PRIMARY PREVENTION OF HIV AND DECENTRALIZATION OF THE PREVENTION OF MOTHER TO CHILD TRANSMISSION (PMTCT)
Health centers Nzeng-Ayong, London, Okala and Gabon Egyptian hospital
Gabon has the highest national HIV infection prevalence in the sub-region, of around 4% in 2015. The pandemic remains highly feminized with a percentage of contamination of 5.8% against 2.2% for men.
OPALS created in 2001 in partnership with the French Red Cross, the first therapeutic management of HIV center in the country, the Outpatient Treatment Centre (CTA) in Libreville. Today, over 5000 patients are follow them, 60% are under antiretroviral therapy (ART). On this initial model, the national policy against HIV/AIDS has implemented a CTA in all nine provinces. This centralized device CTA, reference Centers, to be complete in secondary structures, which are responsible for monitoring pregnancies, so that they are able to take over all the PMTCT process.
OPALS, argues on the one hand some of these secondary structures in Libreville and, secondly in partnership with UNAIDS, develop prevention, screening and information.
The midwives in a recovery room in a heath center partnered with OPALS in Libreville
The program is governed by a partnership agreement signed with the Control Program against STIs (PLIST), the executive body reference of the Ministry of Health. In this context, the opals:
• 4 maternity supports the periphery of Libreville to decentralize their level PMTCT of HIV
• Strengthens partnerships with civil society including the Board of Listening and Information Centre (CIEC) and the Association Medzou Health (+AMS: association created in June 2013, which aims to support young HIV+ for organizing participatory session host and prevention)
• Conducts HIV and STI awareness activities.
• In 2015, 4227 pregnant women had first prenatal visit (CPN1)
• HIV rate was 80%
• The number of HIV+ women in CPN1 is 143, a prevalence of 4.5%
Decentralization in the health centers and community accompaniment allow better monitoring of HIV+ pregnant women and their NN. This is a priority for 2016. In addition, OPALS helps improve the quality of services continuing training (nursing staff, community mediators)
Furthermore, social and community support was provided for the poorest families:
• Support the registration of pregnant women at the CNAMGS
• Supply kits for NN
• Organization of discussion groups and visits to regular home
• Train new community relays.