United States Health Aid to Cameroon Sponsored by the Centers for - PowerPoint PPT Presentation

United States Health Aid to Cameroon Sponsored by the Centers for Disease Control

Milestones in CDC Aid to Cameroon Two CDC First round of operational centers: PEPFAR Funds Mutengene & HIV research Lab HIV Lab set up in obligated to Yaoundé at CRESAR Mutengene Cameroon 1998 2000 2004 2007 2008 2010 2011 2012 2013 ($ 1 m) ($4m) ($8.5m) ($8m) ($17m est.) PEPFAR: U.S. President’s Emergency Plan for AIDS Relief PMTCT: Prevention of Mother-to-Child-Transmission

Four pillars of PEPFAR assistance to Cameroon 1. Prevention of Mother to Child HIV Transmission (PMTCT) • Provision of PMTCT services at hundreds of hospitals • Development of national guidelines, policies and curriculum for health workers • Community mobilization 2. Health System Strengthening • Laboratory: improving quality; early infant diagnosis • Capacity Building; Training; Lab Accreditation • Supply Chain Management • Monitoring and Evaluation and collection of Strategic Information through surveys 3. Blood Transfusion • Setting up a national blood transfusion committee and blood transfusion unit • Scaling up voluntary blood donation programs • Screening blood before transfusion 4. Most At Risk Population Men who have sex with men (MSM); Commercial sex workers (CSW); young women

Why address these four pillars? 2. Blood safety : 1. PMTCT • • Cameroon is first out of 22 countries In 2010: globally in the rate of HIV transmission – Available blood supply reached only 20% of from mother to child the amount needed • Cameroon has the highest HIV prevalence • Maternal deaths are mainly due to for pregnant women in West and Central bleeding Africa (7.3%)* • Only 40% pregnant women were tested for HIV in 2010 (16 th of 22 countries) 3. Health System Strengthening: • Weak institutions require improvements in: – Laboratories – Data systems 2. Most At Risk Population: – Trained health • Cameroon has the highest HIV prevalence care workers in Africa (CSWs- 36%, MSM) *RAPPORT NATIONAL DE SUIVI DE LA DECLARATION POLITIQUE SUR LE VIH/SIDA CAMEROUN (2012)

CDC Cameroon’s Vision, Mission & Goals Vision Contribute to a healthier Cameroon Mission Reduce the burden of HIV/AIDS and other communicable diseases in Cameroon; improve maternal and child health conditions; build local capacity & partnerships to implement comprehensive and evidence-based public health practices Goal 1 Goal 4 Goal 2 Goal 3 Develop local Use resources Monitor programs Evaluate programs to capacity to ensure efficiently efficiently assess impact country ownership 1. Fund what works: 1. Activity 1. Conduct studies 1. Technical management and surveys “smart investment” assistance on 2. Partnership & 2. Site monitoring 2. Use results for policies and training collaboration program 2. HQ visit & response 2. Support CDC improvement 3. Monitor budget 3. Data collection for Programs that consistently partner monitoring respond to public health threats

CDC’s PEPFAR Partners Partners Department of WHO & African Field CDC Lab Family Health, UNICEF Cameroon Baptist National AIDS Global Health Epidemiology Network & Cameroonian Control Committee System Solutions Health Board African Society for Ministry of Health Laboratory Medicine

PMTCT activities undertaken by the Cameroon Baptist Health Board • Enables women to attend • PMTCT: HIV testing, clinic counseling, antiretroviral drugs • And involves: • Early infant Diagnosis • Peer Health educators (170) • Logistics & drug forecasting • Men as Partners program • Data Collection • Journalist trained to air radio messages (21) Training of • Religious leaders, NGOs Community Health Care • Bikers for health Outreach Workers • Partnership with Peace Corps Volunteers Mentoring Clinical & Program Service • With District & Regional • Support health care workers Monitoring Provision Health Officers to provide quality maternal, child and PMTCT services • Analyze data for program improvement • Enter clinical data daily & summarize monthly • Support for drug supplies and services for populations at greatest risk

PMTCT Achievements CDC-funded activities in one year (2011-2012) resulted in significant changes in: • # of women with HIV TC increased from 59,000 to 73,000; • # of HIV-positive pregnant women provided with antiretroviral drugs increased from 4,400 to 5,250; • # of patients reached at new PMTCT sites increased from 446 to 525.

Summary: How does CDC aid to Cameroon work? • CDC Staff : • Ensure fiscal oversight through: • Strategizes with partners on how best to implement • Monthly activity activities, using evidence management visits based approach • Routine financial reporting • Collaborates with other & review U.S. funded programs • Regular tracking of funds Program Fiscal • Provides technical support • Country Management & to GRC on developing Strategy Oversight Support Assessment guidelines and policies • HHS IG Audits Program Program Evaluation Monitoring • Research studies and • Site monitoring visits allow surveillance activities: us to: • Provide findings used in • Monitor data provided by program strategy partner organizations • Assist in country • Assure quality of data management & support • Provide service delivery assessment quality assurance