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...

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Main Authors: El-Saharty, Sameh, Ravano, Wendy V., Ali, Omar, Abdel-Rahmane, Maissa
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2017
Subjects:
HIV
SEX
TV
Online Access:http://documents.worldbank.org/curated/en/607361468167966672/Curbing-the-HIV-AIDS-epidemic-in-Djibouti
http://hdl.handle.net/10986/27713
id okr-10986-27713
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ACCESS TO TREATMENT
ADULT POPULATION
AGED
AIDS CASES
AIDS EPIDEMIC
AIDS ORPHANS
AIDS PATIENTS
AIDS PROGRAM
AIDS PROJECT
AIDS PROJECTS
ANTENATAL SERVICES
AWARENESS CAMPAIGNS
BABIES
BEHAVIOR CHANGE
BEHAVIORAL CHANGE
BLOOD BANK
BLOOD DONORS
BLOOD TRANSFUSION
CAPACITY BUILDING
CASE MANAGEMENT
CASUAL SEX
CHILD MORTALITY
CHILD MORTALITY RATES
CITIZENSHIP
CIVIL SOCIETY ORGANIZATIONS
CLINICS
COMMERCIAL SEX
COMMERCIAL SEX WORKERS
COMMUNICATION CHANNELS
COMMUNITY DEVELOPMENT
COMMUNITY HEALTH
COMPLICATIONS
COMPREHENSIVE CARE
CONDOM
CONDOM DISTRIBUTION
CONDOM SALES
CONDOM USE
CONDOMS
CORRECT USE OF CONDOMS
COUNSELORS
DEMAND FOR CONDOMS
DIET
DISCRIMINATION
DROPOUT
DRUGS
EARLY DETECTION
EPIDEMIC
EPIDEMIOLOGICAL SURVEILLANCE
EPIDEMIOLOGY
ESSENTIAL MEDICINES
EXISTING CAPACITY
FAMILIES
FAMILY HEALTH
FAMILY HEALTH INTERNATIONAL
FAMILY MEMBERS
FAMILY PLANNING
FAMILY WELFARE
FEMALE GENITAL CUTTING
FERTILITY
FERTILITY RATES
FOCUS GROUP DISCUSSIONS
GENDER INEQUALITY
GLOBAL HIV/AIDS
GOVERNMENT AGENCIES
HEALTH CENTERS
HEALTH EDUCATION
HEALTH FACILITIES
HEALTH INFRASTRUCTURE
HEALTH PLANNING
HEALTH POLICY
HEALTH PROBLEMS
HEALTH SECTOR
HEALTH SERVICES
HEALTH SYSTEM
HEALTH WORKERS
HIGH-RISK GROUPS
HIV
HIV INFECTION
HIV PREVENTION
HIV TRANSMISSION
HOME VISITS
HOSPITAL
HOSPITALS
HUMAN DEVELOPMENT
HYGIENE
ILLITERACY
ILLNESSES
IMMIGRATION
IMMIGRATION STATUS
IMMUNODEFICIENCY
IMPACT OF AIDS
INCOME-GENERATING ACTIVITIES
INFANT
INFLUX OF REFUGEES
INSTITUTIONAL CAPACITY
INTERCOURSE
INTERNATIONAL COMMUNITY
INTERNATIONAL COOPERATION
INTERNATIONAL RESPONSE
INTERPERSONAL COMMUNICATION
INTERVENTION
LABOR FORCE
LACK OF KNOWLEDGE
LEVELS OF EDUCATION
LIFE EXPECTANCY
LIVE BIRTHS
LIVING CONDITIONS
LOCAL COMMUNITIES
MALARIA
MANDATES
MARITAL STATUS
MASS MEDIA
MATERNAL HEALTH
MATERNAL MORTALITY
MATERNAL MORTALITY RATIO
MATERNITY HOSPITALS
MEDIA COVERAGE
MEDICINES
MIDWIVES
MIGRANT
MIGRANT POPULATIONS
MIGRATION
MILLENNIUM DEVELOPMENT GOAL
MINISTRY OF EDUCATION
MINISTRY OF HEALTH
MORTALITY
MOTHER
MOTHER-TO-CHILD
MOTHER-TO-CHILD TRANSMISSION
NATIONAL AIDS
NATIONAL AIDS CONTROL
