ARMENIA Estimated number of PLWH: 2 500 people
1
NEED IN ART
2
Number of registered cases of HIV-infection: 1 166 , including 2 children under 14 – 23
Number of PLWH for whom procurement of ARV medicines is planned in 2012: n/a
3
Initiation of ART in country: 2005
6
Sources of ART funding in 2011: the Global Fund .
DISCONTINUATION IN ART
5,6
Number of PLWH receiving ART by years (2004-2011)
400
Discontinued treatment: 44 people (14,9%) from the total number of 6 294 PLWH, who initiated ART (as of 01.07.2011) .
330
300
250
Main reason of discontinuation of ART: in 56% cases due to death, in 6 38% - due to emmigration .
179
200
6
Number of PLWH needing ART but not receiving treatment: 0 .
100
100
78 47
29
Treatment is under regulations of: National protocol for treatment of 6 HIV-infection, 2009 .
0
0
2004
2005
2006
2007
2008
2009
2010
2011
6
Immunologic indications for ATR initiation, CD4 cells/ mm3 : CD4≤350.
4
Coverage of people receiving ARТ (as of end of 2010): by age: adults (15+) – 96%, children (< 15) - 4% by sex: men – 64%, women – 36%
6
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes. 6
Refusal of Stavudin(d4T)-containing regimens : yes.
ESTIMATED DATA Estimated number of PLWH needing ART: <1 000
АRT IN CHILDREN (<15)
4
4
Estimated number of children needing ART: <100 .
Estimated ART coverage (access) percentage of PLWH: 5 5 in 2009 – 23% , 2010 – 30%
Estimated ART coverage (access) of children (<15) in 2010 – 50-60%
Access to ART
6
Receive ART: 17 children (5,1% among 330 PLWH, who receive ART).
UNAIDS estimates
2009
4
Need ART but not receiving: all who need receive it.
2010
Treatment is under regulations of: National protocol for treatment of 6 HIV-infection, 2009 . 23% 77%
covered by treatment
70%
30%
not covered by treatment
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +40%; 2011 +32%. 3
Continue receiving ART 12 months after initiation: 76,7% in 2009 . ART coverage (access to ART of PLWH, who have indication for 6 treatment): 100% (330) PLWH, among 330 who need ART . 1
Republican Centre for AIDS prevention, http://www.armaids.am/main/free_code.php?lng=1&parent=3
Treatment progress прирост
+32%
31.12.2011
Republican Centre for AIDS prevention, cumulative number from the start of case registration, as of 01.01.2012, http://www.armaids.am/main/free_code.php?lng=1&parent=3 National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, the Republic of Armenia. 2010 4
2010
330 250
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf 5 6
179
of
3
2011
+40%
2009
as
2
Continue receiving ART after 12 months 76,7% in 2009
Source: UNAIDS / WHO, http://aidsinfo.unaids.org. Information was provided by ECUO FP in Armenia, as of 31.12.2011
AZERBAIJAN 1
Estimated number of PLWH: 3 600 people .
NEED IN ART
2
Number of registered cases of HIV-infection: 3 children under 14 лет – 38 .
3 199 , including
7
Number of PLWH needing ART but not receiving treatment: 189 .
Initiation of ART in country: 2006 .
Number of PLWH for whom procurement of ARV medicines is planned in 2012: n/a
Sources of ART funding in 2011: State budget (17%) and the Global 7 Fund (83%) .
DISCONTINUATION OF ART
4
6,7
Number of PLWH receiving ART by years (2004-2011) :
Discontinued treatment: 152 persons (26%) from the total number of 2 587 PLWH, who initiated ART (as of 01.01.2011) .
941
1000
Main reason of discontinuation of ART: n/a
800 600
Treatment is under regulations of: Guidelines for the use of ARV 8 medicines in adults and adolescents, 2008 .
435
400
0
238
159
200
10
Immunologic indications for ATR initiation, CD4 cells/ mm3 : CD4 < 200.
81 0
0
7
2004
2005
2006
2007
2008
2009
2010
8
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes.
2011
8
Refusal of Stavudin(d4T)-containing regimens :. yes
5
Coverage of people receiving ARТ (as of end of 2010): by age: adults (15+) - 98%, children (< 15) - 2%. by sex: men - 77%, women – 23%.
ART IN CHILDREN (<15) 5
Estimated number of children needing ART: < 100 . Estimated ART coverage (access) of children (<15) in 2010 – 40 5 >95% .
ESTIMATED DATA 5
Estimated number of PLWH needing ART: 1 400 . Estimated ART coverage (access) percentage of PLWH: 6 6 in 2009 - 21% , in 2010 – 32% .
2
Receive ART: 14 children (1,5% among 941 PLWH, who need ART). Need ART but not receiving: n/a Treatment is under regulations of: n/a
Access to ART UNAIDS estimates
2009
2010
21% 79%
covered with treatment
32%
68%
not covered with treatment
TREATMENT PROGRESS
1
Increase in treatment (in absolute numbers): 2010 – +83%; 2011 +116%. 4
Continue to receive ART 12 months after initiation: 69,8% in 2009 . ART coverage (access to ART of PLWH, who have indication for 7 treatment): 83,2% (941) PLWH, among 1 130 who need ART .
