At the Brazzaville Teaching Hospital screening and anti-retroviral treatment are
free of charge. This free treatment helps HIV positives patients live longer.
Regarding the situation of children, youths aged 10 to 14 years and women of
child-bearing age, a programme consisting of two projects supported by
UNICEF was launched :
* prevention of Aids among youth ;
* prevention of mother to child transmission ;
In the area of HIV-AIDS prevention among youth, the objective is to ensure that
80% of youth of both sexes aged between 10 and 24 years old have adopted
safe sexual behaviours. For a long time, Congo has formulated a National
Communication Strategy for behaviour change among the youth.
Regarding the Prevention of Mother to Child Transmission Project, (PMCT), the
expected outcomes are a 20% reduction in the number of seropositive children
by 2008, improved access to voluntary testing-screening for all women
attending antenatal consultations and access to medical, nutritional and psychosocial care for seropositive children.
Texts were adopted subsequent to the Constitutional provisions to support the
latter, such as decree n° 96-525 dated 31st December 1996 relating to the
definition, classification and mode of management of health facilities in the
Republic of Congo. For example this text defines the attributions of the
Ambulatory Medicine and Integrated Health Centres with regard to the Minimum
Package of Activities (MPA).
It consists of a series of texts which govern the organisation and functioning of
the Ministry of Health, the implementation of plans and programmes, the norms
of organisation and the operation of health facilities as well as public health
financing. Detailed observations point to the fact that this framework is fraught
with shortcomings and inconsistencies, especially as regards the single account
principle which hampers the decentralisation policy and the recovery of costs
inherent to the development of Socio Sanitary Districts.
Regrettably there are no specific legal provisions in place in the area of mother
and child protection.
However, it has been noted that focusing on administrative organisation in the
area of health has made it possible to respond to the human rights exigencies in
this area.
* Organisation of Health Administrative
The administration is divided into the central, intermediary and peripheral levels.
The first level comprises of the Office of the Minister of Health, Central
Departments, and other Units within the Ministry. It is the strategic sphere for
planning and normative evaluation, monitoring, resource mobilisation and
allocation.
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