   By:   Zeenat   Supervisor:   Asst .prof .Sukhontha Kongsin   Co- Supervisor:   Asst. Prof .Sukhum Jiamton...
Globally, 34.0                        The burden of                     It is estimated     the epidemic  million [31.4   ...
Sub-Saharan Africa remains most severely affected, with nearly 1 in every 20                                 adults       ...
In 2011, 1.7 million [1.5 million–1.9 million] people     died from AIDS-related causes worldwide.sub-Saharan Africa 70% o...
   The HIV prevalence among men who have sex with men    in capital cities is consistently higher than in the general    ...
Country   HIV Prevalence   National HIV   Criminalize MSM          among MSM        prevalenceKenya           43%         ...
    June 2001 the 26th session of United Nation assembly    convened according to pass resolution 55/3 of    November 200...
2001: UNGASS Declaration of Commitment   Member countries have to measure their progress    periodically against a series...
2001          2000            United Nations General                                                            2006      ...
MSM        MSM who    MSM with     MSM who     MSM who               Infected   test for   correct      had used    reache...
   Most of the countries have no exist data about on    HIV/AIDS among MSM. Fewer than one-third reported    on more than...
HIV in Asia and the Pacific 2011   4.9 million people living with HIV   1.6 million women living with HIV   370,000 new...
The HIV prevalence among MSM   increasing in low and middle        economic countries    At many countries such as Cambodi...
30%25%20%15%10%5%0%      Indonesia   india   Mynmaar   Vitnaam
Strategic Testing and Treatment            100%                       Percentage of key populations (KP) who received an H...
• Expand HIV testing in key populations wherever  prevalence is high.• Treatment as Prevention with access to ARV  regardl...
100 %                                                                                      50                             ...
   In Thailand AIDS is the major problem for    males and the death rate is two times more in    them than females and AI...
    in Thailand HIV epidemic originate in    homosexual males during 1986-1987    then it spread to injection drug user, ...
   In adults HIV prevalence is 1.4% and    prevalence in most risk population 5.0%(   In Thailand HIV epidemic originate...
353025                                                    2003                                                      200520...
Year   Bangkok   Chinghai   Phucket        17.32003                -          -2005      -        15.3       5.52007      ...
In provinces not considered to be                                       popular tourist sites, it was found thatIn Bangkok...
   In 2007 at Bangkok, Phuket and Chiang Mai in 2007 that    proportion of MSM who reported having “always used”    condo...
   In 2009, a survey of condom use found that MSM    condom use during last episode of anal sex was only    21.7%, which ...
   At 2009, the proportion using condoms with casual    partner when compared to data from 2008 increased    in some prov...
Core Indicator      2004   2006 2008 2010 2011        RemarksPercentage of       NA          MSM    MSM            used IB...
   At 2010‐11, the government had expanded    HIV prevention interventions targeting that    population utilizing multipl...
   There are many literatures available, which shows    that the MSM group is the vulnerable for HIV/STIS    so by this r...
 Research TitleThe factors related to the sexual risk behavior among MSM living in Thailand Research QuestionWhat are th...
General Objective1) To determine the knowledge and attitude factors and their association to the risk sexual behavior amon...
Hypothesis   1) There is an association of knowledge and    attitude with sexual risk behavior among MSM    2) There is ...
   Men who have sex with men (MSM)   Denoted all men who have sex with men (oral-    genital) regardless of their sexual...
   Socio-Demographic Factorsa) Age    refers to complete years of respondent’s age at the    time of study   b) Age at ...
   Habit of Alcohol drinking Number of Partners   referred the number of both homosexual and heterosexual    partners du...
   a) Education level it refers the highest attain    education level of respondent   b) Monthly income refers the month...
   Knowledge of HIV/AIDS   It refer to understanding of respondent on    mode of transmission and prevention of    HIV/A...
Introduction ppt
Upcoming SlideShare
Loading in...5
×

