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MINISTRY OF PUBLIC HEALTH AND POPULATION

MINISTRY OF PUBLIC HEALTH AND POPULATION. NATIONAL PROGRAM FOR CONTROL OF STD / HIV / AIDS. PLAN. INTRODUCTION PROFILE OF THE EPIDEMIC THE PROBLEM RESPONSE ACHIEVEMENTS CHALLENGES OUTLOOK CONCLUSION. INTRODUCTION.

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MINISTRY OF PUBLIC HEALTH AND POPULATION

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  1. MINISTRY OF PUBLIC HEALTH AND POPULATION NATIONAL PROGRAM FOR CONTROL OF STD / HIV / AIDS

  2. PLAN • INTRODUCTIONPROFILE OF THE EPIDEMICTHE PROBLEMRESPONSEACHIEVEMENTSCHALLENGESOUTLOOKCONCLUSION

  3. INTRODUCTION • Immense progress in the fight against the AIDS epidemic during the 30 years since its beginning, in 1981 • Haiti and the Caribbean region still remainthe most affected, after sub-Saharan Africa. • The evolution of HIV / AIDS marked the history of Haiti in a special way. • The country has given and continues to give a strong response to the epidemic.

  4. PROFILE OF THE EPIDEMIC The Haitian AIDS epidemic is generalized. Every department is concernedPrevalence: 2.2%Number of people infected: 127,000 Number of orphans: 82.200 Nearly 11.500 children are living with HIVEvery day 20 Haitians are infected with HIVNearly 70% of new infections are affecting young women (15-24)The prevalence among FSWs and MSM is highNumber of people who need treatment: 61,600

  5. THE PROBLEM • Generalized epidemic particularly attacking productive, young people • Feminization of the epidemic • Children and youth are more and more affected • Impact on families and communities • Heavy social load for the government • Heavy burden for the MSPP

  6. RESPONSE : THE NATIONAL STRATEGIC PLAN • The 2008-2012 NSP, with an extension until 2015 is a continuation of the 2002-2006 NSP. • The goals are: • a multidisciplinary approach for implementation • sustainability of the program’s key interventions.

  7. VISION • The implementation of the strategic plan will reduce significantly the incidence of HIV and other STIs, improve the quality of life of those infected and affected by the HIV disease. It will also improve the socio-economic and gender-related conditions that perpetuate vulnerability among youth and women in Haiti.

  8. MAIN AREAS OF INTERVENTION • Multisectoral Strategic Plan is divided into six Areas of Major Intervention. -Prevention -Reduction of Impact -Promotion and Defense of Human Rights -Build Sustainability of Interventions -Epidemiological Surveillance -Monitoring of the Strategic Response and its effects.

  9. MAIN EXPECTED OUTCOMES • Adoption of safe sex practices by sexually active people in general, young people 15 to 25 years sexually active in particular • Free distribution and sales of male and female condoms distributed equitably throughout the territory • An economic environment that promotes a positive social life with access to education. stable employment, micro credit, information on opportunities • Care sites equitably distributed throughout the national territory • A family and community support system in communities where access to institutional care for PLWHA was established • Supportive community and social environment

  10. MAIN EXPECTED OUTCOMES (cont) • A national fund for AIDS, powered by different sources • Improvement in the overall governance of the program through a constant affirmation and enlightened national leadership at all levels • Monitoringof the strategic response and its effects • A legal framework for the protection of vulnerable and infected people • Single national framework for monitoring the epidemic, monitoring and evaluation of response. • Strengthening of the ministerial information system

  11. ACHIEVEMENTS • EVOLUTION OF ART CARE • Inversion of the curve of the HIV/AIDS progression • Population informed on modes of transmission: 97%. (EMMUS 4) • Increase of screening • Increase of the number of sites • Increase of the number of patients receiving tri-therapy

  12. INSTITUTIONAL HIV SERVICES FROM 2005 TO 2008

  13. DISTRIBUTION OF HEALTH INSTITUTIONS OFFERING ART 2,9 % 2,0 % 2,7 % 2,1 % 1,6 % 2,4 % 3,0 % 1,6 % 2,2 % 1,4 %

  14. CHALLENGES • Improve Governance. • Social and community participation. • Strategic monitoring of the implementation. The adoption of the culture of execution within the program, a culture based on managing for results. • Socio-economic situation of the population. • Identification of effective strategies to overcome the obstacles to geographic, economic, cultural, and institutional development, through a realistic and pragmatic facilitating universal access to all. • Strengthening and expansion of health services.

  15. OUTLOOK • Dissemination of the strategic plan • Preparation of the M&E plan • Strengthening the M&E and strategic monitoring of interventions. • Strengthening of the existing care sites • Increase the number of service delivery sites by decentralizing operations (IMAI) and focusing on quality and service integration with a holistic approach • Intensification of prevention: TARGET (youth, sex workers and MSM) • Coordination of interventions in the light of the lessons learned

  16. CONCLUSION • Although many efforts have been made to fight against HIV / AIDS, the MSPP still has very important challenges to overcome and this must be done with the collaboration and the effective involvement of all stakeholders and all sectors of government.

  17. MERCI

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