NATIONAL CAPACITIES
NATIONAL LEVEL
NATIONAL PLAN
NATIONAL POLICIES
NATIONAL STRATEGY
NUTRITION
OPPORTUNISTIC ILLNESSES
OPPORTUNISTIC INFECTIONS
ORPHANS
PARENTHOOD FEDERATION
PATIENTS
PEER EDUCATION
PEER EDUCATORS
PHYSICIANS
PILOT PROJECTS
POPULATION GROUPS
POSTERS
PREGNANT WOMAN
PREGNANT WOMEN
PRENATAL CARE
PREVALENCE RATE
PREVALENCE RATES
PREVENTION ACTIVITIES
PREVENTION INTERVENTIONS
PREVENTION OF MOTHER-TO-CHILD TRANSMISSION
PREVENTIVE ACTIVITIES
PRIMARY HEALTH CARE
PROGRESS
PROPHYLAXIS
PSYCHOLOGICAL SUPPORT
PSYCHOSOCIAL SUPPORT
PUBLIC HEALTH
QUALITY CONTROL
RADIO
RATE OF POPULATION GROWTH
REFUGEES
RELIGIOUS LEADERS
RESOURCE MOBILIZATION
RISK FACTORS
RISK GROUPS
RISK OF INFECTION
RISKY BEHAVIOR
SCHOOL CHILDREN
SCHOOL CURRICULUM
SCHOOL YOUTH
SCREENING
SECONDARY SCHOOLS
SERVICE DELIVERY
SERVICE PROVIDERS
SEX
SEX WORK
SEX WORKER
SEX WORKERS
SEXUAL CONTACT
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTIONS
SOCIAL AFFAIRS
SOCIAL CLASS
SOCIAL IMPACT
SOCIAL MARKETING
SOCIAL MOBILIZATION
SOCIAL SERVICES
SOCIAL STATUS
SOCIAL SUPPORT
SOCIAL WORK
SOCIAL WORKERS
STIS
SUPPLY NEEDS
SURVIVAL RATE
TECHNICAL ASSISTANCE
TELEVISION
TRANSPORTATION
TREATMENT SERVICES
TUBERCULOSIS
TUBERCULOSIS CONTROL
TV
UNAIDS
UNEMPLOYMENT
UNFPA
UNITED NATIONS POPULATION FUND
UNPROTECTED SEX
URBAN AREAS
USE OF CONDOMS
VOCATIONAL TRAINING
VOLUNTARY COUNSELING
VOLUNTARY TESTING
VULNERABILITY
VULNERABLE CHILDREN
VULNERABLE GROUPS
WORLD HEALTH ORGANIZATION
YOUNG GIRLS
YOUNG PEOPLE
YOUNG PREGNANT WOMEN
YOUNG WOMEN
spellingShingle ACCESS TO TREATMENT
ADULT POPULATION
AGED
AIDS CASES
AIDS EPIDEMIC
AIDS ORPHANS
AIDS PATIENTS
AIDS PROGRAM
AIDS PROJECT
AIDS PROJECTS
ANTENATAL SERVICES
AWARENESS CAMPAIGNS
BABIES
BEHAVIOR CHANGE
BEHAVIORAL CHANGE
BLOOD BANK
BLOOD DONORS
BLOOD TRANSFUSION
CAPACITY BUILDING
CASE MANAGEMENT
CASUAL SEX
CHILD MORTALITY
CHILD MORTALITY RATES
CITIZENSHIP
CIVIL SOCIETY ORGANIZATIONS
CLINICS
COMMERCIAL SEX
COMMERCIAL SEX WORKERS
COMMUNICATION CHANNELS
COMMUNITY DEVELOPMENT
COMMUNITY HEALTH
COMPLICATIONS
COMPREHENSIVE CARE
CONDOM
CONDOM DISTRIBUTION
CONDOM SALES
CONDOM USE
CONDOMS
CORRECT USE OF CONDOMS
COUNSELORS
DEMAND FOR CONDOMS
DIET
DISCRIMINATION
DROPOUT
DRUGS
EARLY DETECTION
EPIDEMIC
EPIDEMIOLOGICAL SURVEILLANCE
EPIDEMIOLOGY
ESSENTIAL MEDICINES
EXISTING CAPACITY
FAMILIES
FAMILY HEALTH
FAMILY HEALTH INTERNATIONAL
FAMILY MEMBERS
FAMILY PLANNING
FAMILY WELFARE
FEMALE GENITAL CUTTING
FERTILITY
FERTILITY RATES
FOCUS GROUP DISCUSSIONS
GENDER INEQUALITY
GLOBAL HIV/AIDS
GOVERNMENT AGENCIES
HEALTH CENTERS
HEALTH EDUCATION
HEALTH FACILITIES