Treatment progress increase
+116%
2011
+83% 2010 9417
435
2009
238
Continue receiving ART 12 months after 69,8% in 2009
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
Republican Centre for AIDS Prevention, cumulative number from the start of case registration, as of 01.01.2011, 3
Republican Centre for AIDS Prevention, cumulative number from the start of case registration, as of 01.11.2011 4
National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, the Republic of Azerbaijan, 2010 5 Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf 6
Source: UNAIDS / WHO, http://aidsinfo.unaids.org.
7
Information is provided by ECUO FP in Azerbaijan, as of 31.12.2011
8
MİLLİ PROTOKOL Böyük və yeniyetmələrdə müayinə və antiretrovirus terapiyası,2008
BELARUS 1
Estimated number of PLWH: 17 000 people .
NEED IN ART
2
Number of registered cases of HIV-infection: 12 955 , including 2 children under 14 – 213 . Initiation of ART in country: n/a
Number of PLWH needing ART but not receiving treatment: n/a Number of PLWH for whom procurement of ARV medicines is 5 planned in 2012: 4 790 people at national and the Global Fund cost .
5
Sources of ART funding in 2011: the Global Fund . 4,5
Number of PLWH receiving ART by years (2004-2011) :
DISCONTINUATION OF ART
3500
3223
3000 2614
Main reason of discontinuation of ART: n/a
2500 2000
1776
1500
0
Treatment is under regulations of: Clinical protocol for treatment of 7 HIV-infected, 2007 and Instruction of ART conduction in adults and 8 adolescents, 2008 .
1249 884
1000 500
Discontinued treatment: n/a
638 120
33 2004
2005
2006
2007
2008
2009
2010
2011
Immunologic indications for ATR initiation, CD4 cells/mm3: 8 7 CD4<350 , but in Clinical protocol - CD4<200 .
3
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – 95%, children (< 15) - 5%. By sex: men – 55%, women – 45%.
8
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes 8
Refusal of Stavudin(d4T)-containing regimens : yes
ESTIMATED DATA
ART IN CHILDREN (<15) 3
Estimated number of PLWH needing ART: 5 100 .
Estimated number of children needing ART: <200 .
Estimated ART coverage (access) percentage of PLWH: in 2009 – 4 4 38% , 2010 – 51% .
Estimated ART coverage (access) of children (<15) in 2010 – >95%
3
3
Receive ART: n/a
Access to ART
Need ART but not receiving: n/a
UNAIDS estimates
2009
62%
Treatment is under regulations of: Instruction of «Optimization of approaches to supervision and treatment of children with HIV/AIDS, 5 2008 .
2010
49% 38%
covered by treatment
51%
not covered by treatment
TREATMENT PROGRESS 1
Increase in treatment (in absolute numbers): 2010 – +47%; 2011 +23%
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
Department for HIV/AIDS prevention “Republican Centre for Hygiene, Epidemiology and Public Health”, cumulative number from the start of case registration as of 01.01.2012. 3
6
Continue receiving ART 12 months after initiation: 78,4% in 2009. ART coverage (access to ART of PLWH, who have indication for treatment): n/a
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf 4 Source: UNAIDS / WHO, http://aidsinfo.unaids.org. 5 Information was provided by ECUO FP in Belarus as of 01.01.2012. 6
National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, Republic of Belarus, 2010.
Treatment progress increase
+23%
2011
+47% 2010
3223 2614
2009 1776
C ontinue re ce iving ART af te r 1 2 months 7 8,4 % in 2 00 9
7
Clinical protocol for diagnostics and treatment of HIV-infected approved by the decree of the MoH of the republic of Belarus as of 05.02.2007 №66 8 Method instruction of optimization of approaches to supervision and conduction of ART in adults and adolescents, 2008.
ESTONIA 1
Estimated number of PLWH: 9 900 people .
NEED IN ART
2
Number of registered cases of HIV-infection: 8 034 , including 3 children under 14 – 123 .
Number of PLWH needing ART but not receiving treatment: n/a.
Initiation of ART in country: n/a.
Number of PLWH for whom procurement of ARV medicines is 8 planned in 2012: 700 new patients .
9
Sources of ART funding in 2011: national budget .
DISCONTINUATION OF ART
5,7,9
Number of PLWH receiving ART by years (2004 - 2011)
:
Discontinued treatment: n/a
2500
2156 2000
Main reason of discontinuation of ART: n/a
1793
1500
1000 1000
Treatment is under regulations of: Guidelines for the use of ARV medicines in adults and adolescents, 2011 (recommendations of 10 DHHS USA) .
1263
720 460
500
100
10
Immunologic indications for ATR initiation, CD4 cells/ mm3 : CD4 <350.
250
0 2004
2005
2006
2007
2008
2009
2010
2011
10
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes. 10
4
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – n/a %, children (< 15) - n/a %. by sex: men – n/a %, women – n/a %.
Refusal of Stavudin(d4T)-containing regimens : yes.
