HIV/AIDS in Georgia : Addressing the Crisis

Georgia is experiencing fast growing HIV/AIDS epidemic, although the prevalence remains at low level. The primary mode of transmission are injecting drug users representing 71 percent of cases, followed by 22 percent heterosexual contacts, 3.6 perc...

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Main Authors: Gotsadze, Tamar, Chawla, Mukesh, Chkatarashvili, Ketevan
Format: Publication
Language:English
en_US
Published: Washington, DC: World Bank 2013
Subjects:
HIV
Online Access:http://documents.worldbank.org/curated/en/2003/12/2978192/hivaids-georgia-addressing-crisis
http://hdl.handle.net/10986/15054
id okr-10986-15054
recordtype oai_dc
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ACCIDENTS
ACQUIRED IMMUNODEFICIENCY SYNDROME
ADEQUATE SERVICES
ADOLESCENTS
ADULT POPULATION
ADVOCACY EFFORTS
AIDS EPIDEMIC
AIDS ORPHANS
AIDS TREATMENT
ALCOHOLISM
ANTENATAL CLINIC
AVAILABLE DATA
BLOOD DONORS
CAPACITY BUILDING
CIVIL SOCIETY
CIVIL SOCIETY ORGANIZATIONS
COMMERCIAL SEX
COMMERCIAL SEX WORK
COMMERCIAL SEX WORKER
COMMUNITY LEVEL
CONDOMS
DEVELOPING COUNTRIES
DIAGNOSTIC TOOL
DISCRIMINATION
DONOR ASSISTANCE
DRUG RESISTANCE
DRUG TREATMENT
DRUG USE
DRUG USERS
ECONOMIC GROWTH
EMIGRATION
ENROLLMENT RATIO
EPIDEMICS
EPIDEMIOLOGICAL DATA
EXPENDITURES
EXTERNAL MIGRATION
FAMILIES
FAMILY PLANNING
FINANCIAL MEANS
GROUP DISCUSSION
HEALTH
HEALTH CARE
HEALTH CARE SECTOR
HEALTH SECTOR
HEPATITIS B
HEPATITIS B VIRUS
HEPATITIS C
HIGH-RISK
HIGH-RISK GROUPS
HIV
HIV INFECTION
HIV POSITIVE
HIV PREVENTION
HUMAN DEVELOPMENT
HUMAN DEVELOPMENT REPORT
HUMAN IMMUNODEFICIENCY VIRUS
HUMAN RIGHTS
IMMUNODEFICIENCY
IMMUNOLOGY
INCOME
INJECTING DRUG USERS
INSTITUTIONAL ARRANGEMENTS
INTERVENTION
INTRAVENOUS DRUG USERS
LABOR MARKETS
LEISURE TIME
LIFE EXPECTANCY
LONG TERM
MEDIA
MEDICINES
MIGRANTS
MIGRATION
MODE OF TRANSMISSION
MORBIDITY
MORTALITY
NATIONAL SCALE
NEEDLE STICK
NEW AIDS CASES
NEW CASES
NUTRITION
NUTRITION
PARTNERSHIP
PATIENTS
POLICY ANALYSIS
POLICY DEVELOPMENT
POLICY DIALOGUE
POLICY IMPLICATIONS
POLITICAL COMMITMENT
POVERTY REDUCTION
PREGNANT WOMEN
PRIORITY AREAS
PRISONS
PRIVATE ORGANIZATIONS
PRIVATE SECTOR
PRIVATE SECTORS
PROSTITUTION
PSYCHOLOGY
PUBLIC HEALTH
REFUGEES
RELIGIOUS GROUPS
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RISK FACTORS
RISK GROUPS
SEX INDUSTRY
SEX WITH MEN
SEXUAL ACTIVITY
SEXUAL TRANSMISSION
SEXUALLY TRANSMITTED DISEASES
SHORT TERM
SMOKING
SOCIAL SECURITY
STDS
STERILE INJECTION EQUIPMENT
STERILIZATION
STREET LIFE
TECHNICAL ASSISTANCE
TECHNICAL SUPPORT
TRANSMISSION
TUBERCULOSIS
UNAIDS
URBAN AREAS
VENTILATION
VERTICAL TRANSMISSION
VOLUNTARY COUNSELING
WASTE
WORLD HEALTH ORGANIZATION
YOUNG PEOPLE
YOUTH HIV AIDS INFECTIONS
STAKEHOLDER PARTICIPATION
LEGAL FRAMEWORK
DONOR ASSISTANCE
CIVIL SOCIETY
METHODOLOGY
LEADERSHIP
IMPLEMENTATION ARRANGEMENTS
RESOURCE ALLOCATION
SEX WORKERS
HIV INFECTIONS
DRUG USERS
TECHNICAL ASSISTANCE
LENDING
HEALTH CARE
NONGOVERNMENTAL ORGANIZATIONS
AGRICULTURE
LABOR
TRANSPORT
SOCIAL SECURITY
GENDER INEQUALITY
spellingShingle ACCIDENTS
ACQUIRED IMMUNODEFICIENCY SYNDROME
ADEQUATE SERVICES
ADOLESCENTS
ADULT POPULATION
ADVOCACY EFFORTS
AIDS EPIDEMIC
AIDS ORPHANS
AIDS TREATMENT
ALCOHOLISM
ANTENATAL CLINIC
AVAILABLE DATA
BLOOD DONORS
CAPACITY BUILDING
CIVIL SOCIETY
CIVIL SOCIETY ORGANIZATIONS
COMMERCIAL SEX
COMMERCIAL SEX WORK
COMMERCIAL SEX WORKER
COMMUNITY LEVEL
CONDOMS
