HIV and AIDS in Haiti: Recent developments

Desvarieux, Moïse; Jw, Pape

doi:10.1080/09540129108253073

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…The introduction of HIV to Haiti occurred more than 25 years ago, and Haiti's is considered a mature epidemic. Some have termed it "generalized," because it has long been difficult to identify anything resembling discrete risk groups (21,22); young women account for half of all HIV cases (23). Poverty and gender inequality are the leading co-factors for the dissemination of HIV in Haiti, and precisely these forces render existing prevention methods less effective (24).…”

Section: Settingmentioning

confidence: 99%

Integrated HIV Prevention and Care Strengthens Primary Health Care: Lessons from Rural Haiti

Walton¹,

Farmer²,

Lambert³

et al. 2004

J Public Health Pol

144

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Three decades ago, the world's ministries of health declared primary health care--the delivery of basic preventive and curative services--a top priority. Since then, however, the world's poorest countries have not met most primary health care goals. Twenty-six years after the Declaration of Alma Ata, we are said to be living in a time of "limited resources," a phrase that construes various health interventions as competing priorities. As HIV has become the leading infectious cause of adult death in much of the world, it is difficult to argue that AIDS prevention and care are not ranking priorities for primary health care, yet precisely such arguments have held sway among international health policy makers. We present new information emerging from the scale-up of an established and integrated AIDS prevention-and-care program, based initially in a squatter settlement in central Haiti, to a second site in rural Haiti. The program includes robust prevention efforts as well as community-based therapy for advanced AIDS; three related components--women's health and active case finding and therapy for tuberculosis and sexually transmitted infections--were central to this effort. We tracked changes in key indices over the 14 months following the introduction of these services to a public clinic in central Haiti. We found that integrated AIDS prevention and care, including the use of antiretroviral agents, to be feasible in resource-poor settings and that such efforts may have favorable and readily measured impact on a number of primary health care goals, including vaccination, family planning, tuberculosis case finding and cure, and health promotion. Other collateral benefits, though less readily measured, include improved staff morale and enhanced confidence in public health and medicine. We conclude that improving AIDS prevention and treatment can help to reinvigorate flagging efforts to promote universal primary health care.

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Section: Settingmentioning

confidence: 99%

Integrated HIV Prevention and Care Strengthens Primary Health Care: Lessons from Rural Haiti

Walton¹,

Farmer²,

Lambert³

et al. 2004

J Public Health Pol

144

View full text Add to dashboard Cite

show abstract

“…The GHESKIO Center provides free clinical care to patients with tuberculosis or sexually transmitted diseases (including HIV infection), as well as counseling and family planning services. 9 In this study, we report on the initial experience with this D-DOT program.…”

Section: Introductionmentioning

confidence: 99%