Module 1 Part 1 b.pptx counselors training
- 1. MODULE 1 PART 1 Overview of HIV epidemic Globally and in South Sudan
- 2. Overview of the HIV epidemic globally .
- 3. Overview of the HIV epidemic globally…..cnt’d Globally 36.7 million people living with HIV in 2015, up from 33.3 million in 2010 Globally prevalence (the percent of people ages 15-49 who are infected) has levelled since 2001 and was 0.8% in 2015. In 2015, globally 1.1 million people died of AIDS a 45% decrease since its peak in 2005. The decline due in part to antiretroviral treatment (ART) scale up although HIV and AIDS remain the leading cause of death in SSA About 2.1 million new infections in 2015 or about 5,700 new infections per day. While there have been significant declines in new infections since the mid-199os, new infections among adults have failed to decline over the past 5 years and incidence is rising in some regions.
- 4. Overview of the HIV epidemic globally…..cnt’d Most infections are transmitted heterosexually, although risk factors vary. Although HIV testing capacity has increased over time, enabling more people to learn their HIV status, about 4 in 10 of people with HIV are still unaware they are infected. Women represent half (51%) of all adults living with HIV worldwide. HIV is the leading cause of death among women of reproductive age. Gender inequalities, differential access to service, and sexual violence increase women’s vulnerability to HIV, and women, especially younger women, are biologically more susceptible to HIV.
- 5. Overview of the HIV epidemic globally…..cnt’d Young people, ages 15-24, account for approximately 35% of new HIV infections. In sub-Saharan Africa, young women 15-24 account for 25% of all new HIV infections among adults, even though they represent only 17% of the adult population. Globally, there were 1.8 million children living with HIV, 110,000 AIDS- related deaths, and 150,000 new infections among children in 2015. Since 2001, new HIV infections among children have declined by more than 70%. In 2015, World Health Organisation (WHO) reported that r that only 54% of people with HIV knew their status. To reach 90:90:90 goals, it is critical that HIV testing services be strategically expanded to diagnose as many people with HIV as early as possible.
- 6. HIV EPIDEMIC IN SOUTH SUDAN Country has generalized HIV epidemic with a prevalence of 1.9% and 164,453 people estimated to be living with HIV including adults and children (South Sudan 2023 GARPR Report). HIV prevalence is high in the three Equatorial states: Eastern, Central and Western Equatoria and also along the country’s southern region, accounting for 60% of new HIV infections. According to the latest Modes of Transmission study (MoT, 2013), sex workers, their clients, and peri-natal transmission (Mother-to-Child Transmission), account for 7 out of every 1o new HIV infections.
- 7. HIV EPIDEMIC IN SOUTH SUDAN HIV prevalence is higher among the key populations than in the general population. The HIV treatment response need to be adapted to the country’s context which is characterized by civil war, high number of returnees and internally displaced persons (IDPs) facing humanitarian crisis and refugees. A large population including PLHIV face food insecurity and its potential impact on adherence to ARVs and OI medications. Access to life-saving ARVs may be challenging particularly among refugees residing in the neighbouring countries and among the internally displaced communities.
- 8. HIV EPIDEMIC IN SOUTH SUDAN Home work: go read on the National Response to the AIDS Epidemic page 7 and 8 of the Trainers Manual Policy response (Read page 8) In order for the country to reach the 95.95.95 fast track targets there is need to strengthen HIV Testing Services through PITC
- 9. Overview of HIV Testing Services in relation to the 95:95:95 targets There is need to increase access of the HTS services in the country so that we reach the ambitious UNAIDS fast tract targets by 2020. Currently it is estimated that only 15% of people in the country have been tested and know their HIV Status
- 10. Overview of HIV Testing Services in Relation to the 95:95:95 targets To achieve the 2nd and 3rd 90s, there is need to expand HTS coverage strategically among populations in greatest need to increase access to services.
- 11. HTS Means…….. The term HIV Testing Services (HTS) is used to embrace the full range of services that must be offered with HIV testing. These include:- counseling (pre-test information and post- test counseling): linkages to appropriate HIV prevention, treatment, care, other clinical and support services. Also includes oordination with laboratory services to support quality assurance and delivery of correct and accurate results.
- 12. THE NEXT SESSION IS ON UNDERSTANDING HIV, AIDS AND THE IMMUNE SYSTEM (PART 2) Thank you