Download Epidemiologi of HIV AIDS In Indonesia 2012

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