Introduction ppt

380

Published on

Introduction

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
380
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • MSM face a significantly higher risk of HIV infection than the general population in every region of the world. laws against homosexual activity to arrest and persecute that men who were thought to be HIV positive ,so the MSM need focused attention and strategies to receive adequate prevention and treatment. And in many countries there is stigma and discrimination prevent this population to access the serivces
  • Thislittle bit describing HIV rate among MSM throughout world and it shows if countries measure these indicators then it will be find out the MSM population is highly vulnerable to HIV
  • HIV Testing and Counseling ( HTC) in APMajor progress in increasing availability of HTC servicesSignificant increase in total HIV tests performed ( substantial proportion due to PMTCT expansion)HoweverMany people do test late ( proxy indicator late ART initiation Poor linkage to prevention and treatment services <50% of people living with HIV in Asia Pacific know their HIV status KAP and HTC ( graph) Testing uptake still low among KAPs Only 29 % of PWID in VN knew their status in 2011 Low testing rates among MSM in Cambodia ( 32%); Viet Nam( 30 %); and Thailand (29,2%)Scale up of HTC in AP region Address HTC uptake barriers at country level Promote HTC Ensure linkages to prevention and treatment services
  • Men who have sex with men (MSM) – 7% to 31% are living with HIV in cities in China, India, Indonesia, Myanmar and ThailandPrevalence:>5% HIV nationally in 5 countries: CHN, IDN, MYN, THA, VN and in cities in PHL (Cebu), LAO (Vientiane 4.4%), >10% HIV in regions/cities in 7 countries: CHN (Chengdu), IND (Manipur, Nagaland, Chattisgarh, Andhra Pradesh), IDN (Jakarta, Bandung), MNG (Ulaanbator), MYN (Yangon, Mandalay), THA (Bangkok), VN (Hanoi, HCMC)Rising trend in regions/cities in 7 countries: CHN (Chengdu), IND (chandigarhDelhi, Goa, Maharashtra),IDN (Jakarta), PHL (Cebu & Metro Manila), THA, VNCoverageCondom use improving, regional median now above the 60% required to turn around epidemicPrevention coverage good improvement, but <80% UA target2009Condom use:Regional median58Maximum88 (Thailand)Minimum17 (Singapore)Prevention coverage:Regional median36Maximum77 (Nepal and Mongolia)Minimum8 (Bangladesh)2011Condom use:Regional median66Maximum85 (Thailand)Minimum26 (Bangladesh)Prevention coverage: Regional median57Maximum77 (Nepal)Minimum9 (Bangladesh)
  • Transcript of "Introduction ppt"

