1 / 15

Dr. Mandiaye LOUME, MD, MPH, Dr.PH Director of Health, Ministry of Health and Prevention, SENEGAL

INTEGRATION OF NTP AND NACP AND THE ROLE OF NATIONAL AIDS COMMISSION IN SENEGAL : Operational issues. Dr. Mandiaye LOUME, MD, MPH, Dr.PH Director of Health, Ministry of Health and Prevention, SENEGAL 2 nd Global TB/HIV Working Group Meeting Durban, 14-16 June 2002. SENEGAL HEALTH PROFILE.

dfairchild
Download Presentation

Dr. Mandiaye LOUME, MD, MPH, Dr.PH Director of Health, Ministry of Health and Prevention, SENEGAL

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. INTEGRATION OF NTP AND NACP AND THE ROLE OF NATIONAL AIDS COMMISSION IN SENEGAL : Operational issues Dr. Mandiaye LOUME, MD, MPH, Dr.PH Director of Health, Ministry of Health and Prevention, SENEGAL 2nd Global TB/HIV Working Group Meeting Durban, 14-16 June 2002

  2. SENEGAL HEALTH PROFILE • Population 10,000,000 • Sex ratio (male : female) 94.6 • Population increase 28%o • Literacy rate 82.1% male 63.1% female • Infant mortality rate 63.5%o • Life Expectancy 51 male 53 female

  3. PREVENTION AND CONTROL OF HIV/AIDS AND OTHER SEX TRANSMITTED INFECTIONIN SENEGAL (1) • Governing bodies (1) : 1986 _ NACC (National AIDS Control Committee) headed by Director of health _ NACP (National AIDS Control Program) sections dealing with : . Epidemic surveillance . Diagnosis and counseling . Treatment (tri-therapy since 1999)

  4. PREVENTION AND CONTROL OF HIV/AIDS AND OTHER SEX TRANSMITTED INFECTIONIN SENEGAL (2) • Governing bodies (2) : 2002 • NACC (National AIDS Control Council) headed by the Prime Minister • National Executive Secretariat for the NACC • AIDS and STI Division in the Health Directorate

  5. PREVENTION AND CONTROL OF HIV/AIDS AND OTHER SEX TRANSMITTED INFECTIONIN SENEGAL (3) HIV/AIDS STATISTICS (year 2001) • First cases in 1986 • Two serotypes HIV1 and HIV2 (less transmissible and less endemic) • 1.4 % projected prevalence • 80,000 infected ; 77,000 15 to 49 year-old • 1.3 sex-ratio (9 males for 7 females) • 30,000 deaths since 1986 ; 5,000 in year 2000 • 20,000 estimated orphan from AIDS

  6. NATIONAL TUBERCULOSIS PROGRAM (1) • Governing bodies: • No multisectorial committee • National Coordinator • National supervisor • National TB Reference Laboratory

  7. NATIONAL TUBERCULOSIS PROGRAM (2) • TB STATISTICS (year 2000) • Prevalence 373 per 100.000 • 8934 cases • 53% cured • 29% treatment default

  8. PREVENTION AND CONTROL OF HIV/AIDS AND TB IN SENEGAL (1) 2002-2006 SENEGAL STRATEGIC PLANS AGAINST AIDS and TB Approximately, 40% of HIV-infected individuals seeking health care in Dakar are infected with Tuberculosis • Main objectives : • Keeping HIV prevalence under 3% by the year 2006 • Improving detection and treatment of TB cases • Specific objectives : • Keeping low HIV incidence rate and safe blood transfusion • Detecting at least 70% of TB cases and successfully treat at least 80% of detected cases

  9. PREVENTION AND CONTROL OF HIV/AIDS AND TB IN SENEGAL (2) JOINT TB and HIV ACTIVITIES (1) • A joint program integrating TB and HIV activities was written in 2001 in order to: • Increase the demand for volontary counseling and testing for HIV among TB patients • Strenghten access of HIV-infected individuals to TB health care facilities • Targetted activities: • National level: • Joint annual planning of activities • Integrated training for laboratory technicians • Strenghtening the National TB Reference Laboratory to adress PLWHA • Sentinel surveillance of HIV among TB patients

  10. PREVENTION AND CONTROL OF HIV/AIDS AND TB IN SENEGAL (3) JOINT TB and HIV ACTIVITIES (2) • Operational level: • Integrated supervision of laboratory network • Systematic referal of TB patients for volontary counseling and testing for HIV • Systematic referal of HIV-infected individuals to TB services for testing • Operational research to identify constraints

  11. WHAT IS REALLY ACHIEVED? • No joint activity is carried out! • WHY? • Because of • No funding • No governing body to supervise • The Health District level is not informed

  12. WHAT NEED TO BE DONE? • Set up a Joint TB/HIV Committee • Having a realistic Joint annual Plan out of the two five-year Plans • Identifying activities than can be jointly carried out • Using first the existing fund of TB program and HIV program The institutional setting is in favor of the joint TB/HIV program through the Directorate of Health

  13. FOR A SUCCESSFUL WORLDWIDE CONTROL OF TB AND HIV/AIDS?! THANK YOU

More Related