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Palau HIV & AIDS Update

Palau HIV & AIDS Update. June 14, 2009 Johana H. Ngiruchelbad, RN. Background Information . Population 20,000 Cumulative HIV Cases: 8 + 1 = 9 One new case in 2008 3 living and under care 4 died 2 transferred out. Testing data. Average of 1500-1700 HIV tests per year

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Palau HIV & AIDS Update

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  1. Palau HIV & AIDS Update June 14, 2009 Johana H. Ngiruchelbad, RN

  2. Background Information • Population 20,000 • Cumulative HIV Cases: 8 + 1 = 9 • One new case in 2008 • 3 living and under care • 4 died • 2 transferred out

  3. Testing data • Average of 1500-1700 HIV tests per year • 2007– 5 false positive • 2008 – 22 reactive screening tests • 15 false positive • 3 left island • 1 refusing confirmatory test • 1 confirmed by Western blot • 2 indeterminate

  4. Who is getting tested • Pregnant women 30% • Blood Donors 40% • STD/FP Clinics 15% • Targeted at risk Pops. 10% • Others 5%

  5. QA Reviews • Initiated May 2008 • Review STI/HIV case reports • Medical Records Review on active cases • Follow up on reactive tests • Recommendations or program improvements

  6. Recommended Changes • Due to shortage of Doctors and Nurses and Economic Challenges, we may be moving toward using clinical staff for Partner Services, QA, and CTR • Training is needed in these areas

  7. Challenge • One young women who tests positive when pregnant • Indeterminate test results • Documentation of care • Confidentiality Issues • Appropriate Diagnosis

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