津巴布韦视角下的艾滋病毒预防中的自愿医疗男性包皮环切术.pptxVIP

VMMCInHIVPrevention–PerspectivesfromZimbabwe

SnapshotoftheHIVEpidemicinZimbabweHIVandAIDSemergedasapublichealththreatinZimbabweinthemid-1980sandremainsoneofthetopheavilyburdenedcountries.InZimbabwetheepidemicislargelydrivenbyunprotectedheterosexualsex,withgrowingepidemicsamongkeypopulationgroupsathigherriskofHIV.KeyEpidemicMetrics(2020)1PeopleLivingwithHIV–1.3millionHIVPrevalence(adults15+)–12.6%Youngwomenaged15-24–5.6%(youngmen–3.0%)KeyPopulations-disproportionallyhighNewHIVInfections–25,000Youngwomenaged15-24–7,200Youngmenaged15-24–2,300AIDSrelateddeaths–22,000HIVPrevalencebyProvince21UNAIDSAIDSInfo,20202Zimphia,2020

EpidemicProfile|ZimbabwehasreachedepidemiccontrolKeyObservationsThecountryhasanestimated1.3millionpeoplelivingwithHIV(PLHIV),ofwhich60%arefemales,6%arechildrenaged0-14yearsold,and9%areadolescentsandyoungpeopleaged15-24years.KeypopulationsreportedahigherHIVprevalence:sexworkers(42.2%),transgenderpeople(27.5%),andmenwhohavesexwithmen(21%)(UNAIDS,2022)3

4STIprogrammeEstablishedin1990ThepresenceofanuntreatedSTIincreasestheriskofHIVinfection.IntegrationofroutineSTImanagementwithreportedcasesdecliningby70%in2020.PMTCTprogrammeEstablishedin2002Zimbabwehasachieved99%testingcoverageofallpregnantwomenand93.5%ofHIV-positivepregnantwomenonARTin2019.DailyOralPrEPprogrammeEstablishedin2016HighadherencetodailyoralPrEPreducestheriskofHIVbyover90%.DailyoralPrEPcumulativeinitiationshaveexceeded79,918,asat2022.PEPprogrammeEstablishedin2016PEPistheonlywaytoreducetheriskofHIVinfectioninanindividualwhohasbeenexposedtoHIV.PEPcanreducetheriskofHIVinfectionbyover80%.19901992200220092016CondomsprogrammeEstablishedin1990ConsistentandcorrectuseofcondomscanreduceHIVacquisition