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Guyana Ministry of Health National AIDS Programme Secretaria t. Bi-national Commission for Collaboration on Health Guyana and Suriname. . Presenter Mr. Nicholas Persaud –National HIV Care and Treatment Coordinator. . National Response to the HIV/AIDS Epidemic.
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Guyana Ministry of Health National AIDS Programme Secretariat Bi-national Commission for Collaboration on Health Guyana and Suriname. Presenter Mr. Nicholas Persaud –National HIV Care and Treatment Coordinator.
National Response to the HIV/AIDS Epidemic Since the first reported case of AIDS in 1987, the GoG has been cognizant of the effects of HIV/AIDS. The GoG has demonstrated strong political will in combating the HIV/AIDS epidemic. In 1998, the GOG established: • National AIDS Programme (NAP) under the Ministry of Health. • Gentio Urinary Medicine (GUM) Clinic which is now known as the National Care and Treatment Centre ( Premier Treatment site) • The National Laboratory for Infectious Disease (NLID) • The National Blood Transfusion Service (NBTS) In 1992, the National AIDS Programme Secretariat (NAPS) was established and charged with the role of coordinating the national response to the HIV/AIDS epidemic.
Guyana Response • Female Commercial Sex Workers, Men Sexing Men (MSM)Miners and Loggers are prioritized in the HIVision 2020 as key populations at Higher risk for HIV • Biological Behavioural Surveillance Survey (BBSS) being conducted among miners & loggers in 2013 and includes testing for HIV/STI, Malaria, Dengue, anemia, HepB. • Prevention: PMTCT,VCT, IEC,HIV Hotline, CSW and MSM Special Project, Condoms, Blood Screening and Safe Injection. • Treatment: ARV, OI and STI Management and Laboratory Monitoring • Care and Support: HBC Services, Orphans and Vulnerable Children, Food Bank Services NB :Guyana is participating in a study “Control of Histoplasmosis on HIV-infected patients in the Guiana Shield” • -Increasing awareness of the problem of American Histoplasmosis in HIV-positive patients inthe Guiana Shield, • · Diagnostic capacity building for histoplasmosis improved in the Guiana Shield, • · Clinical practice in HIV patients in the Guiana Shield improved, • · Strategy for Histoplasmosis control developed, • · Network of trained health professionals reinforced in the Guiana Shield.
Epidemiological Over View Year of prevalence: Pregnant women, TB patients- 2012, Adult Prevalence, 2011; FSW and MSM- 2009; Security Guards and Prisoners- 2004; Miners- 2003
NCTC • SJHM • Davis Memorial Hospital • Dorothy Bailey Health Centre • CampbelvilleHealth Centre • West DemeraraHospital • Suddie Hospital • Wismar Upper DemeraraHopsital • RosignolHealth Centre • New Amsterdam Family Health Clinic • Skeldon Hospital • BarticaHospital • Mobile Clinic Region #1,7,8,9 • Enmore Poly Clinic • Beterverwagting Health Centre. • Georgetown Chest Clinic • East La Penitance Health Centre
Challenges • Retention in Care ; adherence to clinical appointment and medications • TB/HIV Co-infection • Third Line Regimen need; the future cost • Sustainability of the response