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The situation of HIV/AIDS in the Amhara region is one of the worst in the country with persistently high prevalence particularly of the urban estimates. The regions  prevalence was  estimated at 6.1% for  2003, 6.5% in 2004,  2005 6.7% and 7%  2006. In the region, the urban epidemic seems to be stabilizing after around '96/97, whereas the rural epidemic shows a rising trend, thus the total regional trend is increasing. The urban and rural prevalence for the year 2006  is estimated at 15.% and 5.9% respectively.
Currently there is estimated 673,488 people living with HIV/AIDS in the region.
Even though, there is no any study showing reasons for this great variation between the national and the regional figures, there are some speculations like high rate of poverty, drought and famine, illiteracy, unemployment, rural to urban migration, silence about HIV/AIDS among family members, harmful traditional practices like early marriage and female genital mutilation, and societal practices like polygamy that are highly prevalent in the region to be the possible causes.

 

11     Zones

170,752    Km2

18.65    Million Population

2.7 %    Annual growth rate

89%     Rural Area

Adult HIV/AIDS Prevalence 50% higher than the national

35 %  of the PLWHA & 38% of the ART needy of the country found in Amhara Region

44% of AIDS Orphans found in Amhara region

About 70,000 STI cases are reported yearly in Amhara

 

 

 

Amhara at a Glance ...

11 Zones,118 Woredas, 3229 Kebeles

Population - 18.65 mil, 89% live in rural

Health service coverage – 58.1 %

17 Hospitals

126 Health Centers

1466 Health Posts

439 private and NGO’s health institutions

 

152  Voluntary  counseling &  testing sites   
14 sentinel surveillance sites (6 urban and 8 rural sites)
13  sites provide Antiretroviral Treatment 
20 sites provide Prevention of Mother to child Transfusion (PMTCT)
STI Prevention & control available in all hospitals
Blood banks in many hospitals

 

VCT & Art Center


To combat the HIV/AIDS epidemic, different efforts have been made so far in the region.  Expanding Voluntary Counseling and HIV Testing (VCT) and Providing Antiretroviral Viral Therapy (ART) services is among the highest priorities. The Health Bureau is working with different stakeholders to introduce different VCT models in the region such as "Free-standing" or Integrated (with existing health services), mobile/outreach VCT services, private and NGOs, Youth friendly VCT, and at work place, etc.

In 1997 EC (2004/2005 GC)., 98,512 people received VCT services in Amhara, up from 33,632  in 1996 (2003/2004)

As per the 1998 EC biannual report 55,812 people received VCT service of those 6,486 were found HIV +

Since time Antiretroviral Treatment (ART) service has been available (2004) uptake has increased in the region.  As per the 1998 EC (2005) Semi annual  report 4, 534 people are using  ART service. The 2004 Semi annual report shows  that only  470 people were receiving the service.  The estimated number of people newly  needing ART service for the year 2005 is 10,1472.

See also   VCT & Art Center

Currently Prevention of Mother to Child Transmission (PMTCT) is available in 20 sites in the region.   As of the 1998 EC Semi Annual (2005) , a total of 5001 pregnant women have received pre counseling service, 3628 got tested, 363 tested positive.  In addition, 111 and 72 infants have received Nevirapine.

The management of HIV opportunistic infections was being practiced in the region though its expansion faces many challenges, of which shortage of medical supplies is the major one.  From July 2003 to June 2004, a total of 45316 cases were reported for all health institutions of which 10,142 were treated based on Syndromic management of STIs.

The region response is constrained by extremely limited human, financial, technical, material, and management capacities. Of major concerns for care and support services are low VCT coverage, lack of trainers for counselors, high turn over of staffs, unsustainable test kits provision, difficulties to establish a referral system between VCT and care and support services, and shortage of care & support organizations. 

*Sentinel surveillance data are collected from health facilities that regularly provide antenatal services to pregnant mothers.  Data on the sero status of pregnant women ages 15 to 49 at these sentinel sites are used to estimate HIV prevalence rates for Ethiopia. 

                                                                                         source: AIDS in Ethiopia Technical report

 

 
Amhara HIV/AIDS Prevention and Control Secretariat
P.O. Box 449
Bahir Dar, Ethiopia
Tel (058) 2206336
Fax (058) 2206827
aracs@ethionet.et