ncasc infographics 2016...
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Treatment Cascade 2015
45000
40000
35000
25000
20000
15000
10000
5000
0
39397
Estimated Number of PLHIV
PLHIV Received ART Retension on ART
(12 months)
Viral Load Test Viral Load Suppression
Linked to HIV care
Number of alive PLHIV and know their status
20307
99795860
TRUCKERS(Clients of FSWs) Survey Areas: 22 Highway Districts Rounds: 4 Years: 1999, 2003, 2006, 2009
MLMSurvey Areas: Western, Mid & Far-Western Districts Rounds: 5Years: 2006, 2008, 2010a, 2012, 2015
70
60
50
40
30
20
10
0
14000
12000
10000
8000
6000
4000
2000
02004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
23
35
522 13332536
35504867
64837719
886610407
1192265
6153
443936
2517
92 1723
PLHIV on ART Cumulative number of ART sites
142,043 158,146 187,552
125 162
139 131
142 162
136 127
2013 2014 2015
Tested for HIV (ANC &
Labour)
Total Deliveries by HIV+ve Mothers
Mothers Received ART
Babies Received Prophylaxis
HIV Positive Pregnant
Women88
115
145
114
Prevalence of Active Syphilis and HIV among FSWs in
Kathmandu Valley
Active Syphilis
3.6%Active
Syphilis
0.5%Kathmandu 6.4%
Eastern Terai 8.3%Pokhara 2.8%
Western Hilly
Districts
0.3%
Mid and Far-Western
Hilly Districts
0.6%
HIV
2%HIV
2.4%
FSWs MSM & TG PWID MLM
Prevalence of Active Syphilis and HIV
among MSM & TG in Kathmandu Valley
Prevalence of HIV among PWID
Prevalence of HIV among MLM
Prevalence of HIV & STI 2015 HIV Surveillance in Nepal
PMTCT in Nepal - 2015
PWIDSurvey Areas: Kathmandu Valley Pokhara Valley Eastern Terai Districts West to Far-West Terai Districts
Rounds: 666 4
Years: 2002, 2005, 2007, 2009, 2011, 2015 2003, 2005, 2007, 2009, 2011, 2015 2003, 2005, 2007, 2009, 2012, 2015 2005, 2007, 2009, 2012
Survey Areas: Kathmandu Valley Pokhara Valley 16 Terai Highway Districts 6 Terai Highway Districts
Rounds: 5 4 5 4
Years: 2004, 2006, 2008, 2011, 2015 2004, 2006, 2008, 2011 1999, 2003, 2006, 2009, 2012 2004, 2006, 2009, 2012
Survey Areas: Far-Western Districts Rounds: 2 Years: 2008, 2010b
WIVES OF MIGRANTS
FSWs
MSM & TGSurvey Areas: Kathmandu Valley Rounds: 5 Years: 2004, 2007, 2009, 2015
Antiretroviral Therapy Services in Nepal
56 Rounds IBBS Surveys
(2000-2015)
Wives of MigrantsWives of Migrants
FSWsTruckers(Clients of FSWs)
MSM & TGMSM & TG
MLMPWIDPWID
HIV Testing and Counseling 2008 -2015180000
160000
140000
120000
100000
80000
60000
40000
20000
0
3000
2500
2000
1500
1000
500
02008 2009 2010 2011 2012 2013 2014 2015
HIV POSITVE
2014 2015 74 191
Children < 18 months
Tested PCR
4 15Positive PCR
Comprehensive PMTCT services started in Nepal
since February 2005
71.2%Patients on the
1st Line Regimen
848727.2%
Patients substituted on the 1st Line Regimen
32481.6%Patients on the
2nd Line Regimen
187
Total on ART
11922(as of December 2015)
5,640Female
6,252 Male
30TG
52.4%Male
47.3%Female
0.25%TG
Adults11,029
92.5%
Adults
893ChildrenChildren
7.5%
33%
37%
46%5249
PLHIVs are yet to be identifi ed to reach 90%
PLHIVs are yet to initiate ART
PLHIVs are yet to have suppressed
viral load
Far Western
Mid Western
Western
CentralEastern
18%
9%
24%
37%12%
Male: 1,391Female: 1,171Transgender: 6TOTAL: 2,568
Male: 739Female: 580Transgender: 5TOTAL: 1,324
