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Curbing the Prevalence and Mitigating the Effects of HIV/AIDS in the Democratic Republic of the Congo

The Integrated HIV/AIDS Program curbed the disease and mitigated its impact in the Democratic Republic of the Congo.

According to The Joint United Nations Program on HIV/AIDS, 1.2 million people are living with HIV in the Democratic Republic of the Congo, concentrated in three provinces: Kinshasa, Katanga (Lubumbashi , Kolwezi, and Likasi) and Province Orientale (Kisangani and Bunia).

The Integrated HIV/AIDS Program used a combination of community mobilization, service delivery, and systems strengthening to improve prevention of HIV/AIDS, as well as provide care and support to people living in the most-affected areas.


In partnership with USAID, Chemonics implemented the program to reduce transmission among the most at-risk populations including commercial sex workers and their clients, truckers, miners, the military and police, youth, and street children.
 
The program improved the accessibility and quality of HIV/AIDS prevention, care, and treatment services by building the capacity of local communities in the three targeted regions to provide high-quality health services. 
 
In addition to treatment, the program increased community involvement in health issues and services in order to prevent the transmission of HIV/AIDS. By encouraging community mobilization, the program ensured a sustainable future for prevention and treatment of the disease. It facilitated clinical, psychological, social, and spiritual support to people living with the disease, orphans and vulnerable children, and to the community as a whole.
 
As part of a Global Development Alliance signed between USAID and the Tenke Fungurume Mining Company, majority owned by Freeport-McMoRan, Chemonics expanded the program’s efforts in HIV prevention, care, and support in the mine’s health zones in Katanga through a wide range of technical assistance and training to community members and health service providers, and through rigorous monitoring and evaluation of health services.  
 
Additionally, the program upgraded treatment centers and linked HIV-positive individuals to centers located at border crossings near the mine, where truckers and sex workers operate in large numbers. As a result, HIV treatment and care expanded to more than 1 million individuals throughout the region.
 
Project Results:
  • Introduced quality assurance & quality improvement initiatives through University Research Co., LLC’s “Improvement Collaboratives” approach, which ProVIC jointly adapted with the Ministry of Health to the DRC context and then initiated to 28 health facilities.
  • Introduced provider-initiated testing and counseling in 112 health facilities, mobile outreach HIV testing for key populations of commercial sex workers (CSW) and men who have sex with men (MSM), and finger-prick testing technology.
  • Expanded availability of AIDS treatment to 112 supported treatment sites, including improving clinical care through rapid, point-of-care testing and improved patient monitoring.
 
Project Duration: 2009 - 2014

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