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| Bulletin De Surveillance Épidémiologique VIH/Sida No 20 MSPP/PNLS, Décembre 2019

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| Bulletin De Surveillance Épidémiologique VIH/Sida No 20 MSPP/PNLS, Décembre 2019 1 | Bulletin de Surveillance Épidémiologique VIH/Sida no 20 MSPP/PNLS, Décembre 2019 2 Table des matières Liste des abréviations & acronymes .............................................................................................................................. 3 1. Maintenir l’élan vers la fin du sida en Haïti : Bilan et perspectives ...................................................................... 4 1.1 Accélération de la riposte.................................................................................................................................... 4 1.2 Paramètres de transition épidémique du VIH-sida ............................................................................................. 5 1.3 Considérations sur les aspects de risque et de vulnérabilité de la population à l’égard du VIH ......................... 6 1.4 Conclusion ........................................................................................................................................................... 7 2. Suivi de la performance des institutions sanitaires dans la prise en charge des patients VIH à Haïti à partir des données de la base i-sante ............................................................................................................................................ 9 2.1 Contexte .............................................................................................................................................................. 9 2.2 Méthodes ............................................................................................................................................................ 9 2.3 Résultats ............................................................................................................................................................ 11 2.4 Conclusion ......................................................................................................................................................... 13 2.5 Annexe............................................................................................................................................................... 13 3. Implication des hommes dans les services de prévention et transmission du VIH de PTME dans deux institutions sanitaires à Saint-Marc, Haïti : Une étude pilote interventionnelle mixte .................................................................. 14 3.1 Résumé .............................................................................................................................................................. 14 3.2 Introduction ...................................................................................................................................................... 14 3.3 Méthodologie .................................................................................................................................................... 15 3.4 Résultats ............................................................................................................................................................ 19 3.5 Discussions ........................................................................................................................................................ 21 3.6 Forces et Limites de l’étude .............................................................................................................................. 23 3.7 Conclusion ......................................................................................................................................................... 23 4. ZANMI LASANTE un partenaire sur du MSPP dans la lutte contre le VIH en Haïti.................................................. 25 3.1 Plus de 30 ans au service des communautés en Haïti ....................................................................................... 25 3.2 Principales interventions de zanmi lasante en Haïti ......................................................................................... 26 3.3 Système d’informations sanitaires de Zanmi Lasante en Haïti ......................................................................... 28 3.4 Témoignages / Histoires à succès ...................................................................................................................... 29 3.5 Défis et Perspectives ......................................................................................................................................... 31 5. SOLUTIONS SA une entreprise haïtienne avant-gardiste en gestion de données dans le milieu de la santé ......... 32 5.1 Une équipe engagée et expérimentée .............................................................................................................. 32 5.2 Champ d’action de SOLUTIONS ......................................................................................................................... 32 5.3 Empreintes de solutions dans le secteur de la santé ........................................................................................ 33 5.4 Perspectives et regard sur le monde ................................................................................................................. 34 6. Prototype d’un bon Gestionnaire de données en VIH/SIDA pour l’année 2019 ..................................................... 34 6.1. Reconnaissance des efforts .............................................................................................................................. 34 6.2. Intégration et principales taches de M. Joseph au sein du Centre Médical Bethesda de Vaudreuil ............... 34 6.3. Description d’une journée de travail de M. Joseph ......................................................................................... 35 6.4. Wilken JOSPEH, un Gestionnaire de données toujours ferme au poste .......................................................... 35 6.5. Continuité de la récompense de l’effort et de la persévérance ....................................................................... 35 7. Point de Prestation de Service d’Excellence en Suivi et Evaluation ou le mérite de l’adaptation au changement 36 7.1 Désignation du PPSESE 2019 ............................................................................................................................. 36 7.2 Historique du programme VIH à HUP ............................................................................................................... 36 Le sida en chiffres (Haïti 2010) .................................................................................................................................... 44 | Bulletin de Surveillance Épidémiologique VIH/Sida no 20 MSPP/PNLS, Décembre 2019 3 Liste des abréviations & acronymes ARV Antirétroviral AZT Zidovudine ASCP Agents de Santé Communautaire Polyvalents CD Counseling et Dépistage CDC Center for Disease Control and Prevention CDS Centre pour le Développement et la Santé CPN Clinique Pré Natale DAC Distribution ARV Communautaire DOT Directed Osbserved Therapy DSF Direction de la santé de la Famille FOSREF Fondation pour la Santé de la Reproduction et de la Famille FM Fonds Mondial GHESKIO Groupe Haïtien d’Etudes sur le Sarcome de Kaposi et les Infections Opportunistes HUM Hôpital Universitaire de Mirebalais IHE Institut Haïtien de l’Enfance IST Infections Sexuellement Transmissibles ITECH International Training Education Center for Health MESI Monitoring Evaluation et Surveillance Intégrée MMS Multi Month Scripting MSPP Ministère de la Santé Publique et de la Population NASTAD National Alliance State Territorial AIDS Director OMS Organisation Mondiale de la Santé PCPI Prise en Charge des Contacts des Patients Index PDP Programme Dispensation ARV Prolongé PDV Perdus de Vue PEPFAR President Emergency Plan for AIDS Relief PIH/ZL Partners In Health / Zanmi Lasante PLR Patient Linkages and Retention PNLS Programme National de Lutte contre le Sida PNLT Programme National de Lutte contre la Tuberculose PrEP Prophylaxie Pré Exposition PPS Point de Prestation de Service PTME Prévention Transmission Mère Enfant PVVIH Personne Vivant avec le VIH SAFE Surveillance Active de la Femme Enceinte SALVH Surveillance Active Longitudinale du VIH en Haïti SEFIS Société d’Etudes et de Formation en Information Stratégique SIDA Syndrome de l’Immunodépression Humaine SIS Système d’Informations Sanitaires SSPE Service de Santé de Premier Echelon TAR Traitement Antirétroviral TME Transmission Mère Enfant UGP Unité de Gestion de Projet USAID United State Agency for International Development VIH Virus de l’Immunodépression Humaine | Bulletin de Surveillance Épidémiologique VIH/Sida no 20 MSPP/PNLS, Décembre 2019 4 1. Maintenir l’élan vers la fin du sida en Haïti : Bilan et perspectives1 1.1 Accélération de la riposte Les énormes progrès réalisés ces 15 dernières années ont suscité un engagement mondial pour finir avec l’épidémie du sida d’ici à 2030. Ces avancées sont particulièrement caractérisées par les possibilités d’atteinte de l’objectif intermédiaire de la cible des trois 90 par certains pays en particulier à l’horizon 2020. En raison des progrès réalisés, Haïti en collaboration avec tous ses partenaires financiers et techniques et ses partenaires d’implémentation, a décidé de s’engager dans la voie dite accélérée de la riposte mondiale tel que promue par ONUSIDA (95-95-95). A la lumière des données programmatiques et les estimations révisées en 2019, les efforts conjugués des intervenants ont permis au PNLS d’atteindre cette cible
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