República Dominicana

Director de país de ONUSIDA

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HIV and AIDS Estimates

Adults and children living with HIV	67 000 [51 000 - 91 000]
Adults aged 15 and over living with HIV	65 000 [50 000 - 89 000]
Women aged 15 and over living with HIV	33 000 [26 000 - 45 000]
Men aged 15 and over living with HIV	32 000 [25 000 - 44 000]
Children aged 0 to 14 living with HIV	1700 [1200 - 2600]
Adult aged 15 to 49 HIV prevalence rate	1.0 [0.7 - 1.4]
Women aged 15 to 49 HIV prevalence rate	1.0 [0.8 - 1.4]
Men aged 15 to 49 HIV prevalence rate	1.0 [0.7 - 1.4]
HIV prevalence among young women	0.4 [0.3 - 0.5]
HIV prevalence among young men	0.3 [0.2 - 0.6]
Adults and children newly infected with HIV	2500 [1600 - 4100]
Adults aged 15 and over newly infected with HIV	2400 [1500 - 3900]
Women aged 15 and over newly infected with HIV	<1000 [<1000 - 1600]
Men aged 15 and over newly infected with HIV	1400 [<1000 - 2400]
Children aged 0 to 14 newly infected with HIV	<100 [<100 - <200]
HIV incidence per 1000 population (adults 15-49)	0.44 [0.28 - 0.72]
HIV incidence per 1000 population (all ages)	0.24 [0.15 - 0.40]
Adult and child deaths due to AIDS	2200 [1300 - 3600]
Deaths due to AIDS among adults aged 15 and over	2200 [1200 - 3500]
Deaths due to AIDS among women aged 15 and over	1000 [<1000 - 1600]
Deaths due to AIDS among men aged 15 and over	1100 [<1000 - 1800]
Deaths due to AIDS among children aged 0 to 14	<100 [<100 - <200]
Orphans due to AIDS aged 0 to 17	40 000 [28 000 - 57 000]

HIV testing and treatment cascade

People living with HIV	67 000 [51 000 - 91 000]	Source: Spectrum
People living with HIV who know their status	46 000	Source: GAM (case surveillance)
Percent of people living with HIV who know their status	69 [53 - 94]
People living with HIV who are on ART	31 000	Source: Spectrum
Percent of people living with HIV who are on ART	46
People living with HIV who have suppressed viral loads	19 000	Source: GAM; Viral load testing coverage: 92%
Percent of people living with HIV who have suppressed viral loads	28

Antiretroviral therapy (ART)

Coverage of adults and children receiving ART (%)	46 [35 - 63]
Adults aged 15 and over receiving ART	46 [35 - 63]
Women aged 15 and over receiving ART	53 [41 - 71]
Men aged 15 and over receiving ART	39 [30 - 53]
Children aged 0 to 14 receiving ART	45 [33 - 69]
Number of adults and children receiving ART (#)	30 800
Adults aged 15 and over receiving ART	30 100
Women aged 15 and over receiving ART	17 500
Men aged 15 and over receiving ART	12 600
Children aged 0 to 14 receiving ART	780
Late HIV diagnosis [with the initial CD4 cell count <200 cells/ mm3] (%)	25
Late HIV diagnosis among adults aged 15 and over
Late HIV diagnosis among women
Late HIV diagnosis among men
Adults and children newly-initiating ART (#)	4498
Adults aged 15 and over newly-initiating ART	4400
Children aged 0-14 newly-initiating ART	98
Women newly-initiating ART	2529
Men newly-initiating ART	1969
Adults and children known to be on ART 12 months after starting (%)	84
Adults known to be on ART 12 months after starting	84
Children known to be on ART 12 months after starting	87

Elimination of mother-to-child transmission

Coverage of pregnant women who receive ARV for PMTCT (%)	83 [65 - >95]
Pregnant women who received ARV for PMTCT (#)	910
Pregnant women needing ARV for PMTCT (#)	1100 [<1000 - 1500]
Early infant diagnosis (%)	58 [42 - 74]
New HIV infections averted due to PMTCT (%)	<200 [<100 - <500]

