Table 2. Results of epidemic appraisals for six districts of India using the numerical proxy classification, Modes of Transmission (MOT) analysis and transmission dynamics epidemic classification approach.
District | Shimoga | Belgaum | Bagalkot | Ganjam | Sikar | Varanasi |
Numerical proxy classification | Generalized | Generalized | Generalized | Generalized | Low level | Low level |
HIV prevalence in general population (year, source) | 1.0(2008, PPTC) | 1.43(2007, GPS) | 2.6(2009,GPS) | 3.25(2008,ANC) | 0.98(2004,GPS) | 0.25(2008,PPTC) |
HIV prevalence within a core-group (year) | FSW (9.0;2008)HR-MSM (9.9; 2008) | FSW (27.3; 2008)HR-MSM (10.6; 2008) | FSW (5.3; 2008)HR-MSM (13.0; 2008) | N/A | N/A | FSW (0.8;2006) |
MOT analysis: year | 2010 | 2010 | 2010 | 2010 | 2010 | 2010 |
Distribution of incident infections (% of total), by subgroup | ||||||
Low-risk heterosexual | 73.0 | 12.5 | 35.8 | 87.1 | 89.6 | 81.1 |
Medical injection | 0.52 | 1.3 | 1.3 | 1.2 | 1.2 | 1.1 |
Blood transfusion | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
IDU | 0.0 | 2.9 | 0.0 | 0.0 | 0.44 | 5.9 |
Partners of IDU | 0.0 | 1.8 | 0.0 | 0.0 | 0.01 | 0.2 |
FSW | 0.76 | 1.6 | 7.8 | 0.03 | 0.09 | 0.34 |
Clients | 2.5 | 17.6 | 4.5 | 0.02 | 0.06 | 0.12 |
Partners of clients | 18.2 | 37.3 | 47.1 | 0.27 | 1.1 | 2.5 |
HR-MSM | 2.8 | 3.8 | 1.7 | 0.0 | 0.0 | 1.8 |
Female partners of HR-MSM | 0.35 | 0.62 | 1.2 | 0.0 | 0.0 | 0.11 |
Multiple partners(MP) | 0.73 | 5.9 | 0.36 | 6.5 | 3.4 | 3.2 |
Partners of MP | 1.2 | 14.6 | 0.25 | 4.8 | 4.0 | 3.6 |
Transmission Dynamic Epidemic Classification | ||||||
Decision Algorithm | Concentrated - local | Concentrated (local & non-local) or mixed | Concentrated (local & non-local) or mixed | Concentrated (local & non-local) | Concentrated (local & non-local) or mixed | Concentrated (local & non-local) |
PAF (male clients) | N/A | 76.1% | 90.1% | N/A | N/A | N/A |
ANC (Antenatal clinic [sentinel surveillance]); PPTC(prevention of parent to child transmission clinic); GPS (general population survey); FSW (female sex worker); HR-MSM (high-risk men who have sex with men); IDU (injecting drug user); PAF (population attributable fraction); N/A (data not available).