Integrated Behavioral Surveillance Survey among MSM in Bangkok

Transcription

1 Integrated Behavioral Surveillance Survey among MSM in Bangkok Dr. Chantapat Brukesawan, Director of Health Center 26 Chaokhunprayurawong, Health Department Bangkok Administration,Thailand

2 Outline Introduction - Bangkok Administration - Bangkok AIDS Situation - Bangkok HIV/AIDS Response Integrated Behavioral Surveillance Survey among MSM in Bangkok Result & Discussion Conclusion Action

3 Introduction

4 1,568 sqkm 2 50 districts 17,762 Workplaces 438 BMA Schools Population 5,686,252 2,694,921 2,991,331 2,051 registered communities ~2,000-6,000 Sex establishments ท มา : หน งส อสถ ต กทม. ป 2558

5 Organization Chart of Bangkok Metropolitan Administration Governor Permanent Secretary for BMA BMA Civil Services commission BMA Council Office of Permanent Secretary for BMA Strategy and Evaluation Dept. Education Dept. Finance Dept. Drainage And Sewerage Dept. Public Works Dept. City Planning Dept. Social DevelopD ept. Culture Sports And Tourism Dept. Disaster Prevention And Mitigation Dept. Medical Service Dept. 8 Hospital 68 Health Center Health Department 12 Division BMA Budget Dept. 50 District Offices Environment Dept. Traffic and Transportation Dept. City Law Enforcement Dept.

6 Bangkok AIDS Situation

7 Increased focus where of new infections occur with effective package of intervention 100% 90% 80% 70% 6% 30% Casual and Extramarital sex Spousal transmission 65% of new 60% 50% 40% 30% infections 20% 44% 10% 10% 11% Injection Drug User Sex worker and clients Male who had sex with male 0% - 66% of new infections occur in 33 provinces

8 Estimated number of new infection by route of transmission Needle sharing Male-male sex Casual sex Wife to husband Husband to wife Sex Work Source : Aids Epidemic Model(AEM), AIDS TB & STIs Division, Bangkok 2015

9 Bangkok shares 1/3 of total new infections, 40% among MSM, SW & clients and IDU % ,040 New infections in Thailand 28,747 New infections in Thailand ,643 27% In Bangkok 9,667 36% In Bangkok 0 Total MSM, SW & clients and IDU Number of new infections ( Total, MSM, SW & clients and IDU) In Bangkok compared to Thailand

10 Bangkok shares 31.53% of among MSM total new infections in Thailand 31.53% 1,087 1 Bangkok 68.47% 2,361 2 Other Province Source : Aids Epidemic Model(AEM), AIDS TB & STIs Division, Bangkok 2015

11 Estimated number of Key Population in Bangkok 2016 PWID,10,155 คน FSW, 27,519 คน MSM, 77,301 คน TG, 43,082 คน High risk 38,650 Low risk 38,651 MSW, 3,856 คน MSM MSW TG FSW PWID Source : Aids Epidemic Model(AEM), AIDS TB & STIs Division, Bangkok 2015

12 Estimated number of new infection, people living with HIVand death in Bangkok Thailand 100,000 New Infection PLHIV Death 80,000 60,000 40,000 20,000 - ป PLHIV 78,080 77,555 76,716 75,575 74,233 72,633 70,909 69,075 67,139 65,411 63,877 62,319 60,785 59,275 57,784 New HIV Infections 2,289 2,201 2,078 2,047 2,009 1,966 1,922 1,878 1,832 1,786 1,747 1,711 1,677 1,642 1,609 Death 2,409 2,727 2,917 3,188 3,351 3,566 3,645 3,712 3,768 3,514 3,281 3,269 3,210 3,153 3,099 Source : Aids Epidemic Model(AEM), AIDS TB & STIs Division, Bangkok 2015

13 Estimated number of new infection by Kay Population in Bangkok 2016 people living with HIV 78,080 new infection 2,289 6 Person / Day HIV prevalence in Bangkok 2015 Kay Population Prevalence (%) MSM 28.9 IDU 27.6 FSW 2.9 ANC 0.7 Male conscript 0.9 Source : Aids Epidemic Model(AEM) of Bangkok and Survey of HIV prevalence in Bangkok 2015

14 HIV prevalence by year: general population, Bangkok : % ANC Blood donor Male conscript PMCT Health for all ARV for any CD Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

15 HIV prevalence by year, Bangkok : % MSM MSW TG Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

16 HIV Prevalence among MSMs by venue Bangkok, Thailand % 50 Bar Sauna Non-venue Event Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

17 HIV Knowledge (UNGASS) % 100 MSM MSW TG Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

18 use of condoms among male-male sex(msm) with male regular partner % consistent condoms in 3 month last sex Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

19 use of condoms among male sex workers(msw) % consistent condoms in 3 month last sex Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

20 Use of condoms among transgender women(tg) with male regular partner % consistent condoms in 3 month last sex Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

21 Access to prevention information/supplies among MSM 100 % Received education Received condoms Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

22 Access to prevention information/supplies among MSW % Received education Received condoms Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

23 Access to prevention information/supplies among TG % 82.1 Received education 74.4 Received condoms Source : AIDS TB & STIs Division, Bangkok Metropolitan Administration

24 Access to prevention information/supplies among MSM knowledge condoms %knowledge %condoms SOURCE : ม ลน ธ ร กษ ไทย, RSAT, SWING, บางกอกเรนโบว, NGOกทม., หน วยงานส งก ดกร งเทพมหานคร

25 Bangkok HIV/AIDS Response

26 Michel Sidibé 2012

27 Getting To Zero Zero new HIV infection Zero AIDS-related Death Zero discrimination

28 Bangkok Getting to Zero Vision To get to zero new HIV infections To get to zero AIDS-related deaths To get to zero discrimination Goals by New HIV infections reduced by 1/2 - Equal access to quality of treatment, care and support for all PLHIV - TB deaths among PLHIV reduced by half - Stigma and discrimination towards PLHIV and key affected populations reduced by half

29 Overview of the vision, strategic direction, and core themes of the Bangkok HIV/AIDS Strategy in Zero new HIV infection Zero AIDS-related deaths Zero discrimination Strategy 1 Increase local and community ownership for HIV/AIDS response Strategy 2 Expand implementation of comprehensive prevention services with rights based and gender sensitive Strategy 3 Increase equally access to quality and comprehensive of treatment, care and social protection services to all PLHIV Strategy 4 Promote human rights capacity and expand activities to decrease stigma and discrimination Strategy 5 Strengthen strategic informatin systems to increase efficiency and effectiveness in HIV/AIDS response Innovation and Change Optimization and Consolidation People inclusive People centered Increased focus Social justice Leadership and locally owned response Partnerships