 |
The 130th Annual Meeting of APHA |
|
The 130th Annual Meeting of APHA |
Consuelo Beck-Sague, MD, S. Afua Appiah-Yeboah, Meredith Reynolds, PhD, Anne M. Scott, and Leo Morris, PhD. Division of Reproductive Health, Centers for Disease Control and Prevention, 2900 Woodcock Blvd, Atlanta, GA 30341, 770-488-5216, cmb1@cdc.gov
KBB indicators can be used for monitoring and evaluation of HIV prevention program effectiveness. Demographic HS (DHS) KBB data were successfully used in Uganda for this purpose. In regions where DHS are not conducted, KBB indicators are available from RHS. KBB data from women's responses in RHS in Jamaica, Honduras, Georgia, Moldova and Romania, and number of AIDS cases, estimates of HIV prevalence in prenatal clinics [PNC], (UN-AIDS), and/or among adults (15-45-year-olds, 1999; Population Reference Bureau-2001), were used to describe KBB and epidemiologic trends. These were compared with Uganda's trends. Jamaican and Honduran PNC HIV prevalence rose from 0.1% (1990) to 1.0% (1997) and from 3% (1990) to 6% (1996), respectively; 0.7% Jamaicans and 1.9% Hondurans were infected. Condom-use by married Jamaican women rose from 9% (1989) to 17% (1993), remaining 17% (1997). In 1997, <2% Honduran women used condoms. In Moldova and Georgia, adult HIV prevalence was 0.2% and 1%. Romania's pediatric AIDS cases declined from 1996 to 1999 by >60% (1999), however number of adult HIV/AIDS cases, tripled (1996-2000); incidence was 1.7/100,000/year. In Moldova (1997), Georgia (1999) and Romania (1999); 5%, 4% and 9% of respondents used condoms. Uganda's PNC HIV-prevalence and AIDS cases declined (from 31% [1990] to 14% [1998]) and from 10,235 [1991] to 1,406 [1998], respectively). Condom-use rose (<1% [1988] to 15% [1995], >30% [2000, preliminary data]) following interventions. Use of RHS data to define KBB baselines and objectives, and monitor progress, can assist nations in evaluating prevention efforts, as DHS data did in Uganda.
Learning Objectives: At the conclusion of this presentation participants will be able to
Keywords: International Reproductive Health, HIV Risk Behavior
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.