Curbing the HIV/AIDS Epidemic in Djibouti

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dc.creatorRavano, Wendy V.
dc.creatorEl-Saharty, Sameh
dc.creatorAli, Omar
dc.creatorAbdel-Rahmane, Maissa
dc.date2017-08-10T20:02:45Z
dc.date2017-08-10T20:02:45Z
dc.date2010-10
dc.date.accessioned2026-07-01T01:15:14Z
dc.descriptionThis study outlines the initial challenge presented by the HIV/AIDS epidemic, describes Djibouti's response, reviews the results achieved and the enabling factors in curbing the spread of the epidemic, and identifies remaining challenges. Between 2002 and 2008, HIV prevalence among young pregnant women aged 15-24 was reduced from 2.7 percent to 1.9 percent and among sentinel surveillance groups from 2.5 percent to 1.9 percent. HIV prevalence among tuberculosis patients was reduced from an estimated 22 percent to 12 percent. Condom use during last intercourse outside marriage increased from 27 percent to 55 percent and reached 95 percent among sex workers. Among the general population, awareness of HIV/AIDS increased to 95 percent and knowledge about transmission and prevention rose to 50 percent. Political commitment, engagement of community and religious leaders, rigorous communication, social marketing and the provision of an integrated package of medical and social services, and donor harmonization were among the key factors that contributed to the achievement of these results. Despite these impressive results in a relatively short period, Djibouti still has to address several challenges and consolidate program gains, but most importantly, funds are being mobilized from government resources to sustain the national AIDS control program.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/607361468167966672/Curbing-the-HIV-AIDS-epidemic-in-Djibouti
dc.identifierhttps://hdl.handle.net/10986/27713
dc.identifierhttps://doi.org/10.1596/27713
dc.identifier.urihttp://hdl.handle.net/123456789/416481
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationWorld Bank Global HIV/AIDS Program Discussion Paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectACCESS TO TREATMENT
dc.subjectADULT POPULATION
dc.subjectAGED
dc.subjectAIDS CASES
dc.subjectAIDS EPIDEMIC
dc.subjectAIDS ORPHANS
dc.subjectAIDS PATIENTS
dc.subjectAIDS PROGRAM
dc.subjectAIDS PROJECT
dc.subjectAIDS PROJECTS
dc.subjectANTENATAL SERVICES
dc.subjectAWARENESS CAMPAIGNS
dc.subjectBABIES
dc.subjectBEHAVIOR CHANGE
dc.subjectBEHAVIORAL CHANGE
dc.subjectBLOOD BANK
dc.subjectBLOOD DONORS
dc.subjectBLOOD TRANSFUSION
dc.subjectCAPACITY BUILDING
dc.subjectCASE MANAGEMENT
dc.subjectCASUAL SEX
dc.subjectCHILD MORTALITY
dc.subjectCHILD MORTALITY RATES
dc.subjectCITIZENSHIP
dc.subjectCIVIL SOCIETY ORGANIZATIONS
dc.subjectCLINICS
dc.subjectCOMMERCIAL SEX
dc.subjectCOMMERCIAL SEX WORKERS
dc.subjectCOMMUNICATION CHANNELS
dc.subjectCOMMUNITY DEVELOPMENT
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMPLICATIONS
dc.subjectCOMPREHENSIVE CARE
dc.subjectCONDOM
dc.subjectCONDOM DISTRIBUTION
dc.subjectCONDOM SALES
dc.subjectCONDOM USE
dc.subjectCONDOMS
dc.subjectCORRECT USE OF CONDOMS
dc.subjectCOUNSELORS
dc.subjectDEMAND FOR CONDOMS
dc.subjectDIET
dc.subjectDISCRIMINATION
dc.subjectDROPOUT
dc.subjectDRUGS
dc.subjectEARLY DETECTION
dc.subjectEPIDEMIC
dc.subjectEPIDEMIOLOGICAL SURVEILLANCE
dc.subjectEPIDEMIOLOGY
dc.subjectESSENTIAL MEDICINES
dc.subjectEXISTING CAPACITY
dc.subjectFAMILIES
dc.subjectFAMILY HEALTH
dc.subjectFAMILY HEALTH INTERNATIONAL
dc.subjectFAMILY MEMBERS
dc.subjectFAMILY PLANNING
dc.subjectFAMILY WELFARE
dc.subjectFEMALE GENITAL CUTTING
dc.subjectFERTILITY
dc.subjectFERTILITY RATES
dc.subjectFOCUS GROUP DISCUSSIONS
dc.subjectGENDER INEQUALITY
dc.subjectGLOBAL HIV/AIDS
dc.subjectGOVERNMENT AGENCIES
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EDUCATION
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH INFRASTRUCTURE
dc.subjectHEALTH PLANNING
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROBLEMS
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH WORKERS
