Transcript this is it!

this is it!
The Other Inconvenient TRUTH
STIR things UP
Slow down HIV spread ASAP
Strategic Information & Response Planning Workshop
18 November 2009
NATIONAL EPIDEMIOLOGY CENTER
Our Goal:
To maintain less than 1%
HIV prevalence among
most-at-risk populations
NATIONAL EPIDEMIOLOGY CENTER
Number of Cases
HIV & AIDS Cases in the Philippines by Year
January 1984 – October 2009 (N=4,218)
Source: Philippine HIV & AIDS Registry
NATIONAL EPIDEMIOLOGY CENTER
Average Number of Cases per Month
2009: TWO new cases a day!
2007: One new case a day
2000: One new case every 3 days
Source: Philippine HIV & AIDS Registry
NATIONAL EPIDEMIOLOGY CENTER
Demographic Figures: Jan 1984 – Oct 2009
2006
(n=309)
2007
(n=342)
2008
(n=528)
2009
(n=629)
Cumulative
(N=4,218)
273 (88%)
314 (92%)
508 (96%)
604 (96%)
3,390
AIDS cases
36
28
20
25
828
Deaths due to AIDS
18
8
4
1
318
219 (71%)
279 (82%)
473 (90%)
546 (87%)
3, 046*
90
63
55
83
1,161*
Age Range (in years)
2-67
2-62
1-62
1-64
1-72
Median Age (years)
34
32
29
29
32
Asymptomatic cases
Males
Females
Source: Philippine HIV & AIDS Registry
NATIONAL EPIDEMIOLOGY CENTER
Are the findings from
the HIV Registry the true
picture of HIV in the
Philippines?
NATIONAL EPIDEMIOLOGY CENTER
Philippine Integrated HIV Behavioral and
Serologic Surveillance (IHBSS)
• Done every two years since 2005.
round.
This is the 3rd
• Has two components:
1. Measurement of behavioral risk factors through a
face-to-face survey
2. Measurement of HIV and Syphilis prevalence through
blood testing
•
10 Sentinel Sites for trending, 13
for 2009
additional sites
NATIONAL EPIDEMIOLOGY CENTER
Surveillance Sites
IHBSS Sentinel Sites (10):
Baguio, Angeles, Cebu, Iloilo, Davao, Gen Santos, Zamboanga,
Cagayan de Oro, Pasay, Quezon City
Global Fund Round 5 Sites (5):
Surigao, Makati, Marikina, Mandaluyong, Pasig
Global Fund Round 6 Sites (8):
Laoag, Tuguegarao, Santiago, Puerto Galera, Puerto Princesa,
Butuan, Manila, Caloocan
NATIONAL EPIDEMIOLOGY CENTER
Population of Interest
Most-at-Risk Population
(MARP)
Inclusion Criteria
Female Sex Workers (FSW) Born female, 15 year or older, accepted
cash or “kind” in exchange for sex in the
a. Registered
past one month, and is based in an
establishment registered at the local Social
Hygiene Clinic (SHC).
b. Freelance or Streetbased
Born female, 15 years or older, accepted
cash or “kind” in exchange for sex in the
past one month, and is based in a cruising
site, street, or venue that is not registered
at the local SHC.
NATIONAL EPIDEMIOLOGY CENTER
Population of Interest
Most-at-Risk Population
(MARP)
Injecting Drug Users (IDU)
Males having Sex w/ Males
(MSM)
Inclusion Criteria
Men or women, 15 years or older,
who had injected drugs in the past 6
months.
Born male, 15 years or older, who
reported having had oral or anal sex
with another male in the past one
year.
NATIONAL EPIDEMIOLOGY CENTER
Sampling Method
*Simple Random Sampling:
Registered FSW
*Time Location Sampling:
Freelance FSW
MSM
**Respondent Driven Sampling:
Injecting Drug User
__________
* Same sampling method used for FSW & MSM in 2005 and 2007 IHBSS rounds.
**In the past IHBSS rounds, convenient sampling was used for IDUs.
NATIONAL EPIDEMIOLOGY CENTER
Samples collected per Site per MARP
SITES
Registered
FSW
Freelance
FSW
MSM
IDU
TOTAL
IHBSS
Sentinel
Sites
2,992
2,769
2,281
958
9,000
Round 5
Sites
957
497
795
NONE
2,249
Round 6
Sites
1,373
888
1,466
NONE
3,727
TOTAL
5,322
4,154
4,542
958
14,976
NATIONAL EPIDEMIOLOGY CENTER
Slides on the national results of the IHBSS have been
deleted for the meantime. Results will be released
on December 11, 2009 at the National
Dissemination Forum in Manila.
NATIONAL EPIDEMIOLOGY CENTER
This is it!
HIV is here.
And the numbers are
rapidly increasing.
NATIONAL EPIDEMIOLOGY CENTER
Slow Down HIV spread A.S.A.P.
WARENESS
• Disseminate results of IHBSS 2009
• Emphasize HIV risky behavior & HIV prevention
• Eliminate stigma and discrimination
URVEILLANCE & STRATEGIC INFORMATION
• Use your own strategic information
• Fill in data gaps
NATIONAL EPIDEMIOLOGY CENTER
Slow Down HIV spread A.S.A.P.
CCESS
• Encourage early HIV testing, market VCT
• Provide comprehensive HIV prevention packages
• Expand treatment, care and support services
ARTNERSHIP in POLICIES, PROGRAMS & PROJECTS
• Strengthen public-private partnerships
• Fortify local action, align with national goals
• Secure appropriate budget for HIV/STI services &
programs
NATIONAL EPIDEMIOLOGY CENTER
Slow down HIV spread ASAP!
Use Strategic Information.
Respond.
STIR things UP.