HIV and Hepatitis Prevention Programmes in Eastern Europe ...

[Pages:23]HIV and Hepatitis Prevention Programmes in Eastern Europe

Case Example: Georgia

Nikoloz Chkhartishvili, MD, MS, PhD

Deputy Executive Director for Research Infectious Diseases, AIDS and Clinical Immunology

Research Center

30-31 January 2019, Bucharest

? No conflicts of interest

30-31 January 2019, Bucharest

HIV in Georgia

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018

Anti-HIV+

% Estimated Number

0.4%

10 500

Number of New Diagnoses

800

717 719

700

672 631

600 500 400

344 351 385 455 424 526 490 564

300

200

100

0

Distribution of New Diagnoses by Transmission Categories

80% 60% 40% 20%

0%

IDU Hetero MSM

30-31 January 2019, Bucharest

HCV in Georgia

2015 Population Survey

%

Estimated number

anti-HCV+

7.7%

208 000

HCV RNA+

5.4%

150 000

HCV/HIV Ratio: 19.8

30-31 January 2019, Bucharest

Risk Factors for HCV Infection

Undeter mined; 46,7%

IDU only; 33,6%

IDU + Blood transfus.; 4,6% Blood transfus. only; 15,1%

Baliashvili D et al. Abstract THU-203; EASL 2017.

Timeline of HIV Response in Georgia

HIV Lab

National programs on AIDS prevention and treatment

Triple ART

Arrival of Global Fund: ART and PMTCT scale-up

Prevention roll-out

Transition from GF to domestic funding by 2022:

OST and ART already transitioned

PMTCT NSP

Treat All

OST

PrEP

1984

1994 1997 2001 2002 2004 2005

30-31 January 2019, Bucharest

2015 2017 2019

Needles and Syringes Distributed, 2011-2017

Total needles/syrunges distributed 5

Needles/syringes distributed per PWID

100

Millions

4

80

3

60

2

40

1

0.9 mln

0

2011

1.0 mln

2012

30-31 January 2019, Bucharest

2.0 mln

2013

3.6 mln

2014

3.6 mln

2015

4.5 mln

2016

20

3.8 mln

0 2017

GAM Country Reports 2011-2017

Needles/Syringes Distributed Per PWID Per Year in Eastern Europe and Central Asia (EECA)

Tajikistan Kyrgyzstan

Estonia Kazakhstan Uzbekistan

Latvia Azerbaijan

Ukraine Republic of Moldova

Armenia Georgia Belarus Lithuania

0

50

30-31 January 2019, Bucharest

100

150

200

250

300

UNAIDS AIDSInfo

OST Program in Georgia

? OST introduced in 2005 through the Global Fund Support

? Since 2017 the service is fully funded by the Government

? The service is free to all in need

30-31 January 2019, Bucharest

No of persons on OST OST Coverage (%)

OST Coverage

9000

35%

8000

30%

7000 25%

6000

5000

20%

4000 3000 2000

1000 1 008

0

2015

4 736 2016

15%

10%

5%

7 905

0%

2017

GAM Country Reports 2015-2017

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