dc.subjectHIGH-RISK GROUPS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHIV PREVENTION
dc.subjectHIV TRANSMISSION
dc.subjectHOME VISITS
dc.subjectHOSPITAL
dc.subjectHOSPITALS
dc.subjectHUMAN DEVELOPMENT
dc.subjectHYGIENE
dc.subjectILLITERACY
dc.subjectILLNESSES
dc.subjectIMMIGRATION
dc.subjectIMMIGRATION STATUS
dc.subjectIMMUNODEFICIENCY
dc.subjectIMPACT OF AIDS
dc.subjectINCOME-GENERATING ACTIVITIES
dc.subjectINFANT
dc.subjectINFLUX OF REFUGEES
dc.subjectINSTITUTIONAL CAPACITY
dc.subjectINTERCOURSE
dc.subjectINTERNATIONAL COMMUNITY
dc.subjectINTERNATIONAL COOPERATION
dc.subjectINTERNATIONAL RESPONSE
dc.subjectINTERPERSONAL COMMUNICATION
dc.subjectINTERVENTION
dc.subjectLABOR FORCE
dc.subjectLACK OF KNOWLEDGE
dc.subjectLEVELS OF EDUCATION
dc.subjectLIFE EXPECTANCY
dc.subjectLIVE BIRTHS
dc.subjectLIVING CONDITIONS
dc.subjectLOCAL COMMUNITIES
dc.subjectMALARIA
dc.subjectMANDATES
dc.subjectMARITAL STATUS
dc.subjectMASS MEDIA
dc.subjectMATERNAL HEALTH
dc.subjectMATERNAL MORTALITY
dc.subjectMATERNAL MORTALITY RATIO
dc.subjectMATERNITY HOSPITALS
dc.subjectMEDIA COVERAGE
dc.subjectMEDICINES
dc.subjectMIDWIVES
dc.subjectMIGRANT
dc.subjectMIGRANT POPULATIONS
dc.subjectMIGRATION
dc.subjectMILLENNIUM DEVELOPMENT GOAL
dc.subjectMINISTRY OF EDUCATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectMOTHER-TO-CHILD
dc.subjectMOTHER-TO-CHILD TRANSMISSION
dc.subjectNATIONAL AIDS
dc.subjectNATIONAL AIDS CONTROL
dc.subjectNATIONAL CAPACITIES
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL PLAN
dc.subjectNATIONAL POLICIES
dc.subjectNATIONAL STRATEGY
dc.subjectNUTRITION
dc.subjectOPPORTUNISTIC ILLNESSES
dc.subjectOPPORTUNISTIC INFECTIONS
dc.subjectORPHANS
dc.subjectPARENTHOOD FEDERATION
dc.subjectPATIENTS
dc.subjectPEER EDUCATION
dc.subjectPEER EDUCATORS
dc.subjectPHYSICIANS
dc.subjectPILOT PROJECTS
dc.subjectPOPULATION GROUPS
dc.subjectPOSTERS
dc.subjectPREGNANT WOMAN
dc.subjectPREGNANT WOMEN
dc.subjectPRENATAL CARE
dc.subjectPREVALENCE RATE
dc.subjectPREVALENCE RATES
dc.subjectPREVENTION ACTIVITIES
dc.subjectPREVENTION INTERVENTIONS
dc.subjectPREVENTION OF MOTHER-TO-CHILD TRANSMISSION
dc.subjectPREVENTIVE ACTIVITIES
dc.subjectPRIMARY HEALTH CARE
dc.subjectPROGRESS
dc.subjectPROPHYLAXIS
dc.subjectPSYCHOLOGICAL SUPPORT
dc.subjectPSYCHOSOCIAL SUPPORT
dc.subjectPUBLIC HEALTH
dc.subjectQUALITY CONTROL
dc.subjectRADIO
dc.subjectRATE OF POPULATION GROWTH
dc.subjectREFUGEES
dc.subjectRELIGIOUS LEADERS
dc.subjectRESOURCE MOBILIZATION
dc.subjectRISK FACTORS
dc.subjectRISK GROUPS
dc.subjectRISK OF INFECTION
dc.subjectRISKY BEHAVIOR
dc.subjectSCHOOL CHILDREN
dc.subjectSCHOOL CURRICULUM
dc.subjectSCHOOL YOUTH
dc.subjectSCREENING
dc.subjectSECONDARY SCHOOLS
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVIDERS
dc.subjectSEX
dc.subjectSEX WORK
dc.subjectSEX WORKER
dc.subjectSEX WORKERS
dc.subjectSEXUAL CONTACT
dc.subjectSEXUALLY TRANSMITTED DISEASES
dc.subjectSEXUALLY TRANSMITTED INFECTIONS
dc.subjectSOCIAL AFFAIRS
dc.subjectSOCIAL CLASS
dc.subjectSOCIAL IMPACT
dc.subjectSOCIAL MARKETING
dc.subjectSOCIAL MOBILIZATION
dc.subjectSOCIAL SERVICES
dc.subjectSOCIAL STATUS
dc.subjectSOCIAL SUPPORT
dc.subjectSOCIAL WORK
dc.subjectSOCIAL WORKERS
dc.subjectSTIS
dc.subjectSUPPLY NEEDS
dc.subjectSURVIVAL RATE
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTELEVISION
dc.subjectTRANSPORTATION
dc.subjectTREATMENT SERVICES
dc.subjectTUBERCULOSIS
dc.subjectTUBERCULOSIS CONTROL
dc.subjectTV
dc.subjectUNAIDS
dc.subjectUNEMPLOYMENT
dc.subjectUNFPA
dc.subjectUNITED NATIONS POPULATION FUND
dc.subjectUNPROTECTED SEX
dc.subjectURBAN AREAS
dc.subjectUSE OF CONDOMS
dc.subjectVOCATIONAL TRAINING
dc.subjectVOLUNTARY COUNSELING
dc.subjectVOLUNTARY TESTING
dc.subjectVULNERABILITY
dc.subjectVULNERABLE CHILDREN
dc.subjectVULNERABLE GROUPS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUNG GIRLS
dc.subjectYOUNG PEOPLE
dc.subjectYOUNG PREGNANT WOMEN
dc.subjectYOUNG WOMEN
dc.titleCurbing the HIV/AIDS Epidemic in Djibouti
dc.typeWorking Paper
dc.typeDocument de travail
dc.typeDocumento de trabajo

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