EMERGING TRENDS IN HIV&AIDS
Global Picture
•About 35 million people infected with HIV
globally
•25 million are in Sub Saharan Africa.
•1.4 million Kenyans are living with HIV.
•Women who account for 57% of new HIV
infections in SSA.
Acronyms / Terminologies Trivia
•HIV
•AIDS
•MARPs
•PITC
•ARV
•ART
•HAART
•KAIS
•KDHS
•MSM
•FANC
• LGBT
•SW
•CD4Cell
•Viral Load
•HIV Super infection
•HIV Co-infection
•HIV discordance
•Concurrent relationship
•Sero-status
•Sero conversion
•Window Period
•Incidence rate
•Prevalence rate
Prevalence Milestones
Year Prevalence
1999 13.4%
2003 6.7%
2005 6.1%
2006 5.9%
2007 7.2%
2009 6.3%
2012 5.6%
Comparison of 2007 and 2012 HIV
Prevalence(15-64yrs)
HIV prevalence by age category,
KAIS 2007 and 2012
HIV prevalence among persons aged 15-64 years by
NASCOP region, KAIS 2012
HIV prevalence among persons aged 15-64
years by region, KAIS 2007 and 2012
HIV prevalence among persons aged 15-64 years by
residence, KAIS 2007 and 2012
Source of New HIV Infections in Generalized
Epidemic:
20%
25%
44%
0% 10% 20% 30% 40% 50%
Swaziland, Lesotho, Uganda,
Malawi heterosexual unions
contribute the majority of new
infections
Married or cohabiting
couples
MSM, IDUs, sex
workers
Casual heterosexual
sex
High risk in young women: Kenya
• 65% of new infections among women occur before
age 35 years
• The same pattern holds true of South and East
African countries
14.7
16.4
40.1
10.6
7.3
13
5.2
32.1
34.1
20.5
6
00
5
10
20
15
25
30
40
35
15-24 25-34 35-44
Age group
45-54 50-59 60-64
Kenya AIDS Indicator
Survey 2007
45
Males (N=37)
Females (N=69)
Preliminary Report for Kenya AIDS indicator survey,
2012
HIV prevalence among men aged 15-64 years by male
circumcision status, KAIS 2007
Marginalized populations
require prioritized HIV interventions
• HIV prevalence is high (Data from *SWOP-Kenya)
» 40% among MSM
» 28% among female sex workers
» And a minority correctly use condoms
• Social and policy environment keep these at risk populations
marginalized and reluctant to seek health services
– Sodomy in Kenya is illegal with a 14 year jail sentence
– Experience social condemnation, physical and sexual
abuse
*Sex workers project (SWOP), University of Nairobi
16
0
47
84
53
20
40
60
KAIS 2007 KAIS 2012
Aware of HIV
infection
Unaware of HIV
infection
Awareness of HIV positive status
among persons living with HIV
Preliminary Report for Kenya AIDS indicator survey,
2012
80
100
ART Coverage, adults, KAIS
Use of ART by eligible persons,
KAIS 2007
Use of ART by eligible persons,
KAIS 2012
Aware of
HIV
status/
on
ART 63%
Aware of HIV status/
not on ART 9%
Unaware of
HIV
status/ not
on ART
28%
Aware of HIV
status/on ART
29%
Aware of HIV status /
Not on ART
Unaware of HIV status/
not on ART
63%
*Eligibility for ART defined as CD4≤350 cells/µL, having ever been on ART or currently being treated for
tuberculosis.
Group Activity
• HIV and other Communicable diseases
• HIV and Gender
• HIV and Information technology
• HIV Support, care and treatment
18
ABSTAIN from sexual intercourse
AVOID unprotected sex
ADVOCATE for positive behavior change
BE FAITHFUL to one faithful & uninfected partner
BREAK the silence-talk about AIDS
BASIC hygiene should always be observed
CORRECT AND CONSISTENT use of condoms
COUNSELING for infected persons
COUNSELING of uninfected persons and their families
DISCUSS HIV and AIDS
DE-STIGMATISE HIV and AIDS
Prevention of HIV and AIDSPrevention of HIV and AIDS
VMMC – Voluntary Male Medical Circumcision
eMTCT – Elimination of Mother-to-child
transmission
TasP – Antiretroviral Treatment as Prevention of
HIV & TB
PEP – Post Exposure Prophylaxis
PreEP – Pre Exposure Prophylaxis
New Prevention technology
Thank you
Do you Know your HIV Status?

