Training of detained peer educators and prison staff on Tuberculosis, STI / HIV / AIDS in prisons in Cameroon 09/02/2017
Period: August to December 2016
Applicant Structure: GFBC
Presentation: Sub-Saharan Africa remains the continent most affected by HIV. According to the UNAIDS 2013 report, of the 35.5 million people living with HIV, nearly 24.7 million are in this region. In Cameroon, the epidemiological situation of HIV is still of concern with a prevalence of 4.3% (EDS-MICS 2011).
In Cameroon, the epidemiological situation of HIV, TB or HIV / TB co-infection is still a concern. The country remains a zone of high endemic tuberculosis, with nearly 25,000 cases diagnosed each year and 35-40% of which are co-infected (HIV-TB). Prisons in particular remain great environments for the spread of the pandemic. Due to prison overcrowding, inadequate diet of prisoners, limited access to health care, poor ventilation of cells, unprotected sex, prisons present themselves as high risk zones for the transmission of infectious diseases.
In fact, the evidence shows that prisons are home to many risky behaviors and practices. In a context where access to basic social services is limited, prisoners engage in multiple risk behaviors. Men have sex with other men or women, and women with each other, without protection. The youngest are experiencing rapes perpetrated by homosexual adults. Many inmates have sex with each other for money. Drug use, introduced fraudulently or with the complicity of penitentiary staff, causes a large number of prisoners to engage in risky behavior. The use of sharp objects (scissors, knives, razor blades …) passed from hands to hands without any real precaution. On the other hand, prisoners are clearly persons from socio-economically disadvantaged groups, and this precariousness appears to be a determining factor in the risk.
These different findings in fact show that prison populations are highly vulnerable to HIV and TB. They are, however, stigmatized, even discriminated against, and most often neglected by programs for the prevention of AIDS and tuberculosis. Very often, the legal framework does not allow or makes it difficult to set up and access HIV services (the distribution of condoms to prisoners for example), and requires reform to ensure respect for health rights. Under these conditions, the AIDS virus spreads easily among these population groups and the prevalence can reach very high levels: 10 times higher than in the community; Tuberculosis rates may be 30 times higher than in the comparable civilian population. And from there, it spreads to the whole population.
To respond effectively and sustainably to the situation, the government through NACC has submitted a request for funding to the Global Fund to Fight AIDS, Tuberculosis and Malaria under the new funding mechanism. To this end, the Cameroon Wood Sector Group (GFBC), following the decision N ° D 13-32 / C / MINSANTE / CAB, has been selected as sub-recipient of part of the subsidies of the New Financing Mechanism the Global Fund to Fight AIDS, Tuberculosis and Malaria, in charge of the implementation of the project “Prevention of HIV in other vulnerable populations”.
It is within this framework that GFBC sought the expertise of the NGO JAPSSO to accompany it in the training of detained peer educators and prison staff on tuberculosis, STIs / HIV / AIDS.
- 53 training sessions of peer educators held throughout the territory;
- 1384 peer educators (1281 men and 103 women) trained 04 training sessions for prison staff held;
- 100 prison staff (54 men and 46 women) trained.