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Hiv/Aids Report

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Country launches plan to fight HIV/AIDS
Due to the epidemic that affects 60,000 people in the DR, between the ages of 15 and 49, and has challenged the country's health care system, local and international health authorities have decided to launch the National Strategic Plan for the Prevention and Control of Sexually Transmitted Diseases, HIV/AIDS 2007-2015. Humberto Salazar, director of the Presidential AIDS Council (COPRESIDA) made the announcement at seminar and said that the first phase of the program is scheduled to be completed by May of this year. Niky Fabiancic, the United Nations representative in the Dominican Republic, explained that 13,000 people in the country have HIV/AIDS and only 6,000 people receive the necessary retroviral medications to help combat HIV/AIDS. Fabiancic says that though this is a challenge for the DR the situation has improved considering that two years ago no one was receiving the medication. He continued by saying that Haiti and the DR are taking the AIDS epidemic seriously. Health Minister Bautista Rojas added that inequality, poverty, limited sex education, and children engaging in sexual relations at an early age all contribute to the spreading of HIV/AIDS.

Dominican Republic
Comprehensive Indicator Report
Related Resources
Database of Country & Regional Indicators
Links: HIV/AIDS Statistics
General HIV/AIDS
Indicator Year Dominican Republic Caribbean (R-1) World Source
Adults and children living with HIV/AIDS
2005 66,000 330,000 38,600,000 UNAIDS, 2006
Adults (ages 15+) living with HIV/AIDS
2005 62,000 300,000 36,300,000 UNAIDS, 2006
Women (ages 15+) living with HIV/AIDS
2005 31,000 160,000 17,300,000 UNAIDS, 2006
Children (ages 0-14) living with HIV/AIDS
2005 3,600 22,000 2,300,000 UNAIDS, 2006
AIDS orphans currently living (ages 0-17) (I-1)
2005 nd nd 15,200,000 UNAIDS, 2006
Adults and child AIDS deaths
2005 6,700 27,000 2,800,000 UNAIDS, 2006
Adults and children newly infected with HIV
2005 nd 30,000 4,900,000 UNAIDS, 2005
nd = No data
HIV Prevalence
Indicator Year Dominican Republic Caribbean (R-1) World Source
Adult (ages 15-49) HIV prevalence
(%)
2005 1.1 1.6 1.0 UNAIDS, 2006
HIV prevalence, female sex workers, capital city (I-2)
(median %)
2004-2005 3.6 nd nd UNAIDS, 2006
HIV prevalence, injecting drug users, capital city (I-2)
(median %)
2004-2005 nd nd nd UNAIDS, 2006
HIV prevalence, young pregnant women (ages 15-24), capital city (I-2)
(median %)
2003-2005 nd nd nd UNAIDS, 2006
HIV prevalence, men who have sex with men, capital city (I-2)
(median %)
2004-2005 nd nd nd UNAIDS, 2006
nd = No data
HIV Knowledge and Behavior
Indicator Year Dominican Republic Caribbean (R-1) World Source
Had sex before age 15 (female, ages 15-24) (I-3)
(%)
2003-2005 nd nd nd UNAIDS, 2006
Had sex before age 15 (male, ages 15-24) (I-3)
(%)
2003-2005 nd nd nd UNAIDS, 2006
Reported higher-risk sex (female, ages 15-24) in the last year (I-4)
(%)
2003-2005 nd nd nd UNAIDS, 2006
Reported higher-risk sex (male, ages 15-24) in the last year (I-4)
(%)
2003-2005 nd nd nd UNAIDS, 2006
Used a condom the last time they had higher-risk sex, of those who had higher-risk sex in the last year (female, ages 15-24) (I-5)
(%)
2000-2005 nd nd nd UNAIDS, 2006
Used a condom the last time they had higher-risk sex, of those who had higher-risk sex in the last year (male, ages 15-24) (I-5)
