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Haiti

Submitted by unaidsadmin on Wed, 2012-01-11 15:41 - 0 Comments

Findings of UNGASS Indicators: A summary
Haiti reached only a 39% completeness rate on relevant UNGASS indicators during this 2008-2009 reporting period. There are 120,000 people living with HIV in Haiti with an adult HIV prevalence of 1.9%. There were for every 100 males, 140 females living with HIV. The 2010 NASA report shows that a total of USD 289 million was spent on AIDS in Haiti. This represents 58% of the total amount spent on AIDS in the entire Caribbean. The majority of these resources (99%) came from international and bilateral donors. This very heavy dependence on external resources remains a serious challenge for Haiti’s national response to HIV. In terms of distribution of funding between strategies during the past two years, prevention interventions received 41%, while 40% was spent on treatment. The greater involvement of PLHIV is still limited and very few policies are in place to protect the rights of PLHIV and sexual minorities. Blood safety is quality assured with 100% of donated blood screened for HIV. National ART coverage is estimated at 43% and PMTCT at
60%. Treatment of TB/HIV is low with only a 24% coverage rate. New HIV infections have declined by 12% and AIDS-related deaths by 41%. No new data are available regarding knowledge, beliefs, practices and attitudes of the general population or MARPs or the coverage of MARPs by prevention programmes. It is reported that the ratio of orphans and non-orphans attending school is 0.8. An HIV prevalence survey among pregnant women has shown that 2.1% of pregnant women aged 15-24 are infected with HIV.
And the survival rate after 12 months on ART has remained the same at 84%, which is below the WHO standards.
In 2009, Haiti was among countries with a stable HIV incidence rate.
However, this could dramatically change when one takes into account the consequences of the devastating earthquake of January 2010, which have impacted negatively on the national environment in social, economic and developmental terms. The earthquake has killed 250,000 people and has sent 1.5 million people into shelters and camps and displaced another quarter million people. The economic loss was estimated at USD 8 billion for the country. Also, the earthquake which occurred in areas where 68,000 PLHIV were residing has had a serious impact on both the health infrastructure and the national infrastructure in general. Preliminary data collected from the populations living in camps and shelters have shown that there is widespread stigma, discrimination and violence against sexual minorities and sex workers, and the incidence of gender-based violence and unwanted pregnancies has seriously increased. During the next UNGASS reporting period (2010-2011), the real impact of this disaster on the national response to HIV could be accurately measured.

Key Issues Requiring Focus

  • Scale-up and improve the quality of treatment and PMTCT programmes and issues surrounding HIV/TB coinfections.
  • Mobilise more national resources to ensure sustainability of the HIV response.
  • Engage in the collection and analysis of new data to understand an evolving HIV epidemic especially after the earthquake.
  • Focus the national response on priority population groups i.e. young people, women, men who have sex with men, transgender and female sex workers.
  • Address the impact of the earthquake i.e. rebuilding health infrastructure and providing HIV programmes and services to displaced populations in camps and shelters.

Joëlle Deas-Van Onacker
Coordinatrice du Programme de Lutte contre le SIDA
Haïti

QUELLE EST LA SITUATION DE L’ÉPIDÉMIE DU SIDA EN HAÏTI?
En Haïti, malgré les efforts déployés, l’épidémie est toujours a un stade généralisé de 2.2% de prévalence du VIH chez les adultes et 120,000 personnes vivant avec le VIH selon l’ONUSIDA. Nous avons pu infléchir la courbe et atteindre la stabilisation de l’épidémie.

DITES-NOUS LE PLUS GRAND SUCCÈS DE VOTRE PROGRAMME DE LUTTE CONTRE LE SIDA?
Notre plus important accomplissement est dans le domaine des soins et traitement, nous avons aujourd’hui 27,904 personnes vivant avec le VIH qui reçoivent la trithérapie. Et nous avons au minimum 2 centres par départements qui offrent les services de dispensation des Antirétroviraux.

QUELS SONT LES AUTRES SUCCÈS EN HAÏTI?
Nos succès, nous avons eu du succès, tant au niveau des soins et traitement que dans le domaine de la prévention.
1) Nous avons eu beaucoup de succès dans la prise en charge cible des jeune. Nous avons pu mettre sur pied des activités de prévention, nous avons ouvert plusieurs maisons de jeune aussi bien que des cliniques pour jeunes.
2) Nous avons pu mobiliser la communauté pour faire face a la feminisation du SIDA, la Coalition Haïtienne sur les Femmes et le SIDA est implanté maintenant dans les 10 départements du pays.
3) Nous avons fait beaucoup d’effort pour que les services puissent atteindre les populations migrantes ainsi que les populations déplacées.
4) Un autre succès est que suite au tremblement de terre, les services de prise en charge et de soin n’ont pas été discontinués après le tremblement de terre du 12 janvier 2010.

QUELS SONT LES FUTURES POPULATIONS CIBLES POUR VOTRE PROGRAMME?
Nous continuerons à cibler les jeunes et les femmes.

About the Author

unaidsadmin's picture

The UNAIDS team offers the Caribbean the broad expertise of cosponsors and other UN organisations in areas such as program development and management, women and child health, education, legal networking, community care initiatives and resource mobilisation. The goal is an expanded response to HIV in the region with the world’s second highest HIV prevalence.