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