Global Response to HIV/AIDS Nigerian Nurses Association of USA June 30, 2006 Carolyn M Hall,...
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Transcript of Global Response to HIV/AIDS Nigerian Nurses Association of USA June 30, 2006 Carolyn M Hall,...
Global Response to HIV/AIDSNigerian Nurses Association of USA
June 30, 2006
Carolyn M Hall, MSN/MPH, ACRNGlobal HIV/AIDS ProgramU.S. Department of Health and Human Services Health Resources and Services AdministrationHIV/AID Bureau
Global summary of the HIV and AIDS epidemic December 2005
Number of people livingwith HIV in 2005
Total 40.3 million (36.7– 45.3 million)Adults 38.0 million (34.5 – 42.6 million)Women 17.5 million (16.2 – 19.3 million)Children under 15 years 2.3 million (2.1 – 2.8 million)
People newly infectedwith HIV in 2005
Total 4.9 million (4.3 – 6.6 million)Adults 4.2 million (3.6 – 5.8 million)Children under 15 years 700,000 (630,000 – 820 000)
AIDS deaths in 2005Total 3.1 million (2.8 – 3.6 million)Adults 2.6 million (2.3 – 2.9 million)Children under 15 years 570,000 (510,000 – 670,000)
AIDS Epidemic Update: December 2005, UNAIDS, WHO http://www.who.int/hiv/epi-update2005_en.pdf
Regional HIV and AIDS statistics and features, end of 2005
3.1 million [2.8 – 3.6 million]
3600[1700 – 8200]
18 000[9 000 – 30 000]
12 000 [ <15 000]
62 000[39 000 – 91 000]
24 000[16 000 – 40 000]
66 000[52 000 – 86 000]
41 000[20 000 – 68 000]
480 000[290 000 – 740 000]
58 000[25 000 – 145 000]
2.4 million[2.1 – 2.7 million]
1.1 % [1.0 - 1.3%]
0.5 [0.2 - 0.7]
0.7 [0.4 – 1.1]
0.3 [0.2 – 0.4]
0.9 [0.6 – 1.3]
1.6 [1.1 – 2.7]
0.6 [0.5 – 0.8]
0.1 [0.05 – 0.2]
0.7 [0.4 – 1.0]
0.2 [0.1 – 0.7]
7.2 [6.6 – 8.0]
4.9 million [4.3 – 6.6 million]
8 200[2 400 – 25 000]
43 000[15 000 – 120 000]
22 000[15 000 – 39 000]
270 000[140 000 – 610 000]
30 000[17 000 – 71 000]
200 000[130 000 – 360 000]
140 000[42 000 – 390 000]
990 000[480 000 – 2.4 million]
67 000[35 000 – 200 000]
3.2 million[2.8 – 3.9 million]
40.3 million [36.7 – 45.3 million]
74 000[45 000 – 120 000]
1.2 million[650 000 – 1.8 million]
720 000[570 000 – 890 000]
1.6 million [990 000 – 2.3 million]
300 000[200 000 – 510 000]
1.8 million [1.4 – 2.4 million]
870 000[440 000 – 1.4 million]
7.4 million[4.5 – 11.0 million]
510 000[230 000 – 1.4 million]
25.8 million[23.8 – 28.9 million]
TOTAL
Oceania
North America
Western & Central Europe
Eastern Europe & Central Asia
Caribbean
Latin America
East Asia
South and South-East Asia
North Africa & Middle East
Sub-Saharan Africa
Adult & child deaths due to AIDS
Adult prevalence
[%] *
Adults & children newly infected
with HIV
Adults & children living with HIV
Adults and children estimated to be living Adults and children estimated to be living
with HIV as of end 2005with HIV as of end 2005
Total: 40.3 (36.7 – 45.3) million
Western & Central Europe
720 000720 000[570 000 – 890 000][570 000 – 890 000]
North Africa & Middle East510 000510 000
[230 000 – 1.4 million][230 000 – 1.4 million]
Sub-Saharan Africa25.8 million25.8 million
[23.8 – 28.9 million][23.8 – 28.9 million]
Eastern Europe & Central Asia1.6 million 1.6 million
[990 000 – 2.3 million][990 000 – 2.3 million]
South & South-East Asia7.4 million7.4 million[4.5 – 11.0 million][4.5 – 11.0 million]
Oceania74 00074 000
[45 000 – 120 000][45 000 – 120 000]
North America1.2 million1.2 million
[650 000 – 1.8 million][650 000 – 1.8 million]
Caribbean300 000300 000
[200 000 – 510 000][200 000 – 510 000]
Latin America1.8 million1.8 million
[1.4 – 2.4 million][1.4 – 2.4 million]
East Asia870 000870 000
[440 000 – 1.4 million][440 000 – 1.4 million]
Antiretroviral therapy coverage in low- and middle-income countries,
December 2005Geographical Region Number of people receiving ARV therapy
