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Incorporating Government support within the integration of HIV infection treatment

Incorporating Government support within the integration of HIV infection treatment. The Ministry of Health of the Republic of Kazakhstan July 19, 2010 Vienna, Austria. Characteristics of HIV infection epidemic in the Republic of Kazakhstan. The epidemic is at the concentrated stage.

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Incorporating Government support within the integration of HIV infection treatment

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  1. Incorporating Government support within the integration of HIV infection treatment The Ministry of Health of the Republic of Kazakhstan July 19, 2010 Vienna, Austria

  2. Characteristics of HIV infection epidemic in the Republic of Kazakhstan • The epidemic is at the concentrated stage. • Voluntary consultation and testing for HIV infection exceeds 10% of population annually. • The driving force of the epidemic is injecting drug abuse and parenteral infections (67%). • Every year the portion of the heterosexual ways of contraction dynamically increases from 5% in 2001 to 35,5% in 2009.

  3. Situation on drug abuse • Number of injecting drug users (IDUs)according to rapid situation assessment – 124 400. • Number ofIDUslisted in the dispensary account at narcological centers– 38 071. • The spread of injecting drug abuse constitutes 1% among the population ages 15 and older. • The spread of HIV infection among IDUs - 2,9%.

  4. Number of registered cases of HIV infection in the RK by years (2000-2009)

  5. The Number of registered cases of HIV infection including among IDUs in the RK by years (2000-2009)

  6. Number of people living with HIV (PLHIV) listed in the dispensary account including IDUsat centers for AIDS (2006-2009)

  7. Number of PLHIVrequiring and receiving ART (2006-2009)

  8. Number of PLHIVIDUsrequiring and receiving АRТ(2006-2009)

  9. Number of patients with HIV+TB including IDUs (2006-2009)

  10. Dynamics of capturing patients with HIV+TB with antituberculosis and antiretroviral treatments (2006-2009)

  11. Financing of ARTwithin the National Program Additionally funds from the Global Fund to Fight AIDS, HIV and Malaria were allocated: in 2009 – 520 000 USD in2010 – 462 000 USD

  12. Opoid Substitution Therapy (ОST) • Beginning 2008,a pilot project on OST was applied in 2 regions of the Republic funded by the Global Fund to Fight AIDS, Tuberculosis, and Malaria(211 000 USD) • OST is received by 50 people • PLHIVconstitute 60% out of them, for ART - 35% • Level of retention in the program is 74,3 %

  13. Opoid Substitute Therapy (OST) • Beginning July 1, 2010, expansion of OST availability up to 200 people in 4 regions has started, at the expense of the Global Fund to Fight AIDS, HIV and Malariaproject (460 000 USD). • Beginning 2011, expansion up to 1000 people in 20 regions is planned at the expense of the state budget.

  14. Expansion on OST availability for years 2011 - 2015

  15. Deaths among PLHIV(2006-2009) На 1000 ЛЖВ

  16. Thank you for your attention!

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