Reproductive health of persons living with HIV in Poland

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Reproductive health of persons living with HIV in Poland
Demography
HIV/AIDS
Epidemiology
Other
STD’s
Family
Planning
Reproductive Health
of People Living with HIV
in Poland
Treatment
Policy &
Testing
Tomasz Niemiec
Neoplasmas
PMTCT
Harm
Reduction
Antwerpen, 6 May,2005
Population
38175000
2003
Fertility
rate
- 0,04%
HIV
Prevalence
0,1/<0,1%
Infertility
1,5mln
couples
Reproductive Health of People
Living with HIV in Poland
Global Statistical
Data
Infant
mortality
8,6‰
Maternal
Mortality
8/100.000
Live births
Contraceptive
Prevalence
Modern methods
19%
Adolescence
Pregnancy
16%
Antwerpen, 6 May,2005
Reproductive Health
of People Living with HIV
in Poland
HIV epidemiology
Antwerpen, 6 May,2005
Antwerpen, 6 May,2005
HIV/AIDS epidemics in Poland as of end SEPTEMBER 2004.
9.002 - total number of infections since the beginning of the
epidemics (1985)
5.115 - number of infections due to drug injection
1.473 - number of AIDS cases
710 - number of AIDS deaths since the beginning of the epidemics
Estimated number of PLWH: 20 – 30.000
Antwerpen, 6 May,2005
Reproductive Health
of People Living with HIV
in Poland
Treatment policy
and testing
Antwerpen, 6 May,2005
Antenatal
testing
Anonymous
testing
Testing:
Viral load
HIV RNA
4 times/year
Treatment
and testing
Vaccination
Children
HIV+ mothers
Testing:
CD4/CD8
4 times/year
Diagnosis of
Vertical
Transmission of
HIV
ARV
Resistance
Testing
With
No limits
2001
2003
2100 pt
1272 pt
10 mln Euro
2002
1626 pt
14,7 mln Euro
10,5 mln Euro
2004
2244 pt
19,5 mln Euro
Funds
allocated
for ARV
2005
22 mln Euro
MTCT
Prophylaxis
1,3 mln USD
Antwerpen, 6 May,2005
Reproductive Health
of People Living with HIV
in Poland
PMTCT
Antwerpen, 6 May,2005
Ca
100 – 200
HIV+ mothers
/ year
No
Antenatal
HIV testing
Number of
deliveries
app. 360.000/
year
PMTCT
No data
Number of
Pregnancies
In HIV+
Ca 110
Children
Living with HIV
88 on ARV
12
died
Antwerpen, 6 May,2005
Risk of vertical transmission
Warsaw Study, 2004
Since 1994
Children with
prophylaxis
Children
without
prophylaxis
Total
Children HIVinfected
6
36
42
Children not infected
131
42
173
Total
137
78
215
Risk of vertical
transmission
6/137
4 %*
36/78
46,15%
42/215
19,5%
*3 infected children received ZDV after delivery; no ARV for mother
Antwerpen, 6 May,2005
Lack of
Educated
Medical
staff
Contraceptives
Are
Not refunded
Restricted
Abortion
law
Family
Planning
& Infertility
No refund
For
Assisted
reproduction
Discordant
Couples?
Antwerpen, 6 May,2005
HIV-infected women
at the highest
Difficult
Access:
Cytology
colposcopy
risk for cervical
cancer
No active
Cytological
screening
neoplasmas
No
HPV
Test
Difficult
Access:
Gyn dpt.
High
Rate
Cervical
cancer
Antwerpen, 6 May,2005
Thank You !!!
Antwerpen, 6 May,2005

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