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.