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.