moldova

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MOLDOVA Estimated number of PLWH: 12 000 people 1 Number of registered cases of HIV-infection: 7 032 2 , including children under 14 – 82 3 Initiation of ART in country: 2003 4 Sources of ART funding in 2011: the Global Fund 7 . Number of PLWH receiving ART by years (2004-2011) 6,8 : Coverage of people receiving ART 5 (as of end of 2010): by age: adults (15+) - 97%, children (< 15) - 3%. by sex: men - 56%, women - 44%. ESTIMATED DATA Estimated number of PLWH needing ART: 4 900 5 . Estimated ART coverage (access) percentage of PLWH: in 2009 – 25% 6 , 2010 – 25% 6 . Access to ART UNAIDS estimates 2009 25% 75% covered by treatment 2010 25% 75% not covered by treatment TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +26%; 2011 - +35% Continue to receive ART 12 months after initiation: 88,3% in 2009 4 ART coverage (access to ART of PLWH, who have indication for treatment): 95,3% (1°666) PLWH, among 1°748 who need ART 8 . 2009 984 2010 1237 2011 1666 Treatment progress +2 6 % +3 5 % increase C o n ti n u e re ce i ve AR T afte r 1 2 mo n th s 8 8,3 % In 2 0 09 NEED IN ART Number of PLWH needing ART but not receiving treatment: 117 have indications for ART, but do not initiate it due to different reasons, medicines for them are available 8 . Number of PLWH for whom procurement of ARV medicines is planned in 2012: for 2321 adults and for 62 children 8 . DISCONTINUATION OF ART Discontinued treatment: 387 people (19,7%) from the total number of 1956 PLWH, who initiated ART (as of 01.09.2011) 7 . Main reason of discontinuation of ART: in 40% cases due to death 7 . Treatment is under regulations of: Clinical protocol of HIV/AIDS treatment, 2009 9 . Immunologic indications for ATR initiation, CD4 cells/mm3 9 : CD4 <350. Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens 9 : yes. Refusal of Stavudin(d4T)-containing regimens 9 : yes. ART IN CHILDREN (<15) Estimated number of children needing ART: <100 - <200 5 . Estimated ART coverage (access) of children (<15) in 2010: 28- 54% 5 . Receive ART: 52 children 8 (3,1% among 1 666 PLWH, who receive ART). Need ART but not receiving: n/a Treatment is under regulations of: n/a 1 As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010 2 Republican AIDS-Centre, cumulative number from the start of case registration, as of 01.01.2012. 3 T.Chorba Republic hospital of infectious diseases, cumulative number from the start of case registration, as of 27.10.2011 4 UNGASS Progress Report 2008–2009: Republic of Moldova, 2010. 5 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/2011/201 11130_UA_Report_en.pdf 6 Source: UNAIDS / WHO, http://aidsinfo.unaids.org 7 Information was provided by ECUO FP in Moldova, source of information – materials of the National HIV/AIDS conference December 5-7, 2012, as of 01.09.2011. 8 Information was provided by ECUO FP in Moldova, as of 01.01.2012. 9 GHID naţional de tratament şi îngrijiri în infecţia HIV şi SIDA, 2009. 120 222 262 464 682 984 1237 1666 0 200 400 600 800 1000 1200 1400 1600 1800 2004 2005 2006 2007 2008 2009 2010 2011

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MOLDOVA

Estimated number of PLWH: 12 000 people1

Number of registered cases of HIV-infection: 7 0322, including

children under 14 – 823

Initiation of ART in country: 20034

Sources of ART funding in 2011: the Global Fund7.

Number of PLWH receiving ART by years (2004-2011)6,8

:

Coverage of people receiving ART5

(as of end of 2010):

by age: adults (15+) - 97%, children (< 15) - 3%.

by sex: men - 56%, women - 44%.

ESTIMATED DATA

Estimated number of PLWH needing ART: 4 9005.

Estimated ART coverage (access) percentage of PLWH: in 2009 – 25%

6, 2010 – 25%

6.

Access to ARTUNAIDS estimates

2009

25%75%

covered by treatment

2010

25%75%

not covered by treatment

TREATMENT PROGRESS Increase in treatment (in absolute numbers): 2010 – +26%; 2011 - +35%

Continue to receive ART 12 months after initiation: 88,3% in 2009

4

ART coverage (access to ART of PLWH, who have indication for treatment): 95,3% (1°666) PLWH, among 1°748 who need ART

8.

2 0 0 9

984

2010

1237

2011

1666

Treatment progress

+26%

+35%increase

C o n tin u e re ce ive ART afte r 1 2 mo n th s 8 8,3 % In2 0 09

NEED IN ART

Number of PLWH needing ART but not receiving treatment: 117 have indications for ART, but do not initiate it due to different reasons, medicines for them are available

8.

Number of PLWH for whom procurement of ARV medicines is planned in 2012: for 2321 adults and for 62 children

8.

DISCONTINUATION OF ART

Discontinued treatment: 387 people (19,7%) from the total number of 1956 PLWH, who initiated ART (as of 01.09.2011)

7.

Main reason of discontinuation of ART: in 40% cases due to death

7.

Treatment is under regulations of: Clinical protocol of HIV/AIDS treatment, 2009

9.

Immunologic indications for ATR initiation, CD4 cells/mm39:

CD4 <350.

Use of Tenofovir(TDF, TDF/FTC)--containing ART regimens9: yes.

Refusal of Stavudin(d4T)-containing regimens9: yes.

ART IN CHILDREN (<15) Estimated number of children needing ART: <100 - <200

5.

Estimated ART coverage (access) of children (<15) in 2010: 28-54%

5.

Receive ART: 52 children8

(3,1% among 1 666 PLWH, who receive

ART).

Need ART but not receiving: n/a

Treatment is under regulations of: n/a

1 As of 31.12.2009, http://www.aidsinfoonline.org/,UNAIDS_Estimate_2010 2 Republican AIDS-Centre, cumulative number from the start of case registration, as of 01.01.2012. 3 T.Chorba Republic hospital of infectious diseases, cumulative number from the start of case registration, as of 27.10.2011 4 UNGASS Progress Report 2008–2009: Republic of Moldova, 2010. 5 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_UA_Report_en.pdf 6 Source: UNAIDS / WHO, http://aidsinfo.unaids.org 7 Information was provided by ECUO FP in Moldova, source of information – materials of the National HIV/AIDS conference December 5-7, 2012, as of 01.09.2011. 8 Information was provided by ECUO FP in Moldova, as of 01.01.2012. 9 GHID naţional de tratament şi îngrijiri în infecţia HIV şi SIDA, 2009.

120 222 262

464

682

984

1237

1666

0

200

400

600

800

1000

1200

1400

1600

1800

2004 2005 2006 2007 2008 2009 2010 2011