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Country Profile: Comoros
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AIDS Programmes

National Strategic Framework: 2005-2009

The objective of the new national strategic plan, is to keep prevalence of HIV below 1%. In addition, plans of action have been drawn up by company managers and nongovernmental organizations to mark their contribution to the multisectoral control effort.

Assessment (UNAIDS):
AIDS-control measures are coordinated by the National AIDS Control Committee, a multisectoral entity in which all governmental partners, civil society and the private sector participate. The objective of the new national strategic plan (PSN 2005–2009), which has just been updated by the Union of the Comoros, is to keep prevalence of HIV below 1%. Accordingly, under the new national strategic plan, AIDS control is one of the five strategic lines of action assigned priority and one of the thirty five programmes given priority by the Poverty Reduction Strategy Paper document.

During 2005, political commitment at the highest level was reflected in the involvement of the President of the Republic and of the Presidents of the islands' executive bodies in the major actions undertaken in the response to AIDS. In addition, plans of action have been drawn up by company managers and nongovernmental organizations to mark their contribution to the multisectoral control effort.

The main challenges facing the country are as follows:
 changing the mindset both of the authorities and of the population with regards to the AIDS pandemic;
 organizing the control effort on the basis of the guiding principles of the “Three Ones”;
 the shortage of resources to implement and strengthen interventions: a revival of partnership, especially with the United Nations agencies, is called for;
 the limited number and skills of human resources committed to the control effort; and
 the lack of operational research.

HIV/AIDS Organisations

  Ministry of Health
Contact person: Honourable Dr Ikililou Dhoinine, vice-president of Comoros in charge of the Ministry of Health Tel: +269 733 373
Location: P.O. Box 1028
Moroni, Union of Comoros
Fax: +269 734 432
  Email:
  Web:
What we do:

  
Contact person: Dr Ahamada Msa Mliva, national director Tel: +269 744 069
Location: P.O. Box 1028
Moroni, Union of Comoros
Fax: +269 734 432
  Email:
  Web:
What we do:

  UNAIDS Country Co-ordinator (also Mauritius, Madagascar and Seychelles)
Contact person: Sétou Kaba Tel: +261 20 22 366 32
Location: Fax: +261 20 22 641 84
  Email:
  Web:
What we do:

 UN Theme Group on HIV/AIDS
Contact person: Mamadou Ball, WHO Reprensentative Tel: +269 73 00 36
Location: Fax: +269 73 18 25
  Email:
  Web:  
What we do:

Sources: - The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map

HIV Prevalence Rate (%) (2006): 15%
No. Of People living with HIV/AIDS (2006): 88
No. Of People in need of ART (2006): 5 adults aged 15-49 years
No. Of People Currently On ART (2006): 5
No. Of People on ART Public Sector (2006): 5
No. Of People on ART Private Sector: n/a
No. Of People on ART in Non-Government Programmes: n/a
No. Of People Expected to be on ART (2006 End): 10
Front Line Drug Regimen (2006, UNAIDS): zidovudine + lamivudine + nevirapine
*PMTCT Regimen (2006): At the onset of labour, mothers receive a dose of nevirapine. Mothers are also prescribed zidovudine or lamivudine at 36 weeks to be continued until a week after labour.

HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund: US$635 488
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP): nil
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year: nil

Sources: UNAIDS

Indicators

Demographics (United Nations Population Fund):
Population: 798 000
Population aged 15-59: 429,000
Urban population: 2,511,000

Under 5 mortality per 1000 births: 77
Male life expectancy: 62 years
Female life expectancy: 67 years
Combined average life expectancy: 64.5 years
Combined average life expectancy 1975-1980: 50.9 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths: 40 percent
Females with secondary education as percentage of secondary school-age youths: 30 percent

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older: 63.5 percent
Percentage of literate females aged 15 or older: 49.1 percent
Combined literacy rate for aged 15 or older: 56.2 percent
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