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"No child should be born with HIV; no child should be an orphan because of HIV; no child should die due to lack of access to treatment."

- UN Secretary-General Ban Ki Moon, September 2009

Front page

REGIONAL SCENARIO
EPIDEMIOLOGY

Greater than 95% HIV burden borne by 10 countries
Cambodia, China, India, Indonesia, Malaysia, Myanmar, Nepal, Papua New Guinea, Thailand and Vietnam

4,880,000 people living with HIV
1.68 million (34%) women
168,000 children (>14 years)

360,000 newly infected by HIV in 2009

21,000 newly infected children - Greater than 90% due to parent to child transmission (PTCT)
About half of the children newly infected with HIV in Asia-Pacific die without treatment
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PPTCT PRACTICES AND COVERAGE

69 million annual pregnancies
Only 35% of pregnant women are tested

73,000 HIV+ pregnant women
32% received ARV prophylaxis
32% HIV-exposed infants received ARV

Less than 10% of countries implement Early Infant Diagnosis (EID)

A growing proportion of women are infected through sex with their spouse or intimate male partners

  • 33% of all new infections now occur between married couples or sexual partners in Thailand
  • 60% of people newly diagnosed with HIV are women in Papua New Guinea
  • HIV-positive women now outnumber men in Cambodia and India

The trend is signalling a possible rise in HIV transmission to newborns if Prevention of Parent-to-Child Transmission services are not scaled up

CONGENITAL SYPHILIS
REGIONAL EPIDEMIOLOGY AND SCREENING PROCESS
600,000 pregnant women newly infected with syphilis each year

Antenatal syphilis screening practices vary across regions
Routinely conducted for all ANC attendees: Thailand, Malaysia, Papua New Guinea, Sri Lanka

Antenatal syphilis prevalence
Up to 6-7%: Papua New Guinea and Solomon Islands
0.04-0.07%: Bangladesh, China, India and Myanmar

Few pregnant women receive ART for their own health and survival
Early Infant Diagnosis (EID) coverage is less than 10% in most countries
Loss to follow-up is high
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113,000 HIV+ children eligible for ART
43,800 currently receiving treatment
Disparity of ART coverage for children among regions
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48% East Asia Pacific
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33% South Asia
41% infants in general population receive exclusive breastfeeding from birth to 6 months of age

Overall Targets
overall-target-1.png Reduce new paediatric HIV infections by 90% by 2015
The target of reducing new paediatric HIV infections by 90% reflects the contributions of the
4-Prong strategy for PPTCT and signifies the importance of a comprehensive approach.
overall-target-2.png Reduce PTCT of HIV to <5%
The target of reducing parent-to-child transmission (PTCT) to less than 5% addresses efforts to eliminate vertical transmission of HIV.
overall-target-3.png Reduce incidence of CS to <0.5 per 1,000 live births
The target of reducing the incidence of congenital syphilis addresses efforts to eliminate vertical transmission of syphilis.
 

 

Click on the desired format (PDF - DOC), to download and view the latest, most comprehensive fact sheets or Click on country flags to see specific indicators, highlighted references and country level referral networks.

afghanistan.png Afghanistan
PDF - DOC
cambodia.png Cambodia
PDF - DOC
indonesia.png Indonesia
PDF - DOC
maldives.png Maldives
PDF - DOC
pakistan.png Pakistan
PDF - DOC
thailand.png Thailand
PDF - DOC
bangladesh.png Bangladesh
PDF - DOC
china.png China
PDF - DOC
laopdr.png Lao PDR
PDF - DOC
myanmar.png Myanmar
PDF - DOC
png.png Papua New Guinea
PDF - DOC
timorleste.png Timor Leste
PDF - DOC
bhutan.png Bhutan
PDF - DOC
india.png India
PDF - DOC
malaysia.png Malaysia
PDF - DOC
nepal.png Nepal
PDF - DOC
srilanka.png Sri Lanka
PDF - DOC
vietnam.png Vietnam
PDF - DOC
Elimination Certification - Country Eligibility
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Download Key References
• Eligibility Requirements
• Certification Application

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MDG4: Reduce Child Mortality
MDG5: Improve Maternal Health
MDG6: Combat HIV/AIDS, malaria, and other diseases

Potential Contributions of PTCT of HIV and CS Elimination toward Health Related MDGs

Understanding concurrent MNCH initiatives helps place PPTCT and ECS targets in the context of broader MNCH and sexual and reproductive health (SRH) agendas. Generating synergies between HIV and broader health and human development efforts represents a major opportunity for the PPTCT and ECS elimination initiatives. Comprehensive efforts to eliminate new paediatric HIV infections and CS may also contribute toward achieving MDGs 4, 5, and 6.

Downloads:

MDG Report 2011
MDG Progress Chart 2011