(%)
2000-2005 nd nd nd UNAIDS, 2006
Displayed comprehensive HIV and AIDS knowledge (female, ages 15-24) (I-6)
(%)
2003-2005 nd nd nd UNAIDS, 2006
Displayed comprehensive HIV and AIDS knowledge (male, ages 15-24) (I-6)
(%)
2003-2005 nd nd nd UNAIDS, 2006
nd = No data
Access to Care and Treatment
Indicator Year Dominican Republic Caribbean (R-1) World Source
Percent of adults receiving VCT in last year (I-7)
2003 1.2 0.3 nd WHO Health Services Coverage, 2004
Number of VCT clients per year (I-8)
2003 58,051 733,911 6,000,000 WHO Health Services Coverage, 2004
Number of VCT sites (I-8)
2003 85 5,063 nd WHO Health Services Coverage, 2004
Percent of pregnant women offered PMTCT services (I-9)
2003 37 34 8 WHO Health Services Coverage, 2004
Percent of HIV+ pregnant women receiving ARV prophylaxis (I-10)
2003-2005 nd nd nd UNAIDS, 2006
Number of sites offering PMTCT services (I-9)
2003 189 20,984 37,513 WHO Health Services Coverage, 2004
Estimated coverage of antiretroviral therapy (I-11)
(est. %)
December 2005 17 68 20 WHO 3 by 5 Progress Report, 2006
Estimated number of people receiving antiretroviral therapy (I-12)
December 2005 2,500-3,000 315,000 1,330,000 WHO 3 by 5 Progress Report, 2006
Number of sites reported to provide antiretroviral therapy services (I-13)
September-December 2005 nd nd nd WHO 3 by 5 Progress Report, 2006
Coverage of cotrimoxazole prophylaxis for adults (I-14)
(est. %)
2003 2 21 nd WHO Health Services Coverage, 2004
Number of adults receiving cotrimoxazole prophylaxis (I-15)
2003 300 29,794 190,000 WHO Health Services Coverage, 2004
Coverage of cotrimoxazole prophylaxis for children (I-16)
(est. %)
2003 10 3 nd WHO Health Services Coverage, 2004
Number of children receiving cotrimoxazole prophylaxis (I-15)
2003 218 1,156 28,000 WHO Health Services Coverage, 2004
Coverage of isoniazid prophylaxis for adults (I-14)
(est. %)
2003 2 11 nd WHO Health Services Coverage, 2004
Number of adults receiving isoniazid prophylaxis (I-15)
2003 300 15,077 36,000 WHO Health Services Coverage, 2004
Percentage of population living in areas with DOTS coverage (I-17)
2004 79 nd 83 WHO TB Control Report, 2006
Number of TB cases registered for treatment under DOTS (I-18)
2003 1,883 nd 1,711,585 WHO TB Control Report, 2006
nd = No data
Human Development Indices
Indicator Year Dominican Republic Caribbean (R-1) World Source
Human development index (I-19)
(rank)
2003 95 nd nd UNDP, 2005
Gini index (I-20)
47.4 nd nd UNDP, 2005
Gender-related development index (GDI) (I-21)
(rank)
2003 74 nd nd UNDP, 2005
Gender-related development index (GDI) (I-22)
(value)
2003 0.739 nd nd UNDP, 2005
Gender empowerment measure (GEM) (I-23)
(rank)
2003 45 nd nd UNDP, 2005
Gender empowerment measure (GEM) (I-24)
(value)
2003 0.527 nd nd UNDP, 2005
nd = No data
Mortality
Indicator Year Dominican Republic Caribbean (R-1) World Source
Life expectancy at birth (I-25)
(years)
Various Years 68 69 67 PRB Data Sheet, 2005
Infant (Ages 0-1) mortality rate (I-26)
(per 1,000 live births)
2004 27 26 54 UNICEF, 2006
Under-five mortality rate (I-27)
(per 1,000 live births)
2004 32 31 79 UNICEF, 2006
Maternal mortality ratio (I-28)
(per 100,000 live births)
2000 150 nd nd UNFPA, 2005
Probability at birth of surviving to age 65, female (I-29)
(% of cohort)
2000-2005 75.1 79.7 73.1 UNDP, 2005
Probability at birth of surviving to age 65, male (I-29)
