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Country Progress Report 2006 Chad

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Country Progress Report 2006 Chad Chad_UNGASS Report_2005 Unity - Work - Progress REPUBLIC OF CHAD **** MINISTRY OF PUBLIC HEALTH **** General Secretariat **** National Report on the UNGASS Indicators CHAD 2005 December 2005 1 Chad_UNGASS Report_2005 INDEX Page INTRODUCTION------------------------------------------------------------------------------------ 1.1. Report framework --------------------------------------------------------------------------------------- 1.2. Report objectives -------------------------------------------------------------------------------------- I. NATIONAL COMMITMENT ------------------------------------------------------------------ 1.1. Government national funding for HIV/AIDS ------------------------------------------------------ 1.2. Strategic plan ----------------------------------------------------------------------------------------------- 1.3. Political support ------------------------------------------------------------------------------------------- 1.4. Prevention -------------------------------------------------------------------------------------------------- 1.5. Care and support ------------------------------------------------------------------------------------------ 1.6. Human rights ---------------------------------------------------------------------------------------------- 1.7. Civil society involvement -------------------------------------------------------------------------------- 1.8. Monitoring and evaluation ------------------------------------------------------------------------------- 1.10. Life-skills-based HIV/AIDS education in school -------------------------------------------------- 1.11. Workplace HIV/AIDS control ----------------------------------------------------------------------- 1.12. Sexually transmitted infections (STI): case management ---------------------------------------- 1.13. Prevention of mother-to-child transmission: antiretroviral prophylaxis ----------------------- 1.15. HIV treatment: antiretroviral combination therapy ----------------------------------------------- 1.16. Support for children affected by HIV/AIDS ------------------------------------------------------ 1.17. Blood safety ----------------------------------------------------------------------------------------------- II. KNOWLEDGE AND BEHAVIOUR --------------------------------------------------------- 2.1. Young people: knowledge about HIV prevention -------------------------------------------------- 2.2. Sex before the age of 15 among young women and men ----------------------------------------- 2.3 Higher-risk sex among young women and men ---------------------------------------------------- 2.4. Young women and men's condom use with non-regular partners ------------------------------- 2.5. Orphans' school attendance ---------------------------------------------------------------------------- III. IMPACT------------------------ -------------------------------------------------------------------- 3.1. Reduction in HIV prevalence -------------------------------------------------------------------------- 3.2. HIV treatment: survival after 12 months on antiretroviral therapy ----------------------------- 3.3. Reduction in mother-to-child transmission ---------------------------------------------------------- V. GLOBAL COMMITMENT AND ACTION ------------------------------------------------- 4.1. Amount of bilateral and multilateral financial flows for the benefit of the country --------- 4.2. Amount of public funds for Research and Development of preventive HIV vaccines and microbicides ----------------------------------------------------------------------------------------------- 4.3. Percentage of transnational companies which are present in the country and which have HIV/AIDS workplace policies and programmes -------------------------------------------------- 4.4. Percentage of international organizations which have workplace policies and programmes - 2 Chad_UNGASS Report_2005 LIST OF ACRONYMS BACSI Support, Coordination and Information Monitoring Office BET: Borkou - Ennedi - Tibesti BIEC: Office of Information, Education and Communications CCA/UNDAF Common Country Assessment/United Nations Development Assistance Framework CD4 White Cells VTC Voluntary Testing Centre ACU/MNE AIDS Control Unit of the Ministry of National Education HF Health Facility STA: Senior Technical Adviser DAAFM Direction des Affaires Administratives [Administrative Affairs Division] DGAS Direction Générale des Activités Sanitaires [Directorate General of Health Services] DGRP Direction Générale des Ressources et de la Planification [Directorate General of Resources and Planning] DRS Délégation Régionale Sanitaire [Regional Health Delegation] DSIS Division du Système