1 AIDS EPIDEMIC IN COTE DIVOIRE TCHOMIAN Clement ADJE Technical Advisor, for care and support EGPAF.

1

AIDS EPIDEMIC IN

COTE DIVOIRE

TCHOMIAN Clement ADJETechnical Advisor,

for care and supportEGPAF

Surface area 322 400 km2 / population 20m

ABIDJAN

BASILIC ND DE LA PAIX

SITUATION

Prevalence: UNAIDS /WHO, 3.4% in 2009.

450 000 people infected by HIV in Côte d’Ivoire

220 000 female Majority of infected patients 15 years old

and 63 000 children under 14 years old. Patients treated HAART

82 7212 in 2010 89 410 en 2011 36 Death Relay to HIV

SITUATION

SITUATION: 90% site integrated HIV care in the routine service

Laboratories VL laboratories available Genotype test resistance 2 LABs available CD4 available in 150 sites

SITES HIV Testing all the sites ( 400 sites for care

and treatment and 600 sites for PMTCT

CHALENGES

• Integration of HIV management in all sites• Eradication of HIV in pediatric care service• HIV National Program financing by PEPFAR

CDC and other • HIV Patients often expose to drug

starvation• Lost of follow up about 35% of patients

initiated HIV therapy “BIG CHALENGES”

How do we plan if we are totally dependent on

international financing for our national HIV program?

Drug Availability?

Lack of funds?

Loss to Follow-up

VL in routine genotypical test

Which Gold standard of care do we want for African HIV

patients?

At the end of the day the difference is clear

Despite all these challenges life continues

European AIDS Clinical Society European AIDS Clinical Society

THANK YOUTHANK YOU