World Bank Loan Project Health nine "Venereal disease prevention and management," go to Tanzania, South Africa Investigation Report (February 2004 Beijing)

World Bank Loan Project Health Nine
 

"Venereal disease prevention and management," 

go to Tanzania, South Africa Investigation Report

(February 2004 Beijing)

According to World Bank Loan Health nine items (STD and AIDS sub) program of activities, the Ministry of Health Foreign Loan Office in December 2003 3-17 Day organized a 14-day "venereal disease prevention and management," the delegation, went to Tanzania and South Africa were visits, visits.

 

The purpose of this investigation is to understand Tanzania, South Africa and China sexually transmitted diseases and AIDS prevention strategies and work carried out to understand their experience, both positive and negative as well as participation in the case of multi-sectoral prevention and control of STD and AIDS prevention work in. Promote the nine provinces to carry out health prevention and management of sexually transmitted diseases and AIDS control activities.

 

The delegation from the Ministry of Health Loan Office, the Chinese Center for Disease Control and Prevention of STD leprosy technical guidance center, the Health Department of Fujian Province, Shanxi Province Health Department, Department of Finance, Shanxi Province, Guangxi Zhuang Autonomous Region, Guangxi Health Department and the officer of STD prevention and treatment of leprosy composition list of mission personnel in Annex I.

 

The delegation visited the Tanzanian Ministry of Health, Farm blacker than force hospitals, the Ministry of Health Zanzibar, Zanzibar Manna dishes - Manna dish hospital; in South Africa, visited the Ministry of Health, the National Institute of Infectious Diseases National Laboratory, National Research Center for sexually transmitted infections, Gauteng Health Department, if more than AIDS Community Care Centre, South Africa, education and training institutions (NGOs), access to the unit and the main reception staff at Annex II.

 

The delegation was briefed Tanzania, South Africa related to sexually transmitted diseases and AIDS prevention and control situation, and on issues of concern were discussed between the two countries, South Africa and Tanzania and reception staff, access to the details of each unit of study visits in Annex III.

Now examine the situation as follows.

First, the basic situation

 

1, Tanzania: an area of 945,000 square kilometers, population 33,517,000, capital of Dar es Salaam. Country is divided into 25 provinces, provinces under the county, district, township, village, English is the official language, is one of the world's least developed countries, the United Nations announced.

 

2, South Africa: an area 122.1 square kilometers, population 40,377,000, the administrative capital: Pretoria, the legislative capital: Cape Town, the judicial capital: Bloemfontein. Country is divided into nine provinces, 760 cities, English is the official language, is Africa's most economically developed countries.

Second, STD and AIDS epidemic

 

1, Tanzania: Back in 1983 had found three cases of HIV (HIV) infection, to the present, about two million people living with HIV, AIDS patients and 700,000 to sexual transmission, mother to child transmission, followed by official released epidemic, said HIV prevalence was 6%, the actual may be even higher. Sexually transmitted diseases, AIDS has seriously affected all sectors of the country (including government departments), the national decline expected life, the economy, the community had a serious negative impact.

 

2, South Africa: 1986 discovered and reported the first cases of HIV infection, HIV prevalence in the 1990s less than 1%, is currently 26%, individual-prone areas has risen to 50%. China currently has about 5.3 million HIV-infected persons.

 

In recent years, the growth rate of HIV infection is the reason for the increase: in 2000 before AIDS advocacy and intervention has done little. 1990s mainly spread in the gay crowd, did not arouse enough attention. With the development of society, people frequent exchanges floating population increases, causing widespread disease.

Third, the two countries Tanzania and South Africa, the situation of STD and AIDS Prevention and Control

 

1, the organization and management

 

(1) institutional settings and responsibilities. The two countries have a sexually transmitted disease, AIDS Coordinating Committee, composed of the departments concerned. South Africa served as Vice-President of the Commission by the Executive Chairman; Tanzania set up in the Prime Minister, the Executive Chairman appointed by the President. The committee is mainly responsible for the development of STD and AIDS Prevention and Control Policy, Planning Policy Framework and departments, as well as organizations such as the coordination and control to raise funds, medicines. In Tanzania, introspection following to the village level has organizational coordination body STDs, AIDS; South Africa to establish control agencies at the provincial and municipal level.

 

(2) sources of funds. First, government funding; the second is social donations. Tanzania is only a small part of the government-funded, mainly by foreign aid. The South African government invested 1.3 billion rand per year special funds to combat AIDS, including 140 million for STD prevention.

 

(3) social mobilization and multi-part participation. Churches, trade unions, big businesses, youth groups, women's groups, etc. to participate in the prevention and control work in the past.

 

(4) care for HIV-infected persons and patients. First, government legislation, to protect the legitimate rights and interests of patients and non-discrimination from the law. The second is the establishment of community care point, recruit volunteers and volunteers provide care services for AIDS patients; patients with life skills training, to alleviate the burden on families and society.

 

2, Technical Strategy

 

(1) public education. Mainly through the media, government officials, volunteers, churches, trade unions, etc., publicly inform and educate the public so that the public against sexually transmitted diseases, AIDS harm understanding, enhance self-protection awareness.

 

(2) intervention. On the basis of propaganda and education on condom use in hotels and other public places free delivery. In our emphasis on the South African province of Gauteng, the governor in front of the parliament building public to promote the use of condoms, condom distribution in the province there is a point every 5 km. South Africa spends 100 million Duo Lante 50 million to buy 400 million condoms distributed free of charge, and achieved remarkable results.