ART IN CHILDREN (<15) Estimated number of children needing ART: n/a
ESTIMATED DATA 6
Estimated ART coverage (access) of children (<15) in 2010 – n/a
Estimated number of PLWH needing ART: 3 000 . Estimated ART coverage (access) percentage of PLWH: in 2009 – 6 7 <50% , 2010 – n/a .
9
Receive ART: 22 children (under 5 years old) . Need ART but not receiving: n/a Treatment is under regulations of: Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection, 2011 (recommendations of DHHS USA), http://aidsinfo.nih.gov/ContentFiles/PediatricGuidelines.pdf.
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +42%; 2011 +20%.
1
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
State Healthcare Department, URL: http://www.terviseamet.ee/nakkushaigused/nakkushaigustesse-haigestumine/hiv-jaaids.html, cumulative number from the start of case registration, as of 01.12.2011. 3
Continue to receive ART 12 months after initiation: n/a. ART coverage (access to ART of PLWH, who have indication for treatment): n/a
State Healthcare Department, URL: http://www.terviseamet.ee/nakkushaigused/nakkushaigustesse-haigestumine/hiv-ja-aids.html, cumulative number from the start of case registration, as of 01.10.2011. 4
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/201111 30_UA_Report_en.pdf 5
HIV Epidemic in Estonia: Analysis of Strategic Information, WHO, 2011, http://www.unaids.org/en/dataanalysis/monitoringcountryprogress/progressreports/2012countries/ ce_EE_Narrative_Report[1].pdf 6
Modelling Estonia’s concentrated HIV epidemic. A case study. Copenhagen: WHO Regional Office for Europe, 2009. URL: http://ee.euro.who.int/E93235.pdf. 7
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
8
Minutes of the commission on procurement and planning of ARV medicines meeting under auspices of the Ministry of Social Affairs, as of 17.11.2011, as on 01.09.2011. 9
Information is provided by ECUO FP in Estonia, as of 01.12.2011 Guidelines for the use of antiretroviral agents in HIV-1-infected adults and adolescents, http://www.aidsinfo.nih.gov/ContentFiles/AdultandAdolescentGL.pdf. 10
GEORGIA Estimated number of PLWH: 3 500 people
1 2
Number of registered cases of HIV-infection: 3 163 , including 3 children under 14 – 72 . 4
Initiation of ART in country: since 2004 at the Global Fund cost .
Number of PLWH needing ART but not receiving treatment: 0, 7 receive all in need .
7
Sources of ART funding in 2011: the Global Fund . 6,7
Number of PLWH receiving ART by years (2004-2011) :
1000
Number of PLWH for whom procurement of ARV medicines is 7 planned in 2012: 1500 people at the Global Fund cost . 900
DISCONTINUATION OF ART
830
800
Discontinued treatment: 8 people (0,75%) from the total number of 7 1066 PLWH, who initiated ART . Main reason of discontinuation of ART: n/a
655
600
498
400
NEED IN ART
343 267
200
140 83
0
2004
Treatment is under regulations of: n/a 2005
2006
2007
2008
2009
2010
7
Immunologic indications for ATR initiation, CD4 cells/mm3 : CD4≤300
2011
5
Coverage of people receiving ART (as of end of 2010):
7
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes.
by age: adults (15+) – 96%, children(< 15)- 4%. by sex: men – 70%, women – 30%.
Refusal of Stavudin(d4T)-containing regimens: n/a
ESTIMATED DATA
ART IN CHILDREN (<15)
5
Estimated number of PLWH needing ART: 1 300 .
5
Estimated ART coverage (access) percentage of PLWH: in 2009 – 6 6 62% , 2010 – 65% .
Access to ART UNAIDS estimates
2009
Estimated number of children needing ART: <100 . 5 Estimated ART coverage (access) of children (<15) in 2010: >95% 2
Receive ART: 35 children (3,9% among 900 PLWH, who receive ART). 7 Need ART but not receiving: 0, receive all in need . Treatment is under regulations of: n/a
2010
35%
38% 62%
covered by treatment
65%
not covered by treatment
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +27%; 2011 +8%. 4
Continue receiving ART 12 months after initiation: 81% in 2009 . ART coverage (access to ART of PLWH, who have indication for 7 treatment): 100% (900) PLWH, among 900, who need ART .
Treatment progress increase
1
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
+8%
2011
Republican centre for AIDS prevention, cumulative number from the start of case registration, as of 25.11.2011, 3
Republican centre for AIDS prevention, cumulative number from the start of case registration, as of 01.10.2011
+27% 2010
4
9007 830
2009 655
Continue receiving ART after 12 months 81% in 2009
UNGASS Country Progress Report, Georgia, 2010 Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf 5
6 7
Source: UNAIDS / WHO, http://aidsinfo.unaids.org Information was provided by ECUO FP in Georgia, as of 31.12.2011
KYRGYZSTAN Estimated number of PLWH: 9 800 people
1
NEED IN ART
2
Number of registered cases of HIV-infection: 3 887 , including 2 children under 14 – 307 .
Number of PLWH needing ART but not receiving treatment: n/a Number of PLWH for whom procurement of ARV medicines is planned in 2012: n/a
3
Initiation of ART in country: 2005 at the Global Fund cost . 6
Sources of ART funding in 2011: the Global Fund .
