LSUA Medical Technologist's Travel

Friday, September 20, 2019

Important travel information before leaving for Cameroon

Here is some information I'm sure to need before leaving for the airport.  First, what does my hotel look like?  Here is a link you can browse through.  Looks like I will be in the center of downtown Yaounde!  hotel la falaise in Yaounde  /

What is the population of Cameroon?
     ~ 16.3 Million.  The 2 largest cities are:
 Douala = 2.8 M and considered the economic capital of  Cameroon   
Yaounde = 2.8 M and considered the political capital of Cameroon

I will be in Yaounde working with the GHSS and the CDC-Cameroon on the RTQII Initiative.  See earlier post for more information on this Initiative.

Next- what is the currency in Cameroon?
     The Central African CFA franc which is also used in Central African Republic, Chad, Republic of the Congo, Equatorial Guinea, and Gabon. The Bank of the Central African States which is responsible for the currency is based in Yaoundé, Cameroon.  The CFA is related to the French currency and the Euro.  Interesting.



What sort of weather conditions are awaiting my arrival?
   Well..... temps will be between mid-60s and 70s!  PLUS rain every day!! My trusty umbrella is already packed!  I'll take rain over  the 38 degrees C we've been having all summer..  (Ok my followers- convert that temp to F!!)

Monday, September 02, 2019

Information on the UNAIDS 90-90-90 Initiative and Goals


UNAIDS 90-90-90: AN AMBITIOUS TREATMENT TARGET TO HELP END THE AIDS EPIDEMIC
Ending the AIDS epidemic is more than a historic obligation to the 39 million people who have died of the disease. It also represents a momentous opportunity to lay the foundation for a healthier, more just and equitable world for future generations. Ending the AIDS epidemic will inspire broader global health and development efforts, demonstrating what can be achieved through global solidarity, evidence-based action and multisectoral partnerships.
Although many strategies will be needed to close the book on the AIDS epidemic, one thing is certain. It will be impossible to end the epidemic without bringing HIV treatment to all who need it.
As the world contemplates the way forward following the 2015 deadline for the targets and commitments in the 2011 Political Declaration on HIV and AIDS, a final target is needed to drive progress towards the concluding chapter of the AIDS epidemic, promote accountability and unite diverse stakeholders in a common effort. Whereas previous AIDS targets sought to achieve incremental progress in the response, the aim in the post-2015 era is nothing less than the end of the AIDS epidemic by 2030.
In December 2013, the UNAIDS Programme Coordinating Board called on UNAIDS to support country- and region-led efforts to establish new targets for HIV treatment scale-up beyond 2015. In response, stakeholder consultations on new targets have been held in all regions of the world. At the global level, stakeholders assembled in a variety of thematic consultations focused on civil society, laboratory medicine, paediatric HIV treatment, adolescents and other key issues.
Powerful momentum is now building towards a new narrative on HIV treatment and a new, final, ambitious, but achievable target:
  • By 2020, 90% of all people living with HIV will know their HIV status.
  • By 2020, 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy.
  • By 2020, 90% of all people receiving antiretroviral therapy will have viral suppression. 

HIV Rapid Test Quality Improvement Initiative (RTQII)

Between 2004 and 2012:
  • Over 159 million HTC (HIVTesting and Counseling) sessions were provided with PEPFAR (President's Emergency Plan for Aids Relief) support using HIV rapid tests (RT). Working towards the elimination of new HIV infections under PEPFAR's Combination HIV Prevention strategy will require increasing access to and uptake of HTC and emphasizing efforts to ensure the accuracy of HIV testing. 
  • In support of these efforts, the Laboratory, HTC and Prevention of Mother-To-Child Transmission of HIV Technical Working Groups (PMTCT TWGs) collectively proposed an HIV Rapid Testing Quality Improvement Initiative (RTQII), which has been approved by Ambassador Goosby. The RTQII aims to ensure the quality of HIV rapid testing and expand upon current in-country HIV rapid testing quality improvement work. The RTQII is comprised of the following five key action areas:

1.      Policy Engagement: Create an enabling framework for policy development
2.      Human Resource: Increase cadres of qualified testers through training and certification
3.      Proficiency Testing Programs: Increase uptake and coverage and demonstrate impact
4.      Standardized Register: Increase uptake and coverage and demonstrate impact  
5.      Post Market Surveillance: Monitor the quality of new kit lots

All seven selected countries, like all PEPFAR-supported ones, are presently implementing to some extent the different focused areas identified by this Initiative. However, because of inadequate engagements at national levels, insufficient resource allocations, coverage and consistency in rolling out quality assurance has been challenging. To this end, the RTQII will help synergize and leverage existing country resources and ensure long-term sustainability of the quality of HIV testing. 
The seven countries participating in the RTQII Initiative are:
Kenya
Tanzania
Cameroon
Ethiopia
Uganda
Malawi
Zambia



Off to Yaounde, Cameroon

Welcome to Cameroon

Before going into a new country, I like to learn as much about the culture, history, and people as I can.  I am going to Cameroon as a consultant to assist with training and implementation of the UNAIDS 90-90-90 Initiative. See below for details of this Initiative.  This is my first time to go to Cameroon and I am very excited to learn about the country and meet the colleagues I will be collaborating with.  
I invite you to follow my adventures and experiences through Cameroon.
Image result for cameroon facts  Map of Cameroon

Image result for africa map


Country Facts:
  • Cameroon is located on the Gulf of Guinea, and a Central African country of varied terrain and wildlife. Its inland capital, Yaoundé, and its biggest city, the seaport Douala, are transit points to ecotourism sites as well as beach resorts like Kribi – near the Chutes de la Lobé waterfalls, which plunge directly into the sea – and Limbe, where the Limbe Wildlife Centre houses rescued primates.
  • Cameroon, officially the Republic of Cameroon
    • Its land bordering countries are Nigeria, Chad, Central African Republic, Equatorial Guinea, Gabon and the Republic of the Congo.
  • Capital: Yaounde
  • Population:  24.05 million (2017) (World Bank)
  • Official languages: French and English
  • Cameroon is famous for producing coffee, cocoa, cotton, bananas and oilseeds.
  • Cameroon has 7 national parks. 
    • Waza National Park is its most famous one with numerous elephants, lion, giraffe, antelope, antelope, and birdlife and has some of the richest flora and fauna found in Africa.
  • What does the Flag stand for?
    • The national flag of Cameroon was adopted in its present form on 20 May 1975 after Cameroon became a unitary state. It is a vertical tricolour of green, red and yellow, with a five-pointed star in its center.
    • The red symbolizes unity, as well as the centered yellow star. Green represents hope and the yellow prosperity. Those colors combined are the official Pan-African colors. 


Image result for facts about Cameroon