    1. 1.  By: Zeenat Supervisor: Asst .prof .Sukhontha Kongsin Co- Supervisor: Asst. Prof .Sukhum Jiamton Research Proposal for the Fulfillment of requirement of MPH at Mahidol University Thailand.
    2. 2. Globally, 34.0 The burden of It is estimated the epidemic million [31.4 that nearly 0.8% million–35.9 of adults aged different in million] people were living with 15-49 years between worldwide areHIV at the end of countries and living with HIV. 2011 regions
    3. 3. Sub-Saharan Africa remains most severely affected, with nearly 1 in every 20 adults (4.9%) living with HIV and accounting for 69% of the peopleAfter sub-Saharan Africa, the regions most heavily affected are the Caribbeanand Eastern Europe and Central Asia, where 1.0% of adults were living with HIV in 2011ple living with HIV worldwide
    4. 4. In 2011, 1.7 million [1.5 million–1.9 million] people died from AIDS-related causes worldwide.sub-Saharan Africa 70% of all the people dying from AIDS in 2011
    5. 5.  The HIV prevalence among men who have sex with men in capital cities is consistently higher than in the general population . The prevalence of HIV infection among men who have sex with men in surveys in capital cities is 13 times higher than that in the country’s general population
    6. 6. Country HIV Prevalence National HIV Criminalize MSM among MSM prevalenceKenya 43% 6.1 yesJamaica 25-30% 1.5% yes Benin 25.5% 1.8% yesSenegal 21.5% 0.9% yesGunny 21.3% 2.4% yes
    7. 7.  June 2001 the 26th session of United Nation assembly convened according to pass resolution 55/3 of November 2000 as a matter of urgency immediate review to address the problem of HIV/AIDS and grave concern that all people, rich and poor , without distinction as to age ,gender or race , affected by the H I V/A I D epidemic. further it finds out that the people in developing countries are the most affected and that women , young adults and children vulnerable group it was recognized that access to medication in the context of pandemics such as HIV/A I D S
    8. 8. 2001: UNGASS Declaration of Commitment Member countries have to measure their progress periodically against a series of specific indicators Twenty three UNGASS indicators were identified, five of which were relevant to MSM.  Prevalence of HIV infection ,Knowledge of HIV.  Condom use ,rate of HIV testing and access to prevention programme
    9. 9. 2001 2000 United Nations General 2006 2011 Millennium Declaration Assembly Special Session on HIV/AIDS Political Declaration Political Declaration MDG Target 6A: Universal Access to HIV New impact targets andHave halted by 2015 and ( UNGASS) Prevention, Care and commitments towards begun to reverse the Declaration of Treatment by 2015 “Getting to Zero” spread of HIV/AIDS Commitment on HIV/AIDS Zero New HIV Infections; Zero Discrimination; Zero AIDS related Deaths
    10. 10. MSM MSM who MSM with MSM who MSM who Infected test for correct had used reached HIV with HIV last knowledge condom prevention HIV year and about HIV last time programme know Transmissi they sex their on resultLatin America 62% 57% 48% 57% 43%Caribbean 58% 33% 25% 58% 25%Eastern 50% 90% 70% 90% 70%EuropeAfrica 19% 19% 6% 21% 12%Asia ,the 47% 57% 53% 63% 40%pacific c ofmiddle east
    11. 11.  Most of the countries have no exist data about on HIV/AIDS among MSM. Fewer than one-third reported on more than three of the five UNGASS indicators Due to lack of appropriate data on HIV epidemic among MSM in many countries governments cannot access the need of prevention and treatment programme
    12. 12. HIV in Asia and the Pacific 2011 4.9 million people living with HIV 1.6 million women living with HIV 370,000 new HIV infections 310,000 deaths 21,000 children newly infected
    13. 13. The HIV prevalence among MSM increasing in low and middle economic countries At many countries such as Cambodia, Thailand and Senegal where the HIV prevalence is declining among heterosexual groupBut high prevalence of among MSM and the data shows HIV epidemic in this group
    14. 14. 30%25%20%15%10%5%0% Indonesia india Mynmaar Vitnaam
    15. 15. Strategic Testing and Treatment 100% Percentage of key populations (KP) who received an HIV test in the last 12 months and know their results (selected countries) 90% 82 80% 70% 60% 50 50 50% 44 44 41 38 40% 35 34 29 30 29 30% 20% 10% 0% Sex workers PWID MSM Cambodia (2007 and 2010) China (2011) Viet Nam (2011) Thailand (2010)Data Source: UNAIDS Universal Access and GARPR
    16. 16. • Expand HIV testing in key populations wherever prevalence is high.• Treatment as Prevention with access to ARV regardless of CD4 count for: • Sex workers, people who use drugs, men who have sex with men • Sero-discordant couples • Pregnant women• Community led services to promote testing uptake and treatment adherence
    17. 17. 100 % 50 HIV prevalence (%)80 40 66 58 5760 3040 36 2020 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Prevention coverage (Regional median) Condom use at last anal sex (Regional median) China (Chengdu, Sichuan) India (Andhra Pradesh) Indonesia (Jakarta) Philippines (Cebu) Thailand (Bangkok) Vietnam (Hanoi)
    18. 18.  In Thailand AIDS is the major problem for males and the death rate is two times more in them than females and AIDS is the 3rd leading cause of death mostly at the age group of 15- 49 yrs .HIV/AIDS is stand the first leading cause of DALYS(Disability Adjusted Life Years lost)for males
