HIV and AIDS Data Hub for Asia-Pacific

HIV and AIDS Data Hub for Asia-Pacific

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HIV and AIDSData Hub for Asia-Pacific

Review in slides Fiji


Content

HIV prevalence and epidemiological status (1989-2009)

Risk behaviors (2004-2008)

Vulnerability and HIV knowledge (2008)

Economics of AIDS (2007-2009)

National Response (2005-2009)

Archives

2


Basic socio-demographic indicators

Total population (in thousands) 854 (2010)2

Annual population growth rate 0.5% (2010-2015)2

Population aged 15-49 (thousands) 443 (2008)6

Percentage of population in urban areas 52% (2010)1

Crude birth rate (births per 1,000 population) 20.9 (2008)3

Under-5 mortality rate (per 1,000 live births) 18 (2008)4

Human development index (HDI) - Rank/Value 86/0.669 (2010)5

Life expectancy at birth (years) 69.2 (2010)5

Adult literacy rate N/A

Ratio of girls to boys in primary and secondary education (%) 102.8 (2008)3

GDP per capita 4,526 (2009)3

Per capita total health expenditure (Int.$) 169 (2007)4

Source: 1. UNFPA The State of World Population 2010 2. UN Statistics Division 2010: http://unstats.un.org/unsd/demographic/products/socind/population.htm 3. World Bank World Development Indicators & Global Development Finance ;http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2

4. WHO World Health Statistics 2010 5. UNDP Human Development Report 2010 6. UN Population Division - Population Prospects: The 2008 Revision, Population Database


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HIV prevalence and epidemiological status

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Annual cumulative and new HIV infections, 1989 - 2009

5Source: Prepared by www.aidsdatahub.org based on Fiji_UNGASS Country Progress Report, 2010


Annual reported new HIV infections by gender, 1989-2009



Annual cumulative HIV infections by gender, 1989-2009



Percent distribution of cumulative HIV infection by mode of transmission, 2004 and 2009

2004 2009

8Source: Prepared by www.aidsdatahub.org based on Second Generation Surveillance Surveys of HIV, other STIs and Risk Behaviors in 6 Pacific Island Countries, 2004-2005 and Fiji_UNGASS Country Progress Report, 2010


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Projected National and Sub-national HIV cases in Fiji Islands for low-growth scenario

Source: Prepared by www.aidsdatahub.org based on Asian Development Bank, 2005. Socioeconomic implications of HIV/AIDS in the Pacific.

Note: Prevalence is estimated to increase much more quickly in sex workers and MSM when compared to clients of sex workers.

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Projected HIV prevalence and AIDS-related deaths in Fiji Islands, 2020

High growth scenario

Low growth scenario

HIV prevalence ( per cent) 0.87 0.41

People requiring ART 684 226

HIV/AIDS deaths 328 143

HIV/AIDS dual orphans (1,000) 0.29 0.08

HIV/AIDS all orphans (1,000) 2.06 0.57

Public and NGO sector costs of orphan support ($US million)

0.12 0.03

Decrease in Life Expectancy (years) 1.3 (68.7) 0.5 (69.5)

Increase in Crude Death Rate 8.5 8.1

Source: Prepared by www.aidsdatahub.org based on Asian Development Bank, 2005. Socioeconomic implications of HIV/AIDS in the Pacific.


HIV and STIs prevalence among antenatal care attendees, 2004-05 and 2008

11Source: Prepared by www.aidsdatahub.org based on Burnet Institute_HIV in the Pacific, 1984-2007 and Fiji_Second Generation Surveillance 2008 cited in UNGASS Country Progress Report, 2010


HIV prevalence among people (blood donors, ANC and general population) who tested for HIV, 2005-2009



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HIV prevalence, 2001 vs. 2007

0.1 0.1 0.1

0

0.1

0.2

2001 2007

Adults and Children

Young people (15-24)

(%)

Source: Prepared by www.aidsdatahub.org based on WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008.

