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The Brazilian Response to AIDS

The Brazilian Response to AIDS. Main strategies. Mauro Teixeira de Figueiredo Head of the Division for Technical Cooperation International Advisory Ministry of Health. The epidemic in Brazil. Brazil. Key figures. Total number of People Living with HIV (2006): 630,000

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The Brazilian Response to AIDS

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  1. The Brazilian Response to AIDS Main strategies Mauro Teixeira de Figueiredo Head of the Division for Technical Cooperation International Advisory Ministry of Health

  2. The epidemic in Brazil

  3. Brazil

  4. Key figures • Total number of People Living with HIV (2006): 630,000 • HIV Prevalence: 0.61% (15-49) • Female: 0.42%;Male 0.82% • Cumulative number of AIDS cases (06/2008): 506,499 • Incidence per 100.000 (2007): 17.8 • Mortality coefficient per 100.000 (2007): 5.8 • Cumulative number of deaths (2007): 205,409

  5. MAJOR ASPECTS IN BRAZILIAN RESPONSE TO HIV/AIDS • UNIFIED HEALTH SISTEM - SUS • EARLY GOVERNMENTAL RESPONSE – SINCE 1983 • STRONG CIVIL SOCIETY PARTICIPATION IN ALL DECISION LEVELS • MULTISECTORIAL MOBILIZATION • BALANCED PREVENTION & TREATMENT APPROACH • FIGHT AGAINS HIV AND AIDS AS A STATE POLICY, WITH ROBUST GOVERNMENTAL INVESTMENT Human Rights perspective in all the strategies and actions

  6. The strategic triangle to struggle HIV and AIDS – Since the beginning of the epidemic Government Ministry of Health Other Ministries and governamental institutions Investment on communication and international relations strategies Civil Society International Organisations AIDS Business Coalition UN Theme Group NGO Commission (CAMS) Finantial and technical support to projects from NGO

  7. 1. Federal Government: - National policy formulation - Technical Guidelines - Monitoring and Evaluation - Allocating funds to states and municipalities - NGO financing - Antiretroviral treatment - Tests 2. State - Medicines for opportunistic infection and STI NGO financing 3. Municipal Governments: - Coordination of local health services - The three-level management structure of the Brazilian Response Existence of Committees for coordination of the three level of management

  8. State and Municipal AIDS Programs work closely with the NAP and in accordance with the National Strategic Plan Strong participation of civil society in planning and implementation through: a. Control bodies for monitoring the public health system b. National AIDS Commission c. NGO Commission c. Direct financing Joint work with Civil Society and State and Municipal AIDS Programs

  9. Activities and approaches of the Brazilian STD and AIDS Program

  10. Activities and approaches of the Brazilian STD and AIDS Program • Promotion of human rights • Implementation of major national media campaigns • Prevention actions for general population and specific groups Early diagnosis of HIV infection • STD diagnosis and treatment • Prevention strategies centered on condom use - Access to condoms • Harm reduction policy

  11. Activities and approaches of the Brazilian STD and AIDS Program • Universal Treatment of people living with AIDS • Access to HIV diagnosis – goal is to test 4,5 million a year • Impact of prevention interventions – vulnerable populations Prevention actions for general population and specific groups Early diagnosis of HIV infection • Reduction of mother to child transmission • Research and Development of Vaccines • Sharing experiences – South-South Cooperation

  12. Impact of the Brazilian ARV Policy (1996-2002) • reduction of mortality  50% • deaths prevented 90,000 • reduction of morbidity  70% • reduction of hospitalizations 80% • 633,180 hospitalizations prevented - average of hospitalizations / patient per year reduced from 1,65 in 1996 to 0,25 in 2003.

  13. ...Anti-retrovirals • Universal and free of charge access to ARV - ruled by Federal Law Nov.1996 • Incentives to Public-Private Partnerships aiming at local productionof ARVs • Negotiations for price reduction • Regulation of article 6 of the Doha Declaration (right to import and export patented drugs) • Presidential Decree authorising importation in case of Compulsory Licensing

  14. ... Vaccines • Incentives for R&D projects carried out by public research institutes • Implementation of Training and Technical Assistance Projects • Participation alongwith Civil Society and Communities

  15. Thank Youmauro.figueiredo@saude.gov.brPhone# 5561-3315-3805

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