Sex workers

HIV prevalence (%)	3.7	Source: GARPR 2013
Condom use (%)	85.1	Source: GARPR 2013
Coverage of HIV prevention programmes (%)

Men who have sex with men

Population size estimate (#)	124 472	Source: Dimensión de la Población GTH en RD 2011, Segunda Encuesta de Vigilancia de Comportamiento con Vinculación Serológica en Poblaciones Claves, 2012
HIV prevalence (%)	7.1	Source: RDS 2013
Condom use (%)	39.5	Source: BSS 2013
Condoms distributed through prevention programmes (#)	24	Source: UNAIDS Special Analysis and Global AIDS Monitoring, 2017
Active syphilis (%)	12.9	Source: Encuesta de Vigilancia de Comportamiento con Vinculacion Serologia, 2012.

People who inject drugs

Population size estimate (#)	900
Condom use (%)	45.4	Source: Informe de Resultados. Proyecto sobre el Estado del Problema de Heroína en República Dominicana. Organización de Estados Americanos (OEA) / Comisión Interamericana para el Control del Abuso de Drogas (CICAD) / Consejo Nacional de Drogas (CND), 2012-2013
Safe injecting practices (%)	70.8	Source: Proyecto sobre el Estado del Problema de Heroína en República Dominicana, Abril, 2013.
Needles and syringes distributed per person who injects drugs (#)	2.1

Prisoners

Population size estimate (#)	18 679	Source: Segundo Censo Penitenciario, 2012

Transgender people

Population size estimate (#)	8891	Source: Dimensión de la Población GTH en RD 2011, Segunda Encuesta de Vigilancia de Comportamiento con Vinculación Serológica en Poblaciones Claves, 2012
Coverage of HIV prevention programmes (%)	33.7	Source: Sistema de Registro de las Poblaciones Clave (SRPC), 2016

Combination prevention

Condom use at last high-risk sex among adults aged 15 to 49 (%)	63.3	Source: 2013 DHS
- Condom use at last high-risk sex among women aged 15 to 49 (%)	44.7	Source: 2013 DHS
- Condom use at last high-risk sex among men aged 15 to 49 (%)	71.0	Source: 2013 DHS
Percentage of men 15-49 that are circumcised (%)	12.7	Source: DHS 2013

Stigma and discrimination

Percentage of adults (15-49) who responded No to the question: Would you buy fresh vegetables from a shopkeeper or vendor if you knew that this person had HIV?	49.3	Source: 2013 DHS
Percentage of adults (15-49) who responded No to the question: Do you think that children living with HIV should be able to attend school with children who are HIV negative?
Percentage of adults (15-49) who responded No to both questions

Gender

Prevalence of recent intimate partner violence among women aged 15-49 (%)	15.6	Source: 2013 DHS
Prevalence of recent intimate partner violence among women aged 15-19 (%)	21.6	Source: 2013 DHS
Prevalence of recent intimate partner violence among women aged 20-24 (%)	16.2	Source: 2013 DHS
Prevalence of recent intimate partner violence among women aged 25-49 (%)	15	Source: 2013 DHS

Young people

Knowledge about HIV prevention among young people aged 15-24	42.8	Source: 2013 DHS
Knowledge about HIV prevention among young women aged 15-24	44.6	Source: 2013 DHS
Knowledge about HIV prevention among young men aged 15-24	41	Source: 2013 DHS

TB and HIV

Co-management of TB and HIV treatment (%)	25 [19 - 33]
Proportion of people living with HIV newly enrolled in HIV care with active TB disease (%)	21
Proportion of people living with HIV newly enrolled in HIV care started on TB preventive therapy (%)	20
Estimated TB-related deaths among people living with HIV (#)	<500 [<500 - <1000]