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Ghana’s HIV Response The Ghana Team: Richard N. Amenyah Matilda Owusu-Ansah Evelyn Awittor Lord Dartey Mercy Bannerman

Ghana’s HIV Response

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Ghana’s HIV Response. The Ghana Team: Richard N. Amenyah Matilda Owusu-Ansah Evelyn Awittor Lord Dartey Mercy Bannerman. Background. 1985 National Advisory Council on AIDS (NACA) National Technical Committee on AIDS (NTCA) 1986 First AIDS Case diagnosed in Ghana 1987 - PowerPoint PPT Presentation

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  • Ghanas HIV ResponseThe Ghana Team:Richard N. AmenyahMatilda Owusu-AnsahEvelyn AwittorLord DarteyMercy Bannerman

  • Background 1985 National Advisory Council on AIDS (NACA) National Technical Committee on AIDS (NTCA)1986First AIDS Case diagnosed in Ghana1987National AIDS/STD Control Programme (NACP)Sept 2000 Ghana AIDS Commission

  • Goals of the National ResponseTo achieve Universal Access, the goals of the National Response as outlined in the NSF II are:Reducing new infections among vulnerable groups and the general population; Mitigating the impact of the epidemic on the health and socio-economic systems as well as infected and affected persons; andPromoting healthy life-styles, especially in the area of sexual and reproductive health.

  • Thematic areas Within the framework of Universal Access to prevention, treatment, care and support by 2010, the NSF II is programmed around 7 thematic areas:Policy, Advocacy and Enabling EnvironmentCoordination and Management of the Decentralized ResponseMitigating the Economic, Socio-cultural and Legal ImpactsPrevention and Behavioral Change CommunicationTreatment, Care and SupportResearch, Surveillance, Monitoring and EvaluationMobilization of Resources and Funding Arrangement

  • National HIV Prevalence

    Source: NACP-Ghana

  • Chart2

    000

    054.347826087

    18.18181818188.333333333311.4285714286

    05.88235294124

    33.3333333333012.5

    04025

    000

    8.33333333336.60377358497.0422535211

    Male

    Female

    Totals

    STI

    AgegroupMaleFemaleTotals

    No. TestedNumber Positive%No. TestedNumber Positive%Total No. TestedNumber Positive%

    15 to 19400.01500.01900.0

    20 to 24600.04025.04624.3

    25 to 2911218.22428.335411.4

    30 to 34800.01715.92514.0

    35 to 393133.3500.08112.5

    40 to 44300.05240.08225.0

    45 to 49100.0000.0100.0

    TOTAL3638.310676.6142107.0

    MaleFemaleTotals

    15 to 190.00.00.0

    20 to 240.05.04.3

    25 to 2918.28.311.4

    30 to 340.05.94.0

    35 to 3933.30.012.5

    40 to 440.040.025.0

    45 to 490.00.00.0

    TOTAL8.36.67.0

    15 to 1940015001900

    20 to 2460040254624.347826087

    25 to 2911218.18181818182428.333333333335411.4285714286

    30 to 348001715.88235294122514

    35 to 393133.33333333335008112.5

    40 to 4430052408225

    45 to 49100000100

    TOTAL3638.333333333310676.6037735849142107.0422535211

    HIV Prevalence by Type Graph

    55393.09764309761

    284.7138047138HIV 2

    132.1885521886HIV 1& 2

    HIV Prevalence By Type

    HIV prevalence by site graph

    8.4051724138

    5.6

    5.3811659193

    5.0602409639

    4.8289738431

    4.8192771084

    4.4345898004

    4.4088176353

    4.2338709677

    4.2

    4

    3.6072144289

    3.6

    3.5714285714

    3.4739454094

    3.4682080925

    3.4

    3.4

    3.29218107

    3.2586558045

    3.2064128257

    3.2

    3.1175059952

    3

    2.8103044496

    2.8056112224

    2.8056112224

    2.6052104208

    2.2044088176

    2.1739130435

    2.004008016

    2

    1.9607843137

    1.8348623853

    1.8

    1.2376237624

    1

    0.8048289738

    0.7462686567

    0

    2006 Prevalence

    HIV Prevalence by Site

    HIV prevalence by region

    1.2624934245

    2.4717514124

    2.483974359

    2.8013029316

    2.9926595144

    3.2325338895

    3.3905228758

    3.6573146293

    4.2960662526

    4.8970251716

    HIV Prevalence 2006

    Region

    Prevalence (%)

    Graph HIV by Rural or Urban

    2.83.4

    2.83.5

    Rural

    Urban

    Area

    Prevalence (%)

    HIV Mean and Median Prevalence by Area (Rural/Urban)

    Graph Mean,median prevalence

    2.32.7454545455

    2.93.4

    3.43.9234799475

    3.6065573773.9078326353

    3.1030060123.5350875648

    2.74920081372.7302481619

    3.23.2

    Median

    Mean

    Year

    HIV Prevalence (%)

    Mean and Median HIV Prevalence,2000 to 2006

    Graph prevalenc by site,00-04

    002.54629629630.49019607841.2376237624

    002.204408817631.8

    4.04040404045.22088353413.0060120242.8688524592.004008016

    03.6065573774.08163265311.80505415162.1739130435

    002.82.97239915072.2044088176

    2.61044176717.63052208844.00801603213.20641282572.6052104208

    Afram PlainsAfram PlainsAfram Plains3.0060120242.8056112224

    002.22222222221.63170163172.8103044496

    2.63.21931589544.20841683372.62626262633.1175059952

    3.83.21285140563.64.63.4

    2.83.01204819283.82.23.4

    Birim NorthBirim NorthBirim North3.43753.5714285714

    7.0270270279.23694779127.468.4051724138

    2002

    2003

    2004

    2005

    2006

    Sentinel Site

    HIV Prevalence (%)

    HIV Prevalence by Sentinel site, 2002 - 2006

    Graph prevalence by site,00-04

    East GonjaEast GonjaEast Gonja1.82767624020.8048289738

    002.82.44444444441.8348623853

    4.24.20841683374.70085470092.21327967812.8056112224

    1.72839506171.80722891571.41509433962.79569892473.4682080925

    KintampoKintampoKintampo3.11614730883.4739454094

    2.24.20841683370.40.60975609764.2

    3.22.00803212855.82.64.2338709677

    8.50202429152.62096774195.41082164336.42570281124.4088176353

    Dangbe EastDangbe EastDangbe East3.4883720934.4345898004

    3.24.22.20883534141.40280561124.8192771084

    4.208416833752.40480961923.41365461854.8289738431

    06.58682634736.82593856664.12147505425.0602409639

    66.06060606064.40881763534.00801603215.6

    2002

    2003

    2004

    2005

    2006

    Sentinel Site

    HIV Prevalence (%)

    HIV Prevalence by Sentinel Site, 2002 - 2006

    Graph prevalence by site,200-04

    02.047781572.919708029200

    01.29032258061.33333333331.73697270470.7462686567

    1.60.60120240480.40.61

    3.422.45231607634.70588235291.9607843137

    2.43.62.622

    4.05679513184.0485829964.62.63

    6.53950953683.41365461856.42.21327967813.2

    3.25.46.8354430383.20641282573.2064128257

    5.05050505054.40881763532.823.2586558045

    3.43.22.23.23.29218107

    63.69565217393.42.83.6

    TarkwaTarkwaTarkwa1.93.6072144289

    2.45.41082164333.22.70270270274

    02.37068965524.83.2332563515.3811659193

    2002

    2003

    2004

    2005

    2006

    Sentinel Site

    HIV Prevalence (%)

    HIV Prevalence by Sentinel Site, 2002 - 2006

    Syphillis Prev by site

    20.8

    19.1558441558

    18.4652278177

    16.4328657315

    16.3677130045

    11.9565217391

    11.1111111111

    10.6024096386

    10.0200400802

    9.4

    7.3275862069

    6

    5.8350100604

    4.2084168337

    4

    3.8152610442

    3.6697247706

    3.6072144289

    3.6072144289

    3.4653465347

    3.2193158954

    3.2064128257

    3

    3

    2.8056112224

    2.736318408

    2.4048096192

    2.2

    1.9607843137

    1.6293279022

    1.4450867052

    1

    1

    0.9925558313

    0.9367681499

    0.8

    0.6048387097

    0.6

    0.44345898

    0

    Prevalence

    Syphillis Prevalence by Site

    Syph Prev by region

    1.6

    2.1

    2.1

    2.2

    3.4

    3.6

    6.9

    8.4

    9.2

    14.7

    Prevalence

    Region

    Prevalence (%)

    Syphillis Prevalence by Region

    Syph prev by rural

    0

    0.44345898

    0.9367681499

    0.9925558313

    2.736318408

    3.2193158954

    3.4653465347

    3.6072144289

    3.6697247706

    4

    10.0200400802

    10.6024096386

    11.1111111111

    11.9565217391

    16.3677130045

    19.1558441558

    20.8

    Prevalence

    Site

    Prevalence (%)

    Syphillis Prevalence by Rural Sites

    Syph Prev by Urban

    0.6

    0.6048387097

    0.8

    1

    1

    1.4450867052

    1.6293279022

    1.9607843137

    2.2

    2.4048096192

    2.8056112224

    3

    3

    3.2064128257

    3.6072144289

    3.8152610442

    4.2084168337

    5.8350100604

    6

    7.3275862069

    9.4

    16.4328657315

    18.4652278177

    Prevalence

    Site

    Prevalence (%)

    Syphillis Prevalence by Urban Sites

    Syph Prev by agegroup

    5.7045343735

    5.4813359528

    4.616573305

    5.2173913043

    7.1953781513

    8.0745341615

    6.25

    5.5454418149

    Prevalence

    Prevalence (%)

    Syphillis Prevalence by Age Group

    Syphilis mean median

    7.24.4

    3.73

    Rural

    Urban

    Prevalence

    Syphilis Prevalence - Rural/Urban

    Graph HIV by Rural sites

    0

    0.7462686567

    0.8048289738

    1.2376237624

    1.8

    1.8348623853

    2.1739130435

    2.2044088176

    2.8056112224

    2.8103044496

    3.29218107

    3.4739454094

    3.5714285714

    4.4345898004

    5.0602409639

    5.3811659193

    5.6

    HIV Prevalence 2006

    Site

    Prevalence (%)

    HIV Prevalence by Rural Sites

    Graph HIV by Age group

    0

    1.4139444174

    2.8683693517

    4.1529843539

    3.7307152875

    2.7836134454

    3.3126293996

    2.5

    2.4506371657

    Age Group

    HIV Prevalence (%)