(% of cohort)
2000-2005 60.8 68.2 64.5 UNDP, 2005
nd = No data
General Population
Indicator Year Dominican Republic Caribbean (R-1) World Source
Total population
(millions)
mid-2005 8.9 39 6,477 PRB Data Sheet, 2005
Total projected population - 2025 (I-30)
(millions)
2025 11.0 47 7,952 PRB Data Sheet, 2005
Total projected population - 2050 (I-30)
(millions)
2050 13.3 54 9,262 PRB Data Sheet, 2005
Rate of natural increase (I-31)
(%)
Various Years 1.7 1.1 1.2 PRB Data Sheet, 2005
Percent urban (I-32)
2005 64 65 47 PRB Data Sheet, 2005
nd = No data
Youth
Indicator Year Dominican Republic Caribbean (R-1) World Source
Population ages 10-24
(millions)
2006 2.8 11 1,773 PRB Youth Data Sheet, 2006
Percent of total population ages 10-24
2006 31 28 27 PRB Youth Data Sheet, 2006
Percent of total population under 15
mid-2005 34 29 29 PRB Data Sheet, 2005
nd = No data
General Economy
Indicator Year Dominican Republic Caribbean (R-1) World Source
Gross national income (I-33)
(US$ per capita)
2004 2,080 3,280 6,280 World Bank, 2005
Gross domestic product (I-34)
(US$, millions)
2004 18,673 1,672,945 40,887,837 World Bank, 2005
nd = No data
Poverty
Indicator Year Dominican Republic Caribbean (R-1) World Source
Population below poverty line (I-35)
(%)
1990-2002 28.6 nd nd UNDP, 2005
Population below US$1/day (I-36)
(%)
1990-2003 <2 nd nd UNDP, 2005
nd = No data
General Health
Indicator Year Dominican Republic Caribbean (R-1) World Source
Health expenditure, private and public (I-37)
(US$ per capita)
2002 295 nd nd UNDP, 2005
Physicians per 100,000 people (I-38)
1990-2004 188 nd nd UNDP, 2005
Births attended by skilled health staff (I-39)
(%)
1995-2003 99 82 62 UNDP, 2005
Malaria cases per 100,000 people (I-40)
2000 6 nd nd UNDP, 2005
Prevalence of child (ages 0-5) malnutrition (I-41)
(%)
1996-2004 5 7 26 UNICEF, 2006
TB treatment success rate, new smear-positive cases-DOTS (I-42)
(% of cases)
2003 81 nd 82 WHO TB Control Report, 2006
nd = No data
Health Access
Indicator Year Dominican Republic Caribbean (R-1) World Source
Access to essential drugs (I-43)
(%)
1999 50-79 nd nd UNDP, 2004
nd = No data
Vaccinations
Indicator Year Dominican Republic Caribbean (R-1) World Source
Child (ages 0-1) immunization rate, measles
(%)
2004 79 92 76 UNICEF, 2006
Child (ages 0-1) immunization rate, DPT (I-44)
(%)
2004 71 91 78 UNICEF, 2006
nd = No data
Fertility
Indicator Year Dominican Republic Caribbean (R-1) World Source
Total fertility rate (I-45)
(number of children)
2005 2.64 2.42 2.6 UNFPA, 2005
Births per 1,000 women (ages 15-19) (I-46)
2005 91 65 56 UNFPA, 2005
Percent giving birth by age 18 (I-47)
25 nd nd PRB Youth Data Sheet, 2006
nd = No data
Education
Indicator Year Dominican Republic Caribbean (R-1) World Source
Gross primary school enrollment ratio, male (I-48)
2000-2004 123 121 108 UNICEF, 2006
Gross primary school enrollment ratio, female (I-48)
2000-2004 125 118 101 UNICEF, 2006
Gross secondary school enrollment ratio, male (I-48)
2000-2004 53 85 66 UNICEF, 2006
Gross secondary school enrollment ratio, female (I-48)
2000-2004 65 91 63 UNICEF, 2006
nd = No data
Regional Note
R-1. The data sources used to create this report define geographic regions differently. Regional indicator figures refer to the region as defined by a particular data source. View the complete list of the countries included in the various regions according to each data source.
