HIV/AIDS

GLOBAL, REGIONAL AND NATIONAL

RESPONSE

Minoo Mohraz MD.MPHProfessor of Tehran University of

Medical Science Head of Iranian Research Center for

HIV/AIDS

GLOBAL ESTIMATES FOR ADULT AND CHILDREN - 2010

GLOBAL PREVALENCE2010

CHANGES IN INCIDENCE 2010

NUMBER OF PEOPLE NEWLY INFECTED WITH HIV - 2010

OVER 7000 NEW INFECTION A DAY IN 2009

GLOBAL TRENDS 1990-2009

FACTS ON HIV IN EAST MEDITERRANEAN REGION - 2010

Insufficient Reliable data in this region

Estimated 460 000 people living with HIV

The number of new HIV infections in the region increased to 75 000 in 2009

In 2 countries (Djibouti and southern Sudan), HIV prevalence among pregnant women exceeds 1%. HIV prevalence in other countries across the region remains low

Evidence of HIV prevalence over 5% among men having sex with men, and prevalence 2-4% among sex workers in some countries

HIV TRENDS IN MIDDLE EAST AND NORTH AFRICA - 2010

National facts and figuresRecent estimation (2009)

~83000

Registered HIV positives

23125

Registered HIV advanced disease

3054

Registered Death 4311

SITUATION OF HIV IN I.R.IRANJULY. 2011

The first case of HIV reported in 1987 in a hemophilic child

In 1996, the epidemic was detected among IDUs in two prisons

After a while Injecting Drug Use

became the most important driver of the epidemic

HIV/AIDS EPIDEMIC IN IRAN: HISTORY

SITUATION OF HIV IN I.R.IRAN

Country is in concentrated epidemic among injecting drug users with around 15% prevalence

No evidence of generalized epidemic

Prevalence of HIV among pregnant women is very low

Expansion of harm reduction programs has slowed down the growth rate among IDUs

Femle

8/5

male

91/5

SEX DISTRIBUTION OF REPORTED HIV/AIDS CASES IN

IRAN – JULY.2011

NATIONAL RESPONSE TO HIV EPIDEMIC

Government instigated and rapidly developed HIV

prevention, care and treatment measures among vulnerable groups by;

Development of the 3rd HIV National Strategic Plan Methadone Maintenance Treatment (MMT) Programmes Needle and Syringe Programmes: Through NGOs

running Drop In Centers (DICs) and outreach teams Triangular Clinics: Providing MMT and ARV to HIV

positive IDUs Delivering all of the services free of charge and

confidential Scale up the services to all the provinces toward

universal access

HIV PREVENTION IN I.R.IRAN

• Many of strategies in National program are toward prevention activities:

Education, Blood safety, Precautions in health care settings, Harm reduction, Voluntary counseling and

testing, prevention and care for Sexually Transmitted Infections

MOST IMPORTANT INTERVENTIONS

Establishment of :

VCT Centers MMT Centers DICs Out Reach Teams Peer Group Educators Training of Trainers Hot Lines Services Home Care Services Family Education

MOST IMPORTANT INTERVENTIONS ( CONTINUE )

Establishment of the behavioural surveillance system ( 2nd Generation HIV Surveillance System )

Development of the National M& E System

Installing the Positive Prevention strategy by Positive Clubs

Establishment of HIV prevention in workplaces

MOST IMPORTANT INTERVENTIONS ( CONTINUE )

Development the Protocol of Standard Precaution

Produce Media Tool Kits

Procurement of CD4 & CD8 Tester instruments

Installing the Counselling and Harm Reduction Services for

Vulnerable Women

Delivering all of the services free of charge and confidential

Target groups

HIV National Strategic Plan Main Objectives

General Population

Keep the prevalence of HIV below 0.1% among General Population

General Population

Reduction of Mother to Child Transmission

IDUsPrevention of New HIV cases among IDUs and Reduce HIV prevalence among them

Vulnerable Women

Keep the prevalence of HIV below 5% among vulnerable women

PLWHAsIncrease the stay time under care &

treatment

I.R.IRAN`s National AIDS Program emphasize it`s commitment towards

Zero New HIV infection

Zero Discrimination

Zero HIV related Death

Thanks for your

Attention

STOP the

AIDS

Keep the

Promise