Year

13


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Risk behaviours

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% of surveyed population who had commercial sex in the past year, 2004-05 and 2008

15Source: Prepared by www.aidsdatahub.org based on Fiji_Second Generation Surveillance 2008 & 2004-2005 cited in UNGASS Country Progress Report, 2010


% of surveyed populations who received payment or goods for sex in the last 12 months, 2008

16Source: Prepared by www.aidsdatahub.org based on Fiji_Second Generation Surveillance 2008 cited in UNGASS Country Progress Report, 2010


% of surveyed populations who had commercial sex in the past 12 months and who used a condom at last sex, 2004-05

17Source: Prepared by www.aidsdatahub.org based on Second Generation Surveillance Surveys of HIV, Other STIs and Risk Behaviors in 6 Pacific Island Countries, 2004-2005


% of surveyed populations who had sex with more than 1 partner in the past 12 months by gender, 2008


(15-25 yr)


% of surveyed populations who had more than 1 sexual partner in the past 12 months and reported condom use at

last sex by gender, 2008



% of surveyed populations who reported ever having sex with men and condom use at last anal sex with a male

partner, 2004-05 and 2008

20Source: Prepared by www.aidsdatahub.org based on Fiji_Second Generation Surveillance 2008 & 2004-2005 cited in UNGASS Country Progress Report, 2010 and Burnet Institute_HIV in the Pacific, 1984-2007


% of surveyed populations who had ever been forced to have sex, 2008



Number and % of surveyed populations who reported injecting drug use in the past 12 months, 2008



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Vulnerability and HIV knowledge

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% of tertiary students with comprehensive HIV knowledge by age group and gender, 2008



% of STI clinic attendees with comprehensive HIV knowledge by age group and gender, 2008



% of Seafarers and uniformed services with comprehensive HIV knowledge by age group, 2008



% of antenatal care attendees with comprehensive HIV knowledge by age group, 2008



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Economics of AIDS

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Amount of national funds spent by governments from domestic sources for AIDS, 2003-2009

29Source: Prepared by www.aidsdatahub.org based on UNAIDS_Report on the Global AIDS Epidemic, 2006 and 2010


Amount of domestic and international AIDS spending and % shared by government, 2007 - 2009

30Source: Prepared by www.aidsdatahub.org based on UNAIDS, Report on the Global AIDS Epidemic, 2010


Health sector impacts for selected forecasts in Fiji Islands, 2005 and 2020

Current(2005)

High growth scenario(2020)

Low growth scenario(2020)

VCT client demand 73 2,384 800

Cost of VCT ($US 1,000) 0.9 31 10

ART demand 25 684 226

Cost of ART demand ($US 1,000) 21 581 192

% of Government budget 0 per cent 1 per cent 0 per cent

Demand for hospital beds (bed days)

500 13,680 4,520

% of bed capacity 0.1 per cent 2 per cent 1 per cent

Source: Asian Development Bank, 2005. Socio-economic implications of HIV/AIDS in the Pacific.


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National response

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Status of VCCT services and estimated number of people (15+) tested for HIV per 1000 adult population, 2009

33Source: Prepared by www.aidsdatahub.org based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Report, 2010


% of surveyed populations who received an HIV test in the last 12 months by gender, 2008



Annual number of people tested for HIV and % tested positive among blood donors, ANC attendees and general population,

2005-2009



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Number of pregnant women who attended for antenatal care vs who tested for HIV and received the results, 2008

Source: Prepared by www.aidsdatahub.org based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Report, 2009


Status of PMTCT services and uptakes, 2008 - 2009

37Source: Prepared by www.aidsdatahub.org based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Reports, 2009 and 2010


% of pregnant women tested for HIV, HIV infected women and their infants received ARVs to reduce MTCT and

infants received co-trimoxazole prophylaxis, 2009



39Source: Prepared by www.aidsdatahub.org based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Reports, 2009 and 2010

Status of health facilities providing ART and number of adults and children received ART, 2008 and 2009


Number of adults and children with advanced HIV infection who are on ART, 2004-2009



