1 AIDS EPIDEMIC IN COTE DIVOIRE TCHOMIAN Clement ADJE Technical Advisor, for care and support EGPAF

Surface area km2 / population 20m

ABIDJAN

BASILIC ND DE LA PAIX

SITUATION Prevalence: UNAIDS /WHO, 3.4% in people infected by HIV in Côte dIvoire female Majority of infected patients 15 years old and children under 14 years old. Patients treated HAART in en Death Relay to HIV

SITUATION SITUATION: 90% site integrated HIV care in the routine service Laboratories VL laboratories available Genotype test resistance 2 LABs available CD4 available in 150 sites SITES HIV Testing all the sites ( 400 sites for care and treatment and 600 sites for PMTCT

CHALENGES Integration of HIV management in all sites Eradication of HIV in pediatric care service HIV National Program financing by PEPFAR CDC and other HIV Patients often expose to drug starvation Lost of follow up about 35% of patients initiated HIV therapy BIG CHALENGES

How do we plan if we are totally dependent on international financing for our national HIV program? Drug Availability? Lack of funds? Loss to Follow-up VL in routine genotypical test

Which Gold standard of care do we want for African HIV patients? At the end of the day the difference is clear

Despite all these challenges life continues

European AIDS Clinical Society THANK YOU