HIV AIDS IN CAMEOON

HIV-AIDS IN CAMEROON

ADIDJA AMAN, MD MPH

OVERVIEW OF CAMEROON

Population:19.4 million inhabitants (RGPH, 2007)

Average annual population growth rate: 2.6%

Median age of the population: 17.7 years

Population under 15 years: 43.6%

Women represent 51% of the population.

population living below the US$1.25: 40 %

Life expectancy :51 years.

National health budget : 6% of the GDP

04/15/23 REGIONAL CONSULTATION- GLOBAL HEALTH SECTOR STRATEGY FOR THE FIGHT AGAINST HIV-AIDS / STD / VIRAL HEPATITIS

HIV-AIDS FACTS(1)HIV prevalence in the general population: 4.3% (DHS, 2011). It varies from 1.2% in the Far -North region to 7.2% in the South region

Prevalence among women: 5.6% (DHS, 2011).

Prevalence among men: 2.9% (DHS, 2011).

Prevalence in young people aged 15 to 24 years:1.7% (DHS, 2011).

45.3% of new infections are recorded in heterosexual couples (DHS, 2011).

6 males out of 10 and nearly 5 in 10 women do not know their HIV status (DHS, 2011)

04/15/23 REGIONAL CONSULTATION- GLOBAL HEALTH SECTOR STRATEGY FOR THE FIGHT AGAINST HIV-

AIDS / STD / VIRAL HEPATITIS

HIV-AIDS FACTS(2)HIV rate in pregnant women:7.8%(HIV sentinel surveillance survey ,2012)

Maternal death due to HIV: 14 %7 600 new pediatric infections occur each year (2012 EMTCT plan)

Prevalence among sex workers :36%(CNLS. Rapport de l’enquête séroépidémiologique et comportementale sur le VIH et la syphilis chez lestravailleuses du sexe au Cameroun, 2010)

Among men who have sex with men in Yaoundé and Douala is 44% and 24% respectively(IBBS 2011)

Rate of HIV status to 06 weeks in exposed children:8.4% 2012 ( CNLS,2012 Annual Report)

Prevalence among soldiers and military:6%(Behavioural and HIV seroprevalence among forces of defenses of Cameroon, 2011)

Prisoners: HIV status among new inmates at the entrance:8% (2012 Annual Report , CNLS)

Number of Orphans and Vulnerable Children :304,210 (CNLS, EPPS, Spectrum Report, 2009).

33% begin antiretroviral treatment and only 25% observe the treatment


SOME CHALLENGES… (1)Stigma and Discrimination

The study of the index of stigma showed that:◦ 70% of PLWHA face stigma and discrimination due to HIV status and / or self-

stigma ;◦ Less than a fifth of PLWHA have heard of the Bill of Rights on HIV / AIDS or

law / policy in Cameroon that protects the rights of people living with HIV ;◦ 13% of PLWHA lost their jobs because of discrimination by their employer or

co-workers;◦ 5% of PLWHA were denied sexual and reproductive health services because

of their HIV status;◦ 18% of PLWHA have been victims of a violation of at least one of their rights



SOME CHALLENGES… (2)Stock out 54% of eligible adults PLWHA have not had access to ARVs in 2012 mainly due to stockouts of ARVs.

66% of eligible children do not have access to ARVs in 2012

FinancingFrom 2011-2013, only 55% of the needed resources for the fight against HIV / AIDS have been mobilized

a heavy dependence on external resources

Scarcity of international resources



SOME CHALLENGES… (3) Low ARV coverage due to :

Low Number of patients on ARV treatment : 130. 000(=37% of the national target ) in late 2013

the small proportion of the population who know their HIV status

the weak relation with the management structures

the high number of lost to follow-up even when on treatment.



TARGET and PRIORITY GROUPSPersons Living with HIV/AIDS

The ‘drivers’ of the epidemic : Sex Workers, Men who have Sex with Men (MSM), drug users.

The Pygmies : extremely vulnerable populations with a prevalence of 7.4% higher than the prevalence in the general population

Vulnerables: Youth and adolescents (boys and girls), militaries, truck drivers , prisoners, the disabled, refugees, the pygmies and the Bororo


Priority interventions (1)..Behavior Change Communication. 26% of women aged 15-49 have a "thorough" knowledge of HIV/AIDS (DHS,2011)

Condoms usage.Coverage: 66 % (CNLS annual report 2014)

Counselling for voluntary testing: 28.5% of people aged 15-49 years have been tested and know their HIV status (DHS,2011)

PMTCT : 80% of HIV positive pregnant women benefit from PMTCT and 50% of children born from HIV infected women received antiretroviral treatment

STDs. Only 25 % of the needs covered (CAMNAFAW, 2013)

Safe blood transfusion


Priority interventions (2)…In August 2012, Cameroon adopted option B+ for the PMTCT

A working group on Stigma and Discrimination Legal protection of PLWHA and people affected: (the GTC / CNLS, technical and financial partners , ILO , Civil societies) has been set up to propose and coordinate interventions to promote the rights of PLWHA in Cameroon.

Action plan for the reduction of stigma and discrimination PLHWA;

National Strategic Plan for the Fight against HIV/AIDS 2014-2017


SOME PROGRESS…Overall 29,143,882 condoms (27,491,025 male and 1,652,857 female) were distributed in 2013 in Cameroon, with an increase in the amount distributed.

The antiretroviral treatment coverage among HIV + pregnant women to prevent MTCT of HIV is 57%


163 functionnal UPEC/ CTA for the management of HIV/AIDS (CNLS,2014)

THANK YOU FOR YOUR KIND ATTENTION


Health & Medicine

HIV AIDS IN CAMEOON