DEVELOPING COUNTRIES
DIAGNOSTIC TOOL
DISCRIMINATION
DONOR ASSISTANCE
DRUG RESISTANCE
DRUG TREATMENT
DRUG USE
DRUG USERS
ECONOMIC GROWTH
EMIGRATION
ENROLLMENT RATIO
EPIDEMICS
EPIDEMIOLOGICAL DATA
EXPENDITURES
EXTERNAL MIGRATION
FAMILIES
FAMILY PLANNING
FINANCIAL MEANS
GROUP DISCUSSION
HEALTH
HEALTH CARE
HEALTH CARE SECTOR
HEALTH SECTOR
HEPATITIS B
HEPATITIS B VIRUS
HEPATITIS C
HIGH-RISK
HIGH-RISK GROUPS
HIV
HIV INFECTION
HIV POSITIVE
HIV PREVENTION
HUMAN DEVELOPMENT
HUMAN DEVELOPMENT REPORT
HUMAN IMMUNODEFICIENCY VIRUS
HUMAN RIGHTS
IMMUNODEFICIENCY
IMMUNOLOGY
INCOME
INJECTING DRUG USERS
INSTITUTIONAL ARRANGEMENTS
INTERVENTION
INTRAVENOUS DRUG USERS
LABOR MARKETS
LEISURE TIME
LIFE EXPECTANCY
LONG TERM
MEDIA
MEDICINES
MIGRANTS
MIGRATION
MODE OF TRANSMISSION
MORBIDITY
MORTALITY
NATIONAL SCALE
NEEDLE STICK
NEW AIDS CASES
NEW CASES
NUTRITION
NUTRITION
PARTNERSHIP
PATIENTS
POLICY ANALYSIS
POLICY DEVELOPMENT
POLICY DIALOGUE
POLICY IMPLICATIONS
POLITICAL COMMITMENT
POVERTY REDUCTION
PREGNANT WOMEN
PRIORITY AREAS
PRISONS
PRIVATE ORGANIZATIONS
PRIVATE SECTOR
PRIVATE SECTORS
PROSTITUTION
PSYCHOLOGY
PUBLIC HEALTH
REFUGEES
RELIGIOUS GROUPS
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RISK FACTORS
RISK GROUPS
SEX INDUSTRY
SEX WITH MEN
SEXUAL ACTIVITY
SEXUAL TRANSMISSION
SEXUALLY TRANSMITTED DISEASES
SHORT TERM
SMOKING
SOCIAL SECURITY
STDS
STERILE INJECTION EQUIPMENT
STERILIZATION
STREET LIFE
TECHNICAL ASSISTANCE
TECHNICAL SUPPORT
TRANSMISSION
TUBERCULOSIS
UNAIDS
URBAN AREAS
VENTILATION
VERTICAL TRANSMISSION
VOLUNTARY COUNSELING
WASTE
WORLD HEALTH ORGANIZATION
YOUNG PEOPLE
YOUTH HIV AIDS INFECTIONS
STAKEHOLDER PARTICIPATION
LEGAL FRAMEWORK
DONOR ASSISTANCE
CIVIL SOCIETY
METHODOLOGY
LEADERSHIP
IMPLEMENTATION ARRANGEMENTS
RESOURCE ALLOCATION
SEX WORKERS
HIV INFECTIONS
DRUG USERS
TECHNICAL ASSISTANCE
LENDING
HEALTH CARE
NONGOVERNMENTAL ORGANIZATIONS
AGRICULTURE
LABOR
TRANSPORT
SOCIAL SECURITY
GENDER INEQUALITY
Gotsadze, Tamar
Chawla, Mukesh
Chkatarashvili, Ketevan
HIV/AIDS in Georgia : Addressing the Crisis
geographic_facet Europe and Central Asia
Georgia
relation World Bank Working Paper;No. 23
description Georgia is experiencing fast growing HIV/AIDS epidemic, although the prevalence remains at low level. The primary mode of transmission are injecting drug users representing 71 percent of cases, followed by 22 percent heterosexual contacts, 3.6 percent homo-bisexual contacts, 1.4 percent blood recipients, 1 percent of vertical transmission. From 1989 to 1998 the epidemic progressed slowly with sporadic occurrences. However, even at this low level of transmission, the infection had reached all administrative regions of the country. Since 1996 the situation has changed dramatically. The number of HIV cases increased nearly three fold in 1997 compared with the previous year and accounted for 21 cases. In 2001 alone, this number reached 93. From 1998 through 2001 more than half of newly-registered HIV infection cases have been attributed to IDUs. The reports indicate that the percentage of new cases attributed to heterosexual contacts have also increased, although the absolute numbers remain small. More people (mostly women) appear to be contracting HIV through sexual transmission, suggesting a shift of the epidemic into the general population. HIV/AIDS is predominantly present in the age group of 21-35 years, while children between the ages of 