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 4
Initiation of ART in country: 2003
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 incre 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.