Anguila_National Strategic Plan for Health 2009-2014-final.pdf

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A total of 34 cases were reported from 1988 to May 2007 (14 Females & 20 Males). Of this total, 17 persons died. There is no current information on the status -of 12. Of the known cases, six persons (four men and two women) are currently receiving medical attention/care, (which includes counselling) and receive monthly checkups from the Care and Treatment Coordinator. Of this number, five residents (male) are on medication. Both women are currently undetectable. The majority, approximately 74% of the recorded cases were over 30 years at the time of diagnosis probably reflecting late diagnosis of the disease rather than incidence. In addition, the overall AIDS case fatality ratio was 50%, again, further reflecting the late identification of the HIV disease. 5% of the recorded cases reflected Mother to Child Transmission. Transmission appears to be mainly by heterosexual sex as the adult male to female ratio is 1.5:1. During the period 1988 – 2008 there were two cases of pre-natal transmission recorded, of which one was a long term survivor who died by drowning at the age of 21. This client developed a problem with his brain which impaired his ability to move his limbs freely, thus causing the drowning. Page 46 June 23, 2009
Reported New HIV Cases Annually & Cumulative Totals 1988 - 2007 40 35 Number of HIV Cases 30 25 20 15 10 5 - 1988 1989 1990 1991 1992 1993 1994 1995 1996 New HIV Cases 1997 1998 1999 Year 2000 HIV Cum. Totals 2001 2002 2003 2004 2005 2006 2007 An analysis of the HIV data in 1999 showed that 70% of cases were Anguillian nationals, the remainder from Caribbean and non-Caribbean countries. Reported HIV Cases in Anguilla by Status (N=34) Unknown 35% AIDS Deaths 50% ARV Rx Treament 15% Since 2002, voluntary counselling and HIV testing (VCT) has been offered to all women attending antenatal clinics in the island. In 2002, 86% (173/203) were tested for HIV and no positive cases were found. In 2003 Page 47 June 23, 2009
Page 2 and 3: FOREWORD BY HON. EVANS McNiel ROGER
Page 4 and 5: HEALTH SYSTEMS DEVELOPMENT STRATEGI
Page 6 and 7: PHARMACEUTICALS Expected Result Ind
Page 8 and 9: Health Services Our strategic objec
Page 10 and 11: epair materials etc. by May 2009 Pa
Page 12 and 13: HUMAN RESOURCE DEVELOPMENT AND MANA
Page 14 and 15: HUMAN RESOURCE DEVELOPMENT AND MANA
Page 16 and 17: FAMILY HEALTH STRATEGIC OBJECTIVE H
Page 18 and 19: ADOLESCENT AND YOUTH HEALTH AND DEV
Page 20 and 21: HEALTH OF THE ELDERLY AND DISABLED
Page 22 and 23: INFANT NUTRITION Expected Result In
Page 24 and 25: CHRONIC NON-COMMUNICABLE DISEASES S
Page 26 and 27: COMMUNICABLE DISEASES STRATEGIC OBJ
Page 28 and 29: ENVIRONMENTAL HEALTH STRATEGIC OBJE
Page 30 and 31: 3. PORT HEALTH AND QUARANTINE Expec
Page 32 and 33: 5. SOLID WASTE MANAGEMENT Expected
Page 34 and 35: 6. SEWAGE AND LIQUID WASTE MANAGEME
Page 36 and 37: MENTAL HEALTH AND SUBSTANCE ABUSE S
Page 38 and 39: SUBSTANCE ABUSE Expected Result Ind
Page 40 and 41: Acknowledgements The Ministry of So
Page 42 and 43: Acronyms AIDS ART ARV AZT BD CAREC
Page 44 and 45: Table of Contents Priority Areas of
Page 48 and 49: (219 tested) and 2004 (217 tested),
Page 50 and 51: 3. Financing the Work Plan The fina
Page 52 and 53: PRIORITY AREA I: PREVENTION CURRENT
Page 54 and 55: PRIORITY AREA I: PREVENTION GOAL 1:
Page 56 and 57: PRIORITY AREA I: PREVENTION Objecti
Page 60 and 61: INDICATORS Action Steps Expected Ou
Page 68 and 69: PRIORITY AREA II: CARE, TREATMENT A
Page 84 and 85: PRIORITY AREA III: POLICY, ADVOCACY
Page 86 and 87: PRIORITY AREA III: POLICY, ADVOCACY
Page 88 and 89: PRIORITY AREA IV: HIV SURVEILLANCE
Page 90 and 91: PRIORITY AREA IV: HIV SURVEILLANCE
Page 92 and 93: PRIORITY AREA v: PROGRAMME MANAGEME
Page 96:
Data Sources Policy Document: Reduc
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