5 and 15 provide a special opportunity and window of hope. In 2001, over 87 percent of all new AIDS cases are detected in the individuals of 26-35 years age group. As this is the most economically productive segment of the population, deaths in this age group cause great economic hardship to the families. Many productive years and investment in education and training is thus lost. These deaths also have significant family consequences, since most people in this age are raising young children. During the last three years three cases of HIV infection have been detected among pregnant women, and two cases of vertical transmission have been reported, thus sexual mode of transmission becomes apparent. The situation is further complicated with the transfusion of non-screened blood in case of emergencies becoming a common practice due to the failure of adequate public financing on the one hand, while the number of infected blood donors is increasing on the other.
format Publications & Research :: Publication
author Gotsadze, Tamar
Chawla, Mukesh
Chkatarashvili, Ketevan
author_facet Gotsadze, Tamar
Chawla, Mukesh
Chkatarashvili, Ketevan
author_sort Gotsadze, Tamar
title HIV/AIDS in Georgia : Addressing the Crisis
title_short HIV/AIDS in Georgia : Addressing the Crisis
title_full HIV/AIDS in Georgia : Addressing the Crisis
title_fullStr HIV/AIDS in Georgia : Addressing the Crisis
title_full_unstemmed HIV/AIDS in Georgia : Addressing the Crisis
title_sort hiv/aids in georgia : addressing the crisis
publisher Washington, DC: World Bank
publishDate 2013
url http://documents.worldbank.org/curated/en/2003/12/2978192/hivaids-georgia-addressing-crisis
http://hdl.handle.net/10986/15054
_version_ 1764425788662218752
spelling okr-10986-150542021-04-23T14:03:12Z HIV/AIDS in Georgia : Addressing the Crisis Gotsadze, Tamar Chawla, Mukesh Chkatarashvili, Ketevan ACCIDENTS ACQUIRED IMMUNODEFICIENCY SYNDROME ADEQUATE SERVICES ADOLESCENTS ADULT POPULATION ADVOCACY EFFORTS AIDS EPIDEMIC AIDS ORPHANS AIDS TREATMENT ALCOHOLISM ANTENATAL CLINIC AVAILABLE DATA BLOOD DONORS CAPACITY BUILDING CIVIL SOCIETY CIVIL SOCIETY ORGANIZATIONS COMMERCIAL SEX COMMERCIAL SEX WORK COMMERCIAL SEX WORKER COMMUNITY LEVEL CONDOMS DEVELOPING COUNTRIES DIAGNOSTIC TOOL DISCRIMINATION DONOR ASSISTANCE DRUG RESISTANCE DRUG TREATMENT DRUG USE DRUG USERS ECONOMIC GROWTH EMIGRATION ENROLLMENT RATIO EPIDEMICS EPIDEMIOLOGICAL DATA EXPENDITURES EXTERNAL MIGRATION FAMILIES FAMILY PLANNING FINANCIAL MEANS GROUP DISCUSSION HEALTH HEALTH CARE HEALTH CARE SECTOR HEALTH SECTOR HEPATITIS B HEPATITIS B VIRUS HEPATITIS C HIGH-RISK HIGH-RISK GROUPS HIV HIV INFECTION HIV POSITIVE HIV PREVENTION HUMAN DEVELOPMENT HUMAN DEVELOPMENT REPORT HUMAN IMMUNODEFICIENCY VIRUS HUMAN RIGHTS IMMUNODEFICIENCY IMMUNOLOGY INCOME INJECTING DRUG USERS INSTITUTIONAL ARRANGEMENTS INTERVENTION INTRAVENOUS DRUG USERS LABOR MARKETS LEISURE TIME LIFE EXPECTANCY LONG TERM MEDIA MEDICINES MIGRANTS MIGRATION MODE OF TRANSMISSION MORBIDITY MORTALITY NATIONAL SCALE NEEDLE STICK NEW AIDS CASES NEW CASES NUTRITION NUTRITION PARTNERSHIP PATIENTS POLICY ANALYSIS POLICY DEVELOPMENT POLICY DIALOGUE POLICY IMPLICATIONS POLITICAL COMMITMENT POVERTY REDUCTION PREGNANT WOMEN PRIORITY AREAS PRISONS PRIVATE ORGANIZATIONS PRIVATE SECTOR PRIVATE SECTORS PROSTITUTION PSYCHOLOGY PUBLIC HEALTH REFUGEES RELIGIOUS GROUPS REPRODUCTIVE HEALTH RESOURCE