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ABSTRACT With a prevalence rate among the adult population of 5.6 percent, 1.7 percent, and 0.2 percent, respectively, Haiti, the Dominican Republic, and Nicaragua offer different, but complementary, scenarios of the presence of HIV/AIDS and the organized response to this disease in Latin America. All of these countries are recipients of the Global Fund to Fight HIV/AIDS and have implemented complex programs to prevent the dissemination of the disease and to provide integral care to persons living with HIV/AIDS. In this paper we compare the experience, achievements, and obstacles to adequate implementation of the program to prevent mother-to-child transmission of HIV/AIDS in these three countries. Data come from a situational analysis of antenatal, delivery, and postpartum care and the program to prevent mother-to-child transmission of HIV/AIDS (PMTCT) conducted by the Population Council in each country. Results from this study show that in the three countries the norms and guidelines of the PMTCT program correspond to international recommended practices, and that in particular they reflect the recommendations of the WHO. Nevertheless, they have several shortfalls that correspond to the lack of coordination between institutions, the lack of material and human resources, including adequately trained staff, and the difficulty of coordinating different services with the same health centers. Family planning services are particularly disconnected from the PMTCT program and the Units of Integral Attention to Women Living with HIV/AIDS (UAIs). Services provided by the PMTCT program and UAIs do not include any family planning counseling for HIV-positive women. Learning objective
Poster Session 3276.0—HIV/AIDS Prevalence, Risk Behaviors,
Antiretroviral Therapy Issues, and Treatment/Prevention Options
in East and Southern Africa This page updated |
