HIV Epidemic In Mizoram:
Awareness with KTP
Alan Lalmuanpuia
State TI Coordinator
NE Technical Support Unit
Mizoram State AIDS Control Society
HIV&AIDS
Natna Hrehawm leh
Vanduaithlak
HUMAN
I MMUNO DEFICIENCY
VIRUS
ACQUIRED
I MMUNE
DEFICIENCY
S YNDROME
3
H - Human (Mihring)
I - Immunodeficiency (Kan taksa natna dotu
tlakchhamna)
V - Virus (Hrik)
#HIV chu natna thlentu hrik a ni.
HIV+ (HIV Positive): HIV (a hrik) kha taksa ah a lut a,
thisen test atangin a awm tih hriat a lo nih khan HIV+ an
ti thin.
*HIV+ te hi an damlo kher lo. A tam zawk chuan
insawiselna an nei lova, pawn lam lan danah hriat theih
dan a awm hek lo. Hriat theihna awm chhun chu thisen
test chauh ani!
A - Acquired (Midang atanga kai)
I - Immune (Natna do theihna power)
D - Deficiency (Tlakchhamna)
S - Syndrome (Natna hrang hrang
inpawlh)
*HIV+ mihring te chu a hrik (HIV) in rei tak
a tih buai hnuah an taksa in natna a do
theihna a lo tla chham tial tial a, natna chi
hrang hrang an lo nei chho ta a
(kawthalo/khawsik/awmna etc). Chung ang
hrang hrang inpawlh chuan AIDS dinhmun
hi a rawn thlen ta thin ani. Chutiang hunah
chuan damdawiin a enkawl an ngai chawk
tawh thin!
* Kan taksa vengtu hnathawh dan
* HIV in kan taksa a beih dan
WBC te chuan Hrik chak tak chuan
Kan taksa hi kan taksa ti chau thin
hrik rawn lut
thisen a timur mahse a tawpah chuan
apiang an lo bei kan taksa vengtu in a
(White Blood a, an that thin. hneh leh nge nge thin
Cells) te chuan
an veng.
HIV in hnehna a chang
Kan taksa vengtu te chuan lo bei let mahse HIV
HIV beihna hian an tam hneh em a, a tawpah chuan an
ngam ta lo thin ani.
HIV hi hrik chak tak, Taksa vengtu nei
inthlahpung chak lo-AIDS
em em mai ani a, Kan taksa a
kan taksa vengtu chauh tawh
sipaite a bei thin avangin hrik
hrang hrang
lakah a
derthawng tawh
TRANSMISSION
(INKAICHHAWN
DAN)
Taksa Tuihnang
Thisen (Blood) Heng taksa tuihnang
Mipa Baw (Semen) ah te hian HIV hrik
Hmeichhe serh tuihnang a tam hle a,
(Vaginal Discharge) midang a kai
Nu hnute tui (Breastmilk) chhawng thei ani
Chil (Saliva) Heng taksa tuihnang
Mittui (Tears) ah te hi chuan HIV
hrik awm mahse a
Thlan (Sweat) tlem a, midang kai
Zun (Urine) theihna khawp a
awm lo
HIV KAI DAN
Invenna tel
lova sex
hman in
Drugs inchiuna
hmanrua intawm Nu in a nau pai ah
Hmanraw hriam a intihpalh in
Thisen thianghlim lo
dawn atangin
HIV kai theih lohna te
■ In Kiss
■ Inkuah
■ Inchibai
■ Thawmhnaw
intawm
■ Chaw ei ho
A tihdam theih
em?
■ Vawiin thlengin
HIV hrik that
chimit a, a natna
ti dam thei
damdawi a la
awm lo.
■ A invenna pawh a
la awm
Chuti chung chung chuan lo
a enkawl
theih; mahse a buaithlak hle
Taksa enkawl that te
An nunna pawtsei thei damdawi ART
13
HIV enkawlna damdawi – Anti-
Retroviral Treatment (ART)
■ Antiretroviral
(ARV) drugs
hmanga enkawlna
■ Damdawi chak tak
tak an ni a, taksa
an shock nasa.
■ Damchhung ei
ngai.
■ Ei that chuan rei
tak taksa a vawng
thei.
■ ART hi HIV venna
pawimawh tak a
ni. 14
Mipat
Hmeichhi
atna
Ruihhl
o
Hman
-sual
HIV&AID
S
Ruihhlo Hmansual
Kan dinhmun
■ Soft Drugs kan ti nasa khawp mai.
■ Hard-core drugs, a bikin Heroin a tan
nghal tawp kan thahnem sawt hle.
■ Social Welfare Dept zirchianna ah
chuan:
– Kum 16-17 hi ruihhlo an tih tan kum
common ber a ni
– Inchiu (injecting) an tih tan (switch) kum
common ber chu 19yrs
■ An inchiu tan kum a tlem poh leh an
addict (ruihhlo tel lova awm thei lo)
hma a, an dose pawh a sang zawk zel.
