Combat HIV/AIDS, malaria and other diseases
Where we are
The target here is to halt and begin to reverse the spread of HIV in the country. The prevalence of HIV/AIDS among youths and adults (15 to 49 years of age), stayed constant with a rate of 11.5% between 2008 and 2009, after having shown an increasing tendency from 8.6% to 11.5% between 1997 to 2008.
Regarding the Vertical Transmission Prevention programme (PTV), the number of health units offering PTV service increased to 832 units in 2009, against 744 units in 2008. Thus, in 2009 a total of 888,861 pregnant women were attended for the first time in the CPN with PTV services (712,768 were attended in 2008). The number of pregnant women counselled and tested in these health units also increased to 649,820 (73.1%) in 2009, against 511,972 (71.8%) in 2008. Meanwhile, until December 2009, 66,615 pregnant women had received anti-retroviral treatment for the prevention of vertical transmission, corresponding to 45.8% of the total number of HIV-positive pregnant women. In 2008 a total of 46,848 pregnant women received anti-retroviral treatment (32.1% of the total).
Challenges for the achievement of the targets for 2015
For the achievement of the targets for 2015, the country should: Focus actions on the high risk groups and on people in stable relations (a single partner); promote and consolidate the consistent use of female and male contraceptives; prepare specific communication strategies for social and behavioural change; continue the expansion of quality paediatric and adult ART; decrease of the regional inequalities of access to HIV care and treatment; promote Institutional capacity-building and training of health professionals in nutritional assessment and referral systems, as well as setting up community distribution systems and the “basic food basket” monitoring system.
It is also necessary to strengthen counselling and advising, nutritional/food support and monitoring of the impact of the activities carried out by the grassroots community organisations; reduce the time between HIV diagnostics and the beginning of ART; ensure the implementation of a comprehensive paediatric package; strengthen the capacity of the health unit and community health staff regarding nutrition and HIV, particularly the selection of patients on the basis of anthropometrical measurements, monitoring, follow-up and evaluation;