Emerging trends in hiv&aids

  • 1.
  • 2.
    Global Picture •About 35million people infected with HIV globally •25 million are in Sub Saharan Africa. •1.4 million Kenyans are living with HIV. •Women who account for 57% of new HIV infections in SSA.
  • 3.
    Acronyms / TerminologiesTrivia •HIV •AIDS •MARPs •PITC •ARV •ART •HAART •KAIS •KDHS •MSM •FANC • LGBT •SW •CD4Cell •Viral Load •HIV Super infection •HIV Co-infection •HIV discordance •Concurrent relationship •Sero-status •Sero conversion •Window Period •Incidence rate •Prevalence rate
  • 4.
    Prevalence Milestones Year Prevalence 199913.4% 2003 6.7% 2005 6.1% 2006 5.9% 2007 7.2% 2009 6.3% 2012 5.6%
  • 5.
    Comparison of 2007and 2012 HIV Prevalence(15-64yrs)
  • 6.
    HIV prevalence byage category, KAIS 2007 and 2012
  • 7.
    HIV prevalence amongpersons aged 15-64 years by NASCOP region, KAIS 2012
  • 8.
    HIV prevalence amongpersons aged 15-64 years by region, KAIS 2007 and 2012
  • 9.
    HIV prevalence amongpersons aged 15-64 years by residence, KAIS 2007 and 2012
  • 10.
    Source of NewHIV Infections in Generalized Epidemic: 20% 25% 44% 0% 10% 20% 30% 40% 50% Swaziland, Lesotho, Uganda, Malawi heterosexual unions contribute the majority of new infections Married or cohabiting couples MSM, IDUs, sex workers Casual heterosexual sex
  • 11.
    High risk inyoung women: Kenya • 65% of new infections among women occur before age 35 years • The same pattern holds true of South and East African countries 14.7 16.4 40.1 10.6 7.3 13 5.2 32.1 34.1 20.5 6 00 5 10 20 15 25 30 40 35 15-24 25-34 35-44 Age group 45-54 50-59 60-64 Kenya AIDS Indicator Survey 2007 45 Males (N=37) Females (N=69)
  • 12.
    Preliminary Report forKenya AIDS indicator survey, 2012
  • 13.
    HIV prevalence amongmen aged 15-64 years by male circumcision status, KAIS 2007
  • 14.
    Marginalized populations require prioritizedHIV interventions • HIV prevalence is high (Data from *SWOP-Kenya) » 40% among MSM » 28% among female sex workers » And a minority correctly use condoms • Social and policy environment keep these at risk populations marginalized and reluctant to seek health services – Sodomy in Kenya is illegal with a 14 year jail sentence – Experience social condemnation, physical and sexual abuse *Sex workers project (SWOP), University of Nairobi
  • 15.
    16 0 47 84 53 20 40 60 KAIS 2007 KAIS2012 Aware of HIV infection Unaware of HIV infection Awareness of HIV positive status among persons living with HIV Preliminary Report for Kenya AIDS indicator survey, 2012 80 100
  • 16.
    ART Coverage, adults,KAIS Use of ART by eligible persons, KAIS 2007 Use of ART by eligible persons, KAIS 2012 Aware of HIV status/ on ART 63% Aware of HIV status/ not on ART 9% Unaware of HIV status/ not on ART 28% Aware of HIV status/on ART 29% Aware of HIV status / Not on ART Unaware of HIV status/ not on ART 63% *Eligibility for ART defined as CD4≤350 cells/µL, having ever been on ART or currently being treated for tuberculosis.
  • 17.
    Group Activity • HIVand other Communicable diseases • HIV and Gender • HIV and Information technology • HIV Support, care and treatment
  • 18.
    18 ABSTAIN from sexualintercourse AVOID unprotected sex ADVOCATE for positive behavior change BE FAITHFUL to one faithful & uninfected partner BREAK the silence-talk about AIDS BASIC hygiene should always be observed CORRECT AND CONSISTENT use of condoms COUNSELING for infected persons COUNSELING of uninfected persons and their families DISCUSS HIV and AIDS DE-STIGMATISE HIV and AIDS Prevention of HIV and AIDSPrevention of HIV and AIDS
  • 19.
    VMMC – VoluntaryMale Medical Circumcision eMTCT – Elimination of Mother-to-child transmission TasP – Antiretroviral Treatment as Prevention of HIV & TB PEP – Post Exposure Prophylaxis PreEP – Pre Exposure Prophylaxis New Prevention technology
  • 20.
    Thank you Do youKnow your HIV Status?

Editor's Notes

  • #19 Emphasize on ABC’s in prevention.