Source: UN AIDS

UNAIDS - Country Profile [ID 22175]

This HIV/AIDS profile contains a situation analysis, demographic, social and economic indicators as well as HIV and AIDS estimates. Language: English

Document(s): Open document

Source: Aidsmap

Aidsmap - HIV/AIDS organisations in Guinea [ID 22177]

Select Guinea from the drop down country menu.

Document(s): Open document

Source: Integrated Regional Information Network

IRIN PlusNews HIV/AIDS News and Analysis - Country Profile [ID 22178]

This profile offers information on HIV/AIDS programmes, HIV/AIDS organisations and treatment as well as health indicators. Language: English

Document(s): Open document

Source: World Health Organization

World Health Organization - Drug Regulatory Status Database [ID 22179]

Select "Antiretroviral" from "Therapeutic category" and Guinea from the country list to receive a report of all HIV/AIDS medicines registered in Guinea. Appearing on the list does not mean that the drug is available, and even less that it is affordable. On the other hand, not being on this list means that, as a rule, the drug is simply not available.

Document(s): Open document

Source: HIV InSite

HIV InSite - Country Information [ID 22534]

Document(s): Open document

Source: Global Fund to Fight AIDS, Malaria and Tuberculosis

Global Fund to Fight AIDS, Malaria and Tuberculosis - Country Site [ID 22542]

This country site offers grant applications, agreements and reports to the Global Fund as well as an overview of HIV/AIDS, tuberculosis and malaria in the country.

Document(s): Open document

04.2008 - Source: UN General Assembly

Country report to the UN General Assembly on its progress in responding to HIV/AIDS ("Rapport UNGASS 2008") [ID 23267]

Document(s): Open document

13.12.2007 - Source: Médecins Sans Frontières

Inadequate treatment available for HIV/AIDS ("International Activity Report 2006/7") [ID 22180]

"For over 98 percent of the estimated 127,500 people living with HIV/AIDS in Guinea, this manageable disease is likely to lead to death. Despite the development of an official national response and plans to put 25,000 patients on anti-retroviral (ARV) treatment, the reality is these lifesaving medicines lie out of reach for almost all patients.

MSF began treating patients living with HIV/AIDS in August 2003 through two projects: one in the capital, Conakry and the other in Guéckedou, on the Liberian border. From these two centres MSF offers voluntary counseling and testing - a much needed service in a country where only one percent of the population has access to such testing - and regular consultations for all people who test HIV-positive.

Anti-retroviral drugs (ARV) have been provided since 2004 and by the end of November 2006, more than 1,200 MSF patients were benefiting from ARVs, representing almost half of all patients receiving treatment in the country."

Document(s): Open document

31.01.2007 - Source: Federal Office for Migration and Refugees (Germany)

Availability of treatment of HIV/AIDS (C 3); no access to antiretroviral therapy and accompanying examinations ("Stellungnahme vom 31.1.2007 an Landratsamt Offenbach - 5241460-261 -") [ID 22181]

Document(s): Open document

2007 - Source: International Organization for Migration

HIV/AIDS action plan in Guinea ("Information on Return and Reintegration in the Countries of Origin – IRRICO; Guinea") [ID 22182]

"In theory, multiple drug therapy is free of charge in Guinea, but it is very difficult to access it. The CNLS (National Committee for the fight against AIDS) is the only entity that receives funds (from the World Bank amongst others) to finance the different public awareness campaigns about the dangers of HIV/AIDS, as well as to finance the hospitals trained in the treatment of patients (public hospital). The Donka hospital, which is one of the largest medical institutions for all general medicine with different specialisations, carries out specific training for the mass marketing, communication and marketing aspect on the subject of the prevention of HIV/AIDS.

There is a national programme to fight against HIV/AIDS, which is led by the CNLS at the Primature in Conakry. There are also several medical centres in the different communes, of which the most important is the CMC (Communal Medical Centre) of Matam, organised, run and financed by MSF Belgique. The Donka hospital houses a department in charge of awareness of the disease, with a State employee trained in giving the treatment in a preventative manner at the helm.

Nowadays, a new concept that has been drawn up, called "multisectoral fight", does not only consider the Ministry of Health, but all the ministries which are involved in the common fight to reduce the transmission and the danger of HIV in the population as a whole. It must be added that these agents trained at the DONKA hospital are currently charged with taking various actions:

- information, education and awareness programmes about HIV/AIDS in all the CRDs (Rural Development Community)
- collaboration with some foreign partners and associations fighting which due to the lack of adequate means, participate voluntarily
- distribution of condoms
- awareness sessions through peer educators, health teachers, posters, timely - distribution of leaflets, etc.
- showing of film about HIV/AIDS
- plays, singing, games etc.

