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Dr Doumbouya Bangaly

The challenge of maintaining care and support to HIV infected persons in health facilities located in military conflict zones in Ivory Coast. Dr Doumbouya Bangaly. Background Post election crisis has disturbed health centre's activities.

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Dr Doumbouya Bangaly

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  1. The challenge of maintaining care and support to HIV infected persons in health facilities located in military conflict zones in Ivory Coast Dr Doumbouya Bangaly

  2. Background • Post election crisis has disturbed health centre's activities. • Aconda vs, an Ivorian national NGO has supported provision of care to HIV infected persons, during trouble period. • To describe strategies implemented to maintain care and support to HIV infected persons in conflict zones. Methods • Prospective and descriptive study, from 1st January to 30 June 2011. • 05 regions were concerned with 68 HC : Abidjan, Duékoué, Guiglo, Bloléquin and Toulépleu Reduction of the HIV activities package • To supply ARV drugs to Health facilities. • To provide ART to patients in follow with 3 months dotation. • To continue PMTCT activities from C&T to ART prophylaxis.

  3. To research patients under ART and refer them to reference care centers (by community counselors). • To set up a pool of supervisors to follow implementation. Results • In 12 health facilities provision of ART to patients was ensured by community’s counselor because of absence of the medical staff. • 66.2% of health facilities were functional: care and treatment available. • 15 /68 health facilities have been looted. • 32/68 health facilities had failures in delivering ART.

  4. Fig. 1 : Comparison pregnant women with ARV prophylaxis Pregnant women with ART prophylaxis In 1st semester 2011 (475) ≠ In 1st semester 2010 (680) Difference is not statistically significant (p>0.05) • LESSONS LEARNT • Contingency plan should be set up and rapidly implemented during crisis period. • Community-workers play important role in care delivery. • Caregivers should be protected during conflict periods.

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