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Second Generation Surveillance Surveys of HIV, Other STIs and Risk Behaviours in 6 Pacific Island Countries (2004-2005)
World Health Organization - Western Pacific Regional Office, 2006, 125 pp
NLM Class: WC 503.41

Implemented by the Ministries of Health of Fiji, Kiribati, Samoa, Solomon Islands, Tonga and Vanuatu, with the support of the World Health Organization Western Pacific Regional Office, the Secretariat of the Pacific Community, the University of New South Wales and with financial contribution from the Global Fund to Fight AIDS, Tuberculosis and Malaria.


" The HIV epidemic in most Pacific countries, excluding Papua New Guinea, has been classified by the World Health Organization (WHO) as a limited or low prevalence epidemic and notifications data and ad hoc surveys support this suggestion (1). However, few countries in the Pacific Region have established, high quality, surveillance systems which are able to provide accurate estimates of HIV prevalence. While most countries in the Pacific have begun to address this problem through the development of national strategic plans which specifically address HIV/AIDS, these plans are at various stages of development and many have only been partially implemented. In 2003, a regional proposal to strengthen HIV surveillance and related laboratory capacity in six sentinel Pacific Island Countries and Territories (PICTs) - Fiji, Kiribati, Samoa, Solomon Islands, Tonga and Vanuatu - was funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM). The implementation of Second Generation HIV Surveillance (SGS) will develop and enhance existing sexually transmitted infection (STI), HIV and behavioural surveillance systems (2) and provide epidemiological data on which to design and evaluate targeted interventions. The SGS project is part of a larger GFATM project which is targeting STI services and People Living With HIV or AIDS (PLWHA). This HIV surveillance project is a significant initiative for the South Pacific (SP) Region, which has been well supported by PICTs and key United Nations and regional non-government organizations. This report presents a synthesis and analysis of data generated by the SGS surveys from the first round of surveys, including prevalence of disease, demographic descriptors, risk behaviours and knowledge of HIV. Analyses are intended to determine which activities will strengthen surveillance systems for the second wave of surveys in 2006 and to identify factors that can be targeted in STI/HIV prevention strategies. Results are presented as a regional summary followed by country-specific chapters and will be most useful for national Ministries of Health, in-country stakeholders and other regional agencies."

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