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1) Prevention
Prevention is the principal component of the strategy. The basic component, which
used to be known as Information-Education-Communication (IEC), is now referred to as
“Behaviour Change Communication” (BCC) and consists in raising awareness among the
general population and risk groups in particular about the following:
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Modes of transmission;
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Prevention methods based on responsible sexual behaviour and the use of
one-time or sterile medical equipment;
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Transfusion safety which means reducing blood transfusions to a minimum
and only prescribing them if absolutely necessary, subject to prior screening of
the blood to be transfused. To this end, a network of laboratories equipped
with HIV testing materials will be set up in all the health districts. A blood
transfusion guide has been prepared.
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Free, voluntary screening;
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Prevention of mother to child transmission (PMTCT);
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Modules on Aids prevention and control have been integrated into school
curricula.
This selected approach is both global and systematic. An ever-increasing number of
women benefit from this service and they have an average rate of consent to screening of
almost 63 per cent. Pregnant women who test HIV positive and their new born babies are
given nevirapine free of charge.
2)
The Effective Treatment of Sick, Infected or Affected Persons,
Orphans and Parents
Initially treatment was difficult due to the exorbitant cost (CFA 300,000.00) of
antiretroviral (ARV) drugs. Today, the Government has opted for universal access to
treatment and has been subsidising ARVs since 2003. This has led to a drastic reduction
in costs to CFA 15,000 and to a further reduction in 2004 to CFA 7,000 and 3,000
depending on the protocol. Treatment is free for children between 0 to 15 years and this
facility has been extended to adults.