Jamaica

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Jamaica

  1. 1. VOLUNTARY COUNSELLING AND TESTING In JAMAICA Boris Bloomfield 21/04/05
  2. 2. Jamaica ‘04 <ul><li>1 – 2 % HIV prevalence </li></ul><ul><li>65% of adult pop do not know status </li></ul><ul><li>Estimated 22,000 persons living with HIV </li></ul><ul><li>Accumulated AIDS cases 354/100,000 </li></ul><ul><li>Reported AIDS Cases:8079 </li></ul><ul><li>M:F =1.4 :1 </li></ul><ul><li>Parishes with tourism higher RAC </li></ul><ul><li>13 deaths/week - CFR is 62.5% </li></ul>
  3. 3. Priority Components <ul><li>Policy, Advocacy, Legal and Human Rights </li></ul><ul><li>Integrated multi-sectoral Response </li></ul><ul><li>Prevention </li></ul><ul><li>Care, Treatment and Support </li></ul><ul><li>Monitoring and Evaluation </li></ul>
  4. 4. Administrative Arrangements (VCT) <ul><li>COMPONENTS </li></ul><ul><li>Training </li></ul><ul><li>Quality Assurance </li></ul><ul><li>Service Delivery </li></ul><ul><li>Standardization </li></ul>Communities Private companies Training Institutions Public Health Dept. MOH/NAP/RHA/ID -- NGO/CBO/FBO
  5. 5. VCT Services <ul><li>Group Education – clinic setting </li></ul><ul><li>Pre and Post Test Counselling </li></ul><ul><li>pMTCT, STI clinic attendees, inmates, MSM and other vulnerable populations </li></ul><ul><li>Rapid – Determine, Uni Gold, Capillus </li></ul><ul><li>Elisa – Enzygnost, Dade Behring, Murex, Abott </li></ul><ul><li>Western Blot </li></ul><ul><li>Health workers, NGO/Volunteers, others </li></ul><ul><li>Referrals for further counselling/treatment </li></ul>
  6. 6. Use and Demand for VCT services <ul><li>Pop. 2.6 million </li></ul><ul><li>At risk pop. adults: 23% M, 34% F </li></ul><ul><li>Target pop. for services: - Youth, STI, ANC attendees </li></ul><ul><li>Vulnerable pop. MSM, SW, Inmates </li></ul><ul><li>STI: 25,000/50% </li></ul><ul><li>ANC: 28,000/87.5% </li></ul><ul><li>95% return for results </li></ul>
  7. 7. Use and Demand for VCT services <ul><li>Tested I.E used services: </li></ul><ul><li>15 – 24 (F) 32.4%, (M) 15.9% </li></ul><ul><li>25 – 49 (F) 36.7% (M) 48.7% </li></ul><ul><li>^75% adult pop would willingly be tested </li></ul><ul><li>Barriers: Stigma , limited access; technical staff and infrastructure </li></ul><ul><li>1500 under ARV treatment programme </li></ul><ul><li>In need - 6000 to 8000 </li></ul>
  8. 8. Challenges <ul><li>Infrastructural – number/privacy of counselling facilities </li></ul><ul><li>Personnel – increase # tech/counseling </li></ul><ul><li>Stigma – reduce/eliminate </li></ul><ul><li>To provide rapid testing at all sites </li></ul><ul><li>Expand the services to esp. rural communities/vulnerable populations </li></ul>
  9. 9. THANK YOU

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