6 Combat HIV/AIDS, malaria and other diseases
Where we are?
The goal of the Draft National Strategy for Combating HIV/AIDS in Montenegro (2010–2014) is to keep the status of the country with a low HIV/AIDS infection prevalence, to ensure universal approach to prevention and treatment of HIV and to improve the quality of life of persons living with HIV/AIDS through coordinated multi-sectorial agreement. However, the Goal has not been achieved yet, and the value of the indicators for 2012 is much higher than for previous years.
Recommendations for overcoming the obstacles in the implementation of this Goal:
- To achieve consistent implementation of the goal to keep the low rate of HIV/AIDS prevalence, Montenegro has to undertake significant measures for the reduction of stigma and discrimination, which are the basic obstacles to the implementation of the goals, and measures for strengthening of the health system capacities, through the education process and through the strategy for acquiring required skills. It is very important to implement the basic principles of the National Programme for Prevention of HIV/AIDS.
- It is necessary to work on further control of diseases in Montenegro through: smooth access to high quality health care for all TB patients, protection of vulnerable groups from TB (TB/HIV and MDR-TB, Roma population and displaced persons); development of new diagnostic and therapy possibilities with the continuous supply of the first and second line anti-tuberculosis medicines and through the promotion and protection of human rights in the prevention and treatment of diseases.
- It is important to work on education of health professionals, further re-organization of the health system - initiating prevention services (adequate recognition and registration of the services of promotion of health and prevention of diseases), definition of health as a priority in all sectors and development of the activities aimed at promotion of health that can be supported by the community.
- Investments and additional efforts and funds in the prevention and control of chronic non-communicable diseases.
- Implementation of preventive activities and health promotion activities through the systems of health protection would improve the process of achieving the set goals.
- Life style change is the basic component needed for the reduction of the share of deaths caused by cardiovascular diseases and malignant tumours in the total mortality. It is therefore necessary to work on the promotion of health education programmes, primarily through the health system institutions and to ensure that the population can accept the behaviour that is in line with the healthy life styles. Obstacles in the implementation of the activities aimed at prevention of deaths and diseases are: widespread consumption of tobacco, alcohol and other psycho-active substances, life-style without much activity, stress which is present with all population groups, risk factors related to the community etc.
- It is important to initiate introduction of health education contents in the curricula of primary and secondary schools.
- It is necessary to update registration of people with diseases and deceased person by cause of death, which is a significant problem for adequate planning of protection from the mentioned diseases. Registers of chronic non-communicable diseases would ensure more adequate monitoring and evaluation of the trends in these diseases.
The 8 Millennium Development Goals
- 1 Eradicate extreme hunger and poverty
- 2 Achieve universal primary education
- 3 Promote gender equality and empower women
- 4 Reduce child mortality
- 5 Improve maternal health
- 6 Combat HIV/AIDS, malaria and other diseases
- 7 Ensure environmental sustainability
- 8 Develop a global partnership for development
Targets for MDG6
- Halt and begin to reverse the spread of HIV/AIDS
- HIV prevalence among population aged 15-24 years
- Condom use at last high-risk sex
- Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS
- Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years
- Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it
- Proportion of population with advanced HIV infection with access to antiretroviral drugs