HIV in PAKISTAN The National Response National AIDS Control Program Ministry of Health, Pakistan
Cities reporting HIV epidemics among IDUs in Pakistan Peshawar Bannu Sialkot Gujranwala Lahore Sargodha Faislabad Quetta Multan Larkana Sukkhur Karachi Hyderabad
INJECTION DRUG USERS - Estimates * PNCB 1993 ** UNODC 2005 & Surveillance Data 2006
Services provided to IDUs - DIC’s and Mobile DICs • Social services • Behavior change • Peer outreach through motor bikes • Primary Health Care / STI’s : ASD & Refrerrals • Provision of condoms and lubricants • VCTC • ART • Detoxification and Rehabilitation.
Opportunities for scaling up • Commitment : Government (MoH, MNC, ANF, MoSW) NGOs, Community • Capacity available at local level • Availability of skilled Human resource • Data base available for planning targeted interventions • Comprehensive surveillance system available for monitoring
Challenges for scaling up • Rapidly changing drug scenario • Resources : financial • Legal barriers
Next Steps • Scaling up of existing services • Mapping • New sites included • 80% coverage • Government initiative • Inclusion of Oral Substitution Therapy