HEALTH INFRASTRUCTURE
HEALTH PLANNING
HEALTH POLICY
HEALTH PROBLEMS
HEALTH SECTOR
HEALTH SERVICES
HEALTH SYSTEM
HEALTH WORKERS
HIGH-RISK GROUPS
HIV
HIV INFECTION
HIV PREVENTION
HIV TRANSMISSION
HOME VISITS
HOSPITAL
HOSPITALS
HUMAN DEVELOPMENT
HYGIENE
ILLITERACY
ILLNESSES
IMMIGRATION
IMMIGRATION STATUS
IMMUNODEFICIENCY
IMPACT OF AIDS
INCOME-GENERATING ACTIVITIES
INFANT
INFLUX OF REFUGEES
INSTITUTIONAL CAPACITY
INTERCOURSE
INTERNATIONAL COMMUNITY
INTERNATIONAL COOPERATION
INTERNATIONAL RESPONSE
INTERPERSONAL COMMUNICATION
INTERVENTION
LABOR FORCE
LACK OF KNOWLEDGE
LEVELS OF EDUCATION
LIFE EXPECTANCY
LIVE BIRTHS
LIVING CONDITIONS
LOCAL COMMUNITIES
MALARIA
MANDATES
MARITAL STATUS
MASS MEDIA
MATERNAL HEALTH
MATERNAL MORTALITY
MATERNAL MORTALITY RATIO
MATERNITY HOSPITALS
MEDIA COVERAGE
MEDICINES
MIDWIVES
MIGRANT
MIGRANT POPULATIONS
MIGRATION
MILLENNIUM DEVELOPMENT GOAL
MINISTRY OF EDUCATION
MINISTRY OF HEALTH
MORTALITY
MOTHER
MOTHER-TO-CHILD
MOTHER-TO-CHILD TRANSMISSION
NATIONAL AIDS
NATIONAL AIDS CONTROL
NATIONAL CAPACITIES
NATIONAL LEVEL
NATIONAL PLAN
NATIONAL POLICIES
NATIONAL STRATEGY
NUTRITION
OPPORTUNISTIC ILLNESSES
OPPORTUNISTIC INFECTIONS
ORPHANS
PARENTHOOD FEDERATION
PATIENTS
PEER EDUCATION
PEER EDUCATORS
PHYSICIANS
PILOT PROJECTS
POPULATION GROUPS
POSTERS
PREGNANT WOMAN
PREGNANT WOMEN
PRENATAL CARE
PREVALENCE RATE
PREVALENCE RATES
PREVENTION ACTIVITIES
PREVENTION INTERVENTIONS
PREVENTION OF MOTHER-TO-CHILD TRANSMISSION
PREVENTIVE ACTIVITIES
PRIMARY HEALTH CARE
PROGRESS
PROPHYLAXIS
PSYCHOLOGICAL SUPPORT
PSYCHOSOCIAL SUPPORT
PUBLIC HEALTH
QUALITY CONTROL
RADIO
RATE OF POPULATION GROWTH
REFUGEES
RELIGIOUS LEADERS
RESOURCE MOBILIZATION
RISK FACTORS
RISK GROUPS
RISK OF INFECTION
RISKY BEHAVIOR
SCHOOL CHILDREN
SCHOOL CURRICULUM
SCHOOL YOUTH
SCREENING
SECONDARY SCHOOLS
SERVICE DELIVERY
SERVICE PROVIDERS
SEX
SEX WORK
SEX WORKER
SEX WORKERS
SEXUAL CONTACT
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED INFECTIONS
SOCIAL AFFAIRS
SOCIAL CLASS
SOCIAL IMPACT
SOCIAL MARKETING
SOCIAL MOBILIZATION
SOCIAL SERVICES
SOCIAL STATUS
SOCIAL SUPPORT
SOCIAL WORK
SOCIAL WORKERS
STIS
SUPPLY NEEDS
SURVIVAL RATE
TECHNICAL ASSISTANCE
TELEVISION
TRANSPORTATION
TREATMENT SERVICES
TUBERCULOSIS
TUBERCULOSIS CONTROL
TV
UNAIDS
UNEMPLOYMENT
UNFPA
UNITED NATIONS POPULATION FUND
UNPROTECTED SEX
URBAN AREAS
USE OF CONDOMS
VOCATIONAL TRAINING
VOLUNTARY COUNSELING
VOLUNTARY TESTING
VULNERABILITY
VULNERABLE CHILDREN
VULNERABLE GROUPS
WORLD HEALTH ORGANIZATION
YOUNG GIRLS
YOUNG PEOPLE
YOUNG PREGNANT WOMEN
YOUNG WOMEN
El-Saharty, Sameh
Ravano, Wendy V.
