population, 180,800,000 people living with hiv/aids, 96,000 women (aged 15+) with hiv/aids, 27,000...
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Population, 180,800,000
People living with HIV/AIDS, 96,000
Women (aged 15+) with HIV/AIDS, 27,000
Children with HIV/AIDS, no data
Adult HIV prevalence (%), 0.1
AIDS deaths, 5,100
Pakistan is the seventh most populous country in the worldPakistan is the seventh most populous country in the world
Risk groups
IDUs
Deportees
Sex Workers
Truck Drivers
Prisoners
Low Prevalence, High Risk…!!!!!Low Prevalence, High Risk…!!!!!
General Female Population
Clients
General Male Population
MSMs IDUs
FSWs
Source : Tim Brown, East-West Centre, Hawaii, USA
Asian HIV Epidemic Model
Newborns
Type Estimated population (2009)
Total screened(HASP-R3)
HIV positive
IDU 91,000 2979 20.8%
MSW 91,000 1205 0.9%
FSW 136,000 4,639 0.002%
HSW 42,000 1186 6.4%
High population growth rate
High fertility rate
Poor primary health care services
Lack of integration of Preventive programs
Lack of sex education for HIV/AIDS
Taboo…!!!
Combating HIV/AIDS
Capacity for Monitoring and Reporting Progress (MGD Goals Report 2008 – Planning Commission of Pakistan)
Quality and Regularity of
Survey Information
Statistical AnalysisStatistics in Policy
Making
Reporting and Dissemination of
Information
Strong Fair Weak Strong Fair Weak Strong Fair Weak Strong Fair Weak
stig
ma
It creates ‘excluding behaviors'
Causes people to withdraw, putting them beyond the reach of support services
It generates a strong ‘us and them’ phenomenon
‘‘Many people suffering Many people suffering from AIDS are not killed from AIDS are not killed
by the disease itself, they by the disease itself, they are killed by the stigma.’are killed by the stigma.’
Nelson Mandela, 14Nelson Mandela, 14thth International AIDS Conference, Barcelona July 2002 International AIDS Conference, Barcelona July 2002
International Agencies
NGOs
Government
Patients
Counsellors Physicians
COMBATING HIV/AIDS: COMBATING HIV/AIDS: KEY PLAYERSKEY PLAYERSCOMBATING HIV/AIDS: COMBATING HIV/AIDS: KEY PLAYERSKEY PLAYERS
Economy
Media
13 HIV Surveillance Centres
Four HIV/AIDS Treatment Centres
Free CD-4 and Viral Load tests
Counseling
ELISA & treatment for jail inmates
2 PPTCT Centres in collaboration with UNICEF
Screening kits to all public sector blood banks
STI Medicines to teaching and District Hospitals
Communication & Advocacy campaign
1077
477
0
200
400
600
800
1000
1200
Total No. of Registered Patients Total No. of Patients on ARV
Treatment Centres
Transparency and open door policy
Multi-sectoral coordination
Pooling of Resources
Increased participatory role in future funding
opportunities
Increased involvement of district health authorities
Greater Civil Society Involvement
Operational research on vulnerable populations
Provincial Data Coordination Unit
Upcoming Action Plan will lead to wider response
