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Initiatives Against HIV in Haiti

HIV in Haiti
With an estimated “2.2% of adults” noting an HIV-positive status in 2010, Haiti faces “the largest [HIV] epidemic in the Caribbean.” In 2020, 150,000 children and adults in Haiti lived with HIV. People older than the age of 15 made up 93% of this population. In addition, 20% of Haitians living with the disease are unaware that they are HIV-positive. To help reduce the prevalence of HIV in Haiti, several initiatives are currently underway, run by the Centers for Disease Control and Prevention (CDC), UNAIDS and the Elizabeth Glaser Pediatric AIDS Foundation.

CDC Initiatives

Since the CDC’s Division of Global HIV & TB opened its office in Haiti in 2002, the CDC has launched several initiatives to address the country’s HIV epidemic. The first aim is to strengthen health systems by training medical personnel, supporting staffing needs and strengthening the Haitian Ministry of Health’s governance. The CDC has also aided in the development of the iSanté national electronic medical record (EMR) software to better monitor and track HIV patient data. These innovative tools help inform evidence-based treatment for this disease. In 2018, iSanté, “along with two other EMR systems,” could monitor the data of “96% of HIV care and treatment sites.”

Another goal of the CDC office in Haiti helps improve laboratory resources. Through a collaboration with the National Public Health Laboratory and GHESKIO, a medical treatment, research and training center in Port-Au-Prince, Haiti, the CDC has helped develop and expand several HIV testing methods. In addition, the CDC assisted in developing “an external quality assurance program and a training curriculum” to support lab accreditation.

Community-led Monitoring

With support from UNAIDS, the Ministry of Public Health and Population and the U.S. government via the United States President’s Emergency Plan for AIDS Relief (PEPFAR), Haiti’s Civil Society Forum Observatory has initiated “community-led monitoring,” a program through which people living with HIV hold each other accountable throughout treatment. Community members are familiar with HIV patients from their community, and when patients do not follow through on treatments or follow-ups, community members know how to best communicate with them and encourage them to return. Community-led monitoring can provide valuable feedback on service delivery from a patient perspective, helping to improve on existing issues “to retain people in care.”

Community-led monitoring reveals the weaknesses of treatment plans for HIV in Haiti and brings corresponding solutions to light. For example, due to insight from community-led monitoring, the Civil Society Forum Observatory brings to light a need to increase the window of service hours and decrease patient wait times. It also recommends that stable HIV patients receive a six-month supply of antiretroviral medication. Through community-led monitoring and other resources, Haiti was able to allocate multiple months’ supplies of antiretroviral medicines to 88% of HIV patients during the COVID-19 pandemic.

Elizabeth Glaser Pediatric AIDS Foundation

The Elizabeth Glaser Pediatric AIDS Foundation strives to combat pediatric HIV worldwide through advocacy, research and initiatives for prevention and treatment. Although most HIV patients in Haiti are adults, 8,000 children younger than 15 lived with HIV in Haiti in 2020. Thus, addressing pediatric HIV in Haiti is an important health initiative.

Toward the latter part of 2020, the Foundation began its work in Haiti with the Delivering Technical Assistance Project. The project offers “cost-effective technical assistance (TA), capacity building and program implementation services” to HIV reduction programs. The technical assistance includes program management training, mentorship, consultations and workshops for health care workers.

These strategies, and many others throughout the country, are successfully helping lower HIV rates in Haiti. As organizations continue to implement HIV reduction plans, the severity of the HIV epidemic in Haiti may see a decline in the years to come.

– Aimée Eicher
Photo: Flickr

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Improving HIV/AIDS Care in Malawi

hiv-treatment-malawi.opt
Over the last decade, Malawi has reduced its rate of HIV/AIDS infections by 72 percent, more than any other African country. US agencies that combat the virus hope to build on these successes with a five-year effort to improve HIV/AIDS care in Malawi. The effort is coordinated with Malawi’s government and will target seven districts across the country.

The Elizabeth Glaser Pediatric AIDS Foundation, an NGO that focuses its anti-HIV work on mothers and children, is spearheading the effort. Funding is provided by the US President’s Emergency Plan for AIDS Relief (PEPFAR) and the Centers for US Disease Control and Prevention (CDC).

One of the biggest successes to date for HIV/AIDS care in Malawi has been the prevention of virus transmission to at least 7,000 babies. This has been accomplished through lifelong anti-retroviral treatment for all pregnant and breastfeeding women who are HIV-positive. The Foundation’s efforts continue to focus on pediatric preventive care. Its goal to achieve less than a five percent transmission rate from mother to child is well within reach.

Over the next five years, US organizations plan to provide other health care services in addition to HIV/AIDS care in Malawi. One million Malawians will receive counseling, 50,000 adult men and 400,000 pregnant women will receive HIV testing, and lifelong treatment will be provided to at least 25,000 women expected to test positive for the virus.

Despite gains over the last decade, AIDS remains the number one cause of death in Malawi, with about 100 deaths and 30 new infant infections each day. The Malawian minister of health, Catherine Hara, expressed hope that the seven targeted districts will serve as a model for widespread improvements in HIV/AIDS care in Malawi.

– Kat Henrichs

Source: Relief Web
Photo: [email protected]