UNDP, working in partnership with the Global Fund and national partners, has put 2,400 people on antiretroviral therapy for HIV and 3,000 people on treatment for TB.

Djibouti faces major challenges in tackling HIV and TB due to the weak infrastructure of the national health system, equipment shortages, and scarcity of human resources. In January 2013, UNDP took over the role of PR for Global Fund HIV and TB grants.

Support focuses on the provision of essential HIV and TB services, including expanding access to ART, preventing mother-to-child transmission of HIV, improving TB prevention and diagnosis in high-risk populations, mainly refugees, prisoners and nomadic populations, expanding access to High Quality Directly Observed Treatment Short-course (DOTS) and provision of MDR-TB treatment. In 2012 Djibouti reached the pre-elimination phase for malaria with just 24 cases reported, but by 2014 it had reached 9,439 cases. UNDP became PR for the malaria grant at the beginning of 2016. The programme aims at strengthening the control phase of malaria to reach the pre-elimination phase by 2020. It provides testing, treatment and vector control. Particularly high-risk groups are prioritized for targeted bed net distributions, including nomadic, migrant and refugee populations.

Key results - HIV

2,400 people currently on antiretroviral therapy

Source: UNDP

30% reduction in HIV deaths in the last 10 years

Source: UNAIDS

Retention on ART 12 months after commencing treatment (2017)

Source: UNAIDS

Key results - TB

TB case detection rate (2017)

Source: World Health Organization

TB treatment success rate (2016)

Source: World Health Organization

Tuberculosis incidences

Source: World Health Organization

Tuberculosis related mortality

Source: World Health Organization

Key results - malaria

73,000 bed nets distributed to prevent malaria

Source: UNDP

22,000 cases of malaria treated

Source: UNDP

Reported confirmed cases of Malaria

Source: World Health Organization

Maternal and infant mortality rates

Source: World Health Organization

Djibouti: Finding the “Missing” Cases of TB

Djibouti hosts more than 27,000 refugees from nearby Somalia, Ethiopia, and Eritrea, equivalent to roughly 3% of its population. With one of the highest densities of refugees in the world, crowded camps create a fertile breeding ground for the transmission of TB. To limit the spread of the disease and ensure no one is left behind, the government of Djibouti, in partnership with UNDP, the UN Refugee Agency (UNHCR) and the Global Fund are working to bring diagnosis and treatment facilities into camps, reduce stigma and to stop TB in its tracks.

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