Tuesday, November 4, 2008

HIV/AIDS in Senegal

Senegal’s differences in awareness, legislation, infrastructure, and previous programs have allowed its fight against HIV/AIDS more success than in similar countries. Levels of awareness of practices protective against HIV/AIDS among the general population exceeded 90% in the early ‘90s, with high-publicity educational campaigns. Legislation is also favorable: adultery is illegal in Senegal; in addition, polygyny requires consent (although this law is often not enforced, in favor of tradition) and prostitution was legalized in 1969, allowing for a unique infrastructure providing health care to sex workers.

Established in 1969, the Female Sex Worker Registry (FSWR) has been used since its creation for STD treatment and screening, encouraging registration by providing needed, affordable services; these services effectively outweigh the costs of some social stigma. The aforementioned other programs setting the stage for Senegal’s current fight against HIV/AIDS includes the STD control program administered through the FSWR, which was integrated into primary health care services and included cost recovery for reduced-cost STD treatments, allowing for sustainability.

Acknowledging these foundations in Senegal as part of the rapid response to the emergence of HIV/AIDS in Senegal in the 80s, this paper will examine the success of the fight against HIV/AIDS in Senegal by evaluating its structure and outcome and assessing the basic feasibility of its the most recent experimental project, ISAARV, in other western African countries. The ISAARV (Senegalese Antiretroviral Drug Access Initiative), launched in 1998, is the base of Senegal’s current Strategic Plan Against AIDS (PNLS) and is recognized as a possible framework from which to base other HIV/AIDS interventions in countries like Benin and Cameroon in western Africa.

2 comments:

kaitlyn.e said...

What a topic! I was intrigued as soon as I read that the legislation is favorable: prostitution is legal. I had to read it several times to reconcile those two ideas in my mind. What conference is this for? Make your title more descriptive to match the content of your paper. "HIV/AIDS in Senegal" is generic compared to the actual content. I think this is a topic many of us have a vague sense of, and it will be interesting to learn more. Your writing is concise and powerful; I would like to read more. Good job!

Anonymous said...

Kaitlyn is right, the topic is a topic most of us are not informed but willing to learn more.
I also agree that the title should be more descriptive. Or probably you should leave the way it is now, but add a subtitle to make more descriptive.
On the other hand, even though the background is well written and works well, I wonder if you could shorten it a bit.
I could find the purpose and method but not the anticipated results.