d’Information Sanitaire [Division of Health Information Systems] RHO: Délégation régionale sanitaire [Regional Health Office] ENASS Ecole Nationale des Agents Sanitaires and Sociaux [National School of Health and Social Workers] ADF African Development Fund FAFED: Fondation Amour en faveur des enfants en détresse [Love Foundation for Needy Children] EDF European Development Fund FOSAP Fund for the Support of Population Activities HGRN: National Reference General Hospital GTZ German Technical Cooperation Agency IDA International Development Agency IEC: Information, Education, Communication IGS Inspection Générale des Services [Inspectorate General] STI(s) Sexually Transmitted Infections MASF: Ministère de l’Action Sociale and de la Famille [ministry of social action and family affairs] MPDC: Ministère de Plan, du Développement and de la Coopération [ministry of planning, development and cooperation] MPH Ministry of Public Health NAS AIDS Control Unit WHO World Health Organization NGO(s): Non-Governmental Organization(s) UNAIDS United Nations Programme on HIV/AIDS OVC: Orphans and Vulnerable Children [AIDS] HSSP Health Sector Support Project PCA Package of Complementary Activities MPA Minimum Package of Activities NACP National AIDS Control Programme UNDP United Nations Development Programme PACP Population and AIDS Control Project HIPC Heavily Indebted Poor Countries PLWHIV Person Living with HIV AIDS Acquired Immunodeficiency Syndrome UCAPE Union Communale des Associations des Parents d’Elèves [local union of student parents' associations] UNPAF United Nations Populations Activities Fund UNOPS United Nations Office for Project Support 3 Chad_UNGASS Report_2005 I. INTRODUCTION In October 2000, the United Nations General Assembly adopted the resolution to hold a special session to "to review and address the problem of HIV/AIDS in all its aspects as well as to secure a global commitment to enhancing coordination and intensification of national, regional and international efforts to combat it in a comprehensive manner." During the United Nations General Assembly Special Session on HIV/AIDS (UNGASS), in June 2001, the governments of 189 countries committed themselves to a comprehensive programme of national and international action to fight the HIV/AIDS pandemic by adopting the Declaration of Commitment (DoC) on HIV/AIDS. This Declaration reflects the global consensus on the comprehensive framework by which to attain the Millennium Development Objective, which is to end, and begin to reverse, the course of the HIV/AIDS epidemic by the year 2015. This Declaration laid out a number of goals in order to reach specific quantified and time-bound targets, including reductions in HIV infection among infants and young adults, improvements in HIV/AIDS education, health care and treatment, and improvements in orphan support. To carry out these missions, the UNAIDS' Secretariat collaborated in 2002 with the co-sponsors of the Joint Programme along with other partners, to draw up a series of core indicators whose purpose was to assess the progress being made in implementing the Declaration of Commitment. These core indicators were divided into four main categories: (i) National Commitment and Action indicators, (ii) National Knowledge and Behaviour indicators, (iii) National Impact indicators, and (iv) Global Commitment and Action indicators. The information gathered from these indicators will be distributed by means of reports and publications, and then discussed. In 2003, 103 Member States submitted to UNAIDS national reports focusing on the core indicators, 29 of which originated from Sub-Saharan Africa. It was noted that the data submitted for the UNAIDS' progress report on the global fight against HIV/AIDS were extremely limited and that fewer countries, including Chad, responded. Thus for the first time, Chad was called upon to provide more data in order to be included in its definitive report of 2006. 4 Chad_UNGASS Report_2005 Map of Chad and its largest cities 5 Chad_UNGASS Report_2005 CHAD: A GENERAL OVERVIEW A. Geography, History, and Local Government Structure Chad is a vast country in the centre of Africa situated between the 7th and 24th degrees North latitude and the 13th and 24th degrees East latitude. The total surface area of the country is 1.284 million km², bordered on the north by Libya, on the south by the Central African Republic, on the east by the Sudan, and on the west by Niger, Nigeria and Cameroon. It is a landlocked country that, to a large extent, depends for its imports and exports, on the ports of Douala and Port Harcourt. The nearest port is that of Port Harcourt in Nigeria, which is 1,700 km from N'Djamena, Chad's capital. Chad has had a very colourful history. Modern-day Chad was formed between 1898 and 1936—the period in which this country laid down its borders
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