HIV Disease Burden and Stigma in Pakistan: The Role of Local Institutions

Authors

  • Fizza S. Gillani Associate Professor, Alpert Medical School, Brown University, Rhode Island, USA

Abstract

With the ongoing human immunodeficiency virus (HIV) epidemic in the developing world, Pakistan has been registering 20,000 new HIV cases every year for the past few years, the highest rate of increase among all countries in the region.1 In Pakistan, HIV disease has affected high risk, key populations for more than 30 years2, with key populations defined as sex workers, men who have sex with men, transgender individuals, injections drug users, and recipients of contaminated blood.3,4 In April 2019, a completely new HIV landscape rose to the global spotlight when around 800 children tested positive (in 12 weeks period) for HIV in Sindh, Pakistan, followed by similar reports from other parts of the country.5 These new infections are attributed to new risk factors outside of the historical key populations, including use of contaminated needles for routine vaccination and intramuscular and intravenous medical treatment. These statistics were alarming: the country’s healthcare system was not ready, nor is it currently ready, for a widespread HIV epidemic. In addition to international aid, Pakistan requires active involvement from the local healthcare sector to curb the HIV epidemic. At the local level, an understanding of HIV disease is the first step towards this goal.

Downloads

Download data is not yet available.

References

HIV Epidemic Spreads at Alarming Rate in Pakistan; WHO Monitoring Desk Report (December 3, 2018); https://nation.com.pk/03-Dec-2018/hiv-epidemic-spreads-at- alarming-rate-in-pakistan-who; accessed December 4th, 2018

Ali M, Nadeem M, Numan M, Khalil AT, Maqbool K, Yousuf MZ et al. Thirty Years of HIV in Pakistan: a systematic review of prevalence and current scenario . Future Virol 2017; 12:609-23. doi.org/10.2217/fvl-2017-0009

Mujeeb SA, Khanani MR, Khursheed T, Siddiqui A. Prevalence of HIV-infection among blood donors. J Pak Med Assoc 1991; 41:253-4.

Sultan S, Irfan SM, Siddiqui M, Zaidi SM. Current trends of seroprevalence of transfusion transmitted infections in Pakistani β-thalassaemic patients. Malays J Pathol 2016; 38:251-5.

Mir F, Mahmood F, Siddiqui AR, Baqi S, Abidi SH, Kazi AM et al. HIV infection predominantly affecting children in Sindh, Pakistan, 2019: a cross-sectional study of an outbreak. Lancet Infect Dis 2020; 20:362-70. doi: 10.1016/S1473-3099(19)30743-1.

How Much Does HIV Treatment Cost? https://www.webmd.com/hiv-aids/hiv- treatment-cost, June 4, 2020, accessed February 28, 2021.

Dutta A, Barker C, Kallarakal A. The HIV Treatment Gap: Estimates of the Financial Resources Needed versus Available for Scale-Up of Antiretroviral Therapy in 97 Countries from 2015 to 2020. PLoS Med 2015; 12:e1001907; discussion e1001907. doi: 10.1371/journal.pmed.1001907.

National AIDS Control Program website, https://www.nacp.gov.pk, accessed February 25th, 2021.

Cohen M, Chen Y, McCauley M, Gamble T, Hosseinipour M, Kumarasamy N, et al. Final results of the HPTN 052 randomized controlled trial: antiretroviral therapy prevents HIV transmission. J Int AIDS Soc 2015; 18:15. doi.org/10.7448/IAS.18.5.20482.

Weinberg JL, Kovarik CL. The WHO Clinical Staging System for HIV/AIDS. Virtual Mentor 2010; 12:202-6. doi: 10.1001/virtualmentor.2010.12.3.cprl1-1003

Articles published in the Journal of Dow University of Health Sciences are distributed under the terms of the Creative Commons Attribution Non-Commercial License https://creativecommons.org/ licenses/by-nc/4.0/. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal.

Downloads

Published

2022-08-18

How to Cite

S. Gillani, F. (2022). HIV Disease Burden and Stigma in Pakistan: The Role of Local Institutions. Journal of the Dow University of Health Sciences (JDUHS), 15(1). Retrieved from https://jduhs.com/index.php/jduhs/article/view/1692

Issue

Section

Editorial