Male: 1,975Female: 1,468Transgender: 6TOTAL: 3,449
Male: 1,078Female: 665Transgender: 17TOTAL: 1,760
Male: 3,351Female: 2,073Transgender: 36TOTAL: 5,460
Distribution of Reported HIV cases by Region.2015
Opioid Substitution Therapy 2015On Methadone at the End of 2015
Male778
Female85
Total863
Sites10
Male153
Female3
Total156
Sites6
On Buprenorphine at the End of 2015
53309
2387
2110 20152060
2433 2426
1907
1610
62672
10632595501
120450 139566
116439
164051
22267
11922
18,885
15 Years and above
1,361
Between 5-14 Years
61
Below 5 Years Old
11,726Male
8,529Female52
TG20,307
PLHIV receiving HIV care in 2015
Clients of SWs
37%Total: 8,172
Clients of SWs
Blood or Organ Recipients
0%Total: 89
Blood or Organ Recipients
Government of NepalMinistry of Health
National Centre for AIDS and STD ControlTeku, Kathmandu
“Ending the AIDS Epidemicas part of the Sustainable
Development Goals”
35%
9%
8%5% 3%
1%
40%Low Risk Females
MSM
IDUs
Clients of SWs
MSWs & TGSWs
FSWs
Low Risk Males(Including MLM)
Estimated People Living with HIV
in Nepal - 2015(Age - 15 and above)
TOTAL 39,281
1,589Children (0-14 years)
1,779Adults (15-24 years)
28,295Adults (25-49 years)
7,733Adults (50+ years)
815 875 16,967 5,792774 904 11,328 1,941
Estimated HIV Infections by Age Group, 2015
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Deaths
New
HIV
Infe
ction
s HIV Prevalencein 2015 (15+ Years)
Trends of New HIV Infections & HIV Related Deaths: 1985-2020
Nepal Estimates of HIV Infections - 2015
Total PLHIV 39,397HIV Prevalence (15-49) 0.206 Male living with HIV 24,449 (62%) Female living with HIV 14,947 (38%) Children with HIV (out of total infections) 1,589 (5%)
HIV Prevalence (15-24) 0.03New HIV Infections 1,331ART Need in 2015 (<500) 34,691Mother Needing eVT Services 414AIDS Deaths 2,263
Spouse/Partner of Migrant
4%Total: 935
Spouse/Partner of MigrantSpouse/Partner of Migrant
935Men who have Sex with Men
2%Total: 334
Migrant Workers
7%Total: 1,603
Migrant WorkersMigrant Workers
People who inject Drugs
12%Total: 2,561 12%
Others
34%Total: 7,504
Others
Sex Workers
5%Total: 1,069
Sex WorkersSex WorkersSex Workers
Clients of SWs
Total: 8,172People who inject DrugsPeople who inject DrugsPeople who People who inject DrugsPeople who inject DrugsPeople who
People Living with HIV in 2015
Living with
4%Total: 1,069
MALE13,524
FEMALE8,743
Total: 22,267
For more detail please contact:National Centre for AIDS and STD ControlTeky, Kathmandu, NepalPhone: 977 - 1- 4258219, 4261653, 4262753Email: [email protected]: 977 - 1- 4215149
www.ncasc.gov.npABBREVIATIONSANC- Antenatal care AIDS- Acquired Immuno Defi ciency Syndrome ART- Antiretroviral Therapy CSWs- Client of Sex Workers DBS- Dried Blood Spot EID- Early Infant Diagnosis FSWs- Female Sex Workers
HIV- Human Immuno Defi ciency Virus HTC- HIV Testing and CounselingMLM- Male Labor Migrants MSM- Men who have Sex with Men MSWs- Male Sex Workers PCR- Polymerase Chain Reaction PLHIV- People Living with
HIV PMTCT- Prevention of Mother to Child Transmission PWID- People Who Inject Drugs STI- Sexually Transmitted Infection SWs- Sex Workers TG- Transgender
0.50
0.40
0.30
0.20
0.10
0.00
HIV
Prev
alenc
e 1
5-49 Yrs.
8000
7000
6000
5000
4000
3000
2000
1000
0
0.20 (in 2015)
TGTG