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Fundación VIHDA
Luis Urdaneta 208
Guayaquil, Ecuador
Teléfonos: 2568863 • 2311451
info@vihda.org.ec
 
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Guayaquil, Ecuador |

ABOUT FUNDACION VIHDA ON HIV/AIDS :

HOW FUNDACION VIHDA STARTED
STATS FOR VIHDA'S PREVENTION OF MOTHER-TO-CHILD HIV TRANSMISSION PROGRAM
BEYOND MOTHER-TO-CHILD TRANSMISSION
VIHDA IN 2010 AND BEYOND
GENERAL STATS OF HIV/AIDS IN ECUADOR
PROGRAM TO REDUCE HIV TRANSMISSION ¿CUANTO SABES DE VIH Y SIDA?


FUNDACION VIHDA IN THE PRESS :

AU Magazine, October 2009 : On a mission to Save Ecuador
Exeter, Abril 2010 : FIGHTING HIV AND AIDS IN ECUADOR

HOW FUNDACION VIHDA STARTED:

VIHDA was founded in June 2006 by Humberto Mata (b.1968, Guayaquil, Ecuador, Harvard University 1990, Wharton MBA 1997) and Maximiliano Novoa (b.1979 Buenos Aires, Argentina)  to work mostly in the prevention of vertical (mother-to-child) transmission of HIV/AIDS.  Our work began conducted mostly in the largest Maternity Hospital in the country, located in Guayaquil, Ecuador's largest city (pop. 2'500.000), where about 35,000 births per year take place (about 20% of all births in the country).      



Since January 2007 to date (December 2009) we have done over 104,226 HIV tests to pregnant women who get their prenatal care and/or give birth at the Maternity Hospital and have detected 485 positive cases which we have helped treat together with the Maternity Hospital and the Ministry of Health's HIV program.  All detected patients receive ARV treatment for the future mother prior to birth, c-section for delivery and ARV treatment for the babies after birth.    

So far all the pregnant women who underwent treatment in the program, and have given birth, have had HIV-free babies.  Babies need to remain under treatment and observation for 18 months until they are completely diagnosed as HIV-free, and so far our success rate has been 100% at 18 months.


We still have some challenges, like getting more women to get prenatal care and not just showing up to give birth at a health center, which happens in about 25% of all births.  The same goes for making sure the women we detect in our program, as well as their families, have access and adherence to treatment for their own HIV infections after birth.    


To meet the first challenge we are increasing the importance of outreach and HIV awareness with other organizations that work with women in low income communities and help raise the awareness of the importance of prenatal care and specifically of HIV tests during pregnancy.  The second challenge has led us to start our own day clinic (which opened in July 2009) to work with people who live with HIV/AIDS and give them access to expert health professionals, psychologists and counselors, as well as a welcoming and friendly environment to meet with their health professionals.

To fight vertical transmission of HIV Fundación VIHDA signed a 3-way agreement with the Maternity Hospital Sotomayor, which is privately run, and with the Ministry of Health so that together we could provide access to HIV tests, ARV medication, trained health professionals and provide HIV testing services with pre and post test counseling to more than 32,000 pregnant women per year.     


We believe this is a good example of private-public partnerships to combat HIV transmission.  Fundación VIHDA receives all of its donations from private donors and from conducting our own fundraising activities, but have been able to partner up with national and local government to achieve our goals of stopping vertical transmission and provide better care for people living with HIV/AIDS.    


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STATS FOR VIHDA'S PREVENTION OF MOTHER-TO-CHILD HIV TRANSMISSION PROGRAM:

  • Since January 2007, when our program in the Maternity Hospital began, until December 31, 2009, we have counseled and done 104,226 HIV tests to pregnant women getting their pre-natal care or getting checked into the hospital to give birth.   
  • Of those 104,226 HIV tests, we have detected 485 positive cases, or a 0.50% incidence rate (equivalent to 1 in every 200 pregnant women).   
  • Monthly average of detected cases has increased from 12 per month in 2007 to 15 cases per month in 2009.
  • All 485 detected cases have received successful ARV therapy (women before birth, babies after birth).
  • 100% of the babies born within the program and who have reached 18 months (when final negative diagnosis is given) are HIV-free.
  • Still since 2007, four babies have been born with HIV to women who arrived to give birth in advanced labor and who had not received any prenatal care whatsoever.   The challenge remains to encourage women to ALWAYS get prenatal care and include HIV in their lab tests.

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BEYOND MOTHER-TO-CHILD TRANSMISSION:


Since we started working in 2006 we have expanded our work to prevention education through mass media and in schools, providing social services and, more recently, providing direct health services for people living with HIV/AIDS with the inauguration of our day clinic earlier this month.     

We received a grant from the Guayaquil City Government to equip our day clinic, which we built with our own funds collected in our first 3 years.  It is the first private day clinic in the country dedicated exclusively to working with people with HIV/AIDS.   

In July 2009 we started a year-long HIV/AIDS Awareness program with the City Government of Guayaquil to work on several fronts, since the epidemic in Ecuador appears to be centered around Guayaquil and its surroundings with 58% of all reported cases nationally in the Guayas province. The campaign aims to achieve two goals:


1. Increase the perception of risk to HIV/AIDS in the general population through a mass campaign in:

  • the public transportation system with audiovisual and printed material,
  • by training TV and newspaper reporters and TV fiction writers to promote education of HIV prevention through mass media, and
  • creating and training peer-counseling groups among students, as well as training teachers and parents, in 8 public schools and 1 university in Guayaquil during 2009.