Indicator Notes
I-1. Estimated number of children ages 0 to 17 who have lost one or both parents to AIDS.
I-2. See the UNAIDS report to find the year of data collection for individual countries.
I-3. Data collection varies between 2003 and 2005.
I-4. Proportion of 15-24-year-old respondents who had sex with a non-marital, non-cohabiting partner in the last 12 months, of all respondents reporting sexual activity in the last 12 months. Data collection varies between 2003 and 2005.
I-5. Percentage of 15-24-year-old respondents who say they used a condom the last time they had sex with a non-marital, non-cohabiting partner, of those who have had sex with such a partner in the last 12 months. Data collection varies between 2000 and 2005.
I-6. Percentage of 15-24-year-old respondents who could correctly answer 5 questions regarding HIV transmission. Data collection varies between 2003 and 2005.
I-7. Voluntary counseling and testing refers to services providing pre-test counseling, testing for HIV infection, and post-test counseling for anyone wanting to know their HIV status. It does not include testing done on hospital patients for medical purposes. Although the entire adult population may not be in need of VCT, statistics from VCT programs indicate that clients represent a mix of risk behaviors.
I-8. Voluntary counseling and testing refers to services providing pre-test counseling, testing for HIV infection, and post-test counseling for anyone wanting to know their HIV status. It does not include testing done on hospital patients for medical purposes.
I-9. Prevention of mother-to-child transmission refers to services that provide voluntary counseling and testing for pregnant women and provide prevention services to those who are HIV positive. Prevention services should include treatment with zidovudine, nevirapine or other antiretroviral drugs and may also include breastfeeding counseling and supplemental feeding.
I-10. Percentage of HIV-infected pregnant women receiving a complete course of antiretroviral prophylaxis to reduce the risk of mother-to-child transmission, according to the nationally approved treatment protocol or WHO/UNAIDS standards, in the last 12 months. Data collection varies between 2003 and 2005.
I-11. The level of coverage is a measure of the number of people receiving antiretroviral therapy by December 2005 divided by the total number of people estimated to need treatment. The total number of people needing antiretroviral therapy is calculated by adding the number of people who need to start antiretroviral therapy to the number of people who were receiving treatment in the previous year and survived into the current year.
I-12. Antiretroviral therapy refers to the treatment of HIV-positive adults or children with a combination of at least three antiretroviral drugs. An increasing number of countries report the number of children younger than 15 years of age receiving antiretroviral therapy, and they have been included in this table.
I-13. Antiretroviral therapy refers to the treatment of HIV-positive adults or children with a combination of at least three antiretroviral drugs. The reported sites reflect mainly the situation in the public sector. Some countries separately report private-sector data or include the private-sector figures in the overall numbers (see data notes).
I-14. Cotrimoxazole or isoniazid are provided to people who are identified as being HIV positive as prophylaxis for opportunistic infections. The number needing prophylaxis includes the adults with HIV who are within 2 years of dying from AIDS without antiretroviral therapy. This number is estimated to be twice the number of deaths from AIDS in 2003.
I-15. Cotrimoxazole or isoniazid are provided to people who are identified as being HIV positive as prophylaxis for opportunistic infections.
I-16. Cotrimoxazole or isoniazid are provided to people who are identified as being HIV positive as prophylaxis for opportunistic infections. It is assumed that all children who are HIV positive need prophylaxis.
I-17. The percentage of the national population living in areas where health services have adopted DOTS (Directly Observed Treatment, Short-course).
I-18. The number of new smear-positive cases registered for treatment under DOTS (Directly Observed Treatment, Short-course) in 2003.
I-19. Measures average achievements in three basic dimensions of human development: life expectancy at birth; adult literacy and school enrollment; and GDP per capita.