 

(3) Monitoring. In South Africa, national STD surveillance has only just begun, mainly biological monitoring, in order to understand the infection of STD / HIV / AI DS, and provide the basis for the adjustment of control strategies.

 

(4) free treatment of sexually transmitted diseases, AIDS. Admitted by the General Hospital, the practice of specialized isolation. Tanzania is considered an important means of prevention and treatment of sexually transmitted diseases, AIDS control.

 

(5) PMTCT. That is according to WHO standards and programs to pregnant women prenatal and postnatal give children medication, this area has been very successful in South Africa.

 

(6) Blood Management. South Africa, the source of blood in the management is very strict, so the chances of infection due to blood transfusion is unlikely.

 

(7) to promote STI syndromic treatment in a hospital or clinic, cure venereal disease patients as soon as possible, eliminate the source of infection, cut off the transmission.

 

(8) vaccination. In South Africa, the vaccine to prevent AIDS work began this year, only 24 people across the country use. Vaccine consists of two universities domestic development, production, delivery, the effect remains to be seen.

Fourth, to draw on the experience and advice

 

1, set up a special committee to develop strategy, organization and coordination of the country, the province of STD and AIDS prevention and control work.

2, based on early prevention and step up publicity efforts to make disease prevention knowledge known, has become the public's initiative.

 

3, condom use is the prevention and control of sexually transmitted diseases, AIDS is one of the important measures, and should be vigorously promote the use.

 

4, to strengthen appropriate training, to promote syndromic management of sexually transmitted diseases clinic, eliminating the source of infection and reduce the chance of infection.

 

5, for AIDS patients, non-discriminatory policy, no specialized hospital treatment of AIDS patients in general hospitals for medical treatment, without isolation of patients, which helps to save resources, but also can reduce fear and discrimination against AIDS patients.

Health nine project 

"venereal disease prevention and management."

Go to Tanzania, South Africa expedition Expedition

OO four years Feb. 15

1

Annex I

List of members of the delegation prevention and management of sexually transmitted diseases

 

	Full name	Workplace	Office or title
1	Section of the moon	Ministry of Health Loan Office	Deputy Director
2	Feng Bin	CDC sexually transmitted diseases, leprosy technical guidance center	Deputy Director
3	Chen added	Fujian Provincial Department of Health	Deputy Director
4	Wu Zhao	Fujian Provincial Department of Health	The Director
5	Lu room m	Guangxi Autonomous Region Health Department	Senior Staff
6	Huangpei Yong	Guangxi Zhuang Autonomous Region Institute of Dermatology Prevention	Head
7	Lifu En	Shanxi Provincial Health Department	The Director
8	Liu Jianhua	Shanxi Provincial Department of Finance	Senior Staff

1

Annex II

Access units and main reception staff

1, the Tanzanian Ministry of Health (Ministry of Health, The United Republic of Tanzania)

 

-           MJ Mwaffisi, Permanent Secretary, Ministry of Health, The united Republic of Tanzania

-           Dr. Zachary A. Berege, (MD), Director of Hospital Services, Ministry of Health, The united Republic of Tanzania

 

2. Moxibili National Hospital in Dar es Salaam in Tanzania (Muhimbili National Hospital, Tanzania)

 

-           Dr. David Jregoning, Executive Director, Muhimbili National Hospital, Tanzania

-           Dr.Zachery A. Berege, (MD), Director of Hospital Services, Ministry of Health, The united Republic of Tanzania

3, Tanzania AIDS Project Office (National AIDS Project Office, Tanzania)

4, Tanzania, Zanzibar Ministry of Health (Zanzibar AIDS Control Commission, Zanzibar Ministry of Health, Tanzania)

 

-           Asha A. Abdulla, Executive Director, Zanzibar AIDS Commission

5, Manna Postman Naz hospital (Mnazi Mnazi Hospital, Zanzibar, Tanzania)

6, Gauteng Economic Development Agency and the South African education and training institutions (GEDA and ETU, Johannesburg)

 

-           Mr. Steven Mabela

-           Mr. Bondile Sizani (Head of Education and Training Unit)

-           Pat (Education and Training Unit)

7, if more than AIDS Community Care Center (Rudo home-based care, Kokosi Fochville, North West Province)

 

-           Ms. Magdaleen Nunens, Manager

-           Rodney Jamieson

-           Korad Pienaar

-           Thateng Mokgabi, Care giver

8, National Center for Infectious Disease Research Institute of STDs (Sexually Transmitted Infection Research Centre [RIC], National Institute for Communicable Diseases [NICD])

 

-           Dr. Koornhof

-           Dr. Venessa Maseko

-           Dr. Simeon Odugwu, National Health Laboratory Services

9, Easy to Muslim Street Clinic (Esselen Street Clinic, Johannesburg)

 

-           Dr. Vivian Ferraz, Reproductive Health Research Unit, NICD

10, Gauteng Provincial Health Bureau (AIDS programme, Health Department, Gauteng Province)

 

-           Dr. Liz Floyd, Director for AIDS Programme

-           Mr. Zanele Mashinini, Head of Media Unit

11, the National Institute of Infectious Diseases National Health Laboratory (National Health Laboratory Services, National Institute for Communicable Disease [NICD], Johannesburg)

 

-           Dr. ???, Head of HIV test

-           Dr. Clive Gray, Head of HIV and vaccine programme

12, South African Ministry of Health (Ministry of Health, SA)

 

-           Dr. Rose Mulumba, Head of STD / HIV / AIDS issues

-           Dr. Anita, National Action Plan

-           Dr. Lelicia Rispel, Strategic Plan