Revitalizing the HIV Response in Pakistan : A Systematic Review and Policy Recommendations
Pakistan has made strides over the last decade in its Acquired Immunodeficiency Syndrome (AIDS) response, with active surveillance, considerable research, both governmental and non?governmental prevention and care activities, and treatment since 20...
| Main Authors: | , , , |
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| Format: | Report |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2017
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/989991468145474026/Revitalizing-the-HIV-response-in-Pakistan-a-systematic-review-and-policy-recommendations-synthesis-report http://hdl.handle.net/10986/27222 |
| Summary: | Pakistan has made strides over the last
decade in its Acquired Immunodeficiency Syndrome (AIDS)
response, with active surveillance, considerable research,
both governmental and non?governmental prevention and care
activities, and treatment since 2005 to 2006. However, the
Human Immunodeficiency Virus (HIV) prevalence among People
Who Inject Drugs (PWID) has not declined, coverage of
current prevention and treatment programs remains limited
and the gains made to date are threatened by internal and
external factors. This report attempts to review and
synthesize available data on HIV in Pakistan and to use
these data to suggest strategic priorities for the next
phase of the HIV response in an effort to improve the
allocative efficiency of resources and effective and
efficient implementation of the response. This report
presents an integrated model for HIV services delivery that
depicts a continuum of care from prevention outreach to
treatment with a focus on evidence based interventions and
strong linkages. It describes three potential models for
Volunteer Counseling and Testing (VCT) services for most at
risk populations that increase outreach and engagement with
PWID, hijra communities, and Male Sex Workers (MSWs), and
their clients. It also places heavy emphasis on evidence
based approaches to prevention including expanding treatment
for High Risk Groups (HRGs) and improving the linkages for
HIV positive and HIV negative PWID for drug treatment
services, such as Methadone Maintenance Therapy (MMT), and
outlines the steps for an evidenced based, effective and
efficient policy response at a time of shrinking resources
for HIV in overall low prevalence settings. This report is
organized as follows: chapter one gives introduction;
chapter two presents epidemiology methods; chapter three
gives country context; chapter four presents status of HIV
epidemic; chapter five gives summary of key findings;
chapter six deals with systems response to HIV and AIDS in
Pakistan; chapter seven gives key policy recommendations;
and chapter eight gives conclusion. |
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