Number of adults and children who are in need of ART and % of ART coverage, 2009



Number and % of adults and children who are known to be on treatment 12 months after initiation of ART by gender, 2009


Note: “n” stands for the number of adults and children who initiated ART and who were expected to achieve 12 months outcomes within reporting period


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44

HIV prevalence and epidemiological status

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45

Reported HIV cases, 1989-2005

Source: 1. Ministry of Health, Republic of the Fiji Islands. National HIV AIDS Strategic Plan, 2004-2006

2. UNGASS Country Report, 2006 Republic of the Fiji Islands

Year

(Nu

mb

er)

45


46

Cumulative HIV cases by age group, 1989-2007

167

118

79

25

101 2

0

50

100

150

0-9 10-19 20-29 30-39 40-49 50-59 60+ Unknown

(Nu

mb

er)

Age

Source: UNGASS 2008 Country progress report, Fiji, Reporting period: 1 January 2006-31 December 2007

More young people were affected

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Mode of HIV transmission in Fiji among HIV reported cases, 2004

Mother to child7%

Other/unknown1%

Blood products1%

IDU1%

Homo/bisexual4%

Heterosexual86%

Source: Second Generation Surveillance Surveys of HIV, Other STIs and Risk Behaviors in 6 Pacific Island Countries, 2004-2005 47


48

Risk behaviours

48


49

% of male STI clinic attendees who reported commercial sex in the last 12 months, 2004-2005

Source: Second Generation Surveillance Surveys of HIV, Other STIs and Risk Behaviors in 6 Pacific Island Countries, 2004-2005

20.4

79.6

Yes

No

Note: n=157

49


50

% of male STI clinic attendees who have had sexual intercourse with more than one partner in the last 12 months,

2004-2005

67.5

32.5

Yes

No


Note: n=157

50


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% of male STI clinic attendees who reported the use of a condom during the last time they had sex with female

partner, 2004-2005

21.1

78.9

Yes

No


Note: n=157

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52

% of police and military who reported using condom the last time they had sex with a FSW, 2004-2005

7.7

92.3

Yes

No

Note: n=225

Very low level of condom use

Source: Second Generation Surveillance Surveys of HIV, Other STIs and Risk Behaviors in 6 Pacific Island Countries, 2004-2005 52


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Vulnerability and HIV knowledge

53


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% of police and military who had comprehensive knowledge, 2004-2005

Source: Prepared by www.aidsdatahub.org based on Second Generation Surveillance Surveys of HIV, Other STIs and Risk Behaviors in 6 Pacific Island Countries, 2004-2005

Note: n=225

The indicator refers to following questions: condom protection, faithful partner, mosquito bite and healthy looking person can have HIV

24.4

75.6

Yes

No

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Economics of AIDS

55


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Amount of national funds spent by governments from domestic sources for AIDS, 2003-2006

0.086

0.173

0.288 0.288

0

0.1

0.2

0.3

2003 2004 2005 2006

Source: UNGASS Country Report, 2006 Republic of the Fiji Islands

(Mil

lio

n U

S$)

Year

56


57

National response

57


58

Number of people with advanced HIV infection who received ART, 2004-2007

(Nu

mb

er)

Source: 1. UNGASS Country Report, 2006 Republic of the Fiji Islands 2. UNGASS 2008 Country progress report, Fiji, Reporting period: 1 January 2006-31 December 2007 58


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% of HIV+ pregnant women received ART to preventing mother-to-child transmission, 2004


25

75

Yes

No

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ARV coverage in Fiji, 2005

100

25

0 20 40 60 80 100 120

ARV

ARV/PMTCT

(%)ARV: antiretroviral

PMTCT: prevention from mother to child transmission


Note: this indicates 25 % of HIV-positive pregnant women receiving a complete course of antiretroviral prophylaxis to reduce the risk of mother-to-child transmission.

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THANK YOU

slides compiled by www.aidsdatahub.org

Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used.

Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site

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HIV and AIDS Data Hub for Asia-Pacific