DISCONTINUATION OF ART
5,6
Number of PLWH receiving ART by years (2004-2011) :
Discontinued treatment: n/a
600
510
500
Main reason of discontinuation of ART: n/a
356
400 300
Treatment is under regulations of: Clinical protocol for ART in adults 7 and adolescents, 2008 .
231
200 100
46
0
47
87
89
2007
2008
7
Immunologic indications for ATR initiation, CD4 cells/mm3 : CD4<200. 7
0 2004
2005
2006
2009
2010
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes.
2011
7
Refusal of Stavudin(d4T)-containing regimens : yes.
4
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – 75%, children (< 15)- 25%. by sex: men – 68%, women – 32%.
ART IN CHILDREN (<15) 4
Estimated number of children needing ART: <200-<500 .
ESTIMATED DATA
4
Estimated ART coverage (access) of children (<15) in 2010 – 28-79% . 4
Estimated number of PLWH needing ART: 4 600 .
2
5
Estimated ART coverage (access) percentage of PLWH: in 2009 – 6% , 5 2010 – 12% .
Receive ART: 170 children (33% among 510 PLWH, who receive ART). Need ART but not receiving: n/a Treatment is under regulations of: Clinical protocol «Treatment and assistance for children with HIV/AIDS» approved by the decree of the MoH of the Kyrgyz Republic as of 25.04.08 №178.
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +54%; 2011 +43%. 3
Continue receiving ART 12 months after initiation: 72,8% in 2009 . ART coverage (access to ART of PLWH, who have indication for treatment): n/a
Treatment progress increase
2011
2010
510 356 231
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
Republic union "AIDS", cumulative number from the start of case registration, as of 01.01.2012.
3
Progress report of the UNGASS Declaration of Commitment on HIV/AIDS, Kyrgyz Republic, 2010 Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, данные по состоянию на декабрь 2010. http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf 4
5 6
+43%
+54%
2009
1
Continue receiving ART after 12 months 72,8% in 2009
7
Source: UNAIDS / WHO, http://aidsinfo.unaids.org Information was provided by ECUO FP in Kyrgyzstan, as of 01.01.2012.
Clinical protocol «Antiretroviral therapy in adults and adolescents» approved by the decree of the MoH of the Kyrgyz Republic 25.04.08 №178.
LATVIA Estimated number of PLWH: 8 600 people
1 2
Number of registered cases of HIV-infection: - 5 189 , 2 including children under 14 – 41 Initiation of ART in country: n/a Sources of ART funding in 2011: national budget
5 4,5
Number of PLWH receiving ART by years (2004-2011) : 600 508
500 400 300
556
439
235
202
NEED IN ART
334
323
301
Number of PLWH needing ART but not receiving treatment: 5 100 Number of PLWH for whom procurement of ARV medicines is planned in 2012: n/a
200 100 0 2004
2005
2006
2007
2008
2009
2010
2011
DISCONTINUATION OF ART Discontinued treatment: n/a Main reason of discontinuation of ART: n/a
3
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – 94%, children (< 15) - 6% by sex: men – 69%, women – 31%
ESTIMATED DATA 3
Estimated number of PLWH needing ART: 2 800 Estimated ART coverage (access) percentage of PLWH: in 2009 4 4 - 17% , 2010 – 18%
Treatment is under regulations of: Temporary recommendations on rational pharmacotherapy for ARV 6 therapy, 2009 . Immunologic indications for ATR initiation, CD4 cells/mm3: 6 CD4 <200 Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens: 6 yes 6 Refusal of Stavudin(d4T)-containing regimens: yes
ART IN CHILDREN (<15) 3
Estimated number of children needing ART: <100 Estimated ART coverage (access) of children (<15) in 2010 – 3 78-95% 2
Receive ART: 25 children (4,5% among 556 PLWH, who receive ART). Need ART but not receiving: n/a Treatment is under regulations of: n/a
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +16%; 2011 - +9% Continue to receive ART 12 months after initiation: n/a ART coverage (access to ART of PLWH, who have indication 5 for treatment): 84,7% (556) PLWH among 656 who need ART .
Treatment progress increase
1
+9%
Latvian Centre of Infectology, cumulative number from the start of case registration, as of 01.01.2012.
2011
3
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, data as of December 2010 http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/ 20111130_UA_Report_en.pdf
+16% 2010
556 508
2009
4
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
5
Information was provided by ECUO FP in Latvia, as of 01.01.2012.
6
439
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
Continue receive ART after 12 months:
n\a
Temporary “Recommendations on rational pharmacotherapy for ARV therapy”, paid from state budget cost, 2009.
LITHUANIA Estimated number of PLWH: 1 200 people
1 2
Number of registered cases of HIV-infection: 1 900 , including 2 children under 14 – 2 .
NEED IN ART
Initiation of ART in country: n/a
Number of PLWH needing ART but not receiving treatment: 274 .
