Dieudonné T S Yiweza

1. Dieudonné T S Yiweza N. Cornier, M. Gounongbe, G. Petros, I. Assouan, D. Bilguissa, P. Spiegel United Nations High Commissioner for Refugees Ensuring Continuity of Antiretroviral Therapy among Displaced Populations during 2011 Ivorian Post-Election Violence

3. Introduction • Disruption of HIV-related services including provision and access to antiretroviral therapy (ART). • UNHCR and partners working at community and camp levels to ensure access to HIV and AIDS prevention, treatment, care and support • First level registration used as entry point for identification of PLWA • Displacement of 175,000 Ivorians to Liberia in 2011 • Cont. Plan: ± 14,500 conflict-affected Ivoriansliving with HIV in need of treatment

4. First week registration

5. Major Challenges • Health systems had difficulties in functioning adequately during emergency • Stock-outs of drugs and supplies, shortage of staff • Security and logistical constraints made it difficult to access service and supplies to be delivered • Confidentiality difficult in these circumstances • Need effective out-reach, referral and follow-up for people receiving treatment

6. LessonsLearnt (1) • Refugees should be integrated into national health and HIV programmes • Referral pathway for people living with HIV need to be designed and communicated • Treatment cards are helpful in follow-up • Accompaniers and socio-economic support enhance clinical effectiveness

7. LessonsLearnt (2) • Funding mechanisms should promote partnership between international and local partners • Supervision and support systems for community volunteers need to be strengthened • Properly brief medias to avoid spreading harmful misconceptions

9. THANK YOU