New Strategiesfor HIV/AIDS Surveillancein Resource-ConstrainedCountries

Transcription

1 New Strategiesfor HIV/AIDS Surveillancein Resource-ConstrainedCountries AddisAbaba,Ethiopia 26-29January2004

2 New Strategies for HIV/AIDS Surveillance in Resource-Constrained Countries Addis Ababa, Ethiopia January 2004 United States Department of Health and Human Services Centers for Disease Control and Prevention Global AIDS Program United States Agency for International Development World Health Organization HIV/AIDS Bureau Joint United Nations Programme on HIV/AIDS European Commission

3 Conference Chairpersons: Theresa Diaz, M.D., M.P.H., Centers for Disease Control and Prevention Ties Boerma, M.D., Ph.D., World Health Organization Peter Ghys, M.D., Joint United Nations Programme on HIV and AIDS John Novak, Ph.D., United States Agency for International Development Edited by: George W. Rutherford, M.D., University of California, San Francisco, Institute for Global Health Theresa Diaz, M.D., M.P.H., Centers for Disease Control and Prevention, Global AIDS Program Conference Coordinators: Sadhna Patel, M.P.H., Centers for Disease Control and Prevention, Global AIDS Program Shabbir Ismail, M.D., Centers for Disease Control and Prevention, Global AIDS Program Ethiopia Rapporteur Team: George W. Rutherford, M.D., University of California, San Francisco Sheila Jain, M.P.H., San Francisco Department of Public Health Ezra Jones, M.P.H., Centers for Disease Control and Prevention Andrea Kim, Ph.D., University of California, San Francisco Rebecca Mammo, M.D., University of California, San Francisco William McFarland, M.D., Ph.D., San Francisco Department of Public Health Timothy Piland, M.P.H., University of California, San Francisco Sandra Schwarcz, M.D., M.P.H., San Francisco Department of Public Health Nicole Seguy, M.D., M.P.H., Centers for Disease Control and Prevention David Plate, M.P.H., Centers for Disease Control and Prevention Please address correspondence regarding this draft to: George W. Rutherford, M.D., Institute for Global Health, University of California, San Francisco, 74 New Montgomery Street, Suite 600, San Francisco, California , USA, Phone: +1 (415) , Fax: +1 (415) , The comments and presentations in this summary do not represent an endorsement by the sponsoring organizations.

4 TABLE OF CONTENTS List of Abbreviations... 4 Background... 5 Updates... 6 Update 1. Overview of the History, Current Status and New Approaches for HIV/AIDS Surveillance in Resource-Constrained Settings... 6 Update 2. Ethical Issues in Surveillance Update 3. Quality Assurance with HIV Testing Technologies Update 4. Informatics Update 5. State-of-the-Art Sampling for Hidden Populations: Time-Location and Respondent-Driven Sampling Update 6. Estimation and Projection Tools Sessions and Work Groups Session 1. Measuring Recent HIV Infection Session 2. General Population-Based Surveys Session 3. Linking Behavioral and HIV Surveillance Session 4. Use of VCT and PMTCT Data for Surveillance Session 5. AIDS Reporting and Monitoring the Impact of ART in the Context of Care and Treatment Session 6. Experiences in HIV Surveillance Data Use Summary of Key Issues from the Conference References Appendices List of participants Program agenda New Strategies for HIV/AIDS Surveillance in Resource-Constrained Countries 3

5 LIST OF ABBREVIATIONS AFRO, WHO Regional Office for Africa ANC, antenatal clinic ART, antiretroviral therapy ARV, antiretroviral ASICAL, Asociación para la Salúd Integral y Ciudandania de América Latina BSS, behavioral surveillance system CDC, U.S. Centers for Disease Control and Prevention CI, confidence interval CSW, commercial sex worker DHS, Demographic and Health Survey DSS, Demographic Surveillance Sites EIA, enzyme immunosorbent assay EPP, Epidemic Projections Package FHI, Family Health International GAP, Global AIDS Program HAART, highly active antiretroviral therapy HRSA, U.S. Health Resources and Services Administration IDU, injection drug user IUATLD, International Union Against Tuberculosis and Lung Diseases MSM, men who have sex with men PCR, polymerase chain reaction PEPFAR, Presidential Emergency Program for AIDS Relief PLACE, Priorities for Local AIDS Control Efforts PMTCT, prevention of mother-to-child transmission QA, quality assurance QC, quality control RDS, respondent-driven sampling RPR, rapid plasma reagin STARHS, serological algorithm for recent HIV seroconversion STI, sexually transmitted infection TLS, time-location sampling UNAIDS, Joint United Nations Programme on HIV and AIDS UNGASS, United Nations General Assembly Special Session UNICEF, United Nations Children s Fund USAID, United States Agency for International Development USD, United States dollars WHO, World Health Organization 4