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Innovative twinning programme in prison setting

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Access to HIV prevention and care in prisons of Cote d'Ivoire. ESTHER intiative in MACA prison. Une présentation d'Arnaud Laurent, à l'occasion de la conférence internationale sur le sida de Vienne 2010.

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Arnaud LAURENT, Programme Manager, ESTHER France Innovative twinning programme in prison setting Access to HIV prevention and care in prisons of Cote d’Ivoire ESTHER initiative in MACA prison (Maison d’Arrêt et de Correction d’Abidjan)
ESTHER in Côte d’Ivoire ,[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brief MACA presentation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MACA
« Cité MACA » Females block Minors block Medical Center Social & Medical Center Administration « Disciplinary » block A et B blocks « VIP » block
Health situation ,[object Object],[object Object],[object Object]
MACA Medical centers ,[object Object],[object Object],[object Object],[object Object]
ESTHER Intervention Modalities (capacity building) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ESTHER Interventions Modalities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Counselling and HIV testing in MACA (from nov.08 to march 10) Nb of prisoners counseled Nb of tested prisoners Nb of prisoners HIV+ Nov. 08 Jan. 09 Mar. 09 Jul. 09 May 09 Sep. 09 Nov. 09 Jan. 10 Mar. 10 0 200 400 600 800 1000 1200 1400 1600
HIV Testing results ( from nov. 08 to march 10) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Capacity building
HIV care and treatment for PLWHIV ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Prisoners Guards and others Total Nb. of blood tests (CD4) 425 21 446 CD4< 200 54 10 64 CD4 between 200 et 350 71 3 74 CD4 > 350 300 8 308 Nb. of patients put on ART 76 10 86 15 released Death under ART 6 0 6
TB and co-infection HIV/TB ,[object Object],[object Object],Prisoners Guards and others Total Number of TB cases 172 0 172 Nb. of TB/VIH+ cases 39 0 39 (13 ARV+) (22.7%)
How the Health Policy has changed In order to promote health improvement in prisons ESTHER has supported a political and institutional process as below. The 2 main acheivements are the official adoption of a national policy for health in prisons and the integration of prisoners among beneficiaries of the Global Fund .
Conclusion/Recommandation ,[object Object],[object Object],[object Object]
 
 

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Innovative twinning programme in prison setting

  • 1. Arnaud LAURENT, Programme Manager, ESTHER France Innovative twinning programme in prison setting Access to HIV prevention and care in prisons of Cote d’Ivoire ESTHER initiative in MACA prison (Maison d’Arrêt et de Correction d’Abidjan)
  • 2.
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  • 5. « Cité MACA » Females block Minors block Medical Center Social & Medical Center Administration « Disciplinary » block A et B blocks « VIP » block
  • 6.
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  • 11. Counselling and HIV testing in MACA (from nov.08 to march 10) Nb of prisoners counseled Nb of tested prisoners Nb of prisoners HIV+ Nov. 08 Jan. 09 Mar. 09 Jul. 09 May 09 Sep. 09 Nov. 09 Jan. 10 Mar. 10 0 200 400 600 800 1000 1200 1400 1600
  • 12.
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  • 16. How the Health Policy has changed In order to promote health improvement in prisons ESTHER has supported a political and institutional process as below. The 2 main acheivements are the official adoption of a national policy for health in prisons and the integration of prisoners among beneficiaries of the Global Fund .
  • 17.
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  • 19.