    HIV Prevalence by Age Group

    Graph HIV by Urban sites

    1

    1.9607843137

    2

    2.004008016

    2.6052104208

    2.8056112224

    3

    3.1175059952

    3.2

    3.2064128257

    3.2586558045

    3.4

    3.4

    3.4682080925

    3.6

    3.6072144289

    4

    4.2

    4.2338709677

    4.4088176353

    4.8192771084

    4.8289738431

    8.4051724138

    HIV Prevalence 2006

    HIV Prevalence by Urban Sites

    Mean Prevalence Agegroup Year

    2.33898208273.98319286654.52729665634.25435956263.5222583145

    1.89335230283.49604323114.39165879294.6866835513.0361574783

    2.03108540282.68386262784.48759037164.35106979712.4990736237

    0.84915084922.37178187723.58534684333.22314049591.9

    1.41394441742.86836935174.15298435393.73071528752.5

    15 to 19

    20 to 24

    25 to 29

    30 to 34

    15 to 24

    Year

    Mean Prevalence

    Mean HIV Prevalence by Age Group

    HIV Regional trend

    1.22836404241.2624934245

    2.94511378852.4717514124

    2.63157894742.483974359

    3.26975476842.8013029316

    1.81498829042.9926595144

    2.64385692073.2325338895

    2.14957456343.3905228758

    2.98047276463.6573146293

    2.94426919034.2960662526

    4.69298245614.8970251716

    HIV Prevalence 2005

    HIV Prevalence 2006

    Region

    Prevalence

    HIV Rural trend

    00

    1.73697270470.7462686567

    1.82767624020.8048289738

    0.49019607841.2376237624

    31.8

    2.66666666671.8348623853

    1.80505415162.1739130435

    2.97239915072.2044088176

    3.0060120242.8056112224

    1.63170163172.8103044496

    1.90274841443.29218107

    3.11614730883.4739454094

    3.43753.5714285714

    3.4883720934.4345898004

    4.12147505425.0602409639

    3.2332563515.3811659193

    4.00801603215.6

    2005 HIV Prevalence

    HIV Prevalence 2006

    Sites

    Prevalence

    Rural Sites HIV Trend

    HIV Urban trend

    0.61

    4.70588235291.9607843137

    22

    2.8688524592.004008016

    3.20641282572.6052104208

    2.21327967812.8056112224

    2.43

    2.62626262633.1175059952

    3.23.2

    3.20641282573.2064128257

    23.2586558045

    4.63.4

    2.23.4

    2.79569892473.4682080925

    2.83.6

    2.21327967813.6072144289

    2.70270270274

    0.60728744944.2

    2.64.2338709677

    6.44.4088176353

    1.40280561124.8192771084

    3.44129554664.8289738431

    68.4051724138

    Prevalence 2005

    HIV Prevalence 2006

    Site

    Prevalence

    Urban Sites HIV Trend

    HIV Rural urban trend

    32.8

    2.73.4

    Median 2005

    Median 2006

    Location

    Prevalence

    Rural/Urban HIV Trend

    Age Group by year

    1.89335230282.03108540280.84915084921.4139444174

    3.49604323112.68386262782.37178187722.8683693517

    4.39165879294.48759037163.58534684334.1529843539

    4.6866835514.35106979713.22314049593.7307152875

    4.53981569773.94543121972.38853503182.7836134454

    3.32083377822.27244161073.66379310343.3126293996

    6.0344827586052.5

    3.03615747832.49907362371.92.4506371657

    2003

    2004

    2005

    2006

    Age Group

    Prevalence

    Prevalence By Agegroup and Year

    Syphilis rural trend

    00

    00.44345898

    0.46620046620.9367681499

    3.68271954670.9925558313

    2.7295285362.736318408

    2.0887728463.2193158954

    5.39215686273.4653465347

    4.60921843693.6072144289

    4.44444444443.6697247706

    4.80961923854

    11.040339702810.0200400802

    10.195227765710.6024096386

    11.205073995811.1111111111

    14.44043321311.9565217391

    18.013856812916.3677130045

    16.87519.1558441558

    2420.8

    2005

    2006

    Site

    Prevalence

    Trend in Syphilis Infection in Rural Sites

    Syphilis urban trend

    20.6

    2.60.6048387097

    10.8

    1.61

    01

    2.15053763441.4450867052

    0.81.6293279022

    2.05882352941.9607843137

    1.45530145532.2

    2.60521042082.4048096192

    3.42052313882.8056112224

    2.23

    6.63

    1.84426229513.2064128257

    4.62776659963.6072144289

    2.40480961923.8152610442

    6.84.2084168337

    3.84615384625.8350100604

    2.0242914986

    8.27.3275862069

    109.4

    15.831663326716.4328657315

    17.979797979818.4652278177

    2005

    2006

    Site

    Prevalence

    Trend in Syphilis Infection in Urban Sites

    Syphilis rural urban trend

    4.83.7

    2.43

    Median 2005

    Median 2006

    Location

    Prevalence

    Trend in Urban/Rural Syphilis Infection

    Ruralurban Agegroup

    1.03480714961.8237082067

    2.4594195773.1403336605

    3.40285400664.5603576751

    3.53649360423.8461538462

    3.02233902762.624671916

    4.70085470092.0080321285

    4.25531914890

    1.97028423772.8189910979

    Rural Prevalence

    Urban Prevalence

    Age Group

    Prevalence

    Rural/Urban Age Group Prevalence

    HIV Cohort

    3.4200220022002

    3.87211758493.60655737720032003

    3.53.63.1030060122004

    2.74920081372.72.66448266452.7492008137

    3.43.43.20320641283.2325343151

    2002 Cohort

    2003 Cohort

    2004 Cohort

    2005 Cohort

    Year

    Prevalence

    Cohort

    Sheet4

    199219941995199619971998199920002001200220032004

    Adabraka0.7-1.32.22.13.42.04.02.34.05.23.0

    Agormanya18.09.410.512.813.413.28.27.86.67.09.27.4

    Amansie West-----------2.8

    Asikuma Odoben Brakwa-----------2.2

    Assin Fosu-2.51.21.61.23.62.02.42.62.63.24.2

    Asunafo----------3.64.1

    Bawku-2.42.4-1.61.81.61.63.63.83.23.6

    Bolgatanga-2.01.61.02.83.01.61.01.62.83.03.8

    Builsa-----------2.2

    Cape Coast-3.52.42.60.83.43.23.03.62.67.64.0

    Eikwe-3.0-5.75.85.84.83.25.86.06.14.4

    Fanteakwa----------6.66.8

    Ho-2.42.42.83.84.05.24.22.63.22.05.8

    Hohoe-2.33.22.14.24.04.45.02.83.24.22.2

    Jirapa0.42.50.33.01.4-0.61.51.71.71.81.4

    Kofiridua3.22.43.82.64.22.41.02.86.48.52.65.4

    KorleBu----2.02.22.22.24.82.24.20.4

    Krachi-----------2.8

    Kumasi4.62.43.23.85.56.84.93.83.44.25.02.4

    Maamobi---------4.24.24.7

    Mampong-2.03.62.05.25.03.41.64.82.45.43.2

    Nadowli----------1.31.3

    Nalerigu-1.01.00.40.2-0.61.41.71.60.60.4

    Navrongo--------2.45.14.42.8

    North Tongu----------2.02.9

    Obuasi---------6.03.73.4

    Sefwi Asafo----------2.44.8

    Sunyani4.03.0-2.22.03.42.82.11.13.42.02.5

    Takoradi-1.8-4.23.83.04.03.04.04.14.04.6

    Tamale-1.01.01.61.0-0.81.31.62.43.62.6

    Tema------2.63.92.56.53.46.4

    Wa1.83.00.81.81.62.32.21.46.03.43.22.2

    Wenchi4.0-3.22.62.42.02.21.03.43.25.46.8

    Yendi-----------2.5

    2001200220032004200520022003200420052006

    Adabraka2.34.05.23.02.9AdabrakaAdibo--2.50.51.2

    Afram Plains3.0AdiboAsikuma Odoben--2.23.01.8

    Agormanya6.67.09.27.46.0Afram PlainsAdabraka4.05.23.02.92.0

    Akim Oda3.4AgormanyaAsunafo-3.64.11.82.2

    Amansie West---2.83.0Amansie WestAmansie West--2.83.02.2

    Builsa---2.21.6Asikuma OdobenCape Coast2.67.64.03.22.6

    Asikuma Odoben---2.23.0Assin FosuAfram Plains3.02.8

    Assin Fosu2.62.63.24.22.6AsunafoBuilsa--2.21.62.8

    Asunafo--3.64.11.8BawkuAssin Fosu2.63.24.22.63.1

    Bawku3.63.83.23.64.6Birim NorthBawku3.83.23.64.63.4

    Bolgatanga1.62.83.03.82.2BolgatangaBolgatanga2.83.03.82.23.4

    20012002200320042005BuilsaBirim North3.43.6

    Cape Coast3.62.67.64.03.2Cape CoastAgormanya7.09.27.46.08.4

    Dangbe East3.520022003200420052006

    Eikwe5.86.06.14.44.0Dangbe EastEast Gonja1.80.8

    Fanteakwa--6.66.84.1East GonjaKrachi--2.82.41.8

    Krachi---2.82.4EikweMaamobi4.24.24.72.22.8

    Ho2.63.22.05.82.6FanteakwaJirapa1.71.81.42.83.5

    Hohoe2.83.24.22.21.4HoKintampo3.13.5

    Jirapa1.71.71.81.42.8HohoeKorleBu2.24.20.40.64.2

    Kintampo3.1JirapaHo3.22.05.82.64.2

    Kofiridua6.48.52.65.46.4KintampoKofiridua8.52.65.46.44.4

    KorleBu4.82.24.20.40.6KofiriduaDangbe East3.54.4

    Nalerigu1.41.71.60.60.4KorleBuHohoe3.24.22.21.44.8

    20012002200320042005KrachiKumasi4.25.02.43.44.8

    Kumasi3.44.25.02.43.4KumasiFanteakwa-6.66.84.15.1

    Maamobi-4.24.24.72.2MaamobiEikwe6.06.14.44.05.6

    Mampong4.82.45.43.22.720022003200420052006

    Nadowli--1.31.31.7MampongNorth Tongu-2.02.90.00.0

    Nalerigu1.71.60.60.40.6NadowliNadowli-1.31.31.70.7

    Navrongo2.45.14.42.82.0NaleriguNalerigu1.60.60.40.61.0

    North Tongu--2.02.90.0NavrongoSunyani3.42.02.54.72.0

    Obuasi-6.03.73.42.8North TonguTamale2.43.62.62.02.0

    Salaga1.8ObuasiTakoradi4.14.04.62.63.0

    Sefwi Asafo--2.44.83.2Sefwi AsafoTema6.53.46.42.23.2

    Sunyani1.13.42.02.54.7SunyaniWenchi3.25.46.83.23.2

    Takoradi4.04.14.04.62.6TakoradiNavrongo5.14.42.82.03.3

    Tarkwa1.9TamaleWa3.43.22.23.23.3

    Tamale1.62.43.62.62.0TarkwaObuasi6.03.73.42.83.6

    Tema2.56.53.46.42.2TemaTarkwa1.93.6

    Wa6.03.43.22.23.2WaMampong2.45.43.22.74.0

    Wenchi3.43.25.46.83.2WenchiSefwi Asafo-2.44.83.25.4

    Yendi---2.50.5

    SYPHILLIS

    SitePrevalenceRegionPrevalenceSite2005 Prevalence2006 Prevalence

    Asikuma Odoben Brakwa20.8Upper East1.6Adabraka1.83.2

    Akim Oda19.2Northern2.1Adibo5.43.5

    Assin Fosu18.5Volta2.1Afram Plains4.63.6

    Cape Coast16.4Upper West2.2Agormanya8.27.3

    Sewfi Asafo16.4Gt. Accra3.4Akim Oda16.919.2

    Asunafo12.0Brong Ahafo3.6Amansie West11.010.0

    Tarkwa11.1Ashanti6.9Asikuma Odoben Brakwa24.020.8

    Fanteakwa10.6Western8.4Assin Fosu18.018.5

    Amansie West10.0Eastern9.2Asunafo14.412.0

    Obuasi9.4Central14.7Bawku2.23.0

    Agormanya7.3Bolgatanga2.00.6

    KorleBu6.0Builsa0.50.9MeanMedianMedian 2005Median 2006

    Kumasi5.8MeanMedianCape Coast15.816.4Rural7.95Rural4.83.7

    Koforidua4.2Rural7.23.7Dangbe East0.00.4Urban4.42.4Urban2.43.0

    Eikwe4.0Urban4.43.0Eikwe4.84.0

    Hohoe3.8Fanteakwa10.210.6

    Krachi3.7Ho2.60.6

    Afram Plains3.6RuralHohoe2.43.8Rural

    Maamobi3.6Site NamePrevalenceJirapa2.21.420052006

    Adibo3.5North Tongu0.0Kintampo3.71.0North Tongu0.00.0

    Salaga3.2Dangbe East0.4UrbanKoforidua6.84.2Dangbe East0.00.4Urban

    Adabraka3.2Builsa0.9Site NamePrevalenceKorleBu2.06.0Builsa0.50.920052006

    Bawku3.0Kintampo1.0Bolgatanga0.6Krachi4.43.7Kintampo3.71.0Bolgatanga2.00.6

    Takoradi3.0Nadowli2.7Ho0.6Kumasi3.85.8Nadowli2.72.7Ho2.60.6

    Tema2.8Salaga3.2Nalerigu0.8Maamobi4.63.6Salaga2.13.2Nalerigu1.00.8

    Nadowli2.7Adibo3.5Tamale1.0Mampong1.52.2Adibo5.43.5Tamale1.61.0

    Wenchi2.4Afram Plains3.6Wa1.0Nadowli2.72.7Afram Plains4.63.6Wa0.01.0

    Mampong2.2Krachi3.7Jirapa1.4Nalerigu1.00.8Krachi4.43.7Jirapa2.21.4

    Sunyani2.0Eikwe4.0Navrongo1.6Navrongo0.81.6Eikwe4.84.0Navrongo0.81.6

    Navrongo1.6Amansie West10.0Sunyani2.0North Tongu0.00.0Amansie West11.010.0Sunyani2.12.0

