Curbing the HIV/AIDS Epidemic in Djibouti
This study outlines the initial challenge presented by the HIV/AIDS epidemic, describes Djibouti's response, reviews the results achieved and the enabling factors in curbing the spread of the epidemic, and identifies remaining challenges. Betw...
Main Authors: | , , , |
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Format: | Working Paper |
Language: | English en_US |
Published: |
World Bank, Washington, DC
2017
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Subjects: | |
Online Access: | http://documents.worldbank.org/curated/en/607361468167966672/Curbing-the-HIV-AIDS-epidemic-in-Djibouti http://hdl.handle.net/10986/27713 |
Summary: | This study outlines the initial
challenge presented by the HIV/AIDS epidemic, describes
Djibouti's response, reviews the results achieved and
the enabling factors in curbing the spread of the epidemic,
and identifies remaining challenges. Between 2002 and 2008,
HIV prevalence among young pregnant women aged 15-24 was
reduced from 2.7 percent to 1.9 percent and among sentinel
surveillance groups from 2.5 percent to 1.9 percent. HIV
prevalence among tuberculosis patients was reduced from an
estimated 22 percent to 12 percent. Condom use during last
intercourse outside marriage increased from 27 percent to 55
percent and reached 95 percent among sex workers. Among the
general population, awareness of HIV/AIDS increased to 95
percent and knowledge about transmission and prevention rose
to 50 percent. Political commitment, engagement of community
and religious leaders, rigorous communication, social
marketing and the provision of an integrated package of
medical and social services, and donor harmonization were
among the key factors that contributed to the achievement of
these results. Despite these impressive results in a
relatively short period, Djibouti still has to address
several challenges and consolidate program gains, but most
importantly, funds are being mobilized from government
resources to sustain the national AIDS control program. |
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