MDGs at a Glance
Reaching the health MDGs implies a dramatic expansion of key services, and the implementation of mechanisms to increase demand for and use of those services, particularly the rural populations, the poor, and among them women and children. Priorities are listed below as 6 steps progressively allowing the upgrade of health services, strengthening both supply of services and demand for preventative and curative care.
Information and social mobilization for behavior change, which includes all activities, related to general health information through the media and social mobilization to trigger awareness of critical health issues as well as behavioral change. These services will have a special emphasis on health education of mothers as well as on promoting the dissemination of key commodities-condoms, bed nets, ORT packets- through the retail and commercial network (kiosk, retailers, pharmacy outlets etc.). HIV/AIDS infection transmission and targeted interventions for high-risk groups will be included, and the programs will address also stigma and social exclusion of People Living With HIV/AIDS (PLWHA).
Health Services Extension program: which includes all the key activities of the HEP Health Extension Program (HEP) and in particular: i) the rapid vocational training of health extension workers and construction and equipment of health posts; ii) volunteer/private sector community promoters/TBAs providing support to households for behavior change (e.g. breastfeeding, supplementary feeding, use of bed nets, clean delivery etc..) iii) strengthening the quality of and demand for clinical care -particularly treatment of Acute Respiratory Infections (ARI) and malaria in children and assisted delivery, HIV testing and counseling as well as prevention of Mother To Child Transmission - in existing health stations and health centers.
Upgrading clinical 1st level services, including the expansion of health centers throughout the country, the upgrading of health posts to offer basic clinical care, the recruitment of one additional staff with clinical skills in each health post and the adequate staffing with registered nurses of all new and old health centers. Voluntary Counseling Testing (VCT) facilities and treatment for conditions strongly correlated with HIV/AIDS such as Sexually Transmitted Diseases (STDs) and OIs, particularly (Tuberculosis) TB will be strengthened. Palliative care for terminal cases of AIDS and Prevention of Mother to Child Transmission (PMCTC) will become more widely available.
Upgrading clinical services for Comprehensive Emergency Obstetric care including equipping all health centers with an operation theatre and staffing it with the appropriate number of nurse midwives and health officers with EOC and surgical skills, establishing adequate transport means, setting blood banks in all health centers and upgrading existing hospitals into full referral centers for emergency obstetrical care. Capacity to guarantee blood safety will be built.
Expand and upgrade referral clinical care: entailing the expansion and upgrading of referral services allowing quality follow up for HIV patients receiving Highly Active Antiretroviral Therapy (HAART) and expanding referral services for neonatal care and complex emergency obstetrical care, thus contributing further to the reduction of under five and maternal mortality.
Other HIV/AIDS Specific Interventions
- Review of Civil code to protect rights of PLWHA: and in particular of the employment code.
- Safety nets for vulnerable groups; particularly aimed at orphans, as they are an essential element of any impact mitigation strategy, though poverty reduction and improved social conditions will increase the number of orphans that can be supported by families and communities without resorting to orphanages.
- Mainstreaming HIV/AIDS intervention in other sectors: by building capacity for sectoral personnel, developing service delivery modes which take into account special needs of through those People Living with HIV/AIDS (PLWHA), building community level capacity to raise profile of HIV/AIDS and manage community level interventions (micro-credit schemes, collective action for income generation, targeting of programs for vulnerable groups), considering the HIV/AIDS impact of infrastructure projects.