Washington D.C., USA, 22-27 July 2012www.aids2012.org

The challenge of maintaining care

and support to HIV infected persons

in health facilities located in military

conflict zones in Ivory Coast

Dr Doumbouya Bangaly

1

Washington D.C., USA, 22-27 July 2012www.aids2012.org

Background Post election crisis has disturbed health centre's activities. Aconda vs, an Ivorian national NGO has supported provision of

care to HIV infected persons, during trouble period. To describe strategies implemented to maintain care and support to

HIV infected persons in conflict zones.

Methods Prospective and descriptive study, from 1st January to 30 June 2011. 05 regions were concerned with 68 HC : Abidjan, Duékoué, Guiglo,

Bloléquin and Toulépleu

Reduction of the HIV activities package To supply ARV drugs to Health facilities. To provide ART to patients in follow with 3 months dotation. To continue PMTCT activities from C&T to ART prophylaxis.

 

Washington D.C., USA, 22-27 July 2012www.aids2012.org

To research patients under ART and refer them to reference care centers (by community counselors).

To set up a pool of supervisors to follow implementation.

Results In 12 health facilities provision of ART to patients was

ensured by community’s counselor because of absence of the medical staff.

66.2% of health facilities were functional: care and treatment available.

15 /68 health facilities have been looted. 32/68 health facilities had failures in delivering ART.

Washington D.C., USA, 22-27 July 2012www.aids2012.org

ABIDJAN DUEKOUE GUIGLO BLOLEQUIN TOULEPLEU0tan28a566028

0tan10a566010

0tan21a566021

0tan3a56613

0tan14a566114

0tan25a566125

0tan7a56617

Janua.-June 2010

Janua.-June 2011

Fig. 1 : Comparison pregnant women with ARV prophylaxis

LESSONS LEARNT• Contingency plan should be set up and rapidly implemented

during crisis period.• Community-workers play important role in care delivery.• Caregivers should be protected during conflict periods.

Pregnant women with ART

prophylaxis

In 1st semester 2011 (475)

≠ In 1st semester 2010

(680)

Difference is not statistically significant

(p>0.05)