ALLOCATION RISK FACTORS RISK GROUPS SEX INDUSTRY SEX WITH MEN SEXUAL ACTIVITY SEXUAL TRANSMISSION SEXUALLY TRANSMITTED DISEASES SHORT TERM SMOKING SOCIAL SECURITY STDS STERILE INJECTION EQUIPMENT STERILIZATION STREET LIFE TECHNICAL ASSISTANCE TECHNICAL SUPPORT TRANSMISSION TUBERCULOSIS UNAIDS URBAN AREAS VENTILATION VERTICAL TRANSMISSION VOLUNTARY COUNSELING WASTE WORLD HEALTH ORGANIZATION YOUNG PEOPLE YOUTH HIV AIDS INFECTIONS STAKEHOLDER PARTICIPATION LEGAL FRAMEWORK DONOR ASSISTANCE CIVIL SOCIETY METHODOLOGY LEADERSHIP IMPLEMENTATION ARRANGEMENTS RESOURCE ALLOCATION SEX WORKERS HIV INFECTIONS DRUG USERS TECHNICAL ASSISTANCE LENDING HEALTH CARE NONGOVERNMENTAL ORGANIZATIONS AGRICULTURE LABOR TRANSPORT SOCIAL SECURITY GENDER INEQUALITY Georgia is experiencing fast growing HIV/AIDS epidemic, although the prevalence remains at low level. The primary mode of transmission are injecting drug users representing 71 percent of cases, followed by 22 percent heterosexual contacts, 3.6 percent homo-bisexual contacts, 1.4 percent blood recipients, 1 percent of vertical transmission. From 1989 to 1998 the epidemic progressed slowly with sporadic occurrences. However, even at this low level of transmission, the infection had reached all administrative regions of the country. Since 1996 the situation has changed dramatically. The number of HIV cases increased nearly three fold in 1997 compared with the previous year and accounted for 21 cases. In 2001 alone, this number reached 93. From 1998 through 2001 more than half of newly-registered HIV infection cases have been attributed to IDUs. The reports indicate that the percentage of new cases attributed to heterosexual contacts have also increased, although the absolute numbers remain small. More people (mostly women) appear to be contracting HIV through sexual transmission, suggesting a shift of the epidemic into the general population. HIV/AIDS is predominantly present in the age group of 21-35 years, while children between the ages of 5 and 15 provide a special opportunity and window of hope. In 2001, over 87 percent of all new AIDS cases are detected in the individuals of 26-35 years age group. As this is the most economically productive segment of the population, deaths in this age group cause great economic hardship to the families. Many productive years and investment in education and training is thus lost. These deaths also have significant family consequences, since most people in this age are raising young children. During the last three years three cases of HIV infection have been detected among pregnant women, and two cases of vertical transmission have been reported, thus sexual mode of transmission becomes apparent. The situation is further complicated with the transfusion of non-screened blood in case of emergencies becoming a common practice due to the failure of adequate public financing on the one hand, while the number of infected blood donors is increasing on the other. 2013-08-14T16:19:48Z 2013-08-14T16:19:48Z 2004 http://documents.worldbank.org/curated/en/2003/12/2978192/hivaids-georgia-addressing-crisis 0-8213-5714-X http://hdl.handle.net/10986/15054 English en_US World Bank Working Paper;No. 23 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Washington, DC: World Bank Publications & Research :: Publication Publications & Research :: Publication Europe and Central Asia Georgia