DEMOCRATIC REPUBLIC OF CONGO Accelerating progress toward reducing - - PowerPoint PPT Presentation

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DEMOCRATIC REPUBLIC OF CONGO Accelerating progress toward reducing - - PowerPoint PPT Presentation

Oct 09, 2023 12 likes •62 views

DEMOCRATIC REPUBLIC OF CONGO Accelerating progress toward reducing the incidence, prevalence and mortality by HIV/AIDS and Malaria CEB Regular Session 28 April 2015, Paris Stefano Severe, United Nations Resident Coordinator, a.i Ahmadou

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SLIDE 1

CEB Regular Session 28 April 2015, Paris

Stefano Severe, United Nations Resident Coordinator, a.i Ahmadou Moustapha Ndiaye, World Bank Country Director

DEMOCRATIC REPUBLIC OF CONGO

Accelerating progress toward reducing the incidence, prevalence and mortality by HIV/AIDS and Malaria

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SLIDE 2

2 1542 6642 881 1 116 2 098 4 176 8575

10506

2007 2008 2009 2010 2011 2012 2013 2014 21 960 28 576 39 224 43 878 59 792 64 219 79978

101089

2007 2008 2009 2010 2011 2012 2013 2014

  • New infections reduced
  • Deaths reduced
  • Increased PMTCT

coverage (40%)

  • Increased ARV

treatment (46%) Tenuous legal and social environment -- Discrimination and stigmatization -- Gender-based violence remain HIV prevalence stabilized at 1.2%

10000 20000 30000 40000 50000 2007 2008 2009 2010 2011 2012 2013

Number of new infections Annual number of AIDS deaths

25000 40000 46000 34000

HIV HIV HIV HIV-

  • AIDS situation is improving but considerable challenges remain

AIDS situation is improving but considerable challenges remain AIDS situation is improving but considerable challenges remain AIDS situation is improving but considerable challenges remain

MIXED PROGRESS ON HIV-AIDS

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SLIDE 3

MIXED PROGRESS ON MALARIA

  • Increase in bednet coverage, but high

sustainability risk

  • Shift in drug availability and concerns

about quality

  • Limited biological confirmation of

diagnostics

0% 25% 50% 75% 100% 2007 2010 2013

Availability of Malaria Treatment Drugs (ACT)

0% 25% 50% 75% 100% 2007 2010 2013

Bednet Availability and Usage

Bednet availability in households

Reduction in prevalence

31%

23 % 2007

2013

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SLIDE 4

BOTTLENECK ASSESSMENT

  • Inadequate quantities, poor

management, allocation and low motivation of health workers

  • Weak data systems
  • Insufficient quantity and poor

quality of drugs and other inputs

  • Low knowledge of norms and

standards for HIV-AIDS and malaria control

  • Low coverage HIV-AIDS services,

uneven coverage of bed nets

  • Tenuous legal and social

environment for HIV-AIDS

  • Low utilization of health services

due to financial, conflict-related and

  • ther barriers
  • Weak community platforms,

insufficient focus on behavior change interventions

  • Fragmentation at operational level
  • Sub-optimal use of available

resources

  • Low financing: 1/10th Sub-Saharan

African average

  • Financing gaps for ARVs , PTCMT and

bed nets

  • High proportion (40%) financed by

households, leading to inequity

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SLIDE 5

HOW TO ACCELERATE CHANGE

  • Extend

harmonized health package to 80% of the country

  • Accelerate

modernization

  • f the health

management information system Harmonization & Coordination

  • Increase

financing for health (domestic and foreign)

  • Support

development of long-term financing strategy Financing

  • Ensure

availability of key inputs

  • Reinforce the

national drug supply system – use it!

  • Bed net

distribution every three years Supply System

  • Community

mobilization strategy in at least 50% of health zones

  • Strengthen

capacity of civil society, youth groups, Parliament and the justice sector for HRs

  • n HIV-AIDS

Community Platform