A Time for Urgent Action: Responding to the HIV Epidemic among People who Inject Drugs in Cebu City. The Philippines Department of Health, Philippines Cebu City Health Department and WHO.

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An explosive HIV epidemic among PWID exists in Cebu City. In 2008 HIV transmission was primarily due to sexual contact (90%), but by 2012 it was injecting drug use (77%). The 2011 biological and behavioural surveillance in Cebu City reported HIV prevalence among PWID to be 54%, with Hepatitis C prevalence reaching 94%. The same study found 15% of freelance female sex workers had injected drugs and among male injectors 24% reported same sex behaviours. There are an estimated 6000 PWID in metro Cebu, with 2000 - 2500 PWID in Cebu City, of which the majority share their injecting equipment; many are sexually active, resulting in spread of HIV to their non-injecting wives/ partners and then possibly to their babies. The current public health crisis requires an urgent and well coordinated response.

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ASEAN Good Practices and New Initiatives in HIV and AIDS. The ASEAN Secretariat Jakarta. (2014)

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According to the First ASEAN Regional Report on HIV and AIDS in 2011, “Addressing AIDS in ASEAN Region”, there are 1.5 million people estimated to be living with HIV distributed amongst the ASEAN Member States (AMS). The national HIV prevalence rates in the region range from 0.1 per cent to 0.7 per cent. Although prevalence rates are decreasing, current estimates indicate that there are some AMS that are showing an increasing trend.
The key risk behaviours that drive the HIV epidemic in the region are unprotected sex with multiple partners and needle sharing in injecting drug use. Seventy-five per cent of all HIV infections in ASEAN are reported among key populations (KPs) of sex workers, men who have sex with men, transgender, and people who inject drugs. Other vulnerable populations include the intimate partners of KPs, youths, and mobile populations.


Keywords: HIV, PMTCT, testing, STI, prevention, FSW, transgender people, MSM, prison setting, PWID, migrant workers

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Assessment of Impact of Harm Reduction Interventions among People who Inject Drugs (PWID) in Dhaka City. National AIDS/STD Programme (NASP). (2014).

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This assessment was carried out to understand the dynamics of risk behavior and to provide a description of the current situation of the HIV epidemic in Bangladesh as well as its future projections. The study was supported by: the National AIDS/STD Program (NASP), IEDCR, Save the Children, UNAIDS Bangladesh, icddr,b and CDC Atlanta.

The aim of the study is to understand the HIV transmission dynamics and epidemiological trends in Dhaka city and to estimate the extent to which harm reduction interventions among PWID have contributed towards the epidemiological trends and reduced HIV transmission in the city. Cost efficiency of the existing harm reduction interventions is also examined.

 

Keywords: HIV, Bangladesh, Dhaka, AEM, prevalence, deaths, ART, infections

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Enhancing the Benefits of Antiretroviral Therapy in Vietnam: Towards Ending AIDS. Kato M, Long NH, Duong BD, et al. (2014)

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Vietnam has a concentrated HIV epidemic, with the highest HIV prevalence being observed among people who inject drugs (PWID). Based on its experience scaling-up robust HIV interventions, Vietnam aims to further strengthen its response by harnessing the preventive benefits of antiretroviral therapy (ART). Mathematical modelling suggests that prioritizing key populations for earlier access to ART, combined with other prevention interventions, may have significant impact on the epidemic, cost-effectively reducing new HIV infections and deaths. Pilot studies are being conducted to assess feasibility and acceptability of expansion of HIV testing and counselling (HTC) and early ART among key populations and to demonstrate innovative service delivery models to address challenges in uptake of services across the care cascade. Earlier access of key populations to combination prevention interventions, combined with sustained political commitment and supportive environment for key populations, are essential for maximum impact of ART on the HIV epidemic in Vietnam. 

 

Keywords: Antiretroviral therapy, HIV prevention, Concentrated epidemic, Vietnam, People who inject drugs 

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Harm Reduction Works - Examples from Around the World. UNAIDS. (2014)

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Abundant evidence shows that harm reduction programmes can significantly reduce HIV transmission among people who inject drugs. Several countries are demonstrating the benefits of actively scaling up quality programmes that are based on human rights and public health needs.

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HEADLIGHT : Understanding WHO’s Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations. APCOM. (2014)

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The Guidelines aim to support countries provide more effective and comprehensive HIV services for the key populations, including men who have sex with men (MSM) and transgender people and include discussion of specific issues relating to adolescent key populations. Although, there is still a lack of evidence to support recommendation of PrEP to transgender women. In this brief we highlight the recommendations made in the Guidelines that are most relevant to MSM and transgender people. 

 


Keywords: HIV, key populations, MSM, transgender, adolescents, PrEP, ART, VMMC, HTC, TB

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HIV Epidemic and Response in Asia and the Pacific - Regional Posters. (2014)

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Regional Posters prepared by 
UNAIDS Asia-Pacific and Data Hub for the 11th UNAIDS Asia-Pacific Regional Management Meeting, 
Bangkok, 25-28 October 2014

 

Keywords: Ending AIDS, 2030, 90-90-90, treatment, men who have sex with men (MSM), Sex work, people who inject drugs (PWID)

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Impacts of Drug Use on Users and Their Families in Afghanistan. UNODC. (2014)

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Afghanistan is the world’s largest producer and cultivator of opium poppies; it produces almost three quarters of the world’s illicit opium. While a significant amount of the opium produced in Afghanistan is trafficked out of the country, in 2009 it was estimated that almost 10 per cent of Afghans aged between 15 and 64 were drug users.

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Left Nobody Behind. Luhmann N and Forette C. (2014)

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This document develops core arguments for why it is relevant, feasible, and indeed crucial to include people who inject drugs in national treatment guidelines and programs for chronic HCV infection – from both public health and human rights perspectives.

 

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National HIV Legal Review Report. UNDP, UNAIDS and Pyoe Pin (2014)

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This report presents the key findings and recommendations of the review of Myanmar's legal framework and its effect on access to health and HIV prevention and treatment services for people living with HIV and key affected populations.

 

 

Keywords: Myanmar, Legal, PLHIV, Sex workers, MSM, Transgender, Women, Girls, Children, Young people, Key populations

 

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Pages

database
Highlighted publications
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Nepal-IBBS-FIDU-Kathmandu-valley-RI-2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Get_on_the_Fast-Track_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/NEC_HIV_July-Oct-AIDSreg2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_methods_for_deriving_estimates_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Global_AIDS_Response_Progress_Reporting_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/2015_Size_Estimation_of_Key_Affected_Populations_in_Philippines.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Assessment_of_Decentralization_of_ART_in_MMR_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS-2016-prevention-gap-report_en.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_AIDS_by_the_numbers_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Biomedical_AIDS_research_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Implementing_comprehensive_HIV_and_STI_programmes_with_transgender_people_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_cities_ending_the_aids_epidemic_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Philippines_2015_IHBSS_Factsheets.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Pakistan_IBBS_Report_Punjab_2014_0.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Integrating_collaborative_TB_and_HIV_services_within_a_comprehensive_package_of_care_for_PWID_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/India_IBBS_report_2014-15.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/India_HSS_report_2014-15.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/The_negative_impact_of_drug_control_on_public_health_2015.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/2015_young_people_drugs_en.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Death_Penalty_for_Drug_Offences_Global_Overview_2015.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Transforming_our_world_2015_UN.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Consolidated_on_the_use_of_antiretroviral_drugs_for_treating_and_preventing_HIV_infection_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Consolidated_Strategic_Information_Guidelines_for_HIV_in_Health_Sector_2015.pdf
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