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Samoa Global AIDS Monitoring Report 2019

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Samoa Global AIDS Monitoring Report 2019 Samoa Global AIDS Monitoring Report 2019 GLOBAL AIDS MONITORING REPORT FOR SAMOA 2019 REPORTING PERIOD: JANUARY-DECEMBER 2018 TABLE OF CONTENTS FOREWORD ...................................................................................................................................................... 5 I. STATUS AT A GLANCE ....................................................................................................................................... 6 Stakeholders in the Report Writing Process .................................................................................. 6 Status of the Epidemic ............................................................................................................................. 7 Policy and Programmatic Response .................................................................................................. 8 Samoa 2018 HIV & STI Indicator Highlights ................................................................................... 9 II. OVERVIEW OF THE AIDS EPIDEMIC ............................................................................................................ 10 HIV and Other STI’s Epidemiology ................................................................................................... 10 HIV & STI PREVALENCE ESTIMATIONS AND FORECASTS ....................................................................... 13 BEHAVIOURAL RISK PROFILE ...................................................................................................................... 14 Background of Key Populations in Samoa ..................................................................................... 16 Background of the Multi-sectoral Response to HIV and STI’s in Samoa ............................ 17 III. 2018 NATIONAL RESPONSE TO THE AIDS EPIDEMIC ............................................................................. 18 Prevention .................................................................................................................................................. 18 T3: Talk it,, Test it,, Treat it (Siaki,, Talanoa,, Togafitiga) Multimedia Campaign ........... 18 Samoa Family Health Association,, The Thrive Initiative and Samoa Fa’afafine Association Drive HIV Testing with Key Affected Populations ............................................. 20 World AIDS Day 2018- “”Know Your Status” ............................................................................. 25 Treatment, Care and Support ............................................................................................................. 26 STI MANAGEMENT AND REFERRAL PATHWAY TRAINING FOR PROVIDERS BY OSSHM ..................... 26 CONSULTATION OF THE NATIONAL STRATEGIC PLAN FOR TUBERCULOSIS........................................... 28 Launching of the Updated WHO HIV and STI Guidelines for Samoa ................................. 28 Knowledge and behavior change ...................................................................................................... 29 Integrated Community Health Approach Program (ICHAP) March-April 2018 ........... 29 COMMITMENT 1: ENSURE THAT 30 MILLION PEOPLE LIVING WITH HIV HAVE ACCESS TO TREATMENT THROUGH MEETING THE 90–90–90 TARGETS BY 2020 ............................................................................. 36 P a g e | 3 COMMITMENT 2: ELIMINATE NEW HIV INFECTIONS AMONG CHILDREN BY 2020 WHILE ENSURING THAT 1.6 MILLION CHILDREN HAVE ACCESS TO HIV TREATMENT BY 2018 .............................................. 39 COMMITMENT 3: ENSURE ACCESS TO COMBINATION PREVENTION OPTIONS, INCLUDING PRE- EXPOSURE PROPHYLAXIS, VOLUNTARY MEDICAL MALE CIRCUMCISION, HARM REDUCTION AND CONDOMS, TO AT LEAST 90% OF PEOPLE BY 2020, ESPECIALLY YOUNG WOMEN AND ADOLESCENT GIRLS IN HIGH- PREVALENCE COUNTRIES AND KEY POPULATIONS—GAY MEN AND OTHER MEN WHO HAVE SEX WITH MEN, TRANSGENDER PEOPLE, SEX WORKERS AND THEIR CLIENTS, PEOPLE WHO INJECT DRUGS AND PRISONERS .......................................................................................................................................................... 40 COMMITMENT 4: ELIMINATE GENDER INEQUALITIES AND END ALL FORMS OF VIOLENCE AND DISCRIMINATION AGAINST WOMEN AND GIRLS, PEOPLE LIVING WITH HIV AND KEY POPULATIONS BY 2020 .................................................................................................................................................................. 41 COMMITMENT 5: ENSURE THAT 90% OF YOUNG PEOPLE HAVE THE SKILLS, KNOWLEDGE AND CAPACITY TO PROTECT THEMSELVES FROM HIV AND HAVE ACCESS TO SEXUAL AND REPRODUCTIVE HEALTH SERVICES BY 2020, IN ORDER TO REDUCE THE NUMBER OF NEW HIV INFECTIONS AMONG ADOLESCENT GIRLS AND YOUNG WOMEN TO BELOW 100, 000 PER YEAR .................................................. 