Among the many challenges that the world face today HIV/AIDS is ranked among the top challenges. The infection rate is rising with more and more people dying from the disease and other AIDS-related illnesses. Statistics show that of all individual living with AIDS an estimate of 6 out of 10 men, 8 out of 10 women and the children leading with 9 out of 10 children are in Africa. South Africa has the leading infection rate due to lack of adequate funds in educating the community and the children on the use of contraceptives and safe sex practices.
The epidemic has hugely affected families, and the society at large in most countries and Vietnam is not excluded. However, Viet Nam has made great progress in the fight against the disease. This has led to the decrease in HIV incidences in the past four decades. Statistics in the country show that mortality rates and tuberculosis prevalence have dropped by 4-5% annually since the year 2000 with fewer deaths recorded due to other HIV related illnesses. The country, Viet Nam is among the leading countries in regards to heavy investing in health and the co-financing requirement is to boost the country's efforts into being more sufficient. Despite the progress in Viet Nam, the disease is still a significant health problem and more specifically among the individuals in who inject HIV drugs and the seasonal forest workers. Therefore the Global Fund has been established to majorly target these key populations while increasing community participation and to remove hindrances to timely treatment.
The conference aims at stepping up the pace and make people recognize that the country and the globe a large is in a critical time and there is a need to capture recently emerged optimism while building on it to ensure that the top of the global agendas is HIV. The pace is to increase and ultimately reverse the epidemic trajectory. Stepping up the pace is a reminder that we have to revitalize and energize our efforts to increase investment, political commitment, and the collaborative research. This will be achieved through coordinated and controlled actions that include significant scale-up programs in settings of limited resources, dire commitment to interventions that are evidently based where the key population has been neglected. There is a crucial need in involving the KAPs to address the discrimination and stigma they face that include punitive government policies. The crucial opportunity presented by the conference will allow the mobilization of different stakeholders to join forces and build on the already existing momentum in Viet Nam to change the epidemic course.
I have joined the different representatives to assist in fostering the present debate for the millennium development goals for the HIV/AIDS that include the gender violence, criminalization, and sexual health rights cross-cutting issues. My follower representatives and I aim at ensuring that the epidemic remains a key focus not only in Viet Nam but also in the international development at large.
This is an action plan that was introduced by United Nations in 2013. The idea aims at ensuring that by 2020 an average population of 90% will be diagnosed, 90% of the diagnosed people will be put under medication and 90% of the treated individuals will be suppressed virally. Viral suppression is a state in which the level of virus in an infected person is reduced to the undetectable level. The action plan attempts to control the HIV epidemic on the bases of testing and treatment. The central to rest and treating is that, if individuals can identify their situation early enough they can be able to suppress the viral multiplication. This will suppress the virus and onward transmission impacting on the overall HIV incidences.
The strategy is realistic, and it covers the diverse and significant issues of prevention, economic and social issues and the policies of implementation in general. Despite the strategy being an aspiration concept, it is, however, difficult to implement at scale in the resource-poor setting which is heavily infected with HIV. It entails at identifying the people who are infected but are not symptomatic and don't seek care. The testing is taken out of the clinic into the community, and it requires more innovative and new skills to get people tested for infection. For the plan to be successful the health systems should endeavor to ensure that the testing is readily available including in the remote areas of the globe.
The 90-90-90 action plan prevention part is that, after the infected individuals have been identified, they are subjected to treatment which leads to virus suppression and consequently the outward spread. More people won't be infected, and the action plan will have successfully managed to curb the possible spread of the illness and other HIV related illnesses.
The second component is that the plan ensures that the infected people are triaged into care, and they are administered with antiretroviral treatment while they are keenly observed by the clinical operands. There plan covers the social issues by being able to offer adequate counseling and support to the asymptomatic individual as they see no need to start the antiretroviral treatment processes as they don't consider themselves sick. This ensures that they are taught of the needs of treatment and the importance of early initiation of care and treatment.
Once the treatment is initiated, the antiretroviral drugs should be readily available in all places at any time. This is made to ensure that the patients adhere to the treatment which consequently leads to suppressing of the virus and the incapability to transmit the virus to other sexual partners. These will be the maxima health benefits to the early medication initiation.
There are several reasons why some countries may not be able to execute the plan. First, they need extra resources to allow its citizens have extraordinary access to HIV testing. Second, the countries including Viet Nam require resources to prevent stock out and to procure drugs. Lastly, they require resources to constantly manage their drug users for life. There is no country in any state poor or rich that can boast this kind of resource access.
Resource-rich countries have a lesser burden of HIV/AIDS and are more likely to retain the patients on drugs and treatment constantly, while in the resource-poor countries they are heavily burdened, and their governments have difficulties in making choices which include the strategic resource distribution.
The program thus covers for the financial and economic aspects of the society, and it requires that the country of execution has a strong financial investment and it ensures that the state can secure its funds into the program and not rely upon o donations. It is involved in advanced health systems, antiretroviral supply, and improved innovation within a country. The action plan does not only improve the HIV testing access but also improves the country development and economic advancement. Therefore the action plan is relevant is all aspects if executed by any country.
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