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this is it!. The Other Inconvenient TRUTH. STIR things UP Slow down HIV spread ASAP. Strategic Information & Response Planning Workshop 18 November 2009. N A T I O N A L E P I D E M I O L O G Y C E N T E R.
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this is it! The Other Inconvenient TRUTH STIR things UP Slow down HIV spread ASAP Strategic Information & Response Planning Workshop 18 November 2009 N A T I O N A L E P I D E M I O L O G Y C E N T E R
Our Goal: To maintain less than 1% HIV prevalence among most-at-risk populations N A T I O N A L E P I D E M I O L O G Y C E N T E R
HIV & AIDS Cases in the Philippines by Year January 1984 – October 2009 (N=4,218) Number of Cases Source: Philippine HIV & AIDS Registry N A T I O N A L E P I D E M I O L O G Y C E N T E R
Average Number of Cases per Month 2009: TWO new cases a day! 2007: One new case a day 2000: One new case every 3 days Source: Philippine HIV & AIDS Registry N A T I O N A L E P I D E M I O L O G Y C E N T E R
Demographic Figures: Jan 1984 – Oct 2009 Source: Philippine HIV & AIDS Registry N A T I O N A L E P I D E M I O L O G Y C E N T E R
Are the findings from the HIV Registry the true picture of HIV in the Philippines? N A T I O N A L E P I D E M I O L O G Y C E N T E R
Philippine Integrated HIV Behavioral and Serologic Surveillance (IHBSS) • Done every two years since 2005. This is the 3rd round. • Has two components: • Measurement of behavioral risk factors through a face-to-face survey • Measurement of HIV and Syphilis prevalence through blood testing • 10 Sentinel Sites for trending, 13 additional sites for 2009 N A T I O N A L E P I D E M I O L O G Y C E N T E R
Surveillance Sites IHBSS Sentinel Sites (10): Baguio, Angeles, Cebu, Iloilo, Davao, Gen Santos, Zamboanga, Cagayan de Oro, Pasay, Quezon City Global Fund Round 5 Sites (5): Surigao, Makati, Marikina, Mandaluyong, Pasig Global Fund Round 6 Sites (8): Laoag, Tuguegarao, Santiago, Puerto Galera, Puerto Princesa, Butuan, Manila, Caloocan N A T I O N A L E P I D E M I O L O G Y C E N T E R
Population of Interest N A T I O N A L E P I D E M I O L O G Y C E N T E R
Population of Interest N A T I O N A L E P I D E M I O L O G Y C E N T E R
Sampling Method *Simple Random Sampling: Registered FSW *Time Location Sampling: Freelance FSW MSM **Respondent Driven Sampling: Injecting Drug User __________ * Same sampling method used for FSW & MSM in 2005 and 2007 IHBSS rounds. **In the past IHBSS rounds, convenient sampling was used for IDUs. N A T I O N A L E P I D E M I O L O G Y C E N T E R
Samples collected per Site per MARP N A T I O N A L E P I D E M I O L O G Y C E N T E R
Slides on the national results of the IHBSS have been deleted for the meantime. Results will be released on December 11, 2009 at the National Dissemination Forum in Manila. N A T I O N A L E P I D E M I O L O G Y C E N T E R
This is it! HIV is here. And the numbers are rapidly increasing. N A T I O N A L E P I D E M I O L O G Y C E N T E R
Slow Down HIV spread A.S.A.P. AWARENESS • Disseminate results of IHBSS 2009 • Emphasize HIV risky behavior & HIV prevention • Eliminate stigma and discrimination SURVEILLANCE & STRATEGIC INFORMATION • Use your own strategic information • Fill in data gaps N A T I O N A L E P I D E M I O L O G Y C E N T E R
Slow Down HIV spread A.S.A.P. ACCESS • Encourage early HIV testing, market VCT • Provide comprehensive HIV prevention packages • Expand treatment, care and support services PARTNERSHIP in POLICIES, PROGRAMS & PROJECTS • Strengthen public-private partnerships • Fortify local action, align with national goals • Secure appropriate budget for HIV/STI services & programs N A T I O N A L E P I D E M I O L O G Y C E N T E R
Use Strategic Information.Respond.STIR things UP. Slow down HIV spread ASAP!