Issues

Data collected by the Regional Community Treatment Observatory in West Africa (RCTO-WA) reinforces the known experiences of communities in West Africa. Stigma and discrimination, lack of knowledge and awareness, and procurement failures prevent key populations from accessing the prevention and treatment services they want and need.

Find out more about the most pressing issues:

  • Stock-outs

    Stock outs of first-line ARVs have been reported in Ghana, The Gambia and Cote d’Ivoire. In particular, paediatric ARVs are reported to be frequently out of stock, as are medicines for opportunistic infections. Where ARVs...

  • Viral load testing

    Treatment monitoring and viral load testing is a major challenge in West Africa. The majority of people living with HIV in the region have no knowledge of viral load testing or its importance. Where available,...

  • Linkage to care

    In West Africa, rapid HIV testing is available and offered at health sites, with results provided within 15 minutes. Most countries – with the exception of Guinea-Conakry and The Gambia – antiretroviral therapy (ART) is...

  • Stigma and discrimination

    HIV-related stigma and discrimination remain one of the biggest barriers for key populations and people living with HIV. Evident in multiple forms, they affect the ability to access prevention, care, and treatment services. The repercussions...

  • Lack of knowledge and awareness

    Across all the countries, there were clear knowledge gaps about HIV among the key and vulnerable populations. The lack of knowledge and awareness has made way for common misconceptions about HIV treatment and care. For...