Our programs |
Context
Statistical overview
| Population (2005) | 18.6 million | ||||
|---|---|---|---|---|---|
| Life expectancy at birth (2005) | 58 years | ||||
| HDI rank out of 177 countries (2007) | 143 | ||||
| Infant mortality (children < 1 yr, 2005) | 74 | ||||
| Doctors per 100,000 inhabitants (2004) | 29 | ||||
| Total spending on health as a % of GDP (2004) | 3% | ||||
| Total spending on health per capita (PPP USD, 2004) | 29 USD | ||||
| Adult literacy rate (2005) | 70.7% | ||||
| GDP per capita (PPP USD, 2005) | 923 USD |
HIV/AIDS in Madagascar
According to the most recent
epidemiological studies, Madagascar,
with an estimated HIV/ AIDS prevalence rate of 0.13% Madagascar
seems to have been spared from the epidemic, as compared to East Africa and
other islands in the Indian Ocean.
An estimated 12,000 people are living
with HIV/AIDS and 8,000 people are in need of ARV treatment. This includes the estimated 2,000 pregnant
women and 1,600 children who are living with HIV, including 800 in need of ARV
treatment.
The main risk factors in Madagascar
include early sexual debut, numerous sexual partners (particularly for men), a
low rate of condom use, the sexual trade, the population's geographic mobility,
an economic context of poverty, and a significant incidence of Sexually
Transmitted Diseases (STDs).
On the other hand, the protective
factors which are most often mentioned for the country are: insularity, low inoculums
of viruses introduced, and the quasi universal practice of circumcision. The
rate of HIV/AIDS transmission by sexual route is 97% and the epidemic remains localized
in high risk groups. In particular, a prevalence of 1.4% is found among sex
workers.
The prevalence is relatively low in
pregnant women and data from the PMTCT program indicates a prevalence of 0.05%
in women who accepted to be tested in 2006.
Organization of HIV/AIDS care in Madagascar
The Fight against HIV/AIDS in Madagascar
is organized in the following manner:
The National Committee for the Fight
against AIDS (CNLS) answers to the President of the Republic with a specific Executive
Secretariat (ES).
The General Management of the fight
against AIDS is attached to the Ministry of Health. The Ministry of Health and
Family Planning (MINSANPF) is in charge of technical leadership. The ES/CNLS
provides political and strategic orientation, coordinates, follows up and
evaluates the implementation of the National Strategic Plan (NSP).
The new NSP 2007-2012
presented three principle strategic directions:
● Understanding the dynamics of the
infection
● Reinforcing and decentralizing program
management
● Intensifying promotional and clinical
activities in high risk communities and motivating participants to reach annual
objectives for realistic coverage
About our program
Program launch date: May 2006
Program end date: December 2008
Team: 2 ex patriates
13 employees total based between Antananarivo and Antsiranana
Head of Mission based in Antananarivo
Medical coordinator based in Antsiranana
With regular support missions in the 3 intervention zones
Perspectives for the Future
Since the Solthis program is entering into its last scheduled year in Madagascar, its activities must aim towards achieving autonomous patient management.
For this reason, our goal is to exploit our experience with a decentralized model of patient management and provide information about its essential points on a national level, while of course, continuing to strengthen existing networks.
In agreement with the national authorities, centers in two new regional capitals, Antananarivo and Morondava, will receive technical support from Solthis in 2008.
Focus: Info on HIV
International Aids Society 2010
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International Aids Society 2010
Solthis signe la déclaration de Vienne
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