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TREAT all in COTE D’IVOIRE

Learn about the plan to expand antiretroviral treatment for HIV patients in Côte d'Ivoire to reduce new infections and mortality rates by 2020. Includes key objectives and strategies.

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TREAT all in COTE D’IVOIRE

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  1. TREAT all in COTE D’IVOIRE Serge Paul EHOLIE • Affiliations: • Département de Dermatologie-Infectiologie, UFR des Sciences Médicales, Université Félix Houphouet-Boigny, Abidjan • Service des Maladies Infectieuses et Tropicales , CHU Treichville, Abidjan • Programme PACCI-ANRS de recherche en Côte d’Ivoire

  2. Epidemiology of HIV in Côte d'Ivoire * HIV prevalence: 3.7% (EDS III CI 2012) * Estimated HIV-Infected people: 461 831(Spectrum 2015) (ratio W/M: 1,5) - Adults ~422 147 - Children ~ 39 683 * Coverage of HIV testing: 253 577 (55%), march 2016  Gap: 206 423 * Coverage of ART, if treat all: 166946, (36%), march 2016 * Coverage of VL: 19% * Suppressed VL: 14%

  3. HIV Cascade in Côte d'Ivoire

  4. HIV facilities in Côte d'Ivoire

  5. ART guidelines in Côte d'Ivoire , when to startRevised in march 2015 (2013 WHO guidelines) *CD4 < 500 cells/mL; * At any CD4 if - WHO clinical stage 4; - TB co-infection; - HBV Co-infection (severe liver disease); - Pregnant women; - Serodiscordant couples: - Key populations (HSH, SW, DU)

  6. Treat all in Côte d'Ivoire Goals: • Increase the number of HIV infected patients receiving ART; • Reach rapidly 90-90-90 and control HIV epidemic in the country • Decrease rapidly HIV new infections and AIDS related deaths

  7. Treat all in Côte d'IvoireObjectives • Expected results (2020) • Reduce HIV new infections to 31% • Reduce HIV related mortality to 75%

  8. Treat all in Côte d'Ivoire Treat all but be realistic, Schedule to start in Q1/Q2 2017 Review HIV testing strategies, involve the coummunity, target the hiden population (men++++) Improve retention un care (65% at M12) Set up test and treat in specific populations (cf 2015 guidelines); Review forecasting in order to avoid drugs stock out; Strenghten integrated approach; Set up task shifting in the whole country (recommended since 2015); Increase the budget allocated to testing, treatment and viral load

  9. Merci pour votre attention

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