    Jirapa1.4Fanteakwa10.6Mampong2.2Obuasi10.09.4Fanteakwa10.210.6Mampong1.52.2

    Tamale1.0Tarkwa11.1Wenchi2.4Salaga2.13.2Tarkwa11.211.1Wenchi2.62.4

    Wa1.0Asunafo12.0Tema2.8Sewfi Asafo18.016.4Asunafo14.412.0Tema3.42.8

    Kintampo1.0Sewfi Asafo16.4Bawku3.0Sunyani2.12.0Sewfi Asafo18.016.4Bawku2.23.0

    Builsa0.9Akim Oda19.2Takoradi3.0Takoradi6.63.0Akim Oda16.919.2Takoradi6.63.0

    Nalerigu0.8Asikuma Odoben Brakwa20.8Adabraka3.2Tamale1.61.0Asikuma Odoben Brakwa24.020.8Adabraka1.83.2

    Ho0.6Maamobi3.6Tarkwa11.211.1Maamobi4.63.6

    Bolgatanga0.6Hohoe3.8Tema3.42.8Hohoe2.43.8

    Dangbe East0.4Koforidua4.2Wa0.01.0Koforidua6.84.2

    North Tongu0.0Kumasi5.8Wenchi2.62.4Kumasi3.85.8

    KorleBu6.0KorleBu2.06.0

    Agormanya7.3Agormanya8.27.3

    AgegroupPrevalenceObuasi9.4Obuasi10.09.4

    15 to 195.7Cape Coast16.4Agegroup2005 PrevalenceCape Coast15.816.4

    20 to 245.5Assin Fosu18.515 to 195.3Assin Fosu18.018.5

    25 to 294.620 to 245.8

    30 to 345.225 to 295.6

    35 to 397.230 to 345.9

    40 to 448.135 to 397.2

    45 to 496.340 to 448.6

    45 to 493.8

    15 t0 245.5

    15 t0 24

    Chart3

    2.9

    3.4

    3.606557377

    3.103006012

    2.7492008137

    3.2

    Median

    Year

    Prevalence

    HIV Prevalence Trend 2001 - 2006

    Sheet3

    19992000200120022003200420052000200120022003200420052006

    Median2.42.32.93.43.63.12.7Median2.32.93.43.63.12.73.2

    Mean2.92.73.43.93.93.52.7Mean2.73.43.93.93.52.73.2

    200120022003200420052006

    Median2.93.43.63.12.73.2

    19921994199519961997199819992000200120022003200419961997199819992000200120022003200420052006

    Adabraka0.7-1.32.22.13.42.04.02.34.05.23.0Median2.42.253.42.42.32.93.43.63.12.73.2

    Agormanya18.09.410.512.813.413.28.27.86.67.09.27.4

    Assin Fosu-2.51.21.61.23.62.02.42.62.63.24.2

    Bawku-2.42.4-1.61.81.61.63.63.83.23.6

    Bolgatanga-2.01.61.02.83.01.61.01.62.83.03.8

    Cape Coast-3.52.42.60.83.43.23.03.62.67.64.0

    Eikwe-3.0-5.75.85.84.83.25.86.06.14.4

    Ho-2.42.42.83.84.05.24.22.63.22.05.8

    Hohoe-2.33.22.14.24.04.45.02.83.24.22.2

    Jirapa0.42.50.33.01.4-0.61.51.71.71.81.4

    Kofiridua3.22.43.82.64.22.41.02.86.48.52.65.4

    KorleBu----2.02.22.22.24.82.24.20.4

    Kumasi4.62.43.23.85.56.84.93.83.44.25.02.4

    Mampong-2.03.62.05.25.03.41.64.82.45.43.2

    Nalerigu-1.01.00.40.2-0.61.41.71.60.60.4

    Navrongo--------2.45.14.42.8

    Sunyani4.03.0-2.22.03.42.82.11.13.42.02.5

    Takoradi-1.8-4.23.83.04.03.04.04.14.04.6

    Tamale-1.01.01.61.0-0.81.31.62.43.62.6

    Tema------2.63.92.56.53.46.4

    Wa1.83.00.81.81.62.32.21.46.03.43.22.2

    Wenchi4.0-3.22.62.42.02.21.03.43.25.46.8

    20002001200220032004

    Adabraka4.02.34.05.23.0

    Agormanya7.86.67.09.27.4

    Cape Coast3.03.62.67.64.0

    Eikwe3.25.86.06.14.4

    Ho4.22.63.22.05.8

    Koforidua2.86.48.52.65.4

    Korle Bu2.24.82.24.20.4

    Kumasi3.83.44.25.02.4

    Mampong1.64.82.45.43.2

    Tema3.92.56.53.46.4

    Sheet1

    20062005

    HIV 155393.1HIV 147594.8

    HIV 2284.7HIV 220.4

    HIV 1& 2132.2HIV 1& 2244.8

    MeanMedian

    Southern Belt4.64.6

    Middle Belt2.83.4

    Northern Belt2.62.4

    Site2006 PrevalenceSite2005 Prevalence

    Agormanya8.4Adabraka2.9

    Eikwe5.6Afram Plains3.0

    Sewfi Asafo5.4Agormanya6.0

    Fanteakwa5.1Akim Oda3.4

    Kumasi4.8Amansie West3.0

    Hohoe4.8Asikuma Odoben Brakwa3.0

    Dangbe East4.4Assin Fosu2.6

    Koforidua4.4Asunafo1.8

    Ho4.2Bawku4.6

    KorleBu4.2Bolgatanga2.2

    Mampong4.0Builsa1.6

    Tema3.6Cape Coast3.2

    Obuasi3.6Dangbe East3.5

    Birim South3.6Eikwe4.0

    Kintampo3.5Fanteakwa4.1

    Jirapa3.5Ho2.6

    Bawku3.4Hohoe1.4

    Bolgatanga3.4Jirapa2.8

    Wasa West3.3Kintampo3.1

    Navrongo3.3Koforidua6.4

    Wenchi3.2KorleBu0.6

    Wa3.2Krachi2.4

    Assin Fosu3.1Kumasi3.4

    Takoradi3.0Maamobi2.2

    Builsa2.8Mampong2.7

    Afram Plains2.8Nadowli1.7

    Maamobi2.8Nalerigu0.6

    Cape Coast2.6Navrongo2.0

    Amansie West2.2North Tongu0.0

    Asunafo2.2Obuasi2.8

    Adabraka2.0Salaga1.8

    Tamale2.0Sewfi Asafo3.2

    Sunyani2.0Sunyani4.7

    Krachi1.8Takoradi2.6

    Asikuma Odoben Brakwa1.8Tamale2.0

    Adibo1.2Tarkwa1.9

    Nalerigu1.0Tema2.2

    East Gonja0.8Wa3.2

    Nadowli0.7Wenchi3.2

    North Tongu0.0Yendi0.5

    Prevalence in 2004 HSS Year GroupPrevalence of 2003 HSS Year GroupPrevalence of 2002 HSS Year GroupPrevalence of 2005 HSS Year Group

    2004200520062003200420052006200220032004200520062005

    Adabraka3.02.92.0Adabraka5.23.02.92.0Adabraka4.05.23.02.92.0Adabraka2.92.0

    Adibo2.50.51.2Agormanya9.27.46.08.4Agormanya7.09.27.46.08.4Adibo0.51.2

    Agormanya7.46.08.4Assin Fosu3.24.22.63.1Assin Fosu2.63.24.22.63.1Afram Plains3.02.8

    Amansie West2.83.02.2Asunafo3.64.11.82.2Bawku3.83.23.64.63.4Agormanya6.08.4

    Asikuma Odoben2.23.01.8Bawku3.23.64.63.4Bolgatanga2.83.03.82.23.4Amansie West3.02.2

    Assin Fosu4.22.63.1Bolgatanga3.03.82.23.4Cape Coast2.67.64.03.22.6Asikuma Odoben3.01.8