Ali, Omar
Abdel-Rahmane, Maissa
Curbing the HIV/AIDS Epidemic in Djibouti
geographic_facet Middle East and North Africa
Djibouti
relation World Bank Global HIV/AIDS Program Discussion Paper;
description 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.
format Working Paper
author El-Saharty, Sameh
Ravano, Wendy V.
Ali, Omar
Abdel-Rahmane, Maissa
author_facet El-Saharty, Sameh
Ravano, Wendy V.
Ali, Omar
Abdel-Rahmane, Maissa
author_sort El-Saharty, Sameh
title Curbing the HIV/AIDS Epidemic in Djibouti
title_short Curbing the HIV/AIDS Epidemic in Djibouti
title_full Curbing the HIV/AIDS Epidemic in Djibouti
title_fullStr Curbing the HIV/AIDS Epidemic in Djibouti
title_full_unstemmed Curbing the HIV/AIDS Epidemic in Djibouti
title_sort curbing the hiv/aids epidemic in djibouti
publisher World Bank, Washington, DC
publishDate 2017
url http://documents.worldbank.org/curated/en/607361468167966672/Curbing-the-HIV-AIDS-epidemic-in-Djibouti
http://hdl.handle.net/10986/27713
_version_ 1764464589670449152
spelling okr-10986-277132021-04-23T14:04:43Z Curbing the HIV/AIDS Epidemic in Djibouti El-Saharty, Sameh Ravano, Wendy V. Ali, Omar Abdel-Rahmane, Maissa ACCESS TO TREATMENT ADULT POPULATION AGED AIDS CASES AIDS EPIDEMIC AIDS ORPHANS AIDS PATIENTS AIDS PROGRAM AIDS PROJECT AIDS PROJECTS ANTENATAL SERVICES AWARENESS CAMPAIGNS BABIES BEHAVIOR CHANGE BEHAVIORAL CHANGE BLOOD BANK BLOOD DONORS BLOOD TRANSFUSION CAPACITY BUILDING CASE MANAGEMENT CASUAL SEX CHILD MORTALITY CHILD MORTALITY RATES CITIZENSHIP CIVIL SOCIETY ORGANIZATIONS CLINICS COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICATION CHANNELS COMMUNITY DEVELOPMENT COMMUNITY HEALTH COMPLICATIONS COMPREHENSIVE CARE CONDOM CONDOM DISTRIBUTION CONDOM SALES CONDOM USE CONDOMS CORRECT USE OF CONDOMS COUNSELORS DEMAND FOR CONDOMS DIET DISCRIMINATION DROPOUT DRUGS EARLY DETECTION EPIDEMIC EPIDEMIOLOGICAL SURVEILLANCE EPIDEMIOLOGY ESSENTIAL MEDICINES EXISTING CAPACITY FAMILIES FAMILY HEALTH FAMILY HEALTH INTERNATIONAL FAMILY MEMBERS FAMILY PLANNING FAMILY WELFARE FEMALE GENITAL CUTTING FERTILITY FERTILITY RATES FOCUS GROUP DISCUSSIONS GENDER INEQUALITY GLOBAL HIV/AIDS GOVERNMENT AGENCIES HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INFRASTRUCTURE HEALTH PLANNING HEALTH POLICY HEALTH PROBLEMS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH WORKERS HIGH-RISK GROUPS HIV HIV INFECTION HIV PREVENTION HIV TRANSMISSION HOME VISITS HOSPITAL HOSPITALS HUMAN DEVELOPMENT HYGIENE ILLITERACY ILLNESSES IMMIGRATION IMMIGRATION STATUS IMMUNODEFICIENCY IMPACT OF