Ruihhlo in harsatna
a thlen te
• Quality of Life ti
buai.
• Social environment
• Economic loss
• Co-morbidity
• Communicable
disease (HIV&AIDS,
Hep B/C, TB etc)
• Mental Disease
• General ill-health
• Overdose death
Ruihhlo hmansual nghawng
■Jail tang 40-50% vel hi ruihhlo leh
a kaihhnawih.
■Rehab home a enkawl ngai tam
ber
■27% of HIV+ hi Infected needles/
syringe atanga kai.
■80-90% of IDU - Hepatitis C
reactive.
■Accident thlen chhan tam ber.
Ruihhlo hlauhawm tak chu
engatinge a ngawl kan vei thin?
■Ti chhin chuan a ching dawk lak a, a
hriat loh laiin a ngawl a lo vei hman thin
■Ngawlvei tawh chuan an duh hunah an
sim thei tawh lo. An nghei chuan a
thring let thin (withdrawal/suffer/chiri)
■Ruihhlo ngawl an vei tawh chuan an
thluak a khawih danglam tawh a, a
siam that mai mai theih tawh loh.
■Taksa ah harsatna tam tak thlen mahse
an mamawh tawh miau vangin an sim
thei chuang lo.
DRUGS TIH CHHAN ENGE?
Thiante Vang
Tih chhin chak vang
Rilru
hrehawm
tlansan nan
Supply Drugs YMA
Reducti supply tih
Police
tlem
on
Demand Drugs Rehab
Reducti mamawhn Home
a tih tlem Psychiatry
on
Harm Drugs
vanga NGO –
Reducti harsatna NSEP, OST
on tih tlem
KTP: enge kan tih theih?
HIV&AIDS-Mizoram dinhmun : MSACS
(upto Mar 2019)
■ HIV+ hmuh chhuah tawh zawng zawng chu
19631. Hetah hian nu naupai HIV+ zat chu
1734an ni.
■ Sex hman atanga kai – 12012(67%)
■ Inchiuna hriau/syringe inhman tawm atanga
kai – 5040(28.16%)
■ Mipa mahni anpui kawp vanga kai – 185
■ Hmeichhia HIV+ : 5000(nu naupai tiam loh)
■ Kum bithliah:
– 25-34 yrs: 42.38%
– 35-49 yrs: 26.46%
India rama HIV tamna ber state chu Mizoram.
Top 3 hi North-East ah vek (2nd-Manipur, 3rd –
Nagaland)
Adult (15-49 Yrs) Prevalence
2.04
1.43
1.15
0.70
0.63
0.47
0.42
0.33
0.30
0.22
0.22
0.20
0.20
0.19
0.18
0.18
0.17
0.17
0.16
0.15
0.14
0.14
0.13
0.13
0.11
0.11
0.10
0.09
0.09
0.09
0.08
0.06
0.06
0.05
0.05
0.03
am nd esh oa lhi dia arh ana lin har nd arh aya an esh rala am kim
r a G D e In ig ary ave Bi kha sg hal asth ad Ke Ass Sik
zi o agal rad d
n H rH r atti g aj r
M N ra P h a a
J h Ch M e R ya P
h C ge
n d Na
adh
A
ra& M
d
Da
Source: HIV Estimations 2017, NACO – India: 0.22
India ramah kum 2000 chho atang
khan HIV awm zat an tlem tial tial
Source: HIV Estimations 2017
Mizoram erawh kan sang tial tial.
Manipur leh Nagaland ah pawh a tlahniam
tan
3.50 Adult HIV Prevalence (Percent)
3.00
2.50
2.00
1.50
1.00
0.50
0.00
MN MZ NG
Source: HIV Estimations 2017
HIV+ thar hi India ramah an tlem tial tial
laiin Mizoram ah kan sang tial tial bawk
(Incidence)
India Mizoram
140,000
1800
27% decline 18% increase
0
2010 2017 0
2010 2017
87,500 New HIV Infections in 2017 1,500 New HIV Infections in 2017
Source: HIV Estimations 2017
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.32
0.59
0.58
0.26
Source: HIV Estimations 2017
0.18
0.16
0.15
0.14
0.13
0.13
0.13
0.11
0.09
0.09
0.08
0.08
0.07
0.07
0.07
0.07
0.07
0.06
0.06
0.06
0.05
0.05
0.05
0.05
0.04
0.04
figure let 20 ang vel kan ni.
