563 persons living with HIV (PLHIV) were introduced to ARVs (target exceeded by more
than 100%) 69.67% of whom were regularly monitored at the level of 74 treatment sites
including 68 which equally provide paediatric care.
227. It should also be noted that in 2010, 307 Prevention of Mother- to-Child Transmission
(PMTCT) sites existed across the country (target exceeded by more than 100%). They helped
screen 67.33% of 110,736 pregnant women during antenatal care (ANC), representing a rate
of 89% as against 65% for cases of assisted deliveries. The populations’ compliance with
voluntary HIV screening in relevant structures established, is gaining momentum as the years
go by.
228. The National Strategic Framework for the fight against HIV and AIDS (CSN) for the
period 2006-2010 has been completed. A national review is underway to assess the former
CSN and to prepare a new strategic framework for 2012-2016 with the support of all
stakeholders including the State, the private sector, civil society, and the technical and
financial partners.
229. The antiretroviral drugs against HIV/AIDS are provided free of charge since 2004,
thanks to the President of the Republic. This free treatment is being extended to all the
eligible cases diagnosed. As a reminder, according to UNAIDS data on treatment in Africa,
Mali (3rd country in Africa to institute free treatment) is ranked first country in this domain.
230. Moreover, other vigorous actions were carried out to fight this scourge including, among
others, malaria with the support of the Malaria Training Centre (MTRC) of the Faculty of
Medicine and Dentistry (FMPOS), as an international centre for research on the issue, which
effectively contributed to significantly reducing fatality caused by the disease; tuberculosis,
leprosy, the so-called neglected diseases, blindness, guinea worm, non-communicable
diseases including hypertension, diabetes, sickle cell disease are currently receiving the
specialist attention of a Regional Centre (CRLD ) in the fight against those conditions;
cancers, epidemics including those relating to meningitis which is less lethal are being
addressed with continued mass vaccination campaigns according to established standards and
the introduction in 2010 of a new vaccine that protects for 10 years .
231. The implementation of the national blood transfusion policy ensures safety in hospitals
and referral health centres, through the efforts of 36876 voluntary blood donors aged 18 to 60
years (2.22% of donations were detected HIV positive in 2010 and destroyed). This
institutional mechanism incorporates appropriate conditions for effective control and
prevention of emerging diseases and the re-emergence of HIV/AIDS.
232. Several other diseases such as leprosy, tuberculosis, onchocerciases, etc. are also being
treated free of charge for a long time. These initiatives have greatly contributed to the control
of the advance of these diseases in general especially in poor rural areas, with the exception
of tuberculosis where the detection rate was only 29% in 2009 and 20% in 2010 (temporary
halt of funding from the Global Fund), despite the on-going significant efforts.
233. It should equally be noted that the free caesarean section interventions decreed since
2005 and the free anti-malaria treatment of children from 0-5 years and pregnant women, as
well as the prevention of malaria in pregnant women through the use of SulphadoxinePyrimethamine (SP) adopted since 2007, are major innovations that enable the poorest to
have access to health care throughout the national territory.
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