7
7
Number of PLWH for whom procurement of ARV medicines is planned in 2012: n/a
Sources of ART funding in 2011: national budget . 4,6
Number of PLWH receiving ART by years (2004 - 2011) : 250
DISCONTINUATION OF ART
226
200
150
127
50
Main reason of discontinuation of ART: in 50% of cases due to limited access to services (interruptions in laboratory procedures, 7 absence of adherence programmes, etc.) .
98
85
100
Discontinues treatment: in 2011 7,8% (19) from the total number of 6 245 PLWH, who initiated ART .
160
145
75
37
Treatment is under regulations of: Methodology «Description of diagnostics and treatment of human immunodeficiency virus funded the Compulsory Health Insurance Fund», approved by the MoH of 6 Lithuania, № V-384 as of May 3, 2010 .
0 2004
2005
2006
2007
2008
2009
2010
2011
3
Coverage of people receiving ART (as of end of2010): by age: adults (15+) – 99%, children (< 15) - 1% by sex: men – 78%, women – 22%
Immunologic indications for ATR initiation, CD4 cells/mm3: 6 6 <200 ; from January 1, 2012 - CD4 <200-350 .
CD4
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens: n/a
ESTIMATED DATA
Refusal of Stavudin(d4T)-containing regimens: n/a
3
Estimated number of PLWH needing ART: <1000 . Estimated ART coverage (access) percentage of PLWH: in 2009 – 4 4 29% , 2010 – 27% .
АRT IN CHILDREN (<15) 3
Estimated number of children needing ART: <100 3 Estimated ART coverage (access) of children (<15) in 2010 – 11-20% 6
Receive АRT: 2 children (1% among 226 PLWH, who receive ART). Need ART but not receiving: n/a Treatment is under regulations of: n/a
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +10%; 2011 +41% 5
Continue receiving ART 12 months after initiation: 87,8% in 2009 . ART coverage (access to ART of PLWH, who have indication for 6 treatment): 45,2% (226) PLWH, among 500 who need ART .
1
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
Treatment progress increase
n\a
2011
n\a
Centre for AIDS and infectious diseases, cumulative number from the start of case registration, as of 01.01.2012. 3
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130 _UA_Report_en.pdf 4
2010
226 n\a
2009 145
Continue receiving ART after12 months 87,8% in 2009
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
5
National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, Lithuania, 2010.
6
Lithuanian Centre for AIDS and infectious diseases, as of 01.01.2012.
7
Information was provided by ECUO FP in Lithuania, as of 01.01.2012.
MOLDOVA Estimated number of PLWH: 12 000 people
1 2
Number of registered cases of HIV-infection: 7 032 , including 3 children under 14 – 82 Initiation of ART in country: 2003
4
Number of PLWH needing ART but not receiving treatment: 117 have indications for ART, but do not initiate it due to 8 different reasons, medicines for them are available .
7
Sources of ART funding in 2011: the Global Fund . 6,8
Number of PLWH receiving ART by years (2004-2011) : 1800
NEED IN ART
1666
Number of PLWH for whom procurement of ARV medicines is 8 planned in 2012: for 2321 adults and for 62 children .
1600 1400
DISCONTINUATION OF ART
1237
1200
984
Discontinued treatment: 387 people (19,7%) from the total 7 number of 1956 PLWH, who initiated ART (as of 01.09.2011) .
1000 800
682
600
Main reason of discontinuation of ART: in 40% cases due to 7 death .
464
400
222
262
2005
2006
120
200 0
2004
2007
2008
2009
2010
2011
Treatment is under regulations of: Clinical protocol of HIV/AIDS 9 treatment, 2009 .
5
Coverage of people receiving ART (as of end of 2010):
9
by age: adults (15+) - 97%, children (< 15) - 3%.
Immunologic indications for ATR initiation, CD4 cells/mm3 : CD4 <350.
by sex: men - 56%, women - 44%.
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes.
9
9
Refusal of Stavudin(d4T)-containing regimens : yes.
ESTIMATED DATA Estimated number of PLWH needing ART: 4 900 .
ART IN CHILDREN (<15)
Estimated ART coverage (access) percentage of PLWH: in 2009 – 6 6 25% , 2010 – 25% .
Estimated number of children needing ART: <100 - <200 . Estimated ART coverage (access) of children (<15) in 2010: 285 54% .
5
5
8
Access to ART
Receive ART: 52 children (3,1% among 1 666 PLWH, who receive ART). Need ART but not receiving: n/a Treatment is under regulations of: n/a
UNAIDS estimates
2009
2010
25%
75%
covered by treatment
25%
75%
not covered by treatment
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +26%; 2011 - +35% Continue to receive ART 12 months after initiation: 88,3% in 4 2009
1
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
Republican AIDS-Centre, cumulative number from the start of case registration, as of 01.01.2012.
3
ART coverage (access to ART of PLWH, who have indication for 8 treatment): 95,3% (1°666) PLWH, among 1°748 who need ART .
T.Chorba Republic hospital of infectious diseases, cumulative number from the start of case registration, as of 27.10.2011 4
UNGASS Progress Report 2008–2009: Republic of Moldova, 2010.