The organisation Médecins sans frontières de Belgique (MSF-Belgique) was launched to treat patients affected by the virus free of charge. Since they work using their own funds, they cannot offer this opportunity to the whole population but are based on well-defined medical criteria.

Seroprevalence was 1.5% in 2006 (last national survey carried out in the country, probably an underestimate). In women aged between 15 and 49, the rate is 1.9% higher than the estimated rate in men of the same age (0.9 %). There is therefore a ratio of infection between men and women of 2.1%, which means that women are clearly more vulnerable than men to HIV infection.
Prevalence in urban areas is higher than in a rural environment: 2.4% compared with 1.0%. HIV does not uniformly affect the different administrative regions of Guinea: Conakry 2.1%, Labé 1.8%, N’zérékoré 1.7%, Faranah 1.6%, are the areas where the levels of prevalence are the highest. The regions of Kinda 0.9% and Mamou 0.7% are the regions where the level of prevalence is weakest.

In the last two years there have been many activities with regard to prevention and care of PLWHIV (people living with HIV), among others:

- The training of health workers and NGOs working with PLWHIV in terms of their care
- Communication activities designed to change behaviour (Peer Education) among the population in general;
- The setting up of Centres de Dépistage Volontaire et Anonyme (CDVA) (voluntary and anonymous screening centres) in some of the country’s health facilities;
- Medical and alimentary care of certain PLWHIV by PAM, CNLS, DREM, GTZ and MSF Belgique;
- The setting up of a Programme de Transmission Mère et Enfant (PTME) (mother and child transmission programme) by the ministry of health in partnership with UNICEF;
- Elaboration of a National strategic framework for the fight against HIV/AIDS 2003-2007;
- Development of the document: rules and procedures for the fight against HIV/AIDS
- The setting up of 33 HIV sentinel surveillance sites;
- Development of the monitoring and assessment strategy;
- Demographic and health survey 2005;
- Home care for PLWHIV.

Availability of medicines

Multiple drug therapy remains very expensive and is not always available to Guineans. Three years ago the cost of the treatment was approximately one million Guinean francs/month. Today it is 35,000 Guinean francs/month (approximately 10 USD), but even at this price the medicines are not always affordable for the population. The Landreah pharmacy (opposite the stadium) and the Manquepas pharmacy (town centre) are the two best-equipped pharmacies in Conakry."

Document(s): Open document

12.2006 - Source: World Health Organization

Epidemiological fact sheet on HIV/AIDS and sexually transmitted infections (data on HIV/AIDS and STIs prevalence, health service and care indicators, prevention indicators) ("Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections") [ID 22169]

Document(s): Open document

09.08.2006 - Source: Austrian Centre for Country of Origin and Asylum Research and Documentation

Treatment of HIV infections (institutions, access to treatment, state aid) ("a-5000 (ACC-GIN-5000)") [ID 22173]

Document(s): Open document

06.2006 - Source: Médecins Sans Frontières

Fact sheet on AIDS (general indicators and AIDS in the public sector) ("Guinea - AIDS Fact Sheet") [ID 22537]

Document(s): Open document

28.03.2006 - Source: Integrated Regional Information Network

New survey of pregnant women who underwent voluntary AIDS testing in maternity clinics indicates that 4.3 percent of country's adult population is infected with HIV ("Government study shows HIV infections rising") [ID 22185]

Document(s): Open document

08.03.2006 - Source: Integrated Regional Information Network

Southeast: Donors and government have launched another HIV/AIDS programme in region with highest infection rate in country, but HIV-positive residents still struggling to access anti-AIDS medication ("AIDS patients want less talk and more action") [ID 22186]

Document(s): Open document

12.2005 - Source: World Health Organization

Country profile for HIV/AIDS (situation analysis, antiretroviral therapy coverage) ("Summary Country Profile for HIV/AIDS Treatment Scale-Up") [ID 22168]

Document(s): Open document

07.09.2005 - Source: UN Committee on the Elimination of Discrimination Against Women

Prevalence of HIV/AIDS ("Consideration of reports submitted by States Parties under article 18 of the Convention on the Elimination of All Forms of Discrimination against Women; Combined fourth, fifth and sixth periodic reports of States parties; Guinea [CEDAW/C/GIN/4-6]") [ID 22202]

"In 2001, 1829 HIV/AIDS cases were reported at health facilities, and then analyzed at the coordination headquarters of the national AIDS campaign: 989, or 54 per cent, of these patients were women. The average age of a person with HIV is 34 plus or minus 22 years: 32 plus or minus 18 years for females, and 39 plus or minus 19 years for males. Of the 1829 HIV cases, 1027, or 56.20 per cent, were asymptomatic.

