Scalinguptestingandcounsellingasitlooksfromtreatment.ppt

Scaling up testing and counselling as it looks from treatment data monitoring perspectives: The applied research outcomes and the policy implications it generates – Dutch experience;Outline;HMF and TC ;HIV and AIDS current situation in the Netherlands;Less AIDS and death;Ten years HAART in the Netherlands;How many are infected?;18.500 HIV infected persons;How many HIV positives are registered?;12059 patients are registered;How many got AIDS?;3468 AIDS diagnoses;Time to death within 3 years of starting HAART according to CDC-C classification;How many died?;985 deaths;Causes of death;Standardised Mortality Ratio ;Predicted survival probability;How many patients are (not) on HAART?;8292 HAART treated: Virological effect;Immunological effect of HAART;HIV resistance in treated patients;Transmission of resistant HIV;Effect of HAART on the epidemic?;Model Framework ;HIV concentration over time;HIV concentration over time (treated);Predictions past;Predictions future;Conclusions;Conclusions;Testing Counselling should be effective;Acknowledgements;Acknowledgements;Time to death within 3 years of starting HAART according to CDC-C classification;Predictions future;Simulations past;HIV Monitoring Foundation