0.03
0.03
0.03
0.03
0.02
0.01
HIV+ thar hi Mizoram ah kan tam ber. India
High risk group dang zawngah pawh
kan sang ber vek
FSW IDU
Mizoram 24.70 Mizoram 19.80
Meghalaya 5.94 Tripura 8.50
Nagaland 3.60 Manipur 7.70
Manipur 1.40 Meghalaya 1.60
Tripura 1.20 Nagaland 1.15
Ar Pradesh 0.30 Assam 0.70
Assam 0.20 Ar Pradesh 0.00
Source: HIV Sentinel Surveillance, 2017
District zawng zawngah kan
sang.
Dist. wise Mizoram HIV Prevalence Among Pregnant Women, National Average 0.28%
3 2.75
2.5
2 1.75
1.5
1 1 1
1 0.75 0.75 0.75
0.5 0.28
0
it w
l ib lei ip a i
ha lt a
i e
am a la
s g hh ph Sa
i ag
M Ai
z
K o Lu
n rc m ng ver
Se a w a
Ch La ia
n d
I
Source: HIV Sentinel Surveillance, 2017
Tunge HIV+? Engtinnge an
kai?
Engvangin nge kan tam bik?
A inkaichhawnna lian ber
Drugs leh HIV
inlaichinna
KS kawmtute KS dawrtute
kawppui (damdawi Damdawi ti
ti ve lo) ve lo an
nupui/pasal
emaw sex
KS (FSW) hmanpui te
Ruihhlo
Inchiu
KS te HIV
Regular
Sex
RUIHHLO TI
Partner THIN
Sex leh HIV
inlaichinna
Heterosexual partners
(Route of Transmission)
2016-17 2017-18
Com- Com-
mercial Regular
Regular Partner mercial
Partner Partner
Partner 3% 21%
29% 9%
Casual
Partner Casual
68% Partner
69%
Source: SIMS, 2016-2018
Sex atangin
HIV
■ Tleirawl leh thalai inngaizawng karah sex
hman hi pawi tih lohna a lian sawt hle.
■ Hmeichhe tleirawl sex hmang hian an vei lian
ber chu nau an pai leh pai loh.
■ Ngaihzawng nghet an neih in an him tura
ngaihna a lian hle. Inrinhlelh nachang an hre
lo.
■ Mipa tleirawl/thalai te ngaihdan ah chuan
condom hman hi hmeichhe inzuar emaw
lepchiah te ah chauh hman tul niin an hre
deuh ber.
■ Kawppui (nupui/pasal) nei laiah midang kawp
■ Kan hriat tur:
– Ruihhlo hi mamawhna (demand) a awm
chhung chuan a awm reng ang. Demand a
hniam pawhin a zuartute hian Demand an
siam chawp mai zel (customer man tur an
zawng – a thlawnin an pe tawp tawp)
– Ruihhlo ngawlveina hi by force a bansan tir
theih a ni lo. Nungchang thlak danglam
(behavior change) hmanga hmalak ngai a ni.
– Kan ram dinhmun: Mamit District(Tripura),
Champhai District (Myanmar), Bairabi
(Kolasib), Shillong leh Assam.
■ KTP in ruihhlo engtinnge kan do ang?
Ruihhlo kan do theih
■ Supply Reduction:dan!
Ruihhlo zawrh leh
inhnamhnawih that loh zia kan tlangau pui thei.
Zuar lo thei lo (eizawnna dang ti thei lo emaw
ngaihna hre lo) te eizawnna tur kan ngaihtuah pui
thei ang em?
■ Demand Reduction: Ngawlvei te enkawlna hmun
kan thuam chak thei. Thawktu tha (Qualified
Worker) kan sponsor thei. Mission Field ah kan
puang thei ang em? AGAPE Home, TI-IDU, TI-FIDU
te kan nei.
■ Harm Reduction: Heti lama thawktu NGO te
hmalakna hi mipui hriatah kan thlawp a tul.
Syringe exchange, OST te hi Health Intervention
(HIV prevention) a ni a, kan support thei.
■ Prevention – ruihhlo laka derthawng te venhim
hna.
SEX HMANSUAL
KAN TI NEP THEI
ABCD of
Prevention
A-Abstinence (Insumtheihna)
B- Be Faithful
(I insum theih loh pawhin I kawppui
lakah rinawm rawh)
C- If all else fails, use protection
(I insum theih loh a, i rinawm theih bawk
si loh chuan..
Invenna hmang mai rawh)
D – Treatment is Prevention
HIV i lo kai tawh anih pawhin
ART damdawi ei tha rawh
Kan ram dinhmun
■ Zirtirna kan pek te, information kan pek
or siam chhuah te hian a mamawhtu te a
thleng pha lo. Kohhran a mamawh.
■ Ruihhlo leh Sex hmansual hian
Psychological problem a thlen tam sawt
hle. A tobul ah kan beih a ngai.
Chhungkua atangin tan a tul.
(Chhungkaw pawimawhna)
■ Naupang, tleirawl leh thalaite regular
taka zirtirna kan inpek a tul.
Ka Lawm E
