Testing Country Profile in 2015 - Serbia

GENERAL DATA ABOUT THE COUNTRY

Country population: 7,120,666

National GDP: 43,799.3 billion US dollars total, 6,141 US dollars per capita

EU membership: Not an EU Member country

EPIDEMIOLOGICAL FACTSHEET

Estimated number of PLHIV: 3000, based on UNAIDS estimate

Number of registered PLHIV: 3128 registered by the end of 2014 in total, while 1956 still living in 2014

Key populations at risk identified in national prevention programs:

  • Men who have sex with men
  • Intravenous drug users
  • Sex workers
  • Youth

Number of patients on ARV: ~1300 at the end of 2014

Number of new infections for the latest annual reported period: 125 new infections in 2014

Percentage of affected populations for the latest annual reported period:

  • Heterosexual sexual exposure 23%
  • MSM sexual exposure 61%
  • People who inject drugs 4%
  • Mother to child transmission 0.8%
  • Other (not known) 11%
  • Late presenters 68%

The source for the epidemiological data: National Institute for Public Health of Serbia "Dr Milan Jovanovic Batut"

 

TESTING PROFILE

National policy/strategy or other recommendations from your government on HIV testing: Yes

Number of VCT centers in the country: 26

Availability of anonymous/confidential HIV tests: Yes

Availability of pre- or post- testing counseling: Yes

Testing is free for anyone who wishes to get tested: Yes, free testing and testing without referral is available in the entire country at the VCT centers. Testing is also available in private clinics, however some of them provide outdated or no counseling.

Testing can legally be performed by: Medical staff only

Testing in non-medical settings: Yes

Community based testing: Yes,

Community-based checkpoints in the country: Yes

Mobile testing in the country: Yes

Number of people tested in the last annual period: 56,282 people tested in total, and out of those 7242 tested in VCT centers.

Number of targeted testing to key populations (if available): N/A

Regular community testing for other STDs: Several VCT centers in healthcare institutions offer Hepatitis C and B and sifilis. 3150 people were tested for Hep C, 3552 people were tested for Hep B and 782 people were tested for sifilis.

Additional comments on testing: Testing, particularly community based testing has been dramatically reduced since the departure of the Global Fund, including general testing in non-medical settings, community based outreach and educations, community based checkpoints and mobile testing.

There were significantly less people tested in 2014 than in 2013, and correspondingly less newly discovered PLHIV, but more were discovered as late presenters.

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Reported by: dr Danijela Simić and Rade Kuzmanović

Brief report regarding new HIV cases in NeLP countries in 2013 - Serbia

Total number of registered HIV infection: 3001

Estimation of total number of people living with HIV: ~3650

Data for 2013

  • Number of people known to be living with HIV: about 1842
  • Number of new HIV infections: 147
    • Number of AIDS cases: 44
    • Number of people to start ART: 84
    • % Associated with mother to child transmission (MTCT): from 1985-2012 - 1,6%,
      in 2013 - 1%
    • %Associated with heterosexual exposure: from 1985-2012 - 20,8%
      in 2013 - 14%
    • % Associated with people who inject drugs (PWID): from 1985-2012 - 40,05%
      in 2013 - 18%
    • % Associated with gay men and other MSM: from 1985-2012 – 19,2%
      in 2013 - 64%
    • % Other/not known: 10,8%
      in 2013 – 3%
    • % Late presenters: 29,9%
    • Registered cases in youth 15-29 years of age 22%
    • Main route of transmission: Sexual transmission (78%)
    • Cases of death in AIDS patients: 17
  • Number of people tested in the latest year reported: about 9970

Anything else to add about new diagnoses?; Was there more or less diagnoses than usual?; Any trends? Were there any new locations or clusters?: In 2013 there was a slight overall increase in number of tested people. This resulted with a slight increase of identified HIV positive people. The statistics and rations are similar to previous years. Most transmissions happened sexually, and mostly among the MSM population. There was also a slight increase among young people (15-29).

Sources for this information:Official information from the institute for public health of Serbia "Dr. Milan Jovanović Batut" and Ministry of Health of Serbia