AIDS INCOME-GENERATING ACTIVITIES INFANT INFLUX OF REFUGEES INSTITUTIONAL CAPACITY INTERCOURSE INTERNATIONAL COMMUNITY INTERNATIONAL COOPERATION INTERNATIONAL RESPONSE INTERPERSONAL COMMUNICATION INTERVENTION LABOR FORCE LACK OF KNOWLEDGE LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOCAL COMMUNITIES MALARIA MANDATES MARITAL STATUS MASS MEDIA MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY HOSPITALS MEDIA COVERAGE MEDICINES MIDWIVES MIGRANT MIGRANT POPULATIONS MIGRATION MILLENNIUM DEVELOPMENT GOAL MINISTRY OF EDUCATION MINISTRY OF HEALTH MORTALITY MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NATIONAL AIDS NATIONAL AIDS CONTROL NATIONAL CAPACITIES NATIONAL LEVEL NATIONAL PLAN NATIONAL POLICIES NATIONAL STRATEGY NUTRITION OPPORTUNISTIC ILLNESSES OPPORTUNISTIC INFECTIONS ORPHANS PARENTHOOD FEDERATION PATIENTS PEER EDUCATION PEER EDUCATORS PHYSICIANS PILOT PROJECTS POPULATION GROUPS POSTERS PREGNANT WOMAN PREGNANT WOMEN PRENATAL CARE PREVALENCE RATE PREVALENCE RATES PREVENTION ACTIVITIES PREVENTION INTERVENTIONS PREVENTION OF MOTHER-TO-CHILD TRANSMISSION PREVENTIVE ACTIVITIES PRIMARY HEALTH CARE PROGRESS PROPHYLAXIS PSYCHOLOGICAL SUPPORT PSYCHOSOCIAL SUPPORT PUBLIC HEALTH QUALITY CONTROL RADIO RATE OF POPULATION GROWTH REFUGEES RELIGIOUS LEADERS RESOURCE MOBILIZATION RISK FACTORS RISK GROUPS RISK OF INFECTION RISKY BEHAVIOR SCHOOL CHILDREN SCHOOL CURRICULUM SCHOOL YOUTH SCREENING SECONDARY SCHOOLS SERVICE DELIVERY SERVICE PROVIDERS SEX SEX WORK SEX WORKER SEX WORKERS SEXUAL CONTACT SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SOCIAL AFFAIRS SOCIAL CLASS SOCIAL IMPACT SOCIAL MARKETING SOCIAL MOBILIZATION SOCIAL SERVICES SOCIAL STATUS SOCIAL SUPPORT SOCIAL WORK SOCIAL WORKERS STIS SUPPLY NEEDS SURVIVAL RATE TECHNICAL ASSISTANCE TELEVISION TRANSPORTATION TREATMENT SERVICES TUBERCULOSIS TUBERCULOSIS CONTROL TV UNAIDS UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNPROTECTED SEX URBAN AREAS USE OF CONDOMS VOCATIONAL TRAINING VOLUNTARY COUNSELING VOLUNTARY TESTING VULNERABILITY VULNERABLE CHILDREN VULNERABLE GROUPS WORLD HEALTH ORGANIZATION YOUNG GIRLS YOUNG PEOPLE YOUNG PREGNANT WOMEN YOUNG WOMEN 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. 2017-08-10T20:02:45Z 2017-08-10T20:02:45Z 2010-10 Working Paper http://documents.worldbank.org/curated/en/607361468167966672/Curbing-the-HIV-AIDS-epidemic-in-Djibouti http://hdl.handle.net/10986/27713 English en_US World Bank Global HIV/AIDS Program Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Middle East and North Africa Djibouti