Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECT Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECT Dr. Naeem Hassan Saleem MPH,MSc. [email protected]
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECTCanada-Pakistan HIV/AIDS SURVEILLANCE PROJECT
Dr. Naeem Hassan SaleemMPH,MSc.
Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECTCanada-Pakistan HIV/AIDS SURVEILLANCE PROJECT
Background & Methods• AIDS Control Program has established second generation
surveillance (SGS) ______________________________________________
• A cross-sectional survey during 2007 in five major cities • Population: Female sex workers (FSWs), male sex workers
(MSWs) and injecting drug users (IDUs) • Preceded by geographic mapping • Sample Size: Total of 6,000 behavioral questionnaires and
6,000 dried blood spot (DBS) samples • Sampling Procedure: Multistage cluster sampling for IDUs
and FSWs & MSWs through respondent driven sampling (RDS)
• All biological samples were screened by screening enzyme immunoassay (EIA)
• Informed consent• Ethically approved protocol
Mapping Results
26712
1738015245
27803719
4325
Est
imat
es
•12,923 Key Informant interviews in Five cities• Level-one (L-1) information •Information collected was validated during level two (L-2) •Triangulation
Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECTCanada-Pakistan HIV/AIDS SURVEILLANCE PROJECT
Serological Results
14.4
01
6.5
51.3
13.3
Sargodha Faisalabad Lahore Gujranwala Multan All Cities
Pe
rce
nta
ge
2.5% among MSWs in one city. 2.5% among MSWs in one city. None of FSWs were found positive in Five cities. None of FSWs were found positive in Five cities.
Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECTCanada-Pakistan HIV/AIDS SURVEILLANCE PROJECT
Behavioral Results
17
15.2
7.3Per
cen
tag
e
Condom Use
Among IDUs 40% shared injection paraphernalia in five citiesAmong IDUs 40% shared injection paraphernalia in five cities.
Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECTCanada-Pakistan HIV/AIDS SURVEILLANCE PROJECT
Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECTCanada-Pakistan HIV/AIDS SURVEILLANCE PROJECT
Network Interaction
27.7% IDUs paid FSW for sex in past 6 months
18.6% FSWs had sex with IDUs in last 6 months
5.4% MSWs had sex with IDUs in last 6 months
17.1% IDUs paid MSW for sex in past 6 months
IDU
MSWFSW
4.9%3.3 %
Conclusion1. Concentrated epidemic
among IDUs
2. Sexual networks exists
3. Presence of un-protected sex
4. Interruption of transmission to non-injecting sexual partners
Canada-Pakistan HIV/AIDS SURVEILLANCE PROJECTCanada-Pakistan HIV/AIDS SURVEILLANCE PROJECT
ACKNOWLEDGMENTS