HIV/AIDS Assets and Strategic Focus
The CDC Brazil office opened in 2003 and works in strong collaboration with the Ministry of Health’s (MoH’s) Secretariat of Health Surveillance (SVS) guided by a jointly built strategic plan to implement evidence-based decision-making to control the HIV/AIDS epidemic in country.
Strengthening Public Health Systems
CDC provides technical leadership and direct assistance to the MoH to strengthen program planning, monitoring and evaluation, epidemiologic surveillance, prevention and capacity building - essential components for strong sustainable public health systems. CDC in collaboration with MoH conducted four studies that resulted in the official incorporation of rapid tests for HIV diagnosis that focus on acceptance, effective evaluation, cost-effectiveness, and utilization in non-lab settings.
Building of Public Health Workforce Capacity
CDC has supported a monitoring and evaluation (M&E) certificate and master’s level program in partnership with Fiocruz (Oswaldo Cruz Foundation), the main science and technology health institution in Brazil. Fiocruz is part of MoH. In its fourth year, the course is creating an intelligent body of experts in Brazil. In addition, CDC has supported Fiocruz to develop on-line training courses in M&E.
Expansion of Evidence-Based Prevention Activities
CDC and MoH are adapting and implementing CDC’s Diffusion of Effective Behavioral Interventions (DEBI) among men who have sex with men, considering the concentrated nature of the epidemics in Brazil.
After CDC’s transfer of state-of-the-art methodologies to sample MARPs, MoH started to conduct national surveys with MARPs, overcoming critical sampling limitations to HIV monitoring.
Trained Brazilian scientists implemented surveys in Lusophone Africa.
CDC is also transferring a data synthesis method to triangulate existing data to help MoH answer strategic questions about the epidemic to guide program.
CDC provided assistance for the development and implementations of an online monitoring system (MONITORAIDS- http://sistemas.aids.gov.br/monitoraids/) used to standardize and disseminate information on the epidemic.
CDC also provides support to the establishment of important impact and outcome indicators for the general population, MARPs and people living with HIV/AIDS.