I-20. Measures the extent to which the distribution of income (or consumption) among individuals or households within a country deviates from a perfectly equal distribution. A value of 0 represents perfect equality, a value of 100 perfect inequality. Because the underlying household surveys differ in method and in the type of data collected and refer to different years, the distribution data are not strictly comparable across countries.
I-21. Reflects inequalities between men and women using unweighted average of three component indices: life expectancy, education index, and income index.
I-22. Reflects inequalities between men and women using unweighted average of three component indices: life expectancy, education index, and income index. Values range from 0 (lowest gender equality) to 1 (highest gender equality).
I-23. Focusing on women's opportunities rather than their capabilities, GEM captures gender inequality in three key areas: (1) political participation and decisionmaking power, as measured by women's and men's percentage shares of parliamentary seats; (2) economic participation and decisionmaking power, as measured by (a) women's and men's percentage shares of positions as legislators, senior officials, and managers and (b) women's and men's percentage shares of professional and technical positions; and (3) power over economic resources, as measured by women's and men's estimated earned income.
I-24. Focusing on women's opportunities rather than their capabilities, GEM captures gender inequality in three key areas: (1) political participation and decisionmaking power, as measured by women's and men's percentage shares of parliamentary seats; (2) economic participation and decisionmaking power, as measured by (a) women's and men's percentage shares of positions as legislators, senior officials, and managers and (b) women's and men's percentage shares of professional and technical positions; and (3) power over economic resources, as measured by women's and men's estimated earned income. Values range from 0 (lowest gender equality) to 1 (highest gender equality).
I-25. The average number of years a newborn infant can expect to live under current mortality levels. For countries with complete registration of births and deaths, rates are those most recently reported. For more developed countries, nearly all vital rates refer to 2003 or 2004, and for less developed countries, to some point in the late 1990s or early 2000s.
I-26. Probability of dying between birth and exactly one year of age, expressed per 1,000 live births.
I-27. Probability of dying between birth and exactly five years of age, expressed per 1,000 live births.
I-28. Number of deaths to women per 100,000 live births that result from conditions related to pregnancy, delivery, and related complications. These are consensus estimates of WHO, UNICEF, and UNFPA.
I-29. The probability of a newborn infant surviving to age 65 if subject to prevailing patterns of age specific mortality rates. Data refer to estimates for the period specified.
I-30. Based upon reasonable assumptions on the future course of fertility, mortality, and migration using official country projections, series issued by the U.N. or the U.S. Census Bureau, or PRB projections.
I-31. The birth rate minus the death rate, implying the annual rate of population growth (expressed as a percentage) without regard for migration. For countries with complete registration of births and deaths, rates are those most recently reported. For more developed countries, nearly all vital rates refer to 2003 or 2004, and for less developed countries, to some point in the late 1990s or early 2000s.
I-32. Percentage of total population living in areas termed "urban" by that country. Typically, the population living in towns of 2,000 or more or in national and provincial capitals is classified as "urban."
I-33. May be thought of as average income. GNI per capita (formerly GNP per capita) = gross national income, converted to U.S. dollars using the World Bank Atlas method (see below), divided by the midyear population. Gross national income = sum of value added by all resident producers plus any product taxes (less subsidies) not included in the valuation of output plus net receipts of primary income (compensation of employees and property income) from abroad. GNI, calculated in national currency, is usually converted to U.S. dollars at official exchange rates for comparisons across economies, although an alternative rate is used when the official exchange rate is judged to diverge by an exceptionally large margin from the rate actually applied in international transactions. To smooth fluctuations in prices and exchange rates, the World Bank uses the Atlas method, which applies a conversion factor that averages the exchange rate for a given year and the two preceding years, adjusted for differences in rates of inflation between the country and the G-5 countries (France, Germany, Japan, U.K., and U.S.).
I-34. GDP is the sum of gross value added by all resident producers in the economy plus any product taxes and minus any subsidies not included in the value of the products. It is calculated without making deductions for depreciation of fabricated assets or for depletion and degradation of natural resources. Data are in current U.S. dollars. Dollar figures for GDP are converted from domestic currencies using single year official exchange rates. For a few countries where the official exchange rate does not reflect the rate effectively applied to actual foreign exchange transactions, an alternative conversion factor is used.
