The Herald (Zimbabwe)

Draw lessons from HIV fight: Gen Sibanda

- Rumbidzayi Zinyuke Senior Health Reporter

ZIMBABWE’S Covid-19 response should draw lessons from the interventi­ons made by the Government in the fight against HIV to avoid early errors and reduce the negative impact on security and public health, Commander Defence Forces, General Phillip Valerio Sibanda, has said.

Speaking on Tuesday at the Eight Uniformed Forces Health Services virtual conference, which brought together key military health experts from the SADC region and beyond to share scientific knowledge and experience­s, he said it was important that the extra resources needed to fight Covid-19 should not derail programmes to control and fight HIV.

The conference is running under the theme; “HIV and Covid-19: Facing the Challenge”.

Gen Sibanda highlighte­d the need to minimise the reduction of HIV services so Zimbabwe could continue to achieve targets to reduce new infections and deaths.

Although Covid-19 was a threat, older illnesses and pandemics could not be ignored. “As we continue our fight against Covid-19, we should remain focused on the United Nations goal of achieving an HIV free generation and an end to HIV transmissi­on by 2030.

“Our responses must leverage the know-how, analytical capacity and strategic informatio­n systems developed through HIV interventi­ons to fully optimise the agility of our Covid19 responses to adapt to an evolving evidence base, improve performanc­e over time and effectivel­y identify and reach communitie­s at risk of being left behind,” he said.

Last year, about 37,6 million people were living with HIV globally and there were 690 000 deaths from Aids related illnesses.

“According to modelling exercises from the HIV Modelling Consortium in collaborat­ion with the World Health Organisati­on and UNAIDS, a six-month 50 percent disruption in HIV treatment could lead to 300 000 extra Aids-related deaths in Sub-Saharan Africa over a one-year period, a region where 440 000 people died of AIDS-related illnesses in 2019 bringing us back to the 2011 aids-related mortality levels.

“Likewise, a six-month service disruption in programmes to prevent mother-to-child transmissi­on of HIV could cause new infections among children to increase by 40–80 percent in high-burden countries,” said Gen Sibanda.

He said agility and commitment would be required to prevent disruption­s in HIV services associated with the Covid-19 crisis adding that the world urgently needed to substantia­lly increase investment­s in the responses to both HIV and Covid-19.

The WHO has said people living with HIV are at more risk of getting seriously ill or dying from Covid-19 highlighti­ng the need for more targeted interventi­ons to reduce the risk for people living with HIV.

Gen Sibanda said the pandemic had affected all facets of the security sector, including defence forces, which had been deployed to assist civilian authoritie­s in fighting the pandemic in many countries.

“The Covid-19 pandemic is a public ‘health war’, and we, as security forces, have joined the war to contain the pandemic and prevent its further spread,” he said.

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General Sibanda

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