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Epidemiologi of HIV AIDS In Indonesia 2012 by: Prijono Satyabakti Departement of Epidemiology Affairs, Tropical and Infectious Disease Hospital Airlangga Univercity Bact to Basic: How HIV is transmitted? Two main modes of HIV transmission Network of HIV Transmission Risk 53% Customer Low-risk man ? Women sex workers 3.4% 50% ? Injection drugs Man sex workers 53% ? 35% Spouse Low-risk women AIDS Cases by Risk Factor (In 2011) What triggered the epidemic of HIV and AIDS in Indonesia? +320,000 +230,000 IDU +3,1million Men buy sex Female Sex Workers +1.6 million (2% adult male) Women who marry man infected with AIDS +800,000 Gay, Transjender man Male Female Infant & children Number of HIV Cases Number of Cases 25000 20000 15000 HIV Cases AIDS Cases 10000 5000 0 tahun tahun tahun tahun tahun tahun tahun 2005 2006 2007 2008 2009 2010 2011 Years Presentage of HIV AIDS by Age Group Presentage of AIDS Cases by Age Group in Indonesia in 2011 50 45.4 45 40 35 30.7 30 25 20 15 9.9 10 5 0.9 1.4 0.7 3.7 5.-14 15-19 3.1 0.8 3.4 0 <1 1.-4 20-29 Age Group 30-39 40-49 50-59 ≥60 unknown Percentage of HIV-AIDS by Sex AIDS Cases Number by Occupation The cumulative number of AIDS cases by occupation in Indonesia in 1987-2011 self-employed / own business 3481 2998 housewife non-professional staff (employees) 2882 farmer / rancher / fisherman 1051 1002 unskilled laborers school / college students 885 sex workers 702 632 civil convict 512 driver 497 non-medical professionals 247 sailor 236 166 132 members of the Armed Forces / Police steward / stewardess / pilot artist / actress / actor 130 medical professionals 97 tourist 24 manager / executive 20 0 500 1000 1500 2000 2500 3000 3500 4000 The Number of AIDS Cases by Occupation in Indonesia in 2011 622 housewife non-professional staff (employess) 587 self-employed/own bussiness 544 farmer / rancher / fisherman 251 unskilled laborers 173 school / college students 140 sex workers 123 civil 105 convict 79 driver 78 non-medical professionals 47 sailor 36 26 members of the Armed Forces / Police steward / stewardess / pilot 8 artist / actress / actor 4 medical professionals 2 tourist 1 manager / executive 1 0 100 200 300 400 500 600 700 Number of AIDS Cases by Province Case Fatality Rate (CFR) Case Fatality Rate AIDS by Years In Indonesia, 1987-2011 Percent Years Presentage of AIDS Cumulative Cases by Risk Factor a Periode of 5 years, 1991-1995, 1996-2000, 2001-2005, 2006-2010 VISION CONTROL OF HIV/AIDS CONTROLLINGTHE SPREAD OF HIV INFECTION AND STD AND IMPROVING THE QUALITY OF PLWHA LIFE MISSION CONTROL OF HIV / AIDS Control the spread of HIV infection, STDs and HIV & AIDS impact through prevention efforts, improve service quality and reach of people living with HIV and communities. Strategy to Control HIV-AIDS and STD in Indonesia 1. 2. 3. 4. 5. 6. Private and civil society sector empowerment Promotive, preventive priority Financing Human resource development and empowerment Treatment, investigation Control management NATIONAL POLICY 1. Increase advocacy, socialization, and capacity building. 2. Enhance management capabilities and professionalism in the control of HIV-AIDS and STDs. 3. Improve the accessibility and quality control of HIVAIDS and STDs. 4. Increase the range of services 5. Priority to community-based program. 6. Improve networks and partnerships and cooperation. 7. Promote the resources 8. Priority to promotive and preventive. 9. Prioritizing the achievement of MDG's, national and international commitments. GENERAL PURPOSE Improve the control of HIV-AIDS and STD effectively and efficiently in order to achieve public health degree as high. SPECIAL PURPOSE 1. Decrease the number of new cases of HIV as low as possible (long-term target: zero new infection) 2. Decrease the levels of discrimination as low as possible (long-term target: zero discrimination) 3.Reduce AIDS death rates as low as possible (longterm target: zero AIDS-related 4.Improve the quality of life of people living with HIV Sasaran Activities Indicator Target 2010 Control of HIV-AIDS 1 HIV prevalence in population aged 15-49 years. 2. Percentage of population aged 15-24 years who have comprehensive knowledge about HIV-AIDS 3. Number of people aged 15 years or older who received HIV testing and counseling 4. Percentage of districts / cities that implement appropriate guidelines for the prevention of HIV transmission 5. Condom use in high-risk groups 6. PLWHA percentage who received antiretroviral treatment 7. Percentage of holding the Government Hospital referral services for PLWHA. 2011 2012 2013 2014 0,2% <0,5% <0,5% <0,5% <0,5% 65% 75% 85% 90% 95% 300.000 400.000 500.000 600.000 700.000 50% 60% 70% 80% 90% 25% (M) 20% (F) 70% 35%(M) 20%(F) 75% 45%(M) 30%(F) 80% 55%(M) 40%(F) 85% 65%(M) 50%(F) 90% 60% 70% 80% 85% 90% THANK YOU