I-35. The percentage of the population living below the poverty line deemed appropriate for a country by its authorities. National estimates are based on population-weighted subgroup estimates from household surveys. Data refer to the most recent year available during the period specified.
I-36. The percentage of the population living below $1 a day--at 1985 international prices (equivalent to $1.08 at 1993 international prices), adjusted for purchasing power parity. Data refer to the most recent year available during the period specified.
I-37. The sum of public and private expenditure (in US$ adjusted for purchasing power parity), divided by the population. Health expenditure includes the provision of health services (preventive and curative), family planning activities, nutrition activities and emergency aid designated for health, but excludes the provision of water and sanitation.
I-38. Includes graduates of a faculty or school of medicine who are working in any medical field (including teaching, research and practice). Data refer to the most recent year available during the period specified.
I-39. The percentage of deliveries attended by personnel (including doctors, nurses and midwives) trained to give the necessary care, supervision and advice to women during pregnancy, labour and the postpartum period, to conduct deliveries on their own and to care for newborns. Data refer to the most recent year available during the period specified.
I-40. The total number of malaria cases reported to the World Health Organization by countries in which malaria is endemic. Many countries report only laboratory-confirmed cases, but many in Sub-Saharan Africa report clinically diagnosed cases as well. Data refer to malaria cases reported to the World Health Organization (WHO) and may represent only a fraction of the true number in a country.
I-41. Percentage of children under five whose weight for age is below minus two standard deviations from median weight for age of reference population. Data refer to the most recent year available during the period specified.
I-42. Percentage of new, registered smear-positive (infectious) cases that were cured or in which a full-course treatment was completed. TB case notifications represent only a fraction of the true number of cases arising in a country because of incomplete coverage by health services, inaccurate diagnosis, or deficient recording and reporting.
I-43. The estimated percentage of the population for whom a minimum of 20 of the most essential drugs-those that satisfy the health care needs of the majority of the population-are continuously and affordably available at public or private health facilities or drug outlets within one hour's travel from home. The data on access to essential drugs are based on statistical estimates received from World Health Organization (WHO) country and regional offices and regional advisers and through the World Drug Situation Survey carried out in 1998-99. These estimates represent the best information available to the WHO Department of Essential Drugs and Medicines Policy to date and are currently being validated by WHO member states. The department assigns the estimates to four groupings: very low access (0-49%), low access (50-79%), medium access (80-94%) and good access (95-100%). These groupings, used here in presenting the data, are often employed by the WHO in interpreting the data, as the actual estimates may suggest a higher level of accuracy than the data afford.
I-44. Percentage of infants that received three doses of diphtheria, pertussis (whooping cough) and tetanus vaccine.
I-45. The number of children a woman would have during her reproductive years if she bore children at the rate estimated for different age groups in the specified time period.
I-46. Burden of fertility on young women. As it is an annual level summed over all women in the age cohort, it does not reflect fully the level of fertility for women during their youth. Does not indicate the full dimensions of teen pregnancy as only live births are included in the numerator. Stillbirths and spontaneous or induced abortions are not reflected.
I-47. The percentage of all women who give birth before their 18th birthday. In countries where only ever-married women are surveyed, data on out-of-wedlock births is not available.
I-48. The number of children enrolled in a level (primary or secondary), regardless of age, divided by the population of the age group that officially corresponds to the same level. This is a standard indicator of the level of participation in education. The goal is to be as close to 100% as possible. In countries with gross enrollment ratios of less than 100%, there are not enough schools or slots for students, and children may not be taking the slots that are available because they are kept out of school. In countries with gross enrollment ratios over 100%, there is much under- and/or overaged enrollment, meaning that many students are above or below the official age for the grade; this may be the result of having to repeat grades or entering school late because of work and/or inability to afford school fees. Data refer to the most recent year available during the period specified.

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