STOP HIV/AIDS

Rolando Barrios, MD, FRCPCAssistant Director

BC Centre for Excellence in HIV/AIDSAssistant Medical Director

HIV/AIDS Program Providence Health CareAdjunct Professor – School of Population and Public Health, UBC

Background:• Natural History of HIV is well known.• The importance of early HIV diagnosing and its

impact on transmission and outcomes.• The importance of timely access to care, and

support.• The role of ARV treatment both at individual and

population level.• Increase understanding of HIV as a chronic

manageable condition requiring greater involvement from patients (self-management)

HOW HIV affects BC

• 1:4 people infected with HIV are unaware of their HIV positive status.• They won’t benefit from care and treatment• They contribute to ~ 60% of new infections

• 1:3 people dying from HIV in BC have never accessed ARV treatment.

• Higher HIV rates among particular groups• Higher mortality rates in some geographic

areas

STOP HIV/AIDS

• Business case for the need to expand HIV care and treatment was prepared

• Government decided to implement a Pilot Project in the two most affected areas• Vancouver’s inner city• Downtown Prince George

• Funded provided to VCH, NH, PHSA, BCCFE and PHC.

• Development of strategic goals and a model for monitoring and evaluation was developed

Indicators# Indicator Provincial Vancouver Northern

Interior

7 HCV & HIV Testing 50% 62% 65%

9 Advanced HIV at Diagnosis 14% 13% <1%

11 Acute Infection 6% 9% 6%

14 Late ARV initiation 29% 24% <1%

21 DRT before ARV start 84% 84% 100%

22 Suppressed pVL on ART 61% 64% 57%

23 Appropriate ART combination

81% 81% 100%

24 Rx refill adherence 73% 76% 46%

25 # MDs initiating ARV Rx 46 33 1

29 ARV regimen change 3.72 3.81% 0%

STOP HIV/AIDS Pilot Project – Indicators Report (August 2010)

LISA Survey

VCH NHA LISA

Unstable housing* 37% 29% 32%

Receiving Income Assistance 75% 85%

Food insecure 70% 86% 66%

Unemployment 78% 67%

Not satisfied with physician 5% 14% 6%

LISA Participants: N= 1000. 2% from NHA and 67% from VCH

26% Women, 81% use HIV-related programs and services regularly

*Unstable housing defined as living in a hotel, boarding room, hostel, transition house, prison, hospital or not having a fixed address at the time of the interview

Hogg et al. 2009 (Summary statistics of the LISA Project)

LISA Participants: N= 1000. 2% from NHA and 67% from VCH

26% Women, 81% use HIV-related programs and services regularly

*Unstable housing defined as living in a hotel, boarding room, hostel, transition house, prison, hospital or not having a fixed address at the time of the interview

Hogg et al. 2009 (Summary statistics of the LISA Project)

• Questions?

• Contact:

Rolando Barrios: rbarrios@cfenet.ubc.ca