Honduras 1998

International staff: 13 National Staff: 9 HIV/AIDS PROGRAMME TARGETS YOUTH Many isolated areas have very poor access to health care, and the country has the highest incidence of AIDS in Central America. MSF supports seven health posts in and around Bolson de Nahuaterique covering 15,000 people, including 1,500 Salvadorians remaining after a negotiated settlement with Salvador redrew the frontier in Honduras' favour in 1992. MSF relaunches health structures, assists with training and organising auxiliary health personnel, and encourages community mobilisation to improve access to health care. In Iriona, Colon department, a similar programme covers five health structures serving a very isolated population. An urban health project in El Carrizal quarter of Tegucigalpa (pop. 110,000) aims to increase health care access by constructing a health centre providing in- and out-patient consultations and a maternity ward, supporting staff training, setting up a community pharmacy, and providing drugs and medical material. Other activities include mother-and-child health, vaccination programmes and an epidemiological monitoring system. A cost-recovery system will be implemented for both the health centre and pharmacy following a "healthcare economy" survey carried out between March and June 1998 to discover how much people are prepared to pay for medical assistance. AIDS prevention is tackled through a continuing education programme. Honduras is the base for a regional STD/HIV/AIDS programme that began in May 1998 and also covers Nicaragua and Guatemala. The general objectives are to train health staff on prevention and case management and to reach young people by training teachers and organising activities with students and parents.