HIV Prevalence

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, enhanced perinatal surveillance to support care for mothers living with HIV and their exposed infants, and integrated case surveillance for HIV and TB. 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 2014, over 230,000 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.

To further support comprehensive HIV surveillance, NASTAD Haiti and the MoH co-facilitate a National HIV Surveillance Working Group to guide the planning and timing of surveillance activities, as well as the use of generated surveillance data.

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.

    • Case-based surveillance for Tuberculosis

    • In March of 2013, NASTAD Haiti staff began a system expansion project, which integrates active case based surveillance of TB into the existing national HIV surveillance structures and processes.

    • 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.