broader national and international policy and development frameworks29.

3.1.4Resource mobilisation and financing for HIV/AIDS29.

3.2HIV/AIDS service delivery30.

3.2.1HIV-prevention programmes and services30.

3.2.2Treatment, care and support34.

3.3Health systems strengthening (HSS) 35.

3.4Research, surveillance and M&E37.

4.PRIORITY ISSUES EMERGING FROM EPIDEMIOLOGICAL, SITUATION
AND RESPONSE ANALYSES38.

4.1Effective coordination and management of the (decentralised, multisectoral) national response38.

4.2Strengthening HIV prevention, with a priority focus on most-at-risk and vulnerable populations39.

4.3Scaling up coverage and quality of sustainable treatment, care and support for PLHIV, OVCS, and other affected persons39.

4.4Availability and use of strategic information for an evidence-informed response40.

4.5Reducing stigma and discrimination of PLHIV, OVCS and others affected – as a cross-cutting priority41.

5.STRATEGIC FRAMEWORK NSF II (2010-2014) 43.

5.1Guiding principles and wider policy context43.

5.1.1Key guiding principles of the national response to HIV/AIDS43. 5.1.2The national response to HIV/AIDS in a wider policy context45.

5.2NSF goals and strategic objectives45.

5.2.1NSF goals45.
5.2.2NSF strategic objectives45.

5.3Key NSF intervention areas: strategies and main activities46.

5.3.1Main strategies for objective 1: Coordination and management of the national response46.
5.3.2Main strategies for objective 2:...
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