42 COMMITMENT 10: COMMIT TO TAKING AIDS OUT OF ISOLATION THROUGH PEOPLE-CENTRED SYSTEMS TO IMPROVE UNIVERSAL HEALTH COVERAGE, INCLUDING TREATMENT FOR TUBERCULOSIS, CERVICAL CANCER AND HEPATITIS B AND C ................................................................................................... 45 Hepatitis B&C ............................................................................................................................................ 45 Tuberculosis (TB) ................................................................................................................................... 47 Cervical cancer ......................................................................................................................................... 49 THE STATUS OF HUMAN RIGHTS IN RELATION TO HIV .................................................................................. 49 Public Health Law ................................................................................................................................... 49 Immigration Law ..................................................................................................................................... 50 Criminal law .............................................................................................................................................. 50 Prison and Correctional Law .............................................................................................................. 50 Anti-discrimination ................................................................................................................................ 50 Privacy and Confidentiality ................................................................................................................. 51 BEST PRACTICES ................................................................................................................................................ 51 i. T3- Linking people to testing through multimedia ................................................................. 51 ii. Integrating the efforts of village-based outreach ................................................................... 51 iii. Consolidation of roles with partner organizations .............................................................. 52 MAJOR CHALLENGES AND REMEDIAL ACTIONS ............................................................................................... 52 (a) progress of key challenges reported in 2017 .................................................................. 52 (b) challenges in 2018 and concrete remedial actions in 2019 ....................................... 53 SUPPORT FROM THE COUNTRY’S DEVELOPMENT PARTNERS ......................................................................... 54 MONITORING AND EVALUATION ENVIRONMENT ............................................................................................ 54 BIBLIOGRAPHY ................................................................................................................................................... 58 P a g e | 4 Key Abbreviations AIDS- acquired immune deficiency syndrome ANC- Antenatal Care ART or ARV – Anti-retroviral treatment or therapy DOTS- directly observed treatment, short-course (for TB treatment services) EXP TB- extra pulmonary TB (TB infection occurring outside of the lungs) GF- The Global Fund to Fight HIV, Malaria and TB HIV- human immunodeficiency virus ICHAP- Integrated Community Health Approach Program MoH- Samoa Ministry of Health MSM- men who have sex with men MT2- MalietoaTanumafili II Hospital, Savai’i MTC- Mother to Child Transmission of HIV NCD’s- Non-communicable diseases NHS- National Health Service, Samoa PLWHIVA – people living with HIV or AIDS PMTCT- Preventing Mother to Child Transmission of HIV SS- - sputum smear negative (patient tests negative for TB via sputum smear testing, but has latent TB infection) SS+ - sputum smear positive (patient tests positive for TB via sputum smear testing) STI- Sexually Transmitted Infection TB- tuberculosis TTM- TupuaTamaseseMeaole Hospital, Apia UNDP- United Nations Development Program WHO- World Health Organization P a g e | 5 FOREWORD LeausaToleafoa Dr. Take Naseri Director General/CEO, Samoa’s Ministry of Health is proud to present Ministry of Health eighth annual report to UNAIDS since 2010 this year entitled Global AIDS Monitoring (GAM) Report and is evidence of Samoa’s commitment to the global response to HIV, AIDS, STI’s, and TB. This commitment stems from the “Political Declaration on HIV/AIDS: Intensifying Our Effort to Eliminate HIV/AIDS” adopted by the United Nation member states at the high level meeting held in
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