An Overview Snapshot on HIV Integrated Biological and Behavioral Surveillance: National Survey Pakistan

Abstract

Objectives: To determine the prevalence of HIV in IDUs, MSWs„ HSWs and understand its transmission dynamics. Methods: This cross-sectional study was done to evaluate the behavioral and biological analysis of three national surveys, conducted from Jan to Dec, 2017 in Pakistan on high risk cohorts including; Injecting Drug Users (IDLES), Male and female sex workers (MSWs and FSWs), though the largest elevated risk cohorts, Hijira sex workers (HSWs) excluded from third surveillance phase because of the steadily less sero-pervasiveness cases detected in follow up surveillance phases such as 0.2% during phase 1(2006) 0.02% during phase 2(2013) and 0.01% phase 3(2016-17). The behaviors. data were gathered using a validated questionnaire. The data with regards to demographic characteristics, and indicators related to behavioral risk were located from the literature on HIV/AIDS, that includes variables in relation to profession, practices, risk behavior & knowledge on HIV and STIs. The biological data method includes capillary blood samples "Dried Blood Spot- (DBS) methodology. Results: The sero-pervasiveness among Male sex workers was 0.9%: highest (3.1%) was MSWs reported from Karachi. While the HIV pervasiveness was 6.4% in HSWs: highest pervasiveness detected was 27.6% from Larkana. .phase 31°4, of HSWs reported having awareness with regards to HIV prevention-project (SDP) in their respective area; on the other hand only 18,3% participation identified in SDP. The antibodies to HIV in their blood serum among IDUs was 21%; the highest pervasiveness of injecting drug users was from district Hyderabad (30.5°./6). shadowed by Larkana (28.5%) district, Karachi (23.1%) and Sargodha (22.8'1 fl Conclusions: intensive HIV prevelance in IDU population group of Pakistan now well proven despite various preventive efforts. the disease rates among IDUs has increased from 10.8% in 2013 to nearly 21% in 2017. The pattern specifies that HIV is growthing in a way to become proven in other H.RGs as well.