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Sustaining HIV Care in Conflict Zones: Lessons from Ivory Coast Health Facilities

Learn strategies deployed by Aconda NGO to maintain HIV care during post-election crisis. Study reveals challenges and successes in providing ART and PMTCT in conflict zones. Valuable insights for healthcare sustainability in turmoil.

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Sustaining HIV Care in Conflict Zones: Lessons from Ivory Coast Health Facilities

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  1. The challenge of maintaining care and support to HIV infected persons in health facilities located in military conflict zones in Ivory Coast Dr Doumbouya Bangaly

  2. Background • Post election crisis has disturbed health centre's activities. • Aconda vs, an Ivorian national NGO has supported provision of care to HIV infected persons, during trouble period. • To describe strategies implemented to maintain care and support to HIV infected persons in conflict zones. Methods • Prospective and descriptive study, from 1st January to 30 June 2011. • 05 regions were concerned with 68 HC : Abidjan, Duékoué, Guiglo, Bloléquin and Toulépleu Reduction of the HIV activities package • To supply ARV drugs to Health facilities. • To provide ART to patients in follow with 3 months dotation. • To continue PMTCT activities from C&T to ART prophylaxis.

  3. To research patients under ART and refer them to reference care centers (by community counselors). • To set up a pool of supervisors to follow implementation. Results • In 12 health facilities provision of ART to patients was ensured by community’s counselor because of absence of the medical staff. • 66.2% of health facilities were functional: care and treatment available. • 15 /68 health facilities have been looted. • 32/68 health facilities had failures in delivering ART.

  4. Fig. 1 : Comparison pregnant women with ARV prophylaxis Pregnant women with ART prophylaxis In 1st semester 2011 (475) ≠ In 1st semester 2010 (680) Difference is not statistically significant (p>0.05) • LESSONS LEARNT • Contingency plan should be set up and rapidly implemented during crisis period. • Community-workers play important role in care delivery. • Caregivers should be protected during conflict periods.

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