Health

CD4 Machines - Global Health
USAID supplied three CD4 machines to clinics that provide antiretroviral therapy services. Pictured here is the Id Inad Clinic in Madang, Papua New Guinea, where 112 HIV positive patients now have the opportunity to receive regular monitoring.
Elaine Galore, FHI 360

Papua New Guinea suffers from one of the highest rates of HIV/AIDS in the Pacific Islands. While overall adult prevalence is nearly 1 percent, HIV infection rates are much higher among key populations, including transactional sex workers, men who have sex with men and transgenders. In partnership with the National Department of Health, USAID addresses Papua New Guinea’s HIV/AIDS epidemic by supporting a continuum-of-care model that links prevention, care, support and treatment services for people vulnerable to, living with or affected by HIV/AIDS. USAID builds on this successful model by delivering HIV/AIDS services to 12,500 key affected populations, as well as by linking those affected by gender-based violence—a key contributing factor to HIV infection in women—to support services.

In addition, Papua New Guinea has the highest rate of TB in the Pacific Islands region and one of the highest rates of Multi-Drug Resistant Tuberculosis (MDR-TB) in the world. USAID provides technical assistance and support for systematic screening and strengthening treatment regimens for MDR-TB and Extensively Drug-Resistant TB.

USAIDs works to bolster health systems, including improving the purchase and distribution of medical commodities and supplies. USAID is providing technical assistance to improve the supply chain management systems to address this issue.

PROJECTS

Strengthening HIV/AIDS Services for Key Populations in Papua New Guinea
*U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) project managed by USAID/Philippines
Papua New Guinea suffers from one of the highest rates of HIV/AIDS in the Pacific Islands. The project, funded through PEPFAR and managed by USAID, closely monitors HIV prevalence and strategically directs its outreach and treatment services to areas of greatest need in the capital city, Port Moresby. It also improves patient adherence to the lifetime of treatment that is currently required. In alignment with the National AIDS Strategy, this is the first project in the country to target outreach for HIV prevention and testing for key, highly stigmatized populations. For the period of September 1, 2016 through June 30, 2017, 3,392 individuals received HIV testing and counseling, with 5 percent (182 people) testing positive for the disease and starting treatment. The project also funds a hotline for those affected by gender-based violence, a key contributing factor to HIV infection in women.

Control and Prevention of Tuberculosis (CAP-TB) Project
*Managed by USAID/RDMA with USAID/Washington TB funds
Papua New Guinea has the second highest tuberculosis and Multi-Drug Resistant TB (MDR-TB) prevalence in the Western Pacific Region. The CAP-TB project complements current measures in Papua New Guinea to improve the treatment outcomes for drug-resistant TB. It also improves case detection for drug-resistant TB on Daru Island. This project encourages appropriate monitoring and management of new TB medicines and regimens to promote drug safety. USAID provided two GeneXpert machines to quickly and effectively diagnose MDR-TB and, together with Janssen Therapeutics, has introduced the first new TB drug into the Papua New Guinea market in over 40 years. The drug, bedaquiline, treats patients suffering from MDR-TB, which is resistant to the two most effective anti-TB drugs available today.

Nazarene Compassionate Ministries, Inc., Fair Housing and Water Improvements Project
*Managed by USAID/Washington
USAID's Office of American Schools and Hospitals Abroad (ASHA) assists schools, libraries and medical centers outside the United States to improve health and education outcomes among partner countries. In Papua New Guinea, USAID/ASHA has improved living accommodations in Kudjip Nazarene Hospital by building staff housing and water systems for its employees. This allows the hospital to attract and retain hospital staff and promote fair housing for both men and women.

Last updated: December 13, 2017

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