Bahamas
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Bahamas

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Bahamas Bahamas Presentation Transcript

  • Voluntary and Testing Services
    Bernadette Hamilton-Saunders
    Bahamas
  • Overview of the Bahamas
    Archipelago nation of approximately 700 islands, of which 40 are populated.
    The islands cover an area of about 100,000 square miles, located in the Caribbean, southeast of Florida and northeast of Cuba
    Population: 330,000 persons, 85% black, 12% white, 3% Asian and Hispanic
    Nassau is the capital located on New Providence
  • As at Dec 2004
    Total HIV infected persons alive 6601
    Total AIDS cases alive 1529
    PLWHA with CD4 <350 2505
    PLWHA on HAART 1600
    HIV+ Pregnant Women 105
    MTCT rate < 2%
    PLWHA on Rx 1638
  • Administrative Arrangements of VCT
  • VCT Services Provided
    PMTCT Program – ANC are –pretest counseled, positive referred to the HIV/AIDS Centre for post-test counseling MW – post-test counseled mainly by staff of the HIV/AIDS Centre
    Inpatient Care – IDW and other hospital wards: staff from the HIV AIDS Centre called in to counseled HIV+ clients
    Home care services: to promote privacy, decrease stigma targeted towards the individual
  • Use and Demand of VCT Services
    PMTCT – Pregnant women and their partners
    All Blood Donors Screened
    Contact tracing/screening
    Walk-ins
  • VCT – usually offered by midwives at the ANC, Maternity Ward, Infectious Disease Clinic and Comprehensive Clinic.
    100% acceptance among pregnant women and prisoners
    App 85-90% acceptance among contacts
    Return rate for results highest among pregnant women and contacts, lowest among prisoners especially after discharge from prison
    Type of test – Abbott Murex and Abbott Determine rapid test
  • Barriers to VCT
    Persons prefer not to know their status
    Level of stigma and discrimination in the society
    Confidential issues in the community, health care system
    Waiting time for test results
    Availability, accessibility of VCT services (limited)
    Limited amount of trained VCT Counselors
  • Challenges Confronting VCT Services in the Bahamas
    Acceleration of access to VCT – training of HCP to decrease patient counselor ratio
    Overcrowded clinics – impacts privacy
    Lack of stand alone VCT centres
    Level of social support interventions is compromised due to insufficient personnel to provide these services
    Lack of computerized system causing delay in receipts of clients results