HIV Prevalence (UNAIDS, 2016)

NASTAD Haiti has been working with Haiti's Ministry of Health (MoH) since 2003. Much of NASTAD Haiti’s work has focused on evaluating, planning, expanding, and supporting comprehensive HIV case-based surveillance, including the development of a national case-based HIV surveillance system and enhanced perinatal surveillance to support care for mothers living with HIV and their exposed infants. Case reports are submitted via a web-based platform, built via existing IT infrastructure, which receives case reports in a low-barrier way from most known publicly funded HIV testing, treatment, and care sites in Haiti. At the close of 2017, over 280,000 case reports had been received from four electronic inputs, representing approximately 90% of annual HIV diagnoses. NASTAD Haiti works with the Ministry of Health and other in country partners to create reports and data presentations at both the national and regional levels.

In addition, NASTAD developed and implements Patient Linkage and Retention (PLR) tools to assist with community outreach to ART patients. EMR and surveillance data are used to identify patients who miss care appointments. Outreach workers use encrypted, handheld computer tablets to geo-locate these patients and record information from patient interviews. Data are transferred via secure cellular networks to clinical sites where they are viewable by case managers and administrators through a PLR dashboard. To date, almost 40,000 patients who had dropped out of care had been reached by PLR, with almost half this number returning to clinics to resume care.

Finally, during 2016, NASTAD worked with MoH and CDC to begin implementation of Partner Services (PS) in Haiti. Through this project, partners of persons testing HIV-positive are confidentially notified of their possible exposure to HIV and potential risk and offered voluntary counseling and testing. The project is crucial for assisting people exposed to HIV to learn their status and obtain care and treatment if needed. PS will be fully implemented throughout Haiti by the end of 2018.

Activities & Projects

    • Case-based Surveillance of HIV

    • Despite resource constraints, NASTAD Haiti has successfully worked with the MoH to develop and expand one of the few functioning HIV case-based surveillance systems in the developing world.

    • Enhanced Perinatal Surveillance

    • NASTAD Haiti also works with the MoH to implement enhanced perinatal surveillance, a process that involves case management of mothers living with HIV to support prevention of mother-to-child transmission.

    • HIV Partner Services

    • NASTAD and it’s in-country partners are implementing HIV Partner Services in Haiti to make sure that the partners of people who are newly-diagnosed with HIV have access to counseling, testing and treatment services.

    • Patient Linkage and Retention

    • NASTAD worked with the Haiti MoH and CDC to develop and implement an innovative “toolkit” featuring tools and processes used by community health workers to relink patients to HIV care if they miss appointments.

    • Surveillance Data Analysis and Utilization

    • As the steward of the MoH’s case-based surveillance data, NASTAD Haiti assists the MoH in implementing routine surveillance data monitoring and evaluation, and helps analyze and present the data such that public health trends can be monitored, and public health action taken.

    • Complementary Surveillance Studies

    • NASTAD Haiti has also provided technical and implementation assistance to the MoH to implement antenatal surveillance surveys to assess rates of HIV and syphilis among pregnant women, and a compendium assessment of the utility of prevention-of-mother-to-child-transmission of HIV program data.