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HIV IN Pakistan Challanges & Future Concerns. Population, 180,800,000 People living with HIV/AIDS, 96,000 Women (aged 15+) with HIV/AIDS, 27,000 Children with HIV/AIDS, no data Adult HIV prevalence (%), 0.1 AIDS deaths, 5,100. HIV in Pakistan – A Preview.
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Population, 180,800,000 • People living with HIV/AIDS, 96,000 • Women (aged 15+) with HIV/AIDS, 27,000 • Children with HIV/AIDS, no data • Adult HIV prevalence (%), 0.1 • AIDS deaths, 5,100 HIV in Pakistan – A Preview Pakistan is the seventh most populous country in the world
Risk groups • IDUs • Deportees • Sex Workers • Truck Drivers • Prisoners Current Status Low Prevalence, High Risk…!!!!!
Asian HIV Epidemic Model FSWs Clients MSMs IDUs General Male Population General Female Population “A Typical Asian Country ” Newborns Source : Tim Brown, East-West Centre, Hawaii, USA
High population growth rate High fertility rate Poor primary health care services Lack of integration of Preventive programs Lack of sex education for HIV/AIDS Taboo…!!! Challenges
Combating HIV/AIDS Capacity for Monitoring and Reporting Progress(MGD Goals Report 2008 – Planning Commission of Pakistan)
It creates ‘excluding behaviors' Causes people to withdraw, putting them beyond the reach of support services It generates a strong ‘us and them’ phenomenon The impact of stigma
‘Many people suffering from AIDS are not killed by the disease itself, they are killed by the stigma.’ Nelson Mandela, 14th International AIDS Conference, Barcelona July 2002
Combating HIV/AIDS: Key Players International Agencies Media Government Counsellors Physicians Patients NGOs Economy
13 HIV Surveillance Centres • Four HIV/AIDS Treatment Centres • Free CD-4 and Viral Load tests • Counseling • ELISA & treatment for jail inmates • 2 PPTCT Centres in collaboration with UNICEF • Screening kits to all public sector blood banks • STI Medicines to teaching and District Hospitals • Communication & Advocacy campaign Current Program Scenario
Combating HIV/AIDS: The Way Forward • Transparency and open door policy • Multi-sectoral coordination • Pooling of Resources • Increased participatory role in future funding opportunities • Increased involvement of district health authorities • Greater Civil Society Involvement • Operational research on vulnerable populations • Provincial Data Coordination Unit • Upcoming Action Plan will lead to wider response