2. Encourage voluntary HIV testing to increase early detection of the infection in people with HIV/AIDS through a mass media campaign.   
Additionally in August 2009, we have received the support of the United States Peace Corps and have been assigned two Peace Corp Volunteers, one full-time and one part-time, to work with us for a two year assignment assisting us in the fight against the epidemic.

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VIHDA IN 2010 AND BEYOND:  
  • Our work is currently divided into 4 areas where we hope to expand in the next few years:

1. Prevention of mother-to-child HIV transmission in the largest Maternity Hospital in Guayaquil, Ecuador, which handles approximately 20% of the country's births.

3. Provide social assistance to people living with HIV/AIDS, including accompanying services to patients and an adherence program in which low income women receive a basket of high calorie foods when they keep their appointments and their children's with their doctors in public hospitals.

2. Promotion of education, communication and information activities to prevent the growth of HIV/AIDS epidemic in Ecuador.

  • We work with mass media (newspapers, TV networks and radio) to promote HIV risk perception, safe sex practices and promote HIV tests for early detection.

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4. Provide direct medical and counseling services to people living and /or affected by HIV/AIDS through our Day Clinic.

  • VIHDA Day Clinic was inaugurated July 2009.
  • We have 3 dedicated fully equipped doctor's offices for general medicine, ob/gyn and pediatrics, one lab room for HIV tests, one dedicated counseling office with A/V equipment and a 50-seat auditorium for training sessions.

PROGRAM TO REDUCE HIV TRANSMISSION ¿CUANTO SABES DE VIH Y SIDA?

“Cuanto Sabes” HIV/AIDS prevention education workshop is a peer-counselor training program where youth are trained to teach HIV prevention to their peers.  The program and the methodology was developped by Aid-for-Aids International in New York and was brought to Ecuador through Fundacion VIHDA which adapted it and translated it for an Ecuadorian audience.  

The program incorporates rather novel concepts of neuro linguistic programming to enable peer educators (known as ‘multiplying agents'), to frame discussions of HIV transmission and prevention principles in ways that have maximum impact on each unique audience of teenagers.   


In addition, Cuanto Sabes incorporate important life skills which both social or interpersonal skills, including communication, negotiation/refusal skills, assertiveness, cooperation, and empathy; cognitive skills, including problem solving, understanding consequences, decision making, critical thinking, and self-evaluation; and emotional coping skills, including managing stress, managing feelings, self-managements, and self-monitoring.   These life skills contribute to basic education, gender equality, democracy, quality of life, and promotion of life-long learning.  

 

The fundamental goal of this program is to reduce HIV transmission with a primary emphasis on empowering young people to become leaders in the fight against AIDS. The program also aims at bringing prevention and advocacy to the community level: primary prevention education, advocacy to testing and care, and reduction in the stigma and discrimination that impede people from protecting themselves, getting tested, and seeking care.             

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GENERAL STATS OF HIV/AIDS IN ECUADOR:

CITY OF GUAYAQUIL POPULATION 2'500.000
GUAYAS PROVINCE: 3'200.000
ECUADOR:  13'000.000

OFFICIAL HIV/AIDS CASES REPORTED:  15,000

ESTIMATE OF HIV CASES USING INCIDENCE RATE DETECTED AFTER 104,226 TESTS IN MATERNITY  (OR 0.50% OF 13 MILLION) : 65,000 CASES.     IF ONLY 15,000 CASES ARE KNOWN OUT OF 65,000 PROJECTED CASES, IT MEANS THAT ONLY 1 OF EVERY 4 PEOPLE WITH HIV KNOWS HIS/HER STATUS.   

WE THEREFORE BELIEVE THAT
3 OUT OF 4 PEOPLE WITH HIV ARE UNAWARE OF THEIR HIV STATUS, REPRESENTING A RISK TO THEIR OWN HEALTH AND THAT OF THEIR LOVED ONES.

BECAUSE MOST HIV/AIDS CASES ARE DETECTED LATE, AIDS DEATH RATES CONTINUE TO CLIMB IN ECUADOR WHEREAS THEY HAVE DECLINED IN MOST COUNTRIES WITH ACCESS TO HEALTHCARE AND MEDICATION.

FUNDACION VIHDA BELIEVES THAT ONE OF THE KEYS TO CONTROLING THE EPIDEMIC IN ECUADOR AND REDUCING THE MORTALITY RATE AMONG PEOPLE WITH HIV/AIDS IS EARLY DETECTION TO PROVIDE THEM WITH ACCESS TO MEDICAL CARE AND ARV MEDICATION.

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FUNDACION VIHDA IN THE PRESS

AU Magazine, October 2009: On a mission to Save Ecuador

Fundacion VIHDA was founded in June, 2006, for a very simple reason: Ecuador seemed to be on the verge of an explosion of the HIV/AIDS epidemic. The year before Fundación VIHDA was founded, UNICEF published a report indicating that Ecuador's infection rates were comparable to those of Africa and the Caribbean fifteen years earlier. Without intervention, it looked as if Ecuador was headed for a future with infection rates similar to those regions of today. Fundación VIHDA began with the goal of avoiding this terrible fate.

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Exeter, Abril 2010 : FIGHTING HIV AND AIDS IN ECUADOR

During his 20th Exeter reunion in 2006,HumbertoMata ’86 decided it was time to give back. Listening to several classmates describe how they changed careers to work in nonprofit, educational and social services fields,he was inspired.After 18 years in finance and small business, Mata wanted to focus on a cause that mattered to him and his community.

Growing up in Ecuador and the United States in the 1980s and 1990s, he witnessed friends and classmates test positive for HIV and eventually perish from AIDS because there were no approved or effective medications at the time. “I always thought that someday I would try to do something about it and the rising epidemic worldwide,” he says.

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©2006 Fundación VIHDA