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Overview of HIV/AIDS Care and Treatment Country Situation & KATH

Overview of HIV/AIDS Care and Treatment Country Situation & KATH. Lambert T. Appiah. Outline. A brief background of HIV AIDS in Ghana National Response KATH situation. HIV prevalence from population-based surveys in countries in West and Central Africa, 2003–2006. Mali. Niger. Chad.

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Overview of HIV/AIDS Care and Treatment Country Situation & KATH

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  1. Overview of HIV/AIDS Care and TreatmentCountry Situation & KATH Lambert T. Appiah

  2. Outline • A brief background of HIV AIDS in Ghana • National Response • KATH situation

  3. HIV prevalence from population-based surveys in countries in West and Central Africa, 2003–2006 Mali Niger Chad Senegal Burkina Faso Gambia Guinea-Bissau Guinea Nigeria Benin Central African Republic Ghana Sierra Leone Cote d’Ivoire Adult HIV prevalence % Liberia Cameroon Togo Equatorial Guinea Congo Democratic Republic of Congo 6.0 – 8.0% Gabon 4.0 – <6.0% 2.0 – <4.0% 0 – <2.0% No available data Sources: Various surveys and reports. 7

  4. 2.0% National HIV Prevalence • The median HIV prevalence • Country population of 24 million Courtesy NACP

  5. NACP_ HSS 2010

  6. What is Driving the Epidemic in Ghana? Factors Driving the Epidemic • Youthful population 41% under 15 years • Poverty • Urbanisation • Migration • Cultural practices- widowhood rites, polygamy Protective Factors • Awareness of HIV is High 98-99% (GDHS 2003) • Condom use with non-cohabiting partners -28% (GDHS 2003)

  7. Ghana HIV/AIDS Strategic Framework 2006-2010 Republic of Ghana National Strategic Framework (NSF II) 2006-2010 Key Components • Policy advocacy and enabling environment • Prevention and behavioural change communication • Treatment care and support • Mitigating the social, cultural, legal and economic impact • Coordination management and institutional arrangements • Research Monitoring and evaluation • Resource mobilisation

  8. Challenges • Addressing HIV DR • Differential performance across regions • Long lag phase between setup and initiation of services • Strengthening TB/HIV collaboration

  9. Komfo Anokye Teaching Comprehensive care programme situation

  10. BACKGROUND • Set up within the Chest Clinic. • ↑Privacy for Clients/Families. ↓Stigma/Discrimination within hospital • Trained staff already dealing with DOTS- skills needed for effective delivery of HAART. • Core group of TB/HIV co-infected patients to kick start HAART

  11. Clinic Days: DAILY for CT inflow • 2 Major Clinics: Mondays/Fridays • Wednesdays for Adherence Counseling sessions • Mondays/Fridays for Clinical Consultation, Ave 4 Doctors on Mondays & 4 on Fridays. • Paediatric Clinic on Fridays • The laboratory operates throughout the week

  12. Important milestones • HIV tests free for children 0-14 years and pregnant women and for the general population • CD4 test free • Pre-treatment work (FBC, FBS, Liver enzymes) at <$1 • Follow-up lab tests (CD4, FBC, FBS, Liver enzymes) at ≈ $5 • Free cotrimoxazole, fluconazole, TB treatment, and treatment for cerebral toxoplasmosis Limbe Regional Hospital

  13. Challenges • Human Resource – Lack and high turn over rate • Motivation • PMTCT – improved considerably • Overwhelming workload • Diagnosis and management of some opportunistic infections • Diagnosis and management of ADR/treatment failure Mx • Infrastructures and equipments • Data management constraints

  14. The road is long…!!

  15. The road is rough…!!

  16. The road is winding …!!

  17. The problem, the solution Challenges HAART Integration/scale-up TB epidemic HIV epidemic

  18. Thank you for your attention • Contributions+Qs

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