Taking all HIV cases together, the types of virus detected are distributed as follows:
HIV 1: 97 percent
HIV 2: 2 percent
HIV 1 + HIV 2: 1 percent

During 2001, of the 1824 infection cases notified, 802 met the expanded definition of AIDS. Of these:
· Women: 437 cases, or 54.30 per cent.
· Men: 365 cases, or 45.50 per cent.
· Children of both sexes: eight cases, or 1 per cent.

The average age of these asymptomatic cases is 35 years plus or minus 20 years. The age brackets most affected are:
· 20-24 years: 85 cases (10.40 per cent), of which 73 women (85 per cent).
· 25-29 years: 139 cases (17.2 per cent), of which 106 women (76 per cent).
· 30-34 years: 146 cases (18.30 per cent) of which 78 women (56 per cent).
· 30-35 years: 161 cases (20.20 per cent) of which 77 women (45 per cent).
· 40-44 years: 111 cases (13.90 per cent) of which 44 women (39.60 per cent).

[...]

Sentinel surveillance data from the PNLS show striking seroprevalence rates: from 1987 to 2001 there were 9279 AIDS cases reported, of which 54.3 per cent were men, 45.5 per cent were women, and 1 per cent were children.

The national survey of December 2001 estimated the national prevalence of the infection at 2.8 per cent, with variations ranging from 2.1 per cent in the urban areas of Haute Guinée to 7 per cent in the urban areas of Guinée Forestière. Nationwide, the prevalence rate nearly doubled in four years: it stood at 1.5 per cent in 1996. Yet while the average prevalence of HIV in the general population is 2.8 per cent, there are disparities between regions, and certain vulnerable groups, in particular, are very highly infected. Thus, the zero prevalence rate among “filles libres” (sex professionals or prostitutes) rose from 32 per cent in 1996 to 42 per cent in 2001; the rate for truck drivers was 7.3 per cent, among the military it was 6.7 per cent, and among minors 4.7 per cent.

The major cities have infection rates two to three times higher than the national average: 5 per cent in Conakry, 7 per cent in the urban areas of Guinée Forestière, and 3.9 per cent in urban Moyenne Guinée.

All age brackets are affected: those most seriously hit are women of 25-29 years, and men of 35-39 years."

Document(s): State report
Concluding observations of 10 August 2007 [CEDAW/C/GIN/CO/6]

07.09.2005 - Source: UN Committee on the Elimination of Discrimination Against Women

NGOs involved in the AIDS campaign direct their field activities towards awareness raising, behavioural change and caring for persons living with HIV ("Consideration of reports submitted by States Parties under article 18 of the Convention on the Elimination of All Forms of Discrimination against Women; Combined fourth, fifth and sixth periodic reports of States parties; Guinea [CEDAW/C/GIN/4-6]") [ID 22203]

"It is to this end that NGOs involved in the AIDS campaign are now directing their field activities primarily towards awareness raising, behavioural change, and caring for persons living with HIV. This is particularly the case with ASFEGMASSI, the Fondation Espoir Guinée, SIDALERTE and, since May 2001, the network of NGOs against AIDS (ROSIGUI)."

Document(s): State report
Concluding observations of 10 August 2007 [CEDAW/C/GIN/CO/6]

06.2005 - Source: World Health Organization

Country profile for HIV/AIDS (situation analysis, antiretroviral therapy coverage) ("Summary Country Profile for HIV/AIDS Treatment Scale-Up") [#37179],  [ID 22167]

Document(s): Open document

24.03.2005 - Source: Integrated Regional Information Network

New survey of pregnant women who underwent voluntary AIDS testing in maternity clinics indicates that 4.3 percent of the adult population is infected with HIV; this represents a high rise from 2.8 percent in 2001 ("Government study shows HIV infections rising") [ID 23242]

Document(s): Open document

03.2005 - Source: US Agency for International Development

HIV/AIDS profile for Guinea [ID 22205]

