SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...

planning products from DHOs/DPHOs.Although the National RH strategyincludes eight components, onlythe safe motherhood and the familyplanning components have a nationalcoverage. Scaling up of adolescentsexual reproductive health (ASRH)programmes, despite the NationalAdolescent Health and Developmentstrategy (2002) and implementationguideline (2008), have still a long wayto go in Nepal. The other componentsof RH are either available throughselected health institutions or throughthe private sector only.The current statistics of key RHindicators produced from the NepalDemographic and Health Survey 2006are presented in the table below:B. HIV and AIDSProgrammes in NepalThe first case of HIV in Nepalwas reported in 1988. In 2009, theestimated number of people living withHIV in Nepal was about 64,000 (rangeof 52,000–77,000); the estimated adultHIV prevalence was 0.39 per cent,(NCASC 2010b).As of June 2010, atotal of 15,945 HIV cases and 2,403cases of AIDS have been reported(NCASC 2010a). About 31 per cent ofreported HIV cases were women aged15-49 years.Nepal has concentrated HIV epidemics,with levels of the epidemic varyingacross different geographic areas as wellas different population groups. Thecountry has been broadly divided intofour different geographic zones withinthe context of responding to HIV andAIDS. The 26 districts of the Teraihighway zone accounted for 50 per centof PLHIV in 2007.169