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    182393

    HIV / AIDS and STI prevention and care in Rwandan refugee camps in the United Republic of Tanzania.

    African Medical and Research Foundation [AMREF]; London School of Hygiene and Tropical Medicine

    Geneva, Switzerland, Joint United Nations Programme on HIV / AIDS [UNAIDS], 2003 Mar. 28 p. (UNAIDS Best Practice Collection. Key Material; UNAIDS/03.16E)

    Until recently, relatively little attention had been paid to HIV/AIDS care and prevention in the context of a humanitarian response. Traditional priorities in emergencies included the provision of food, water, sanitation, shelter and basic health services. Because of the long incubation period of HIV, the disease was not considered an immediate threat to life and was therefore not thought of as a ‘relief issue’. Factors (such as poverty, social instability and powerlessness), typically associated with conflicts and the forced displacement of people, were already known to exacerbate HIV transmission. Until the catastrophic Rwandan refugee crisis of 1994, however, there was little appreciation of how very significant these factors were. Before that date, no major specific interventions for HIV infection or for other sexually transmitted infections (STIs) had been designed for refugees. This monograph documents the first large-scale AIDS and STI intervention programme to be implemented during a refugee crisis. It describes the operational aspects of the intervention, the observed impact and the effect this experience had on policies and practices in other refugee situations, among both international and nongovernmental organizations. It provides insights into the elements and approaches for STI services that will be useful for reproductive health programme managers from government and international organizations as well as nongovernmental organizations involved in relief operations. It will also be useful for district or regional health managers in identifying needed support systems for STI service delivery. (excerpt)
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