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STOP HIV/AIDS
Rolando Barrios, MD, FRCPCAssistant Director
BC Centre for Excellence in HIV/AIDSAssistant Medical Director
HIV/AIDS Program Providence Health CareAdjunct Professor – School of Population and Public Health, UBC
Background:• Natural History of HIV is well known.• The importance of early HIV diagnosing and its
impact on transmission and outcomes.• The importance of timely access to care, and
support.• The role of ARV treatment both at individual and
population level.• Increase understanding of HIV as a chronic
manageable condition requiring greater involvement from patients (self-management)
HOW HIV affects BC
• 1:4 people infected with HIV are unaware of their HIV positive status.• They won’t benefit from care and treatment• They contribute to ~ 60% of new infections
• 1:3 people dying from HIV in BC have never accessed ARV treatment.
• Higher HIV rates among particular groups• Higher mortality rates in some geographic
areas
STOP HIV/AIDS
• Business case for the need to expand HIV care and treatment was prepared
• Government decided to implement a Pilot Project in the two most affected areas• Vancouver’s inner city• Downtown Prince George
• Funded provided to VCH, NH, PHSA, BCCFE and PHC.
• Development of strategic goals and a model for monitoring and evaluation was developed
Indicators# Indicator Provincial Vancouver Northern
Interior
7 HCV & HIV Testing 50% 62% 65%
9 Advanced HIV at Diagnosis 14% 13% <1%
11 Acute Infection 6% 9% 6%
14 Late ARV initiation 29% 24% <1%
21 DRT before ARV start 84% 84% 100%
22 Suppressed pVL on ART 61% 64% 57%
23 Appropriate ART combination
81% 81% 100%
24 Rx refill adherence 73% 76% 46%
25 # MDs initiating ARV Rx 46 33 1
29 ARV regimen change 3.72 3.81% 0%
STOP HIV/AIDS Pilot Project – Indicators Report (August 2010)
LISA Survey
VCH NHA LISA
Unstable housing* 37% 29% 32%
Receiving Income Assistance 75% 85%
Food insecure 70% 86% 66%
Unemployment 78% 67%
Not satisfied with physician 5% 14% 6%
LISA Participants: N= 1000. 2% from NHA and 67% from VCH
26% Women, 81% use HIV-related programs and services regularly
*Unstable housing defined as living in a hotel, boarding room, hostel, transition house, prison, hospital or not having a fixed address at the time of the interview
Hogg et al. 2009 (Summary statistics of the LISA Project)
LISA Participants: N= 1000. 2% from NHA and 67% from VCH
26% Women, 81% use HIV-related programs and services regularly
*Unstable housing defined as living in a hotel, boarding room, hostel, transition house, prison, hospital or not having a fixed address at the time of the interview
Hogg et al. 2009 (Summary statistics of the LISA Project)