198. In general, it is observed that men use condoms to protect themselves much more than women when engaging in high-risk sexual relations. 199. According to the UNFPA 2011 Behavioural Survey, condom use is more prevalent among young people. Condom use is highest among women during the ages of 15-19 and 20-24 (3.9% and 3.8% respectively). For men, maximum use is observed during the ages of 15-19 (31.2%). Condom use among both men and women decreases as their age increases. A sharp fall is noted from the age of 25 for women and 30 for men. From the age of 45, men hardly use condoms anymore. 200. In Chad, raising community awareness and communication have a very significant impact on HIV/AIDS awareness and likewise the various activities carried out by youth associations with the support of development partners and NGOs. As a result, the proportion of young women and men aged 15 to 24 who correctly describe ways to prevent HIV transmission through sex, blood transfusion, etc. and who reject prejudices about HIV/AIDS is 10.1% according to 2010 MICS data.  ARV treatment 201. The joint launch of the WHO Consolidated Guidelines and the UNAIDS Initiative on HIV Treatment in December 2013 by the Minister of Public Health helped to increase the number of PLHIVs on ARVs and improve the quality of medical care nationwide. 202. The percentage of adults and children eligible for antiretroviral treatment and who have access to it is increasing in light of the Government of Chad’s commitment to reverse the trend in the spread of this disease of the century. In 2010, the rate of access to antiretroviral drugs for PLHIVs was 33.97%; this rate rose to 38.74% in 2011 (PSLS report). In 2012, the proportion of adults and children eligible for and with access to antiretroviral treatment was 42.56% and this figure remained more or less stable in 2013. 203. In Chad, one of the major achievements in medical care and access to treatment for people living with HIV is the free delivery of ARVs and laboratory tests. With the support of UNAIDS, WHO and the Ministry of Public Health, efforts were increased in recent years to improve the decentralization of health care delivery and training of attending physicians in ARV therapy. Efforts also deployed by the various stakeholders in the fight against AIDS, in terms of access to healthcare and medical support, led to highly satisfactory results in 2013. 204. Indeed, according to PSLS data, the number of patients (children and adults) on ARV treatment is constantly increasing. From 32,832 at the end of 2011, the number remained almost identical in 2012 (40,856) and 2013 (40,584). This increase can be partly explained by the free delivery and availability of ARVs at district hospitals as well as the social, economic and legal support provided to PLHIVs. Page 49 sur 87