Acknowledgement

Proportion of Responses by Region

In the event, a total of 43 of the 53 AU member countries finally responded to the PAT – a commendable 81 per cent (see Annex A for the list). These are: Angola, Benin, Botswana, Burkina Faso, Cameroon, Central African Republic, Chad, Congo, Comoro Islands, Côte d’Ivoire, Djibouti, Democratic Republic of Congo, Egypt, Ethiopia, Equatorial Guinea, Gabon, Ghana, The Gambia, Guinea Bissau, Guinea Conakry, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritania, Mauritius, Mozambique, Namibia, Nigeria, Rwanda, Sao Tome & Principe, Senegal, South Africa, Sudan, Swaziland, Tanzania, Togo, Tunisia, Uganda, Zambia and Zimbabwe (Table 1).

Summary of Findings in Each Priority Area

In presenting the findings of the review, this section walks through each of the nine major areas of intended action. The presentation briefly summarizes the quantitative results, gives a capsule narrative summary and where appropriate details the findings in tabular form. The nine areas and their corresponding indicators – a total of 37 of the latter – are as follows:

Indicator 1: Integrated SRHR/STI/HIV/AIDS and malaria policy documents and/or national plans

Indicator 2: Multisector plans supporting SRHR

Indicator 3: Laws/legal instruments dealing with gender-based violence (GBV) in place

Indicator 4: Strategies dealing with GBV developed and implemented

Indicator 5: Policies and programmes that address harmful traditional practices

Indicator 6: Training institutions integrating STI/HIV/AIDS and nutrition with SRHR in their curricula

Indicator 7: Percentage of SDPs (health facilities) offering integrated SRHR/STI/HIV/AIDS and malaria services

Indicator 8: Strategy for community-based STI/HIV/AIDS and SRHR services

Indicator 9: Proportion of health budget allocated to family planning commodities

Indicator 10: Supportive protocols and guidelines for family planning
4. Youth-friendly SRHR services positioned as key strategy for youth empowerment, development and wellbeing

Indicator 11: Policies/strategies supporting SRHR services for young people

Indicator 12: Youth-friendly SRHR services integrated into the training curricula
5. Incidence of unsafe abortion reduced

Indicator 13: Legislative/policy framework on abortion

Indicator 14: Programmes, strategies and action plans to reduce unwanted pregnancies and unsafe abortion


Among the good practices is the case of Zimbabwe where:

the review of the curricula for nurses, midwives and doctors has been done and includes integration of STI/HIV/nutrition.

Indicator 16: Road map for the reduction of maternal and newborn morbidity and mortality

Indicator 17: National action plan to operationalize the road maps

Indicator 18: Preservice curricula incorporating emergency obstetric and neonatal care (EmONC) for all appropriate cadres

Indicator 19: Functional referral system from community to health facility

Indicator 20: Availability of protocols for the integrated management of childhood illnesses (IMCI)

Indicator 21: Proportion of EmONC sites with access to adequate supply of safe blood

Indicator 22: Programmes and strategies to scale up prevention of mother to child transmission (PMTCT) of HIV

Indicator 23: Proportion of HIV-positive mothers who have delivered and are receiving anti-retroviral drugs (ARVs)
7. Resources for SRHR increased

Indicator 24: 15 per cent of national budget allocated to health

Indicator 25: Proportion of health budget allocated for SRHR

Indicator 26: SRHR integrated into national poverty reduction strategy papers (PRSPs), or other development plans

Indicator 27: No. of midwives per population
8. SRH commodity security strategies for all SRH components achieved

Indicator 28: National RH commodity security strategy and action plan(s) in place

Indicator 29: RH commodities in essential medicines list

Indicator 30: National budget line for SRH commodity security

Indicator 31: Experiencing RH commodities stock-outs
9. Monitoring, evaluation and coordination mechanism

Indicator 32: Censuses, Demographic and Health Surveys (DHSs), and maternal and neonatal death reviews conducted regularly

Indicator 33: A monitoring and evaluation system institutionalized

Indicator 34: Operational research findings utilized

Indicator 35: Resource allocation and utilization regularly monitored

Indicator 36: Best practices documented

Indicator 37: Functional coordination and harmonization mechanism in place