    Asunafo4.11.82.2Cape Coast7.64.03.22.6Eikwe6.06.14.44.05.6Assin Fosu2.63.1

    Bawku3.64.63.4Eikwe6.14.44.05.6Ho3.22.05.82.64.2Asunafo1.82.2

    Bolgatanga3.82.23.4Fanteakwa6.66.84.15.1Hohoe3.24.22.21.44.8Bawku4.63.4

    Builsa2.21.62.8Ho2.05.82.64.2Jirapa1.71.81.42.83.5Birim South3.43.6

    Cape Coast4.03.22.6Hohoe4.22.21.44.8Kofiridua8.52.65.46.44.4Bolgatanga2.23.4

    Eikwe4.44.05.6Jirapa1.81.42.83.5KorleBu2.24.20.40.64.2Builsa1.62.8

    Fanteakwa6.84.15.1Kofiridua2.65.46.44.4Kumasi4.25.02.43.44.8Cape Coast3.22.6

    Ho5.82.64.2KorleBu4.20.40.64.2Maamobi4.24.24.72.22.8Dangbe East3.54.4

    Hohoe2.21.44.8Kumasi5.02.43.44.8Mampong2.45.43.22.74.0East Gonja1.80.8

    Jirapa1.42.83.5Maamobi4.24.72.22.8Nalerigu1.60.60.40.61.0Eikwe4.05.6

    Kofiridua5.46.44.4Mampong5.43.22.74.0Navrongo5.14.42.82.03.3Fanteakwa4.15.1

    KorleBu0.40.64.2Nadowli1.31.31.70.7Obuasi6.03.73.42.83.6Ho2.64.2

    Krachi2.82.41.8Nalerigu0.60.40.61.0Sunyani3.42.02.54.72.0Hohoe1.44.8

    Kumasi2.43.44.8Navrongo4.42.82.03.3Takoradi4.14.04.62.63.0Jirapa2.83.5

    Maamobi4.72.22.8North Tongu2.02.90.00.0Tamale2.43.62.62.02.0Kintampo3.13.5

    Mampong3.22.74.0Obuasi3.73.42.83.6Tema6.53.46.42.23.6Kofiridua6.44.4

    Nadowli1.31.70.7Sefwi Asafo2.44.83.25.4Wa3.43.22.23.23.2KorleBu0.64.2

    Nalerigu0.40.61.0Sunyani2.02.54.72.0Wenchi3.25.46.83.23.2Krachi2.41.8

    Navrongo2.82.03.3Takoradi4.04.62.63.0Kumasi3.44.8

    North Tongu2.90.00.0Tamale3.62.62.02.0Median3.43.93.52.73.4Maamobi2.22.8

    Obuasi3.42.83.6Tema3.46.42.23.6Min1.60.60.40.6Mampong2.74.0

    Sefwi Asafo4.83.25.4Wa3.22.23.23.2Max8.59.27.46.4Nadowli1.70.7

    Sunyani2.54.72.0Wenchi5.46.83.23.2Nalerigu0.61.0

    Takoradi4.62.63.0Navrongo2.03.3

    Tamale2.62.02.0Median3.63.62.73.4North Tongu0.00.0

    Tema6.42.23.6Min0.60.40.0Obuasi2.83.6

    Wa2.23.23.2Max9.27.46.4Sefwi Asafo3.25.4

    Wenchi6.83.23.2Sunyani4.72.0

    Takoradi2.63.0

    Median3.12.73.2Tamale2.02.0

    Min0.40.0Tema2.23.6

    Max7.46.4Wa3.23.2

    Wasa West1.93.3

    Wenchi3.23.2

    2.73.2

    20022003200420052006

    2002 Cohort3.43.93.52.73.4

    2003 Cohort3.63.62.73.4

    2004 Cohort3.12.73.2

    2005 Cohort2.73.2

    Adabraka2.0Adabraka2.02005

    Adabraka2.0Agormanya8.4Adibo1.2Adabraka2.0

    Agormanya8.4Assin Fosu3.1Agormanya8.4Adibo1.2

    Assin Fosu3.1Asunafo2.2Amansie West2.2Afram Plains2.8

    Bawku3.4Bawku3.4Asikuma Odoben1.8Agormanya8.4

    Bolgatanga3.4Bolgatanga3.4Assin Fosu3.1Amansie West2.2

    Cape Coast2.6Cape Coast2.6Asunafo2.2Asikuma Odoben1.8

    Eikwe5.6Eikwe5.6Bawku3.4Assin Fosu3.1

    Ho4.2Fanteakwa5.1Bolgatanga3.4Asunafo2.2

    Hohoe4.8Ho4.2Builsa2.8Bawku3.4

    Jirapa3.5Hohoe4.8Cape Coast2.6Birim South3.6

    Kofiridua4.4Jirapa3.5Eikwe5.6Bolgatanga3.4

    KorleBu4.2Kofiridua4.4Fanteakwa5.1Builsa2.8

    Kumasi4.8KorleBu4.2Ho4.2Cape Coast2.6

    Maamobi2.8Kumasi4.8Hohoe4.8Dangbe East4.4

    Mampong4.0Maamobi2.8Jirapa3.5East Gonja0.8

    Nalerigu1.0Mampong4.0Kofiridua4.4Eikwe5.6

    Navrongo3.3Nadowli0.7KorleBu4.2Fanteakwa5.1

    Obuasi3.6Nalerigu1.0Krachi1.8Ho4.2

    Sunyani2.0Navrongo3.3Kumasi4.8Hohoe4.8

    Takoradi3.0North Tongu0.0Maamobi2.8Jirapa3.5

    Tamale2.0Obuasi3.6Mampong4.0Kintampo3.5

    Tema3.6Sefwi Asafo5.4Nadowli0.7Kofiridua4.4

    Wa3.2Sunyani2.0Nalerigu1.0KorleBu4.2

    Wenchi3.2Takoradi3.0Navrongo3.3Krachi1.8

    Tamale2.0North Tongu0.0Kumasi4.8

    Tema3.6Obuasi3.6Maamobi2.8

    Wa3.2Sefwi Asafo5.4Mampong4.0

    Wenchi3.2Sunyani2.0Nadowli0.7

    Takoradi3.0Nalerigu1.0

    Tamale2.0Navrongo3.3

    Tema3.6North Tongu0.0

    Wa3.2Obuasi3.6

    Wenchi3.2Sefwi Asafo5.4

    Sunyani2.0

    Takoradi3.0

    Tamale2.0

    Tema3.6

    Wa3.2

    Wasa West3.3

    Wenchi3.2

    3.43.43.23.2

    Sheet2

    HIV Prevalence 2006HIV Prevalence 2005HIV Prevalence 2006

    Northern1.3Northern1.21.30.03412938207901962.7-19.2Central

    Central2.5Central2.92.5-0.4733623760579040-19.2-16.7Brong Ahafo

    Upper West2.5Upper West2.62.5-0.1476045883940620-5.9-5.9Upper West

    Brong Ahafo2.8Brong Ahafo3.32.8-0.4684518367962790-16.72.7Northern

    Volta3.0Volta1.83.01.177671224000520039.44.2Eastern

    Upper East3.2Upper East2.63.20.588676968783904018.218.2Upper East

    Gt. Accra3.4Gt. Accra2.13.41.240948312449330036.618.5Ashanti

    Ashanti3.7Ashanti3.03.70.676841864613091018.531.5Western

    Western4.3Western2.94.31.351797062262020031.536.6Gt. Accra

    Eastern4.9Eastern4.74.90.20404271548436304.239.4Volta

    Median 2006Mean 2006Median 2005Median 2006

    Rural2.82.8Rural3.02.8

    Urban3.43.5Urban2.73.4

    Rural

    SiteHIV Prevalence

    Adibo2.5

    Amansie West2.8

    Asikuma Odoben Brakwa2.2

    Asunafo4.1

    Builsa2.2

    Eikwe4.4

    Fanteakwa6.8

    Krachi2.8

    Nadowli1.3

    North Tongu2.9

    Sewfi Asafo4.8

    RuralRural

    SiteHIV Prevalence 20062005 HIV PrevalenceHIV Prevalence 2006

    North Tongu0.0North Tongu0.00.0

    Nadowli0.7Nadowli1.70.7

    Salaga0.8Salaga1.80.8

    Adibo1.2Adibo0.51.2

    Asikuma Odoben Brakwa1.8Asikuma Odoben Brakwa3.01.8

    Krachi1.8Krachi2.71.8

    Asunafo2.2Asunafo1.82.2

    Amansie West2.2Amansie West3.02.2

    Afram Plains2.8Afram Plains3.02.8

    Builsa2.8Builsa1.62.8

    Tarkwa3.3Tarkwa1.93.3

    Kintampo3.5Kintampo3.13.5

    Akim Oda3.6Akim Oda3.43.6

    Dangbe East4.4Dangbe East3.54.4

    Fanteakwa5.1Fanteakwa4.15.1

    Sewfi Asafo5.4Sewfi Asafo3.25.4

    Eikwe5.6Eikwe4.05.6

    Urban

    Site

    SiteHIV Prevalence 2006Prevalence 2005HIV Prevalence 2006

    Nalerigu1.0Nalerigu0.61.0

    Sunyani2.0Sunyani4.72.0

    Tamale2.0Tamale2.02.0

    Adabraka2.0Adabraka2.92.0

    Cape Coast2.6Cape Coast3.22.6

    Maamobi2.8Maamobi2.22.8

    Takoradi3.0Takoradi2.43.0

    Assin Fosu3.1Assin Fosu2.63.1

    Wa3.2Wa3.23.2

    Wenchi3.2Wenchi3.23.2

    Navrongo3.3Navrongo2.03.3

    Bawku3.4Bawku4.63.4

    Bolgatanga3.4Bolgatanga2.23.4

    Jirapa3.5Jirapa2.83.5

    Obuasi3.6Obuasi2.83.6

    Tema3.6Tema2.23.6

    Mampong4.0Mampong2.74.0

    KorleBu4.2KorleBu0.64.2

    Ho4.2Ho2.64.2

    Koforidua4.4Koforidua6.44.4

    Hohoe4.8Hohoe1.44.8

    Kumasi4.8Kumasi3.44.8

    Agormanya8.4Agormanya6.08.4

    Agegroup2006 Age Group PrevalenceHIV Prevalence20012002200320042005200020012002200320042005

    15 to 191.40.815 to 192.42.31.92.00.815 to 191.52.42.31.92.00.8

    20 to 242.92.420 to 243.44.03.52.72.420 to 242.73.44.03.52.72.4

    25 to 294.23.625 to 293.94.54.44.53.625 to 293.53.94.54.44.53.6

    30 to 343.73.230 to 343.54.34.74.43.230 to 342.63.54.34.74.43.2

    35 to 392.82.435 to 393.03.44.53.92.435 to 392.73.03.44.53.92.4

    40 to 443.33.740 to 442.62.53.32.33.740 to 441.82.62.53.32.33.7

    45 to 492.55.045 to 492.34.26.00.05.045 to 490.02.34.26.00.05.0

    15 to 493.43.93.93.52.815 to 492.83.43.93.93.52.8

    15 to 242.51.915 to 243.13.53.02.51.915 to 242.43.13.53.02.51.9

    2002200320042005200620012002200320042005200320042005200620022003200420052006

    15 to 192.31.92.00.81.415 to 192.42.31.92.00.815 to 191.92.00.81.415 to 192.31.92.00.81.4

    20 to 244.03.52.72.42.920 to 243.44.03.52.72.420 to 243.52.72.42.920 to 244.03.52.72.42.9

    25 to 294.54.44.53.64.225 to 293.94.54.44.53.625 to 294.44.53.64.225 to 294.54.44.53.64.2

    30 to 344.34.74.43.23.730 to 343.54.34.74.43.230 to 344.74.43.23.730 to 344.34.74.43.23.7

    35 to 393.44.53.92.42.835 to 393.03.44.53.92.435 to 394.53.92.42.815 to 243.53.02.51.92.5

    40 to 442.53.32.33.73.340 to 442.62.53.32.33.740 to 443.32.33.73.3

    45 to 494.26.00.05.02.545 to 492.34.26.00.05.045 to 496.00.05.02.5

    15 to 243.53.02.51.92.515 to 243.13.53.02.51.915 to 243.02.51.92.5

    Adabraka5.4

    Agormanya2.2Rural Age group

    Assin Fosu4Rural PrevalenceUrban Prevalence

    Bawku2.815 to 191.01.8

    Bolgatanga3.420 to 242.53.1

    Cape Coast5.825 to 293.44.6

    Ho6.430 to 343.53.8

    Hohoe2.235 to 393.02.6

    Jirapa4.640 to 444.72.0

    Koforidua1.445 to 494.30.0

    Korle Bu0.4

    Kumasi415 to 242.02.8

    Maamobi2.4

    Mampong7.4Total2.8

    Nalerigu3.2

    Navrongo2.5

    Obuasi4.2Urban age group

    Sunyani3.6Prevalence

    Takoradi6.815 to 191.8

    Tamale0.420 to 243.1

    Tema4.725 to 294.6

    Wa2.630 to 343.8

    Wenchi3.835 to 392.6

    40 to 442.0

    45 to 490.0

    15 to 242.8

    Total3.5

    STI

    MaleFemaleTotals

    15 to 190.00.00.0

    20 to 240.03.02.6

    25 to 290.01.81.2

    30 to 343.68.05.7

    35 to 3910.00.06.9

    40 to 4418.825.020.0

    45 to 490.00.00.0

    TOTAL5.43.34.1

    SEXAgegroupsFMTOTAL

    AgegroupsFMTOTAL15 to 1915318

    20 to 2420220 to 24671178

    25 to 2910125 to 29552681

    30 to 3421330 to 34252853

    35 to 3902235 to 3992029

    40 to 4413440 to 4441620

    TOTAL661245 to 495813

    TOTAL180112292

    Chart2

    000

    054.347826087

    18.18181818188.333333333311.4285714286

    05.88235294124

    33.3333333333012.5

    04025

    000

    8.33333333336.60377358497.0422535211

    Male

    Female

    Totals

    STI

    AgegroupMaleFemaleTotals

    No. TestedNumber Positive%No. TestedNumber Positive%Total No. TestedNumber Positive%

    15 to 19400.01500.01900.0

    20 to 24600.04025.04624.3

    25 to 2911218.22428.335411.4

    30 to 34800.01715.92514.0

    35 to 393133.3500.08112.5

    40 to 44300.05240.08225.0

    45 to 49100.0000.0100.0

    TOTAL3638.310676.6142107.0

    MaleFemaleTotals

    15 to 190.00.00.0

    20 to 240.05.04.3

    25 to 2918.28.311.4

    30 to 340.05.94.0

    35 to 3933.30.012.5

    40 to 440.040.025.0

    45 to 490.00.00.0

    TOTAL8.36.67.0

    15 to 1940015001900

    20 to 2460040254624.347826087

    25 to 2911218.18181818182428.333333333335411.4285714286

    30 to 348001715.88235294122514

    35 to 393133.33333333335008112.5

    40 to 4430052408225

    45 to 49100000100

    TOTAL3638.333333333310676.6037735849142107.0422535211

    HIV Prevalence by Type Graph

    55393.09764309761

    284.7138047138HIV 2

    132.1885521886HIV 1& 2

    HIV Prevalence By Type

    HIV prevalence by site graph

    8.4051724138

    5.6

    5.3811659193

    5.0602409639

    4.8289738431

    4.8192771084

    4.4345898004

    4.4088176353

    4.2338709677

    4.2

    4

    3.6072144289

    3.6

    3.5714285714

    3.4739454094

    3.4682080925

    3.4

    3.4

    3.29218107

    3.2586558045

    3.2064128257

    3.2

    3.1175059952

    3

    2.8103044496

    2.8056112224

    2.8056112224

    2.6052104208

    2.2044088176

    2.1739130435

    2.004008016

    2

    1.9607843137

    1.8348623853

    1.8

    1.2376237624

    1

    0.8048289738

    0.7462686567

    0

    2006 Prevalence

    HIV Prevalence by Site

    HIV prevalence by region

    1.2624934245

    2.4717514124

    2.483974359

    2.8013029316

    2.9926595144

    3.2325338895

    3.3905228758

    3.6573146293

    4.2960662526

    4.8970251716

    HIV Prevalence 2006

    Region

    Prevalence (%)