Estimated need
Coverage
(low estimate – high estimate)
Sub-Saharan Africa 810 000 (730 000 –
890 000)4 700 000 17%
Latin America and the Caribbean
315 000 (295 000 –
335 000)465 000 68%
East, South and South-East Asia
180 000(150 000 –
210 000)1 100 000 16%
Europe and Central Asia
21 000 (20 000 –
22 000)160 000 13%
North Africa and the Middle East
4 000(3 000 –
5 000)75 000 5%
Total 1 330 000(1 200 000 –
1 460 000)6.5 million 20%
Number of people receiving ARV therapy in low and middle
income countries, 2002—2005
end2002
mid-2003
end2003
mid-2004
end2004
mid-2005
end2005
0
100
200
300
400
500
600
700
800
900
1 000
1 100
1 200
1 300
1 400
Pe
op
le r
ec
eiv
ing
AR
V t
he
rap
y (
in t
ho
us
an
ds
)
North Africa and the Middle East
Europe and Central Asia
East, South and South-East Asia
Latin America and the Caribbean
Sub-Saharan Africa
Percentage of people on antiretroviral therapy among
those in need, December 2005
Percentage of people in sub-Saharan Africa on antiretroviral therapy among those in need
Percentage of women among all adults receiving antiretroviral
therapy, 2005
Global HIV/AIDS spending in millions of US dollars, 1996—
2004
0
1 000
2 000
3 000
4 000
5 000
6 000
7 000
Mil
lio
ns o
f U
S d
oll
ars
1996 2000 2001 2002 2003 2004
Year
Domestic
Private
Multilateral
Bilateral
International HIV/AIDS Funders
• World Health Organization (WHO)
• United Nations (UNAIDS)
• Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria
• President’s Emergency Plan for AIDS Relief (Emergency Plan)
• Department for International Development (DFID)
• The Gates Foundation
The President’s Emergency Plan for AIDS Relief
• Goals:
– Treat 2 million HIV-infected people
– Prevent 7 million new infections
– Care for 10 million HIV-infected individuals and AIDS orphans
The President’s Emergency Plan for AIDS Relief
• $15 billion in 5 years
• 15 focus countries:– Africa (12)– Caribbean (2)– Asia (1)
• 30+ other countries
US Government Partners• HRSA• CDC• USAID• DoS (OGAC,
Embassies)• Peace Corps• US Census Bureau• DoD
HRSA/HAB Ryan White CARE Act
• Work in partnership with US (Domestic) Federal, State and local government organizations as the largest provider of HIV/AIDS health care, training and technical assistance in the world.
• Provide grants to thousands of community, faith-based & non-governmental organizations.
• Support and develop culturally appropriate HIV/AIDS health care services in underserved and low resource areas around the country by: – Supporting local community planning – Expanding health care capacity and infrastructure – Targeting services to special populations – Training providers to help prevent high risk behaviors
that lead to HIV transmission
HRSA/HAB Global HIV/AIDS Program
• History • Objectives
– Care and Treatment– Education and Training– Technical Assistance– System Strengthening
Global HIV/AIDS Program Achievements
• Twinning Center• I-AETC• HMIS• Track 1.0• Monitoring and evaluation systems
Global HIV/AIDS Nursing ProgramAchievements
• Curricula Development
• Nurse Training
• Collaboration with ANAC
• Program Implementation
Next Steps – Current Work
• Monograph & Brochure• Nurse Registry - Uganda• Pre-service Training -Tanzania• Core Team Member – Namibia, Zambia• HCD TWG – Retention subcommittee, Extranet• I-AETC Advisor• Nurse Capacity Building Grant
– $500,000 x 3 years– Georgetown University
Strength does not come Strength does not come from physical capacity. It from physical capacity. It comes from an indomitable comes from an indomitable will.will.
Mahatma Gandhi, Mahatma Gandhi, August 11, 1920August 11, 1920
HRSA/Global HIV/AIDS Program
Carolyn M Hall, MSN/MPH, ACRN
5600 Fishers Lane, Suite 7-05
Rockville, MD 20857
301-443-5647