1 aids epidemic in cote divoire tchomian clement adje technical advisor, for care and support egpaf
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1
AIDS EPIDEMIC IN
COTE DIVOIRE
TCHOMIAN Clement ADJETechnical Advisor,
for care and supportEGPAF
Surface area 322 400 km2 / population 20m
ABIDJAN
BASILIC ND DE LA PAIX
SITUATION
Prevalence: UNAIDS /WHO, 3.4% in 2009.
450 000 people infected by HIV in Côte d’Ivoire
220 000 female Majority of infected patients 15 years old
and 63 000 children under 14 years old. Patients treated HAART
82 7212 in 2010 89 410 en 2011 36 Death Relay to HIV
SITUATION
SITUATION: 90% site integrated HIV care in the routine service
Laboratories VL laboratories available Genotype test resistance 2 LABs available CD4 available in 150 sites
SITES HIV Testing all the sites ( 400 sites for care
and treatment and 600 sites for PMTCT
CHALENGES
• Integration of HIV management in all sites• Eradication of HIV in pediatric care service• HIV National Program financing by PEPFAR
CDC and other • HIV Patients often expose to drug
starvation• Lost of follow up about 35% of patients
initiated HIV therapy “BIG CHALENGES”
How do we plan if we are totally dependent on
international financing for our national HIV program?
Drug Availability?
Lack of funds?
Loss to Follow-up
VL in routine genotypical test
Which Gold standard of care do we want for African HIV
patients?
At the end of the day the difference is clear
Despite all these challenges life continues
European AIDS Clinical Society European AIDS Clinical Society
THANK YOUTHANK YOU