    Graph HIV by Rural or Urban

    2.83.4

    2.83.5

    Rural

    Urban

    Area

    Prevalence (%)

    HIV Mean and Median Prevalence by Area (Rural/Urban)

    Graph Mean,median prevalence

    2.32.7454545455

    2.93.4

    3.43.9234799475

    3.6065573773.9078326353

    3.1030060123.5350875648

    2.74920081372.7302481619

    3.23.2

    Median

    Mean

    Year

    HIV Prevalence (%)

    Mean and Median HIV Prevalence,2000 to 2006

    Graph prevalenc by site,00-04

    002.54629629630.49019607841.2376237624

    002.204408817631.8

    4.04040404045.22088353413.0060120242.8688524592.004008016

    03.6065573774.08163265311.80505415162.1739130435

    002.82.97239915072.2044088176

    2.61044176717.63052208844.00801603213.20641282572.6052104208

    Afram PlainsAfram PlainsAfram Plains3.0060120242.8056112224

    002.22222222221.63170163172.8103044496

    2.63.21931589544.20841683372.62626262633.1175059952

    3.83.21285140563.64.63.4

    2.83.01204819283.82.23.4

    Birim NorthBirim NorthBirim North3.43753.5714285714

    7.0270270279.23694779127.468.4051724138

    2002

    2003

    2004

    2005

    2006

    Sentinel Site

    HIV Prevalence (%)

    HIV Prevalence by Sentinel site, 2002 - 2006

    Graph prevalence by site,00-04

    East GonjaEast GonjaEast Gonja1.82767624020.8048289738

    002.82.44444444441.8348623853

    4.24.20841683374.70085470092.21327967812.8056112224

    1.72839506171.80722891571.41509433962.79569892473.4682080925

    KintampoKintampoKintampo3.11614730883.4739454094

    2.24.20841683370.40.60975609764.2

    3.22.00803212855.82.64.2338709677

    8.50202429152.62096774195.41082164336.42570281124.4088176353

    Dangbe EastDangbe EastDangbe East3.4883720934.4345898004

    3.24.22.20883534141.40280561124.8192771084

    4.208416833752.40480961923.41365461854.8289738431

    06.58682634736.82593856664.12147505425.0602409639

    66.06060606064.40881763534.00801603215.6

    2002

    2003

    2004

    2005

    2006

    Sentinel Site

    HIV Prevalence (%)

    HIV Prevalence by Sentinel Site, 2002 - 2006

    Graph prevalence by site,200-04

    02.047781572.919708029200

    01.29032258061.33333333331.73697270470.7462686567

    1.60.60120240480.40.61

    3.422.45231607634.70588235291.9607843137

    2.43.62.622

    4.05679513184.0485829964.62.63

    6.53950953683.41365461856.42.21327967813.2

    3.25.46.8354430383.20641282573.2064128257

    5.05050505054.40881763532.823.2586558045

    3.43.22.23.23.29218107

    63.69565217393.42.83.6

    TarkwaTarkwaTarkwa1.93.6072144289

    2.45.41082164333.22.70270270274

    02.37068965524.83.2332563515.3811659193

    2002

    2003

    2004

    2005

    2006

    Sentinel Site

    HIV Prevalence (%)

    HIV Prevalence by Sentinel Site, 2002 - 2006

    Syphillis Prev by site

    20.8

    19.1558441558

    18.4652278177

    16.4328657315

    16.3677130045

    11.9565217391

    11.1111111111

    10.6024096386

    10.0200400802

    9.4

    7.3275862069

    6

    5.8350100604

    4.2084168337

    4

    3.8152610442

    3.6697247706

    3.6072144289

    3.6072144289

    3.4653465347

    3.2193158954

    3.2064128257

    3

    3

    2.8056112224

    2.736318408

    2.4048096192

    2.2

    1.9607843137

    1.6293279022

    1.4450867052

    1

    1

    0.9925558313

    0.9367681499

    0.8

    0.6048387097

    0.6

    0.44345898

    0

    Prevalence

    Syphillis Prevalence by Site

    Syph Prev by region

    1.6

    2.1

    2.1

    2.2

    3.4

    3.6

    6.9

    8.4

    9.2

    14.7

    Prevalence

    Region

    Prevalence (%)

    Syphillis Prevalence by Region

    Syph prev by rural

    0

    0.44345898

    0.9367681499

    0.9925558313

    2.736318408

    3.2193158954

    3.4653465347

    3.6072144289

    3.6697247706

    4

    10.0200400802

    10.6024096386

    11.1111111111

    11.9565217391

    16.3677130045

    19.1558441558

    20.8

    Prevalence

    Site

    Prevalence (%)

    Syphillis Prevalence by Rural Sites

    Syph Prev by Urban

    0.6

    0.6048387097

    0.8

    1

    1

    1.4450867052

    1.6293279022

    1.9607843137

    2.2

    2.4048096192

    2.8056112224

    3

    3

    3.2064128257

    3.6072144289

    3.8152610442

    4.2084168337

    5.8350100604

    6

    7.3275862069

    9.4

    16.4328657315

    18.4652278177

    Prevalence

    Site

    Prevalence (%)

    Syphillis Prevalence by Urban Sites

    Syph Prev by agegroup

    5.7045343735

    5.4813359528

    4.616573305

    5.2173913043

    7.1953781513

    8.0745341615

    6.25

    5.5454418149

    Prevalence

    Prevalence (%)

    Syphillis Prevalence by Age Group

    Syphilis mean median

    7.24.4

    3.73

    Rural

    Urban

    Prevalence

    Syphilis Prevalence - Rural/Urban

    Graph HIV by Rural sites

    0

    0.7462686567

    0.8048289738

    1.2376237624

    1.8

    1.8348623853

    2.1739130435

    2.2044088176

    2.8056112224

    2.8103044496

    3.29218107

    3.4739454094

    3.5714285714

    4.4345898004

    5.0602409639

    5.3811659193

    5.6

    HIV Prevalence 2006

    Site

    Prevalence (%)

    HIV Prevalence by Rural Sites

    Graph HIV by Age group

    0

    1.4139444174

    2.8683693517

    4.1529843539

    3.7307152875

    2.7836134454

    3.3126293996

    2.5

    2.4506371657

    Age Group

    HIV Prevalence (%)