Document(s): Open document

20.12.2004 - Source: Integrated Regional Information Network

An international donation of antiretroviral drugs (ARVs) will lead to a dramatic reduction in the price of anti-AIDS medication ("Global Fund donation lowers ARV price dramatically") [ID 23241]

Document(s): Open document

17.12.2004 - Source: Integrated Regional Information Network

Donation of antiretroviral drugs (ARVs) from the international community for the first time will allow costs to be dramatically reduced; the medication will allow the treatment of 150 people including 25 children for one year ("First donation of ARVs will help slash costs") [ID 23240]

Document(s): Open document

28.10.2004 - Source: German Institute for Medical Mission

Availability of treatment of HIV/AIDS ("Stellungnahme 28.10.2004 an VG Hamburg - 5 K 4670/01 -") [#35992],  [ID 22538]

"Behandlungsmöglichkeiten einer HIV-Infektion im klinischen Stadium C 3 mit antiretrovirale Kombinationstherapie in Guinea:

[...]

In ganz Guinea werden momentan in einem Pilotprojekt der Gesellschaft für Technische Zusammenarbeit (GTZ) lediglich 50 Patienten/innen mit antiretroviralen Medikamenten behandelt. Geplant ist ein weiteres Programm durch "The Joint United Nations Programme on HIV/AIDS - UNAIDS", um 286 Menschen eine Behandlung zugänglich machen zu können. Die geschätzte Anzahl der mit HIV infizierten Menschen in Guinea schwankt zwischen 2,8 bis 7 % bei einer Gesamtbevölkerung von ca. 8 500 000. Das heißt dass etwa zwischen 238 000 - 595 000 Menschen in Zukunft eine Behandlung mit ARV brauchen. (siehe Anhang, Quelle: http://www.plusnews.org/pnprint.asp?ReportID=3689)

Wir haben keine Kenntnis darüber, ob in dem gegenwärtigen ARV Programm die antiretroviralen Medikamente kostenfrei abgegeben werden. In vergleichbaren Programmen sind Medikamente (Generika FDC = Fixed Dose Combination) für 30.- bis 60.- USD pro Monat zu bekommen. Selbst wenn die ARV Medikamente kostenlos abgegeben werden, müssen die Patienten/innen in der Regel die Kosten für die Prophylaxe und Therapie so genannter opportunistischer Infektionen und Komplikationen übernehmen. Ein allgemeines Krankenversicherungssystem existiert in Guinea nicht. Die Patienten müssen die Behandlung also selbst bezahlen. Selbst mit einem Durchschnittseinkommen, ist die Behandlung nicht finanzierbar.

Kontrolluntersuchungen in ARVT Programmen in Resourccen armen Ländern beschränken sich oft auf Blutbild- und allenfalls CD4 Kontrollen, die dann zusätzlich bezahlt werden müssen. Eine Viruslastbestimmung und andere in Deutschland übliche Kontrollen (Medikamentenwirkstoffspiegel, Resistenzbestimmungen) gibt es praktisch nicht.

Für Herrn X heißt das konkret, dass er im Falle einer Rückkehr nach Guinea aller Wahrscheinlichkeit nach weder Zugang zu einer antiretroviralen Therapie haben wird noch diese finanzieren könnte. Damit wird er voraussichtlich in kurzer Zeit an Aids sterben."

Document(s): Open document

26.07.2004 - Source: Integrated Regional Information Network

Southeast Guinea: Aid workers and medical staff say HIV/AIDS is spreading out of control; a massive influx of refugees from neighbouring Liberia has complicated the situation ("Refugee influx adds fuel to AIDS crisis in southeast Guinea") [ID 23239]

Document(s): Open document

23.07.2003 - Source: Integrated Regional Information Network

The HIV/AIDS epidemic in Guinea is on the verge of spreading rapidly within the general population; the country's first comprehensive national HIV/AIDS survey has estimated that the number of people living with HIV/AIDS could double to 282,000 by 2010, with the number of AIDS-related deaths rising to 119,000 over the same period ("Higher than expected AIDS rates in Guinea") [ID 23238]

Document(s): Open document

22.07.2003 - Source: Integrated Regional Information Network

AIDS is spreading rapidly; 2.8 per cent of the population (139,000 out of 7.5 million people) are infected with the HIV virus; 20,000 have died of AIDS-related illnesses in the last 18 months; the number of people infected could double to 282,000 by 2010; number of deaths related to AIDS would rise to 119,000 over the same period ("AIDS pandemic on the rise") [ID 23237]

Document(s): Open document