Around 1.8 million people living with HIV were estimated to be living in conflict or natural/human made disaster areas in 2006 which constitutes around 5.4% of the global epidemic. Also, 7 of 15 countries with the largest number of PLWH suffered from major conflicts during 2002-2006.
Conflict situations can destroy countries infrastructure, disrupt health systems and social services and cause people's displacement. Consequently, ART programs are destabilized which put patients at increased risk of ART interruption and drug resistance development.
Providing ART in conflict settings involves additional obstacles to those generally encountered under politically stable conditions like instability in security and population’s mobility. Conflicts also amplify many of the already existing barriers like human resources shortage, food insecurity, poor infrastructure and others.
Understanding barriers and concerns around this issue can be helpful to avoid unnecessary delays in action that can be harmful for individuals, national health systems, public health and global health in general.
we would like to invite you to share with the community your relevant experiences in the field or other general opinions on this topic.
Link leads to: http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.0040129
Summary: This paper describes lessons from MSF three years’ experience of providing HIV care, including antiretroviral therapy (ART), to a conflict-affected population in the Democratic Republic of the Congo (DRC). Program design and outcomes are discussed in this paper.
The HIV project in Bukavu shows that the provision of comprehensive HIV care, including ART, in chronic conflict settings can be feasible and effective, with early treatment outcomes similar to those in HIV projects in non-conflict settings
Source: PLoS Medicine
Publication Date: May 1, 2007
Keywords: ART, conflict, DRC, Monitoring & Measurement, Publications & Research