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Palau HIV & AIDS Update

Palau's population is approximately 20,000, with 9 cumulative HIV cases reported, including one new case in 2008. Currently, three individuals are living with HIV, while four have unfortunately passed away. Around 1,500 to 1,700 HIV tests are conducted annually, revealing challenges in testing with false positives and indeterminate results. Pregnant women (30%) and blood donors (40%) comprise significant testing demographics. Due to a shortage of healthcare professionals, there is a need for training and improvement in monitoring and care protocols.

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Palau HIV & AIDS Update

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  1. Palau HIV & AIDS Update June 14, 2009 Johana H. Ngiruchelbad, RN

  2. Background Information • Population 20,000 • Cumulative HIV Cases: 8 + 1 = 9 • One new case in 2008 • 3 living and under care • 4 died • 2 transferred out

  3. Testing data • Average of 1500-1700 HIV tests per year • 2007– 5 false positive • 2008 – 22 reactive screening tests • 15 false positive • 3 left island • 1 refusing confirmatory test • 1 confirmed by Western blot • 2 indeterminate

  4. Who is getting tested • Pregnant women 30% • Blood Donors 40% • STD/FP Clinics 15% • Targeted at risk Pops. 10% • Others 5%

  5. QA Reviews • Initiated May 2008 • Review STI/HIV case reports • Medical Records Review on active cases • Follow up on reactive tests • Recommendations or program improvements

  6. Recommended Changes • Due to shortage of Doctors and Nurses and Economic Challenges, we may be moving toward using clinical staff for Partner Services, QA, and CTR • Training is needed in these areas

  7. Challenge • One young women who tests positive when pregnant • Indeterminate test results • Documentation of care • Confidentiality Issues • Appropriate Diagnosis

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