    HIV Prevalence by Age Group

    Graph HIV by Urban sites

    1

    1.9607843137

    2

    2.004008016

    2.6052104208

    2.8056112224

    3

    3.1175059952

    3.2

    3.2064128257

    3.2586558045

    3.4

    3.4

    3.4682080925

    3.6

    3.6072144289

    4

    4.2

    4.2338709677

    4.4088176353

    4.8192771084

    4.8289738431

    8.4051724138

    HIV Prevalence 2006

    HIV Prevalence by Urban Sites

    Mean Prevalence Agegroup Year

    2.33898208273.98319286654.52729665634.25435956263.5222583145

    1.89335230283.49604323114.39165879294.6866835513.0361574783

    2.03108540282.68386262784.48759037164.35106979712.4990736237

    0.84915084922.37178187723.58534684333.22314049591.9

    1.41394441742.86836935174.15298435393.73071528752.5

    15 to 19

    20 to 24

    25 to 29

    30 to 34

    15 to 24

    Year

    Mean Prevalence

    HIV Regional trend

    1.22836404241.2624934245

    2.94511378852.4717514124

    2.63157894742.483974359

    3.26975476842.8013029316

    1.81498829042.9926595144

    2.64385692073.2325338895

    2.14957456343.3905228758

    2.98047276463.6573146293

    2.94426919034.2960662526

    4.69298245614.8970251716

    HIV Prevalence 2005

    HIV Prevalence 2006

    Region

    Prevalence

    HIV Rural trend

    00

    1.73697270470.7462686567

    1.82767624020.8048289738

    0.49019607841.2376237624

    31.8

    2.66666666671.8348623853

    1.80505415162.1739130435

    2.97239915072.2044088176

    3.0060120242.8056112224

    1.63170163172.8103044496

    1.90274841443.29218107

    3.11614730883.4739454094

    3.43753.5714285714

    3.4883720934.4345898004

    4.12147505425.0602409639

    3.2332563515.3811659193

    4.00801603215.6

    2005 HIV Prevalence

    HIV Prevalence 2006

    Sites

    Prevalence

    Rural Sites HIV Trend

    HIV Urban trend

    0.61

    4.70588235291.9607843137

    22

    2.8688524592.004008016

    3.20641282572.6052104208

    2.21327967812.8056112224

    2.43

    2.62626262633.1175059952

    3.23.2

    3.20641282573.2064128257

    23.2586558045

    4.63.4

    2.23.4

    2.79569892473.4682080925

    2.83.6

    2.21327967813.6072144289

    2.70270270274

    0.60728744944.2

    2.64.2338709677

    6.44.4088176353

    1.40280561124.8192771084

    3.44129554664.8289738431

    68.4051724138

    Prevalence 2005

    HIV Prevalence 2006

    Site

    Prevalence

    Urban Sites HIV Trend

    HIV Rural urban trend

    32.8

    2.73.4

    Median 2005

    Median 2006

    Location

    Prevalence

    Rural/Urban HIV Trend

    Age Group by year

    1.89335230282.03108540280.84915084921.4139444174

    3.49604323112.68386262782.37178187722.8683693517

    4.39165879294.48759037163.58534684334.1529843539

    4.6866835514.35106979713.22314049593.7307152875

    4.53981569773.94543121972.38853503182.7836134454

    3.32083377822.27244161073.66379310343.3126293996

    6.0344827586052.5

    3.03615747832.49907362371.92.4506371657

    2003

    2004

    2005

    2006

    Age Group

    Prevalence

    Prevalence By Agegroup and Year

    Syphilis rural trend

    00

    00.44345898

    0.46620046620.9367681499

    3.68271954670.9925558313

    2.7295285362.736318408

    2.0887728463.2193158954

    5.39215686273.4653465347

    4.60921843693.6072144289

    4.44444444443.6697247706

    4.80961923854

    11.040339702810.0200400802

    10.195227765710.6024096386

    11.205073995811.1111111111

    14.44043321311.9565217391

    18.013856812916.3677130045

    16.87519.1558441558

    2420.8

    2005

    2006

    Site

    Prevalence

    Trend in Syphilis Infection in Rural Sites

    Syphilis urban trend

    20.6

    2.60.6048387097

    10.8

    1.61

    01

    2.15053763441.4450867052

    0.81.6293279022

    2.05882352941.9607843137

    1.45530145532.2

    2.60521042082.4048096192

    3.42052313882.8056112224

    2.23

    6.63

    1.84426229513.2064128257

    4.62776659963.6072144289

    2.40480961923.8152610442

    6.84.2084168337

    3.84615384625.8350100604

    2.0242914986

    8.27.3275862069

    109.4

    15.831663326716.4328657315

    17.979797979818.4652278177

    2005

    2006

    Site

    Prevalence

    Trend in Syphilis Infection in Urban Sites

    Syphilis rural urban trend

    4.83.7

    2.43

    Median 2005

    Median 2006

    Location

    Prevalence

    Trend in Urban/Rural Syphilis Infection

    Ruralurban Agegroup

    1.03480714961.8237082067

    2.4594195773.1403336605

    3.40285400664.5603576751

    3.53649360423.8461538462

    3.02233902762.624671916

    4.70085470092.0080321285

    4.25531914890

    1.97028423772.8189910979

    Rural Prevalence

    Urban Prevalence

    Age Group

    Prevalence

    Rural/Urban Age Group Prevalence

    HIV Cohort

    3.4200220022002

    3.87211758493.60655737720032003

    3.53.63.1030060122004

    2.74920081372.72.66448266452.7492008137

    3.43.43.20320641283.2325343151

    2002 Cohort

    2003 Cohort

    2004 Cohort

    2005 Cohort

    Year

    Prevalence

    Cohort

    Sheet4

    199219941995199619971998199920002001200220032004

    Adabraka0.7-1.32.22.13.42.04.02.34.05.23.0

    Agormanya18.09.410.512.813.413.28.27.86.67.09.27.4

    Amansie West-----------2.8

    Asikuma Odoben Brakwa-----------2.2

    Assin Fosu-2.51.21.61.23.62.02.42.62.63.24.2

    Asunafo----------3.64.1

    Bawku-2.42.4-1.61.81.61.63.63.83.23.6

    Bolgatanga-2.01.61.02.83.01.61.01.62.83.03.8

    Builsa-----------2.2

    Cape Coast-3.52.42.60.83.43.23.03.62.67.64.0

    Eikwe-3.0-5.75.85.84.83.25.86.06.14.4

    Fanteakwa----------6.66.8

    Ho-2.42.42.83.84.05.24.22.63.22.05.8

    Hohoe-2.33.22.14.24.04.45.02.83.24.22.2

    Jirapa0.42.50.33.01.4-0.61.51.71.71.81.4

    Kofiridua3.22.43.82.64.22.41.02.86.48.52.65.4

    KorleBu----2.02.22.22.24.82.24.20.4

    Krachi-----------2.8

    Kumasi4.62.43.23.85.56.84.93.83.44.25.02.4

    Maamobi---------4.24.24.7

    Mampong-2.03.62.05.25.03.41.64.82.45.43.2

    Nadowli----------1.31.3

    Nalerigu-1.01.00.40.2-0.61.41.71.60.60.4

    Navrongo--------2.45.14.42.8

    North Tongu----------2.02.9

    Obuasi---------6.03.73.4

    Sefwi Asafo----------2.44.8

    Sunyani4.03.0-2.22.03.42.82.11.13.42.02.5

    Takoradi-1.8-4.23.83.04.03.04.04.14.04.6

    Tamale-1.01.01.61.0-0.81.31.62.43.62.6

    Tema------2.63.92.56.53.46.4

    Wa1.83.00.81.81.62.32.21.46.03.43.22.2

    Wenchi4.0-3.22.62.42.02.21.03.43.25.46.8

    Yendi-----------2.5

    2001200220032004200520022003200420052006

    Adabraka2.34.05.23.02.9AdabrakaAdibo--2.50.51.2

    Afram Plains3.0AdiboAsikuma Odoben--2.23.01.8

    Agormanya6.67.09.27.46.0Afram PlainsAdabraka4.05.23.02.92.0

    Akim Oda3.4AgormanyaAsunafo-3.64.11.82.2

    Amansie West---2.83.0Amansie WestAmansie West--2.83.02.2

    Builsa---2.21.6Asikuma OdobenCape Coast2.67.64.03.22.6

    Asikuma Odoben---2.23.0Assin FosuAfram Plains3.02.8

    Assin Fosu2.62.63.24.22.6AsunafoBuilsa--2.21.62.8

    Asunafo--3.64.11.8BawkuAssin Fosu2.63.24.22.63.1

    Bawku3.63.83.23.64.6Birim NorthBawku3.83.23.64.63.4

    Bolgatanga1.62.83.03.82.2BolgatangaBolgatanga2.83.03.82.23.4

    20012002200320042005BuilsaBirim North3.43.6

    Cape Coast3.62.67.64.03.2Cape CoastAgormanya7.09.27.46.08.4

    Dangbe East3.520022003200420052006

    Eikwe5.86.06.14.44.0Dangbe EastEast Gonja1.80.8

    Fanteakwa--6.66.84.1East GonjaKrachi--2.82.41.8

    Krachi---2.82.4EikweMaamobi4.24.24.72.22.8

    Ho2.63.22.05.82.6FanteakwaJirapa1.71.81.42.83.5

    Hohoe2.83.24.22.21.4HoKintampo3.13.5

    Jirapa1.71.71.81.42.8HohoeKorleBu2.24.20.40.64.2

    Kintampo3.1JirapaHo3.22.05.82.64.2

    Kofiridua6.48.52.65.46.4KintampoKofiridua8.52.65.46.44.4

    KorleBu4.82.24.20.40.6KofiriduaDangbe East3.54.4

    Nalerigu1.41.71.60.60.4KorleBuHohoe3.24.22.21.44.8

    20012002200320042005KrachiKumasi4.25.02.43.44.8

    Kumasi3.44.25.02.43.4KumasiFanteakwa-6.66.84.15.1

    Maamobi-4.24.24.72.2MaamobiEikwe6.06.14.44.05.6

    Mampong4.82.45.43.22.720022003200420052006

    Nadowli--1.31.31.7MampongNorth Tongu-2.02.90.00.0

    Nalerigu1.71.60.60.40.6NadowliNadowli-1.31.31.70.7

    Navrongo2.45.14.42.82.0NaleriguNalerigu1.60.60.40.61.0

    North Tongu--2.02.90.0NavrongoSunyani3.42.02.54.72.0

    Obuasi-6.03.73.42.8North TonguTamale2.43.62.62.02.0

    Salaga1.8ObuasiTakoradi4.14.04.62.63.0

    Sefwi Asafo--2.44.83.2Sefwi AsafoTema6.53.46.42.23.2

    Sunyani1.13.42.02.54.7SunyaniWenchi3.25.46.83.23.2

    Takoradi4.04.14.04.62.6TakoradiNavrongo5.14.42.82.03.3

    Tarkwa1.9TamaleWa3.43.22.23.23.3

    Tamale1.62.43.62.62.0TarkwaObuasi6.03.73.42.83.6

    Tema2.56.53.46.42.2TemaTarkwa1.93.6

    Wa6.03.43.22.23.2WaMampong2.45.43.22.74.0

    Wenchi3.43.25.46.83.2WenchiSefwi Asafo-2.44.83.25.4

    Yendi---2.50.5

    SYPHILLIS

    SitePrevalenceRegionPrevalenceSite2005 Prevalence2006 Prevalence

    Asikuma Odoben Brakwa20.8Upper East1.6Adabraka1.83.2

    Akim Oda19.2Northern2.1Adibo5.43.5

    Assin Fosu18.5Volta2.1Afram Plains4.63.6

    Cape Coast16.4Upper West2.2Agormanya8.27.3

    Sewfi Asafo16.4Gt. Accra3.4Akim Oda16.919.2

    Asunafo12.0Brong Ahafo3.6Amansie West11.010.0

    Tarkwa11.1Ashanti6.9Asikuma Odoben Brakwa24.020.8

    Fanteakwa10.6Western8.4Assin Fosu18.018.5

    Amansie West10.0Eastern9.2Asunafo14.412.0

    Obuasi9.4Central14.7Bawku2.23.0

    Agormanya7.3Bolgatanga2.00.6

    KorleBu6.0Builsa0.50.9MeanMedianMedian 2005Median 2006

    Kumasi5.8MeanMedianCape Coast15.816.4Rural7.95Rural4.83.7

    Koforidua4.2Rural7.23.7Dangbe East0.00.4Urban4.42.4Urban2.43.0

    Eikwe4.0Urban4.43.0Eikwe4.84.0

    Hohoe3.8Fanteakwa10.210.6

    Krachi3.7Ho2.60.6

    Afram Plains3.6RuralHohoe2.43.8Rural

    Maamobi3.6Site NamePrevalenceJirapa2.21.420052006

    Adibo3.5North Tongu0.0Kintampo3.71.0North Tongu0.00.0

    Salaga3.2Dangbe East0.4UrbanKoforidua6.84.2Dangbe East0.00.4Urban

    Adabraka3.2Builsa0.9Site NamePrevalenceKorleBu2.06.0Builsa0.50.920052006

    Bawku3.0Kintampo1.0Bolgatanga0.6Krachi4.43.7Kintampo3.71.0Bolgatanga2.00.6

    Takoradi3.0Nadowli2.7Ho0.6Kumasi3.85.8Nadowli2.72.7Ho2.60.6

    Tema2.8Salaga3.2Nalerigu0.8Maamobi4.63.6Salaga2.13.2Nalerigu1.00.8

    Nadowli2.7Adibo3.5Tamale1.0Mampong1.52.2Adibo5.43.5Tamale1.61.0

    Wenchi2.4Afram Plains3.6Wa1.0Nadowli2.72.7Afram Plains4.63.6Wa0.01.0

    Mampong2.2Krachi3.7Jirapa1.4Nalerigu1.00.8Krachi4.43.7Jirapa2.21.4

    Sunyani2.0Eikwe4.0Navrongo1.6Navrongo0.81.6Eikwe4.84.0Navrongo0.81.6

    Navrongo1.6Amansie West10.0Sunyani2.0North Tongu0.00.0Amansie West11.010.0Sunyani2.12.0

    Jirapa1.4Fanteakwa10.6Mampong2.2Obuasi10.09.4Fanteakwa10.210.6Mampong1.52.2

    Tamale1.0Tarkwa11.1Wenchi2.4Salaga2.13.2Tarkwa11.211.1Wenchi2.62.4

    Wa1.0Asunafo12.0Tema2.8Sewfi Asafo18.016.4Asunafo14.412.0Tema3.42.8

    Kintampo1.0Sewfi Asafo16.4Bawku3.0Sunyani2.12.0Sewfi Asafo18.016.4Bawku2.23.0

    Builsa0.9Akim Oda19.2Takoradi3.0Takoradi6.63.0Akim Oda16.919.2Takoradi6.63.0

    Nalerigu0.8Asikuma Odoben Brakwa20.8Adabraka3.2Tamale1.61.0Asikuma Odoben Brakwa24.020.8Adabraka1.83.2