5
Treatment progress in cre ase
+3 5 %
2011
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/201 11130_UA_Report_en.pdf 6
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
7
Information was provided by ECUO FP in Moldova, source of information – materials of the National HIV/AIDS conference December 5-7, 2012, as of 01.09.2011.
+2 6 % 2010 1666 1237
2009
984
C o n ti n u e re ce i ve AR T afte r 1 2 mo n th s 8 8,3 % In 2 0 09
8
Information was provided by ECUO FP in Moldova, as of 01.01.2012.
9
GHID naţional de tratament şi îngrijiri în infecţia HIV şi SIDA, 2009.
POLAND Estimated number of PLWH: 27 000 people
1
NEED IN ART
2
Number of registered cases of HIV-infection: 15196 , including children under 18 – n/a. 5
Initiation of ART in country: 1996 .
Number of PLWH needing ART but not receiving treatment: 5 890 (estimated data) . Number of PLWH for whom procurement of ARV medicines is 5 planned in 2012: 800-1000 new patients .
6
Sources of ART funding in 2011: national budget . 4,2
Number of PLWH receiving ART by years (2004-2011) : 6000
4897 5000
Discontinued treatment: 373 people (7%) from the total 5 number of 5606 PLWH, who initiated ART (as of 01.01.2011) . Main reason of discontinuation of ART: in 17% cases due to 5 death .
4329
4000 3000
DISCONTINUATION OF ART
5606
2707
3072
3382
3822
2000
2000
Treatment is under regulations of: Recommendations for HIV 6 treatment, 2010 , which are reviewed yearly by the AIDS Scientific community.
1000 0 2004
2005
2006
2007
2008
2009
2010
2011
6
Immunologic indications for ATR initiation, CD4 cells/mm3 : CD4≤350.
3
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – 97%, children (< 15) - 3% by sex: men – 73%, women – 27%
6
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes.
ESTIMATED DATA
6
Refusal of Stavudin(d4T)-containing regimens : yes. 3
Estimated number of PLWH needing ART: 14°000 .
ART IN CHILDREN (<15)
Estimated ART coverage (access) percentage of PLWH: in 2009 4 4 - 32% , 2010 – 34% .
Estimated number of children needing ART: <100 . Estimated ART coverage (access) of children (< 18) in 2010 – 3 28-54% .
3
5
Receive ART: 130 children (under 18 years old) (2,3% among 5606 PLWH, who receive ART). Need ART but not receiving: 0. Treatment is under regulations of: n/a
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +13%; 2011 - +14%. Continue to receive ART 12 months after initiation: 94% (cohort: n/a).
5
1
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010.
2
National AIDS Centre, cumulative number from the start of case registration, as of 31.12.2011, http://aids.gov.pl/index_ru.php 3
ART coverage (access to ART of PLWH, who have indication for treatment): 86,3% (5 606) PLWH among 6 496 who need 5 ART .
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/ 20111130_UA_Report_en.pdf. 4 5 6
Source: UNAIDS / WHO, http://aidsinfo.unaids.org Information was provided by ECUO FP in Poland, as of 31.12.2011
ZALECENIA PTN AIDS DOTYCZĄCE ZASAD OPIEKI NAD OSOBAMI ZAKAŻONYMI HIV, 2010 http://www.ptnaids.info/wydawnictwo/Projekt%20rekomendacji%20PTN%20AIDS%202010%2 0wersja%20robocza%20(25.05.2010).pdf
RUSSIA Estimated number of PLWH: 980 000 people
1
NEED IN ART
2
Number of registered cases of HIV-infection: 636 979 , including 2 children under 14 – 5 628 . 3
Initiation of ART in country: 2000 . Sources of ART funding in 2011: state budget (95%) and the Global 6 Fund (5%) . 5,6
Number of PLWH needing ART but not receiving treatment: n/a Number of PLWH for whom procurement of ARV medicines is planned in 2012: 105 thousand people at state budget cost.
DISCONTINUATION OF ART
Number of PLWH receiving ART by years (2004-2011) : Discontinued treatment: n/a
100000
90000
Main reason of discontinuation of ART: n/a
79430
75900
80000 54900
60000 40000
Treatment is under regulations of: there is no common treatment 6 standards . Immunologic indications for ATR initiation, CD4 cells/mm3: CD4<200, in accordance with methodology letter «Indication for prescription of treatment for HIV-infected people», 2006, http://www.hivrussia.ru/doc/docs.shtml
31094 14681
20000 3000
5000
2004
2005
0 2006
2007
2008
2009
2010
2011
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens: n/a
4
Coverage of people receiving ARТ (as of end of 2010): by age: adults (15+) – n/a %, children (< 15) - n/a %. by sex: men – n/a %, women – n/a %.
Refusal of Stavudin(d4T)-containing regimens: n/a
ART IN CHILDREN (<15)
ESTIMATED DATA
4
Estimated number of children needing ART: 5 700-7 500 .
4
Estimated number of PLWH needing ART: 27 000-38 000 .
Estimated ART coverage (access) of children (<15) in 2010 – 42-56%
Estimated ART coverage (access) percentage of PLWH: 5 5 in 2009 – 22-32% , 2010 – 21-29% .
