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Working Paper

Curbing the HIV/AIDS Epidemic in Djibouti

ACCESS TO TREATMENT ADULT POPULATION AGED AIDS CASES AIDS EPIDEMIC AIDS ORPHANS AIDS PATIENTS AIDS PROGRAM AIDS PROJECT AIDS PROJECTS ANTENATAL SERVICES AWARENESS CAMPAIGNS BABIES BEHAVIOR CHANGE BEHAVIORAL CHANGE BLOOD BANK BLOOD DONORS BLOOD TRANSFUSION CAPACITY BUILDING CASE MANAGEMENT CASUAL SEX CHILD MORTALITY CHILD MORTALITY RATES CITIZENSHIP CIVIL SOCIETY ORGANIZATIONS CLINICS COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICATION CHANNELS COMMUNITY DEVELOPMENT COMMUNITY HEALTH COMPLICATIONS COMPREHENSIVE CARE CONDOM CONDOM DISTRIBUTION CONDOM SALES CONDOM USE CONDOMS CORRECT USE OF CONDOMS COUNSELORS DEMAND FOR CONDOMS DIET DISCRIMINATION DROPOUT DRUGS EARLY DETECTION EPIDEMIC EPIDEMIOLOGICAL SURVEILLANCE EPIDEMIOLOGY ESSENTIAL MEDICINES EXISTING CAPACITY FAMILIES FAMILY HEALTH FAMILY HEALTH INTERNATIONAL FAMILY MEMBERS FAMILY PLANNING FAMILY WELFARE FEMALE GENITAL CUTTING FERTILITY FERTILITY RATES FOCUS GROUP DISCUSSIONS GENDER INEQUALITY GLOBAL HIV/AIDS GOVERNMENT AGENCIES HEALTH CENTERS HEALTH EDUCATION HEALTH FACILITIES HEALTH INFRASTRUCTURE HEALTH PLANNING HEALTH POLICY HEALTH PROBLEMS HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH WORKERS HIGH-RISK GROUPS HIV HIV INFECTION HIV PREVENTION HIV TRANSMISSION HOME VISITS HOSPITAL HOSPITALS HUMAN DEVELOPMENT HYGIENE ILLITERACY ILLNESSES IMMIGRATION IMMIGRATION STATUS IMMUNODEFICIENCY IMPACT OF AIDS INCOME-GENERATING ACTIVITIES INFANT INFLUX OF REFUGEES INSTITUTIONAL CAPACITY INTERCOURSE INTERNATIONAL COMMUNITY INTERNATIONAL COOPERATION INTERNATIONAL RESPONSE INTERPERSONAL COMMUNICATION INTERVENTION LABOR FORCE LACK OF KNOWLEDGE LEVELS OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LIVING CONDITIONS LOCAL COMMUNITIES MALARIA MANDATES MARITAL STATUS MASS MEDIA MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATIO MATERNITY HOSPITALS MEDIA COVERAGE MEDICINES MIDWIVES MIGRANT MIGRANT POPULATIONS MIGRATION MILLENNIUM DEVELOPMENT GOAL MINISTRY OF EDUCATION MINISTRY OF HEALTH MORTALITY MOTHER MOTHER-TO-CHILD MOTHER-TO-CHILD TRANSMISSION NATIONAL AIDS NATIONAL AIDS CONTROL NATIONAL CAPACITIES NATIONAL LEVEL NATIONAL PLAN NATIONAL POLICIES NATIONAL STRATEGY NUTRITION OPPORTUNISTIC ILLNESSES OPPORTUNISTIC INFECTIONS ORPHANS PARENTHOOD FEDERATION PATIENTS PEER EDUCATION PEER EDUCATORS PHYSICIANS PILOT PROJECTS POPULATION GROUPS POSTERS PREGNANT WOMAN PREGNANT WOMEN PRENATAL CARE PREVALENCE RATE PREVALENCE RATES PREVENTION ACTIVITIES PREVENTION INTERVENTIONS PREVENTION OF MOTHER-TO-CHILD TRANSMISSION PREVENTIVE ACTIVITIES PRIMARY HEALTH CARE PROGRESS PROPHYLAXIS PSYCHOLOGICAL SUPPORT PSYCHOSOCIAL SUPPORT PUBLIC HEALTH QUALITY CONTROL RADIO RATE OF POPULATION GROWTH REFUGEES RELIGIOUS LEADERS RESOURCE MOBILIZATION RISK FACTORS RISK GROUPS RISK OF INFECTION RISKY BEHAVIOR SCHOOL CHILDREN SCHOOL CURRICULUM SCHOOL YOUTH SCREENING SECONDARY SCHOOLS SERVICE DELIVERY SERVICE PROVIDERS SEX SEX WORK SEX WORKER SEX WORKERS SEXUAL CONTACT SEXUALLY TRANSMITTED DISEASES SEXUALLY TRANSMITTED INFECTIONS SOCIAL AFFAIRS SOCIAL CLASS SOCIAL IMPACT SOCIAL MARKETING SOCIAL MOBILIZATION SOCIAL SERVICES SOCIAL STATUS SOCIAL SUPPORT SOCIAL WORK SOCIAL WORKERS STIS SUPPLY NEEDS SURVIVAL RATE TECHNICAL ASSISTANCE TELEVISION TRANSPORTATION TREATMENT SERVICES TUBERCULOSIS TUBERCULOSIS CONTROL TV UNAIDS UNEMPLOYMENT UNFPA UNITED NATIONS POPULATION FUND UNPROTECTED SEX URBAN AREAS USE OF CONDOMS VOCATIONAL TRAINING VOLUNTARY COUNSELING VOLUNTARY TESTING VULNERABILITY VULNERABLE CHILDREN VULNERABLE GROUPS WORLD HEALTH ORGANIZATION YOUNG GIRLS YOUNG PEOPLE YOUNG PREGNANT WOMEN YOUNG WOMEN
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World Bank, Washington, DC
Middle East and North Africa | Djibouti
2017-08-10T20:02:45Z | 2017-08-10T20:02:45Z | 2010-10

This study outlines the initial challenge presented by the HIV/AIDS epidemic, describes Djibouti's response, reviews the results achieved and the enabling factors in curbing the spread of the epidemic, and identifies remaining challenges. Between 2002 and 2008, HIV prevalence among young pregnant women aged 15-24 was reduced from 2.7 percent to 1.9 percent and among sentinel surveillance groups from 2.5 percent to 1.9 percent. HIV prevalence among tuberculosis patients was reduced from an estimated 22 percent to 12 percent. Condom use during last intercourse outside marriage increased from 27 percent to 55 percent and reached 95 percent among sex workers. Among the general population, awareness of HIV/AIDS increased to 95 percent and knowledge about transmission and prevention rose to 50 percent. Political commitment, engagement of community and religious leaders, rigorous communication, social marketing and the provision of an integrated package of medical and social services, and donor harmonization were among the key factors that contributed to the achievement of these results. Despite these impressive results in a relatively short period, Djibouti still has to address several challenges and consolidate program gains, but most importantly, funds are being mobilized from government resources to sustain the national AIDS control program.

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