    Ho0.6Maamobi3.6Tarkwa11.211.1Maamobi4.63.6

    Bolgatanga0.6Hohoe3.8Tema3.42.8Hohoe2.43.8

    Dangbe East0.4Koforidua4.2Wa0.01.0Koforidua6.84.2

    North Tongu0.0Kumasi5.8Wenchi2.62.4Kumasi3.85.8

    KorleBu6.0KorleBu2.06.0

    Agormanya7.3Agormanya8.27.3

    AgegroupPrevalenceObuasi9.4Obuasi10.09.4

    15 to 195.7Cape Coast16.4Agegroup2005 PrevalenceCape Coast15.816.4

    20 to 245.5Assin Fosu18.515 to 195.3Assin Fosu18.018.5

    25 to 294.620 to 245.8

    30 to 345.225 to 295.6

    35 to 397.230 to 345.9

    40 to 448.135 to 397.2

    45 to 496.340 to 448.6

    45 to 493.8

    15 t0 245.5

    15 t0 24

    Sheet3

    19992000200120022003200420052000200120022003200420052006

    Median2.42.32.93.43.63.12.7Median2.32.93.43.63.12.73.2

    Mean2.92.73.43.93.93.52.7Mean2.73.43.93.93.52.73.2

    199219941995199619971998199920002001200220032004

    Adabraka0.7-1.32.22.13.42.04.02.34.05.23.0

    Agormanya18.09.410.512.813.413.28.27.86.67.09.27.4

    Assin Fosu-2.51.21.61.23.62.02.42.62.63.24.2

    Bawku-2.42.4-1.61.81.61.63.63.83.23.6

    Bolgatanga-2.01.61.02.83.01.61.01.62.83.03.8

    Cape Coast-3.52.42.60.83.43.23.03.62.67.64.0

    Eikwe-3.0-5.75.85.84.83.25.86.06.14.4

    Ho-2.42.42.83.84.05.24.22.63.22.05.8

    Hohoe-2.33.22.14.24.04.45.02.83.24.22.2

    Jirapa0.42.50.33.01.4-0.61.51.71.71.81.4

    Kofiridua3.22.43.82.64.22.41.02.86.48.52.65.4

    KorleBu----2.02.22.22.24.82.24.20.4

    Kumasi4.62.43.23.85.56.84.93.83.44.25.02.4

    Mampong-2.03.62.05.25.03.41.64.82.45.43.2

    Nalerigu-1.01.00.40.2-0.61.41.71.60.60.4

    Navrongo--------2.45.14.42.8

    Sunyani4.03.0-2.22.03.42.82.11.13.42.02.5

    Takoradi-1.8-4.23.83.04.03.04.04.14.04.6

    Tamale-1.01.01.61.0-0.81.31.62.43.62.6

    Tema------2.63.92.56.53.46.4

    Wa1.83.00.81.81.62.32.21.46.03.43.22.2

    Wenchi4.0-3.22.62.42.02.21.03.43.25.46.8

    20002001200220032004

    Adabraka4.02.34.05.23.0

    Agormanya7.86.67.09.27.4

    Cape Coast3.03.62.67.64.0

    Eikwe3.25.86.06.14.4

    Ho4.22.63.22.05.8

    Koforidua2.86.48.52.65.4

    Korle Bu2.24.82.24.20.4

    Kumasi3.83.44.25.02.4

    Mampong1.64.82.45.43.2

    Tema3.92.56.53.46.4

    Chart1

    8.4051724138

    5.6

    5.3811659193

    5.0602409639

    4.8289738431

    4.8192771084

    4.4345898004

    4.4088176353

    4.2338709677

    4.2

    4

    3.6072144289

    3.6

    2006 Prevalence

    Chart3

    3.5714285714

    3.4739454094

    3.4682080925

    3.4

    3.4

    3.29218107

    3.2586558045

    3.2064128257

    3.2

    3.1175059952

    3

    2.8103044496

    2.8056112224

    2006 Prevalence

    Chart4

    2.8056112224

    2.6052104208

    2.2044088176

    2.1739130435

    2.004008016

    2

    1.9607843137

    1.8348623853

    1.8

    1.2376237624

    1

    0.8048289738

    0.7462686567

    0

    2006 Prevalence

    Sheet5

    2006 Prevalence2006 Prevalence2006 Prevalence

    Agormanya8.4Birim South3.6Maamobi2.8

    Eikwe5.6Kintampo3.5Cape Coast2.6

    Sewfi Asafo5.4Jirapa3.5Amansie West2.2

    Fanteakwa5.1Bawku3.4Asunafo2.2

    Kumasi4.8Bolgatanga3.4Adabraka2.0

    Hohoe4.8Wasa West3.3Tamale2.0

    Dangbe East4.4Navrongo3.3Sunyani2.0

    Koforidua4.4Wenchi3.2Krachi1.8

    Ho4.2Wa3.2Asikuma Odoben Brakwa1.8

    KorleBu4.2Assin Fosu3.1Adibo1.2

    Mampong4.0Takoradi3.0Nalerigu1.0

    Tema3.6Builsa2.8East Gonja0.8

    Obuasi3.6Afram Plains2.8Nadowli0.7

    Birim South3.6Maamobi2.8North Tongu0.0

    Kintampo3.5Cape Coast2.6

    Jirapa3.5Amansie West2.2

    Bawku3.4Asunafo2.2

    Bolgatanga3.4Adabraka2.0

    Wasa West3.3Tamale2.0

    Navrongo3.3Sunyani2.0

    Wenchi3.2Krachi1.8

    Wa3.2Asikuma Odoben Brakwa1.8

    Assin Fosu3.1Adibo1.2

    Takoradi3.0Nalerigu1.0

    Builsa2.8East Gonja0.8

    Afram Plains2.8Nadowli0.7

    Maamobi2.8North Tongu0.0

    Cape Coast2.6

    Amansie West2.2

    Asunafo2.2

    Adabraka2.0

    Tamale2.0

    Sunyani2.0

    Krachi1.8

    Asikuma Odoben Brakwa1.8

    Adibo1.2

    Nalerigu1.0

    East Gonja0.8

    Nadowli0.7

    North Tongu0.0

    Sheet1

    20062005

    HIV 155393.1HIV 147594.8

    HIV 2284.7HIV 220.4

    HIV 1& 2132.2HIV 1& 2244.8

    MeanMedian

    Southern Belt4.64.6

    Middle Belt2.83.4

    Northern Belt2.62.4

    Site2006 PrevalenceSite2005 Prevalence

    Agormanya8.4Adabraka2.9

    Eikwe5.6Afram Plains3.0

    Sewfi Asafo5.4Agormanya6.0

    Fanteakwa5.1Akim Oda3.4

    Kumasi4.8Amansie West3.0

    Hohoe4.8Asikuma Odoben Brakwa3.0

    Dangbe East4.4Assin Fosu2.6

    Koforidua4.4Asunafo1.8

    Ho4.2Bawku4.6

    KorleBu4.2Bolgatanga2.2

    Mampong4.0Builsa1.6

    Tema3.6Cape Coast3.2

    Obuasi3.6Dangbe East3.5

    Birim South3.6Eikwe4.0

    Kintampo3.5Fanteakwa4.1

    Jirapa3.5Ho2.6

    Bawku3.4Hohoe1.4

    Bolgatanga3.4Jirapa2.8

    Wasa West3.3Kintampo3.1

    Navrongo3.3Koforidua6.4

    Wenchi3.2KorleBu0.6

    Wa3.2Krachi2.4

    Assin Fosu3.1Kumasi3.4

    Takoradi3.0Maamobi2.2

    Builsa2.8Mampong2.7

    Afram Plains2.8Nadowli1.7

    Maamobi2.8Nalerigu0.6

    Cape Coast2.6Navrongo2.0

    Amansie West2.2North Tongu0.0

    Asunafo2.2Obuasi2.8

    Adabraka2.0Salaga1.8

    Tamale2.0Sewfi Asafo3.2

    Sunyani2.0Sunyani4.7

    Krachi1.8Takoradi2.6

    Asikuma Odoben Brakwa1.8Tamale2.0

    Adibo1.2Tarkwa1.9

    Nalerigu1.0Tema2.2

    East Gonja0.8Wa3.2

    Nadowli0.7Wenchi3.2

    North Tongu0.0Yendi0.5

    Prevalence in 2004 HSS Year GroupPrevalence of 2003 HSS Year GroupPrevalence of 2002 HSS Year GroupPrevalence of 2005 HSS Year Group

    2004200520062003200420052006200220032004200520062005

    Adabraka3.02.92.0Adabraka5.23.02.92.0Adabraka4.05.23.02.92.0Adabraka2.92.0

    Adibo2.50.51.2Agormanya9.27.46.08.4Agormanya7.09.27.46.08.4Adibo0.51.2

    Agormanya7.46.08.4Assin Fosu3.24.22.63.1Assin Fosu2.63.24.22.63.1Afram Plains3.02.8

    Amansie West2.83.02.2Asunafo3.64.11.82.2Bawku3.83.23.64.63.4Agormanya6.08.4

    Asikuma Odoben2.23.01.8Bawku3.23.64.63.4Bolgatanga2.83.03.82.23.4Amansie West3.02.2

    Assin Fosu4.22.63.1Bolgatanga3.03.82.23.4Cape Coast2.67.64.03.22.6Asikuma Odoben3.01.8