4
Receive АRT: n/a. Need ART but not receiving: n/a
Access to ART
Treatment is under regulations of: n/a
UNAIDS estimates
2009
2010
2232%
6878%
covered by treatment
2129%
7179%
not covered by treatment
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +5%; 2011 +13%. 3
Continue receiving ART 12 months after initiation: 78,5% in 2009 . ART coverage (access to ART of PLWH, who have indication for treatment): n/a. 1
As of 31.12.2009, http://www.aidsinfoonline.org/, UNAIDS_Estimate_2010
2
Treatment progress increase
3
+13%
2011
+5% 2010
2009
900006
79430 75900
Federal Scientific Centre on the Prophylaxis and Control of AIDS of the Ministry of Health of Russian Federation, cumulative number from the start of case registration as of 01.11.2011, http://www.hivrussia.ru/stat/2011.shtml.
Continue receiving ART after 12 months 78,5% in 2009
National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, the Russian Federation 2010 4
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf 5
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
6
Information was provided by ECUO FP in Russia, as of 31.12.2011
TAJIKISTAN Estimated number of PLWH: 9 100 people
1
NEED IN ART
2
Number of registered cases of HIV-infection: 3 864 , including 2 children under 16 – 106 . 3
Initiation of ART in country: 2006 . Sources of ART funding in 2011: the Global Fund
Number of PLWH needing ART but not receiving treatment: 183 2 (ICAP research data) . Number of PLWH for whom procurement of ARV medicines is planned in 2012: n/a.
2 5,2
Number of PLWH receiving ART by years (2004-2011) : 1200
DISCONTINUATION OF ART
1082
Discontinued treatment: 2 ART (as of 01.10.1011).
1000 800
Main reason of discontinuation of ART: n/a
504
600
71 people (7%) from 1019 who initiated
322
400
Treatment is under regulations of: Clinical protocol for ART in adults 6 and children, 2010 .
138
200
0
5
2004
2005
86
37
0 2006
2007
2008
2009
2010
6
2011
Immunologic indications for ATR initiation, CD4 cells/mm3 : <350.
4
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) - 96%, children (< 15) - 4%. By sex: men – 59%, women – 41%.
CD4
6
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes. 6
Refusal of Stavudin(d4T)-containing regimens : yes.
ESTIMATED DATA
АRT IN CHILDREN (<15) 4
Estimated number of PLWH needing ART: 3 200
4
5
Estimated ART coverage (access) percentage of PLWH: in 2009 -11% , 5 2010 – 16% .
Access to ART
Estimated ART coverage (access) of children (<15) in 2010 - 5%
4
2
Receive АRT: 62 children (5,7% among 1 082 PLWH, who receive ART).
UNAIDS estimates
2009
Estimated number of children needing ART: <500
2010
11%
Need ART but not receiving: n/a Treatment is under regulations of: n/a
16% 84%
89%
covered by treatment
not covered by treatment
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 - +57%; 2011 +115% 3
Continue receiving ART 12 months after initiation: 58,3% in 2009 . ART coverage (access to ART of PLWH, who have indication for 2 treatment): 85,5% (1°082) PLWH, among 1°265 who need ART .
Treatment progress increase
+115%
2011
+57%
1
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010.
2
Information was provided by ECUO FP in Tajikistan, source of information: the Republican Centre for AIDS prevention, as of 01.01.2012.
2010 10827 504
2009
322
continue receiving ART after 12 months 58,3% in 2009
3
National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, Tajikistan, 2009
4
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf. 5
Source: UNAIDS /WHO, http://aidsinfo.unaids.org Clinical protocol for HIV/AIDS treatment and assistance: Medical check-up and antiretroviral therapy in adults and adolescents, as of 27.01.2010 №28. 6
UKRAINE Estimated number of PLWH: 350 000 people
1 2
Number of registered cases of HIV-infection: 202 787 , including 2 2 children under 14 – 32 749 . Regular medical check-up – 120 148 .
NEED IN ART 9
Number of PLWH needing ART but not receiving treatment: 11 510 .
Initiation of ART in country: large-scale – in August 2004 at the 3 expense of the Global Fund .
Number of PLWH for whom procurement of ARV medicines is 9 planned in 2012: ~43 500 people, including 1 200 prisoners .
Sources of ART funding in 2011: State budget (80,7%) and the Global 9 Fund (19,3%) , incl. prisoners receive АRT (at the expense of the GF 9 since 2009) .
DISCONTINUATION OF ART
5,6
Number of PLWH receiving ART by years (2004-2011*) : 30000
7
27542
25000
Main reason of discontinuation of ART: in 50% cases - due to death .
22697
20000
Treatment is under regulations of: Clinical ART protocol of HIV9 infection in adults and adolescents, 2010 .
15871
15000 10629
10000 5000
Discontinued treatment: 17,7% (3 067) after 12 months of treatment among 18 414 PLWH, who initiated ART (cohort: August 2004 – 7 December 2009) .
8
Immunologic indications for ATR initiation, CD4 cells/ mm3 : CD4 <350.
7657 3450
4777
8
1000
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : yes.
0 2004
2005
2006
2007
2008
2009
2010
8
Refusal of Stavudin(d4T)-containing regimens : yes.
