Swaziland HIV Incidence Measurement Survey Releases Initial Findings

Primary Group: HIV / AIDS

Write-up Date: twelve Mar 2012 – 1:00 PDT

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The 1st findings from a nationally consultant HIV survey were offered at the 19th Conference on Retroviruses and Opportunistic Infections (CROI 2012) in Seattle, WA. The Swaziland HIV Incidence Measurement Survey (SHIMS) discovered that overall HIV prevalence, or proportion of the populace dwelling with HIV infection, is 31% between older people ages 18-49. This figure matches the 2006 Demographic Wellbeing Survey findings for the identical age group, indicating that the HIV epidemic in Swaziland has stabilized more than the past five several years.

“The place carries on to have the highest national HIV prevalence fee in the globe, making this the most significant health concern in Swaziland. The Ministry of Health is making use of the findings from the SHIMS to tailor and enhance HIV prevention, care, and therapy applications in Swaziland,” explained Rejoice Nkambule, Deputy Director of Health Solutions – Community Wellbeing at the Ministry of Wellbeing.

The SHIMS was led by the Swaziland Ministry of Health and supported by the U.S. Centers for Disease Handle and Prevention (CDC) and ICAP at Columbia University’s Mailman School of Community Well being by means of the U.S. Presidents Plan for AIDS Aid (PEPFAR). This investigation is a multi-phase examine intended to evaluate the usefulness of HIV prevention providers in the country. The 1st stage of the SHIMS survey, now comprehensive, integrated roughly thirteen,000 households in Swaziland, representing a cross-area of the national populace and consisting of eighteen,a hundred and five men and girls, ages eighteen-49.

Findings from this very first phase indicate that the national prevalence of HIV is 31% among grownups ages eighteen-49. Current prevalence peaks at fifty four% for ladies ages thirty-34 and at forty eight% for men ages 35-39, which is higher than past estimates. The increase in prevalence amid this group of grown ups in their thirties may be due to an improved amount of men and women residing extended with HIV as a outcome of expanded accessibility to life-saving antiretroviral remedy (Art). At the same time, HIV prevalence has declined amid females less than 30 a long time outdated and men much less than 35 years aged. Developments from the Swaziland Antenatal HIV Sentinel Surveillance Surveys also point out declines in HIV prevalence amongst young women. This shift might indicate that the rate of new HIV infections among younger grown ups has declined.

The greater part of girls (68%) who examined HIV-positive in the course of the SHIMS survey ended up previously mindful of their standing. Even so, fifty percent (forty eight%) of the males who tested HIV-constructive in SHIMS had been not mindful of their status. As such, improving strategies to have interaction a lot more men in HIV screening and stimulate their use of health care solutions is essential.

Additionally, fifty percent (50%) of all HIV-positive grownups who were mindful of their HIV infection prior to SHIMS documented present use of Artwork. It is crucial to observe that these results do not mirror the proportion who are qualified for Art by CD4 count (an indicator of the stage of HIV infection). Speedy scale-up and decentralization of HIV solutions since 2005 have resulted in an improved number of folks on Artwork in Swaziland. Considering that Art therapy is now recognized to avoid the spread of new infections, the scale-up of Art could also have contributed to decrease prevalence prices among younger grownups.

“This study may give us the chance to seem at a ‘before-and-after’ photograph of HIV infection rates in Swaziland. It is impressive that in just one particular yr, hundreds of people have received HIV screening, figured out of their HIV standing, and ended up referred for treatment, remedy, and prevention providers by way of SHIMS,” mentioned Ms. Nkambule.

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Alongside with Ms. Nkambule, the principal investigators on SHIMS incorporate Dr. George Bicego, CDC nation director in Swaziland Dr. Jessica Justman, ICAP senior technical director and Dr. Jason Reed, CDC Atlanta, healthcare epidemiologist in the Middle for International Well being, Division of Worldwide HIV/AIDS. Further assist for SHIMS has been supplied by Swaziland’s Countrywide Reference Laboratory and Central Statistical Place of work, Statistical Heart for HIV/AIDS Analysis &amp Prevention (SCHARP) at the Fred Hutchinson Most cancers Center in the United States, and Maromi Health Analysis and EpiCentre in South Africa.
Columbia University’s Mailman College of Public Health
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