Transcript The Brazilian Response to AIDS Main strategies Mauro Teixeira de Figueiredo Head of the Division for Technical Cooperation International Advisory Ministry of Health.

The Brazilian Response to AIDS
Main strategies
Mauro Teixeira de Figueiredo
Head of the Division for Technical Cooperation
International Advisory
Ministry of Health
The epidemic in Brazil
Brazil
Key figures
• Total number of People Living with HIV (2006): 630,000
• HIV Prevalence: 0.61% (15-49)
 Female: 0.42%; Male 0.82%
• Cumulative number of AIDS cases (06/2008): 506,499
• Incidence per 100.000 (2007): 17.8
• Mortality coefficient per 100.000 (2007): 5.8
• Cumulative number of deaths (2007): 205,409
MAJOR ASPECTS IN BRAZILIAN
RESPONSE TO HIV/AIDS
•
UNIFIED HEALTH SISTEM - SUS
•
EARLY GOVERNMENTAL RESPONSE – SINCE 1983
•
STRONG CIVIL SOCIETY PARTICIPATION IN ALL DECISION LEVELS
•
MULTISECTORIAL MOBILIZATION
•
BALANCED PREVENTION & TREATMENT APPROACH
•
FIGHT AGAINS HIV AND AIDS AS A STATE POLICY, WITH ROBUST
GOVERNMENTAL INVESTMENT
Human Rights perspective in all the strategies and actions
The strategic triangle to struggle HIV and AIDS –
Since the beginning of the epidemic
Government
Investment on
communication
and international
relations
strategies
Civil Society
Ministry of Health
Other Ministries and
governamental
institutions
AIDS Business Coalition
International
Organisations
NGO Commission (CAMS)
UN Theme Group
Finantial and technical
support to projects from NGO
The three-level management
structure of the Brazilian Response
1. Federal Government:
- National policy formulation
- Technical Guidelines
- Monitoring and Evaluation
- Allocating funds to states and municipalities
- NGO financing
- Antiretroviral treatment
- Tests
Existence of
Committees for
coordination of
the three level
of management
2.
State - Medicines for opportunistic infection and STI
NGO financing
3.
Municipal Governments:
- Coordination of local health services
Joint work with Civil Society and State
and Municipal AIDS Programs
• State and Municipal AIDS Programs work closely with the
NAP and in accordance with the National Strategic Plan
• Strong participation of civil society in planning and
implementation through:
a. Control bodies for monitoring the public health system
b. National AIDS Commission
c. NGO Commission
c. Direct financing
Activities and approaches
of the Brazilian STD and
AIDS Program
Activities and approaches of the Brazilian
STD and AIDS Program
• Promotion of human rights
• Implementation of major national media campaigns
• Prevention actions for general population and specific groups Early
diagnosis of HIV infection
• STD diagnosis and treatment
• Prevention strategies centered on condom use - Access to
condoms
• Harm reduction policy
Activities and approaches of the Brazilian
STD and AIDS Program
• Universal Treatment of people living with AIDS
• Access to HIV diagnosis – goal is to test 4,5 million a year
• Impact of prevention interventions – vulnerable populations
Prevention actions for general population and specific groups Early
diagnosis of HIV infection
• Reduction of mother to child transmission
• Research and Development of Vaccines
• Sharing experiences – South-South Cooperation
Impact of the Brazilian
ARV Policy
(1996-2002)

reduction of mortality  50%
deaths prevented 90,000
 reduction of morbidity  70%
 reduction of hospitalizations  80%
 633,180 hospitalizations prevented - average of
hospitalizations / patient per year reduced from
1,65 in 1996 to 0,25 in 2003.
Estimate of HIV Infected Individuals
(among 15 a 49 years old) by year 2000
Thousands
1400
1200
1000
800
600
1,200,000
400
50
%
600,000
200
0
Word Bank Projection
(1992)
Brazilian MOH Estimate
(2000)
MOH,
...Anti-retrovirals
• Universal and free of charge access to ARV - ruled by
Federal Law Nov.1996
• Incentives to Public-Private Partnerships aiming at
local production of ARVs
• Negotiations for price reduction
• Regulation of article 6 of the Doha Declaration (right to
import and export patented drugs)
• Presidential Decree authorising importation in case of
Compulsory Licensing
... Vaccines
• Incentives for R&D projects carried out by public
research institutes
• Implementation of Training and Technical Assistance
Projects
• Participation alongwith Civil Society and
Communities
Thank You
[email protected]
Phone# 5561-3315-3805