The programme continues to support national efforts to increase the availability and utilization of quality services for a defined essential health package (EHP) and leverage support for maintaining and scaling up cost-effective interventions. Key results to be achieved by the programme include ensuring that 95 percent of children aged 12-23 months are fully immunized, 70 percent of under-five children and 60 percent of pregnant women sleep under an insecticide-treated net, and 80 percent of under-five children are reached with vitamin A supplementation. The EHP has been re-costed to include key maternal and child health components, including nutrition supplies and ensuring access to services. UNICEF will support the costing of the health sector to promote evidence-based promotion of resource allocation to the sector.
A comprehensive Accelerated Child Survival and Development Strategic Plan has been developed to guide the multi-sectoral response. The IMCI strategy is being scaled up so as to reach 60 percent of health workers with improved case management skills and 40 percent of household in all districts with skills to promote key caring practices. Greater attention is being given to addressing the high child and maternal malnutrition through a more integrated response and strengthened capacity of communities and service providers to prevent and manage nutritional deficiencies. In close collaboration and joint programming with WHO and UNFPA, UNICEF is supporting the implementation of the Road Map or National Plan for Accelerated Reduction of Maternal Mortality. Child Health Days have been institutionalised and are taking place bi-annually, integrating a series of high impact interventions, such as Vitamin A supplementation, de-worming, breastfeeding promotion, and social sanitation activities.
UNICEF is supporting national efforts to scale up the provision of prevention of mother-to-child services by increasing the number of health centers providing PMTCT services. The results to be achieved include the provision of quality HIV testing and counselling to 90 percent of all pregnant women attending antenatal clinics in all PMTCT sites and ensuring that 80 percent of those found with HIV receive antiretroviral drugs to prevent mother-to-child transmission. At least 80 percent of eligible HIV-positive mothers identified through the PMTCT services will receive antiretroviral treatment. The programme also aims to ensure that at least 60 percent of children born of HIV positive mothers identified through the PMTCT programme are tested for HIV in a timely manner and that they are provided with co-trimoxazole (antibiotics) to prevent opportunistic infections. The programme supports on-going national efforts to ensure that at least 10 percent of AIDS patients receiving antiretroviral treatment are children under 15 years of age. UNICEF also supports national efforts to scale up youth-friendly health services and HIV voluntary counselling and testing by ensuring that 60 percent of health facilities offer youth friendly services.