2011
*
822 PLWH received ART in penitentiary system in 2011. 4
ART IN CHILDREN (<15)
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – 91%, children (< 15) - 9% by sex: men – 53%, women – 47%
4
Estimated number of children needing ART: 2 800-4 200 . 4
Estimated ART coverage (access) of children (<15) in 2010 – 48-73% .
ESTIMATED DATA
6
Receive ART: 2 268 children (8,2% among 27 542 PLWH, who receive ART).
4
Estimated number of PLWH needing ART: 170 000 . 5
Estimated ART coverage (access) percentage of PLWH: in 2009 – 9% , 5 2010 – 13% .
9
Need ART but not receiving: 138 children (5,7% among 2 406 children, who need ART). Treatment is under regulations of: Clinical protocol for antiretroviral treatment and medical check-up of HIV-infected children approved by 9 Ministry of Health of Ukraine 13.04.2007 №1829 .
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +43%; 2011 +21%. Continue to receive ART 12 months after initiation: 83,3% (cohort: 7 August 2004 - December 2009) . ART coverage (access to ART of PLWH, who have indication for 6 treatment): 70% (27 542) PLWH, among 39 052 who need ART .
1
As of 31.12.2009, http://www.aidsinfoonline.org/, UNAIDS_Estimate_2010
2
Ukrainian Centre for AIDS Prevention, cumulative number from the start of case registration, as of 01.01.2012, http://ukraids.gov.ua/index.php/uk/statystyka/epidemiologiya 3
National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, Ukraine. 2010
4
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_U A_Report_en.pdf 5
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
6
Ukrainian Centre for AIDS Prevention, http://ukraids.gov.ua/index.php/uk/statystyka/likuvannya 7
as
of
01.01.2012
Factsheet №35 «HIV‐infection in Ukraine», as of 01.01.2011
8
Clinical protocol for antiretroviral treatment of HIV-infected adults and adolescents approved by the Ministry of Health of Ukraine as of 12.07.2010 №551, http://ukraids.gov.ua/index.php/uk/statystyka/likuvannya 9
Information is provided by ECUO FP in Ukraine, as of 31.12.2011.
UZBEKISTAN Estimated number of PLWH: 28 000 people
1
NEED IN ART
2
Number of registered cases of HIV-infection: 18 758 , including children under 14 – n/a
Number of PLWH needing ART but not receiving treatment: n/a Number of PLWH for whom procurement of ARV medicines is planned in 2012: n/a
3
Initiation of ART in country: 2006
6
Sources of ART funding in 2011: the Global Fund . 5, 6
Number of PLWH receiving ART by years (2004-2011) : 4500
DISCONTINUATION OF ART Discontinued treatment: n/a Main reason of discontinuation of ART: n/a
3832
4000 3500 3000
2479
2500
1200
1500
7
1000 500
Treatment is under regulations of: Clinical ART protocol of HIV7 infection in adults and adolescents, 2007 .
1753
2000
0
0
2004
2005
259
319
2006
2007
Immunologic indications for ATR initiation, CD4 cells/mm3 : <200.
0 2008
2009
2010
CD4
7
Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens : no.
2011
7
Refusal of Stavudin(d4T)-containing regimens : yes.
4
Coverage of people receiving ART (as of end of 2010): by age: adults (15+) – 50%, children (< 15)- 50%. by sex: men – 46%, women – 54%.
ART IN CHILDREN (<15) 4
Estimated number of children needing ART: <500 . 4 Estimated ART coverage (access) of children (<15) in 2010 – >95% .
ESTIMATED DATA 4
Estimated number of PLWH needing ART: 8 900 . Estimated ART coverage (access) percentage of PLWH: in 2009 – 5 5 22% , 2010 – 28% .
Receive ART: n/a. Need ART but not receiving: n/a. Treatment is under regulations of: the National Protocol «Medical treatment of HIV/AIDS in children», approved by the Ministry of Health in the Republic of Uzbekistan as of 30.10.2007 № 480.
TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +41%; 2011 +55%. 3
Continue to receive ART 12 months after initiation: 81,1% in 2009 . ART coverage (access to ART of PLWH, who have indication for treatment): n/a.
Treatment progress increase
As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010
2
Republican AIDS-Centre, cumulative number from the start of case registration, as of 01.01.2011.
3
+55%
2011
+41% 2010 38326
2479
2009
1
National progress report of the UNGASS Declaration of Commitment on HIV/AIDS, Republic of Uzbekistan, 2010. 4
Progress report WHO, UNICEF and UNAIDS, 2011 GLOBAL HIV/AIDS RESPONSE Epidemic update and health sector progress towards Universal Access, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2011/20111130_ UA_Report_en.pdf 5
Source: UNAIDS / WHO, http://aidsinfo.unaids.org
6
Information was provided by ECUO FP in Uzbekistan, as of 31.12.2011.
7
1753
Continue receive ART after 12 months 81.1% in 2009
National protocol «Medical examination and antiretroviral therapy in adults and adolescents», approved by the decree of the MoH of the Republic of Uzbekistan, as of 30.10. 2007 № 480.