    19. 19.  in Thailand HIV epidemic originate in homosexual males during 1986-1987 then it spread to injection drug user, female sex workers after 1991 though IDU cases declining but the HIV infection among MSM is high and show no significance decreasing
    20. 20.  In adults HIV prevalence is 1.4% and prevalence in most risk population 5.0%( In Thailand HIV epidemic originate in FSW,30-40% IDU In Thailand, the HIV epidemic among MSM has been considered severe Most of MSM continue to have high-risk behaviour.
    21. 21. 353025 2003 200520 200715 200810 20095 20110 BANGKOK PHUKET Changmai urdon Patalung
    22. 22. Year Bangkok Chinghai Phucket 17.32003 - -2005 - 15.3 5.52007 - 16.9 20.52012 31 17.5 5
    23. 23. In provinces not considered to be popular tourist sites, it was found thatIn Bangkok during 2003 to 2009, it HIV prevalence in the MSM populationwas found that reports of consistent is also high, despite being lower than condom use in the previous three in the primary tourist locations. Formonths showed no signs of increase. example, surveys in Patalung and Udorn in 2008 found levels of HIV among MSM as high as 5.5% and 4.7%
    24. 24.  In 2007 at Bangkok, Phuket and Chiang Mai in 2007 that proportion of MSM who reported having “always used” condoms in the three months prior to the survey was 66%, 44%, and 36% In 2008, the survey in the rather small provinces of Udorn and Patalung found that “always used” condoms by MSM in the prior three months were also rather low at 56.3% and 57.0%
    25. 25.  In 2009, a survey of condom use found that MSM condom use during last episode of anal sex was only 21.7%, which represented a sharp decrease from the level found in the previous year’s survey. The decline in condom use may be due to some modification in questionnaire about use of condom with last partner and not distinguished about type of partner
    26. 26.  At 2009, the proportion using condoms with casual partner when compared to data from 2008 increased in some provinces: from 56% to64% in Khon Kaen; and from 71% to 82% in Phuket, but , in Udorn the proportion declined from 68% to 64%
    27. 27. Core Indicator 2004 2006 2008 2010 2011 RemarksPercentage of NA MSM MSM used IBBS,most-at-risk 24.6 20.0 data from 3populations who touristare HIV provinces;infected Bangkok, Chiang Mai and PhuketPercentage of 28.5 24.8 20.0men who havesex with men whoare living with HIVPercentage of 29.2%men who havesex with men thathave received an
    28. 28.  At 2010‐11, the government had expanded HIV prevention interventions targeting that population utilizing multiple channels. There have simultaneously been measure Implemented supporting treatment, care and support through collaboration with civil society and the private sector. The CHAMPION Project (HIV prevention among KAPs), with support from the Global Fund, has been implemented in 30 provinces, which has started in late 2010.
    29. 29.  There are many literatures available, which shows that the MSM group is the vulnerable for HIV/STIS so by this research we have to find out that unidentified risk factors associated with HIV transmission Especially the risky behavior among in MSM that is responsible for more transmission of HIV in this group in Thailand
    30. 30.  Research TitleThe factors related to the sexual risk behavior among MSM living in Thailand Research QuestionWhat are the factors related to the sexual risk behavior among MSM living in Thailand
    31. 31. General Objective1) To determine the knowledge and attitude factors and their association to the risk sexual behavior among MSM2) To determine the association between the Socio- demographic and socioeconomic and social support factors with sexual risk behavior among MSM
    32. 32. Hypothesis 1) There is an association of knowledge and attitude with sexual risk behavior among MSM 2) There is an association between socio- demographic factor with sexual risk behavior among MSM 3) There is an association of socioeconomic and social support factors with sexual risk behavior among MSM
    33. 33.  Men who have sex with men (MSM) Denoted all men who have sex with men (oral- genital) regardless of their sexual identity, sexual orientation and wither or not they sex with female
    34. 34.  Socio-Demographic Factorsa) Age refers to complete years of respondent’s age at the time of study b) Age at first homosexual intercourse It refers the age of respondent at which he had first homosexual intercourse including oral sex and anal sex.
    35. 35.  Habit of Alcohol drinking Number of Partners referred the number of both homosexual and heterosexual partners during last week of study Type of partners It referred partners of respondent including both male and female during last week, each type including regular, commercial and casual Role during sex with men or gays Referred the role of respondent during sexual intercourse with men or gay Habit of Alcohol drinkingIt refer alcohol drinking behavior of respondent during last week
    36. 36.  a) Education level it refers the highest attain education level of respondent b) Monthly income refers the monthly average income of respondent in Thai baths at the time of study
    37. 37.  Knowledge of HIV/AIDS It refer to understanding of respondent on mode of transmission and prevention of HIV/AIDS and condom use Peer Support, Referred to positive moral and information support from peer of the respondent on consistent condom use
    1. A particular slide catching your eye?

      Clipping is a handy way to collect important slides you want to go back to later.

    ×