    Asunafo4.11.82.2Cape Coast7.64.03.22.6Eikwe6.06.14.44.05.6Assin Fosu2.63.1

    Bawku3.64.63.4Eikwe6.14.44.05.6Ho3.22.05.82.64.2Asunafo1.82.2

    Bolgatanga3.82.23.4Fanteakwa6.66.84.15.1Hohoe3.24.22.21.44.8Bawku4.63.4

    Builsa2.21.62.8Ho2.05.82.64.2Jirapa1.71.81.42.83.5Birim South3.43.6

    Cape Coast4.03.22.6Hohoe4.22.21.44.8Kofiridua8.52.65.46.44.4Bolgatanga2.23.4

    Eikwe4.44.05.6Jirapa1.81.42.83.5KorleBu2.24.20.40.64.2Builsa1.62.8

    Fanteakwa6.84.15.1Kofiridua2.65.46.44.4Kumasi4.25.02.43.44.8Cape Coast3.22.6

    Ho5.82.64.2KorleBu4.20.40.64.2Maamobi4.24.24.72.22.8Dangbe East3.54.4

    Hohoe2.21.44.8Kumasi5.02.43.44.8Mampong2.45.43.22.74.0East Gonja1.80.8

    Jirapa1.42.83.5Maamobi4.24.72.22.8Nalerigu1.60.60.40.61.0Eikwe4.05.6

    Kofiridua5.46.44.4Mampong5.43.22.74.0Navrongo5.14.42.82.03.3Fanteakwa4.15.1

    KorleBu0.40.64.2Nadowli1.31.31.70.7Obuasi6.03.73.42.83.6Ho2.64.2

    Krachi2.82.41.8Nalerigu0.60.40.61.0Sunyani3.42.02.54.72.0Hohoe1.44.8

    Kumasi2.43.44.8Navrongo4.42.82.03.3Takoradi4.14.04.62.63.0Jirapa2.83.5

    Maamobi4.72.22.8North Tongu2.02.90.00.0Tamale2.43.62.62.02.0Kintampo3.13.5

    Mampong3.22.74.0Obuasi3.73.42.83.6Tema6.53.46.42.23.6Kofiridua6.44.4

    Nadowli1.31.70.7Sefwi Asafo2.44.83.25.4Wa3.43.22.23.23.2KorleBu0.64.2

    Nalerigu0.40.61.0Sunyani2.02.54.72.0Wenchi3.25.46.83.23.2Krachi2.41.8

    Navrongo2.82.03.3Takoradi4.04.62.63.0Kumasi3.44.8

    North Tongu2.90.00.0Tamale3.62.62.02.0Median3.43.93.52.73.4Maamobi2.22.8

    Obuasi3.42.83.6Tema3.46.42.23.6Min1.60.60.40.6Mampong2.74.0

    Sefwi Asafo4.83.25.4Wa3.22.23.23.2Max8.59.27.46.4Nadowli1.70.7

    Sunyani2.54.72.0Wenchi5.46.83.23.2Nalerigu0.61.0

    Takoradi4.62.63.0Navrongo2.03.3

    Tamale2.62.02.0Median3.63.62.73.4North Tongu0.00.0

    Tema6.42.23.6Min0.60.40.0Obuasi2.83.6

    Wa2.23.23.2Max9.27.46.4Sefwi Asafo3.25.4

    Wenchi6.83.23.2Sunyani4.72.0

    Takoradi2.63.0

    Median3.12.73.2Tamale2.02.0

    Min0.40.0Tema2.23.6

    Max7.46.4Wa3.23.2

    Wasa West1.93.3

    Wenchi3.23.2

    2.73.2

    20022003200420052006

    2002 Cohort3.43.93.52.73.4

    2003 Cohort3.63.62.73.4

    2004 Cohort3.12.73.2

    2005 Cohort2.73.2

    Adabraka2.0Adabraka2.02005

    Adabraka2.0Agormanya8.4Adibo1.2Adabraka2.0

    Agormanya8.4Assin Fosu3.1Agormanya8.4Adibo1.2

    Assin Fosu3.1Asunafo2.2Amansie West2.2Afram Plains2.8

    Bawku3.4Bawku3.4Asikuma Odoben1.8Agormanya8.4

    Bolgatanga3.4Bolgatanga3.4Assin Fosu3.1Amansie West2.2

    Cape Coast2.6Cape Coast2.6Asunafo2.2Asikuma Odoben1.8

    Eikwe5.6Eikwe5.6Bawku3.4Assin Fosu3.1

    Ho4.2Fanteakwa5.1Bolgatanga3.4Asunafo2.2

    Hohoe4.8Ho4.2Builsa2.8Bawku3.4

    Jirapa3.5Hohoe4.8Cape Coast2.6Birim South3.6

    Kofiridua4.4Jirapa3.5Eikwe5.6Bolgatanga3.4

    KorleBu4.2Kofiridua4.4Fanteakwa5.1Builsa2.8

    Kumasi4.8KorleBu4.2Ho4.2Cape Coast2.6

    Maamobi2.8Kumasi4.8Hohoe4.8Dangbe East4.4

    Mampong4.0Maamobi2.8Jirapa3.5East Gonja0.8

    Nalerigu1.0Mampong4.0Kofiridua4.4Eikwe5.6

    Navrongo3.3Nadowli0.7KorleBu4.2Fanteakwa5.1

    Obuasi3.6Nalerigu1.0Krachi1.8Ho4.2

    Sunyani2.0Navrongo3.3Kumasi4.8Hohoe4.8

    Takoradi3.0North Tongu0.0Maamobi2.8Jirapa3.5

    Tamale2.0Obuasi3.6Mampong4.0Kintampo3.5

    Tema3.6Sefwi Asafo5.4Nadowli0.7Kofiridua4.4

    Wa3.2Sunyani2.0Nalerigu1.0KorleBu4.2

    Wenchi3.2Takoradi3.0Navrongo3.3Krachi1.8

    Tamale2.0North Tongu0.0Kumasi4.8

    Tema3.6Obuasi3.6Maamobi2.8

    Wa3.2Sefwi Asafo5.4Mampong4.0

    Wenchi3.2Sunyani2.0Nadowli0.7

    Takoradi3.0Nalerigu1.0

    Tamale2.0Navrongo3.3

    Tema3.6North Tongu0.0

    Wa3.2Obuasi3.6

    Wenchi3.2Sefwi Asafo5.4

    Sunyani2.0

    Takoradi3.0

    Tamale2.0

    Tema3.6

    Wa3.2

    Wasa West3.3

    Wenchi3.2

    3.43.43.23.2

    Sheet2

    HIV Prevalence 2006HIV Prevalence 2005HIV Prevalence 2006

    Northern1.3Northern1.21.30.03412938207901962.7-19.2Central

    Central2.5Central2.92.5-0.4733623760579040-19.2-16.7Brong Ahafo

    Upper West2.5Upper West2.62.5-0.1476045883940620-5.9-5.9Upper West

    Brong Ahafo2.8Brong Ahafo3.32.8-0.4684518367962790-16.72.7Northern

    Volta3.0Volta1.83.01.177671224000520039.44.2Eastern

    Upper East3.2Upper East2.63.20.588676968783904018.218.2Upper East

    Gt. Accra3.4Gt. Accra2.13.41.240948312449330036.618.5Ashanti

    Ashanti3.7Ashanti3.03.70.676841864613091018.531.5Western

    Western4.3Western2.94.31.351797062262020031.536.6Gt. Accra

    Eastern4.9Eastern4.74.90.20404271548436304.239.4Volta

    Median 2006Mean 2006Median 2005Median 2006

    Rural2.82.8Rural3.02.8

    Urban3.43.5Urban2.73.4

    Rural

    SiteHIV Prevalence

    Adibo2.5

    Amansie West2.8

    Asikuma Odoben Brakwa2.2

    Asunafo4.1

    Builsa2.2

    Eikwe4.4

    Fanteakwa6.8

    Krachi2.8

    Nadowli1.3

    North Tongu2.9

    Sewfi Asafo4.8

    RuralRural

    SiteHIV Prevalence 20062005 HIV PrevalenceHIV Prevalence 2006

    North Tongu0.0North Tongu0.00.0

    Nadowli0.7Nadowli1.70.7

    Salaga0.8Salaga1.80.8

    Adibo1.2Adibo0.51.2

    Asikuma Odoben Brakwa1.8Asikuma Odoben Brakwa3.01.8

    Krachi1.8Krachi2.71.8

    Asunafo2.2Asunafo1.82.2

    Amansie West2.2Amansie West3.02.2

    Afram Plains2.8Afram Plains3.02.8

    Builsa2.8Builsa1.62.8

    Tarkwa3.3Tarkwa1.93.3

    Kintampo3.5Kintampo3.13.5

    Akim Oda3.6Akim Oda3.43.6

    Dangbe East4.4Dangbe East3.54.4

    Fanteakwa5.1Fanteakwa4.15.1

    Sewfi Asafo5.4Sewfi Asafo3.25.4

    Eikwe5.6Eikwe4.05.6

    Urban

    Site

    SiteHIV Prevalence 2006Prevalence 2005HIV Prevalence 2006

    Nalerigu1.0Nalerigu0.61.0

    Sunyani2.0Sunyani4.72.0

    Tamale2.0Tamale2.02.0

    Adabraka2.0Adabraka2.92.0

    Cape Coast2.6Cape Coast3.22.6

    Maamobi2.8Maamobi2.22.8

    Takoradi3.0Takoradi2.43.0

    Assin Fosu3.1Assin Fosu2.63.1

    Wa3.2Wa3.23.2

    Wenchi3.2Wenchi3.23.2

    Navrongo3.3Navrongo2.03.3

    Bawku3.4Bawku4.63.4

    Bolgatanga3.4Bolgatanga2.23.4

    Jirapa3.5Jirapa2.83.5

    Obuasi3.6Obuasi2.83.6

    Tema3.6Tema2.23.6

    Mampong4.0Mampong2.74.0

    KorleBu4.2KorleBu0.64.2

    Ho4.2Ho2.64.2

    Koforidua4.4Koforidua6.44.4

    Hohoe4.8Hohoe1.44.8

    Kumasi4.8Kumasi3.44.8

    Agormanya8.4Agormanya6.08.4

    Agegroup2006 Age Group PrevalenceHIV Prevalence20012002200320042005200020012002200320042005

    15 to 191.40.815 to 192.42.31.92.00.815 to 191.52.42.31.92.00.8

    20 to 242.92.420 to 243.44.03.52.72.420 to 242.73.44.03.52.72.4

    25 to 294.23.625 to 293.94.54.44.53.625 to 293.53.94.54.44.53.6

    30 to 343.73.230 to 343.54.34.74.43.230 to 342.63.54.34.74.43.2

    35 to 392.82.435 to 393.03.44.53.92.435 to 392.73.03.44.53.92.4

    40 to 443.33.740 to 442.62.53.32.33.740 to 441.82.62.53.32.33.7

    45 to 492.55.045 to 492.34.26.00.05.045 to 490.02.34.26.00.05.0

    15 to 493.43.93.93.52.815 to 492.83.43.93.93.52.8

    15 to 242.51.915 to 243.13.53.02.51.915 to 242.43.13.53.02.51.9

    2002200320042005200620012002200320042005200320042005200620022003200420052006

    15 to 192.31.92.00.81.415 to 192.42.31.92.00.815 to 191.92.00.81.415 to 192.31.92.00.81.4

    20 to 244.03.52.72.42.920 to 243.44.03.52.72.420 to 243.52.72.42.920 to 244.03.52.72.42.9

    25 to 294.54.44.53.64.225 to 293.94.54.44.53.625 to 294.44.53.64.225 to 294.54.44.53.64.2

    30 to 344.34.74.43.23.730 to 343.54.34.74.43.230 to 344.74.43.23.730 to 344.34.74.43.23.7

    35 to 393.44.53.92.42.835 to 393.03.44.53.92.435 to 394.53.92.42.815 to 243.53.02.51.92.5

    40 to 442.53.32.33.73.340 to 442.62.53.32.33.740 to 443.32.33.73.3

    45 to 494.26.00.05.02.545 to 492.34.26.00.05.045 to 496.00.05.02.5

    15 to 243.53.02.51.92.515 to 243.13.53.02.51.915 to 243.02.51.92.5

    Adabraka5.4

    Agormanya2.2Rural Age group

    Assin Fosu4Rural PrevalenceUrban Prevalence

    Bawku2.815 to 191.01.8

    Bolgatanga3.420 to 242.53.1

    Cape Coast5.825 to 293.44.6

    Ho6.430 to 343.53.8

    Hohoe2.235 to 393.02.6

    Jirapa4.640 to 444.72.0

    Koforidua1.445 to 494.30.0

    Korle Bu0.4

    Kumasi415 to 242.02.8

    Maamobi2.4

    Mampong7.4Total2.8

    Nalerigu3.2

    Navrongo2.5

    Obuasi4.2Urban age group

    Sunyani3.6Prevalence

    Takoradi6.815 to 191.8

    Tamale0.420 to 243.1

    Tema4.725 to 294.6

    Wa2.630 to 343.8

    Wenchi3.835 to 392.6

    40 to 442.0

    45 to 490.0

    15 to 242.8

    Total3.5

    STI

    MaleFemaleTotals

    15 to 190.00.00.0

    20 to 240.03.02.6

    25 to 290.01.81.2

    30 to 343.68.05.7

    35 to 3910.00.06.9

    40 to 4418.825.020.0

    45 to 490.00.00.0

    TOTAL5.43.34.1

    SEXAgegroupsFMTOTAL

    AgegroupsFMTOTAL15 to 1915318

    20 to 2420220 to 24671178

    25 to 2910125 to 29552681

    30 to 3421330 to 34252853

    35 to 3902235 to 3992029

    40 to 4413440 to 4441620

    TOTAL661245 to 495813

    TOTAL180112292

  • Ghanas gainsStrategic planning [NSF I (2001-2005) and NSF II-(2006-2010), JPR (2004, 2007), 5-POW, APOW]Policy formulation (National HIV Policy-2004)Decentralized implementation of the National responsePrevention programmes (Near Universal awareness)Treatment and care and support (5th year of ART)Human rights issues (anti-stigma campaigns)Monitoring and evaluation (M&E Plans for all Levels)Increased participation of CSOs and GIPA (Partnership Forum, TWG etc)Impact mitigation (OVCs, NHIS for PLHIVs, IGAs)

  • UNIVERSAL ACCESS: NATIONAL TARGETS FOR GHANA

    [1] Impact target: UNAIDS estimated 50% reduction of the proportion of infants infected with HIV. [2] National AIDS Spending Assessment (NASA).Abbreviations: GHS Ghana Health Service , GSS Ghana Statistical Service, TBD- To be determined, MoFEP- Ministry of Finance and Economic Planning , MICS Multiple Cluster Study, BSS-Behaviour Surveillance Survey, HSS-HIV Sentinel Survey, NACP- National AIDS Control Programme, GDHS-Ghana Demographic Health Survey

    Programmatic areaIndicatorData SourcesBaseline (year)20082010Data Collection TypeImpact targetNational HIV prevalence among people aged 15-49GHS2.20% (2003)2.10%1.90%NACP Technical Report (HSS/GDHS/Programme Data)HIV prevalence among young people aged 15-24GHS 1.9% (2005)1.4%1.0%HSSPreventionImpact target% of HIV-infected infants born to HIV infected mothersGHS30% (2004)22%15%[1]Routine data collection systemProcess target# of centers providing PMTCT servicesGHS135 (2005)190238Routine reporting systemImpact target% of people aged 15-49 who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions about HIV transmissionGSSGHSF-38%M-44%(2003)F-46%M-54%F-50%M-60%GDHS(2008)BSS(2006)MICS(2006)TreatmentImpact target% of women, men and children with advanced HIV infection who are receiving antiretroviral combination therapyGHS6.5% (2005)42%66%Routine reporting systemProcess target# of centers providing ART servicesGHS5 (2005)50138Routine reporting systemProcess target# of centers providing VCT servicesGHS145 (2005)190238Routine reporting systemProcess target# of clients tested for HIV at VCT sites and receiving their serostatus results in the past 12 monthsGHS42,206 (2005)200,000300,000Routine reporting systemImpact target% of HIV positive pregnant women who receive a complete course of antiretroviral therapy to prevent mother to child transmission in the last 12 months.GHS0.45% (2005)24.8%47.6%Routine reporting systemProcess target# of centers providing PMTCT servicesGHS135 (2005)190238Routine reporting systemCare and supportImpact targetRatio of current school attendance among orphans to that among non-orphans, aged 10-14GSS0.79 (2003)0.90.95GDHSMICSNational commitmentImpact targetAmount of national funds disbursed by government on HIV/AIDSMoFEPCedi 97 billion (2003)TBDTBDNASA[2]

  • Key issues in HIV responsePreventionAn increasing trend in HIV new infectionsSlow rate of behavior changeLow risk perceptionLow uptake of prevention servicesHigh levels of stigmaWeak link between community and health servicesWeak integration of HIV programs into sexual reproductive health programsLow priority for workplace HIV prevention programsInadequate Operational research on prevention services

  • Treatment care and support16% of adults who need HAART are on therapy10% of HIV infected children
  • Coordination/ManagementWeak Coordination of the multi-sectoral responseWeak M & E particularly on Prevention activities

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