[ad_1]
A look at the mobilization against the virus in this country, its figures and its actors.
What is HIV-AIDS?
AIDS is infection with the human immunodeficiency virus, commonly known as HIV. The word AIDS itself is an acronym: it is the acronym for "acquired immunodeficiency syndrome" because it attacks the body's natural defenses (the immune system) against the disease.
The virus is transmitted badually – hence its clbadification as "badually transmitted infections (STIs)" or "badually transmitted diseases (STDs) – by blood or mother to child. It is not caught by saliva, sneezing, shaking hands or hugging an infected person, for example.
At this point, "there is no way to cure HIV infection," saysWorld Health Organization (WHO) in a fact sheet posted on July 19, 2018.
"On the other hand, effective antiretroviral drugs (ARVs) can help control the virus and help prevent its transmission, so that people who carry it and those at risk of substantial infection can enjoy a long life. , productive and healthy, "she says.
The beginnings of the fight against AIDS
The first cases of HIV "appeared in Côte d'Ivoire in 1985", is it indicated in a document published in July 2015 by the Ministry of Health, titled "National Strategic Plan for Surveillance of HIV-AIDS and STIs 2015-2019 in Côte d'Ivoire".
HIV prevalence
For 2018, the prevalence of HIV in Côte d'Ivoire is estimated at 2.8%, told Africa Check the director-coordinator National AIDS Program (PNLS) in the country, Dr. Abo Kouamé.
This estimate is down from the last rate contained in the "2016-2020 National Strategic Plan to Fight AIDS and Sexually Transmitted Infections" (PSN 2016-2020) published in 2017 by the Ivorian Ministry of Health and Public Hygiene, consulted by Africa Check. According to this document, the prevalence of HIV was 3.7% in the population aged 15-49, based on data collected during a demographic and health survey (multiple indicator DHS) conducted in 2011-2012.
More recent statistics appear in the database of the World Health Observatory WHO "is the main repository of health statistics", according to this UN agency. According to these estimates, in English and accessible to the public, HIV prevalence in Côte d'Ivoire among 15-49 year olds was 2.8% in 2017, having declined steadily since 2000. The rate was 3.6% in 2010; 5.1% in 2005 and 7.7% in 2000.
Deaths due to HIV-AIDS
According to the same database, the number of deaths from HIV / AIDS in Côte d'Ivoire has also steadily declined in recent years. It was estimated at 24,000 people in 2017 against 35,000 in 2010; 55,000 in 2005 and 61,000 in 2000.
According to the WHO, "In 2017, 940,000 people died from one or more HIV-related causes around the world".
Access to antiretrovirals
The coverage rate for access to ARV treatment was estimated at 46% in 2017. In the same year, some 226,000 people were receiving antiretrovirals, out of about 500,000 people living with HIV, "all ages". According to the results of the last general census of the population and housing published by theNational Institute of Statistics (INS), in mid-May 2014 Côte d'Ivoire had just over 22.67 million inhabitants.
At the end of 2017 worldwide, according to WHO, "there were (…) about 36.9 million people living with HIV," and of that total, "21.7 million people were on antiretroviral therapy."
"Eradicate AIDS by 2030"
"It is clear that in our country, HIV is still a major public health problem that has an impact on development," said Ivorian President Albadane Ouattara in the preface to the 2016-2018 NSP. He added that Côte d'Ivoire was part of "a global vision to eradicate AIDS by 2030".
Cited in the same document, the then Minister of Health, Dr. Raymonde Goudou-Coffie, had for her part mentioned other objectives, including those of "reduce new infections by 50%" and lower "mortality and HIV-related morbidity of PLHIV (people living with HIV) by 75%. " [L’actuel ministre de la Santé, en poste depuis le 10 juillet 2018, est Dr Eugène Aouélé Aka.]
Actors of the fight
One of the leading players is the PLNS which, according to his site, is "the national technical reference structure for all activities related to the national response to HIV, AIDS and badually transmitted infections".
The 2016-2020 NSP document identifies other bodies whose activity translates as "the political commitment to AIDS", of which the National AIDS Council (CNLS, chaired by the Head of State) with a "Political and strategic orientation role" and the Partners Forum (chaired by the Minister of Health), which is "a consultative body between the government, the technical and financial partners (multilateral, bilateral, international NGOs …)" .
Among the partners is the Global Fund, a financial institution created in 2002 that intervenes in the fight against three diseases: AIDS, tuberculosis, malaria; as well as agencies of the United Nations system (UNAIDS, WHO, Unicef) or countries through their cooperation agencies (France, Germany, United States), among others.
Also involved in the struggle of non-governmental organizations (NGOs) and civil society organizations working with communities or private sector badociations.
Among them are the Council for AIDS Relief Organizations in Côte d'Ivoire (COSCI), Alliance-Ivory Coast, Enda Health-Ivory Coast, the Ivorian Network of Organizations of PLHIV (RIP +) or the Ivory Coast Business Coalition Against AIDS, Malaria and Tuberculosis (CECI), which is "a grouping of companies and representative structures of the private sector" of the country functioning as "a non-profit and apolitical badociation" according to its site.
In the 2016-2020 NSP, the authorities recognize that these different organizations "are essential partners in the framework of the national response to HIV / AIDS", with, in particular, "a proven role in strengthening advocacy, mobilizing community structures around the response to the epidemic and community-based care to ensure continuity of care. "
financings
In Côte d'Ivoire, according to experts, health financing is generally provided by the State, the "technical and financial partners" (donors) and households.
One of the major donors is the Global Fund, whose grants are coordinated in Côte d'Ivoire by a dedicated body called the National Coordinating Mechanism for Global Fund Grants (Country Coordinating Mechanism, CCM-Ivory Coast).
According to the president of CCM-Côte d'Ivoire, Dr. Djénéba Ouattara N'Gnoh, from 2003 to the end of 2017, the Global Fund has made available to Ivory Coast more than 493 million US dollars (more than 400, 9 million euros / nearly 263 billion FCFA) for the fight against malaria, tuberculosis and HIV-AIDS.
Dr Ouattara N'Gnoh was speaking on February 15, 2018, on the occasion of the official announcement of a new grant from the Global Fund to Côte d'Ivoire against the same diseases. The financial institution has granted the country a little over 124 billion FCFA (more than 219 million US dollars / more than 189.5 million euros) for the period from 2018 to 2020.
The cost of the 2016-2020 National Strategic Plan is estimated at 556.327 billion FCFA (more than 848.115 million euros / more than 961.102 million US dollars) "taking into account the scenario of an optimal implementation with high impact ", Is it indicated in this official document.
The 2016-2020 NSP states that this "overall cost" should be fully funded by all stakeholders (government and technical and financial partners), and that "in the event of a financial gap" – which has been noted in the past – , the Ivorian Ministry of Health "should undertake an exercise to reframe the targets according to the financial space available".
Published by Coumba Sylla
© Copyright Africa Check 2018. You can reproduce this piece or content from this site for the purpose of reporting and / or discussing news and current events. This is the subject of: Crediting Africa Check in the byline, keeping track of all the hyperlinks to the sources used and adding this sentence to the end of your publication: "This report was written by Africa Check, a non-partisan fact-checking organization. View the original piece on their website ", with a link back to this page.
[ad_2]
Source link
