People most at risk of late diagnosis are those who are least likely to be reached by traditional testing programs, especially when living in low prevalence areas. Therefore AHF opened a community-based HIV testing center in the heart of Amsterdam to offer free, anonymous, rapid HIV testing and counseling services. Tests are performed by certified HIV testing counselors, using the most advanced testing technologies. As part ofAHF’s innovative alternative-site testing initiative, the team in the Netherlands also tests via a mobile testing van at various locations throughout the Netherlands and Belgium.
The majority of registered and monitored adults living with HIV in the Netherlands are male (80%). Amongst men, homosexual contact was by far the greatest risk factor (72%), whereas heterosexual transmission was the greatest risk factor (88%) amongst women [HIV Monitoring Report 2012,1].
Despite improved testing in The Netherlands over the last two decades, even today, 43% of infected individuals are diagnosed late in the course of their infection [HIV Monitoring Report 2012]. As such, many people in the Netherlands are unaware that they are living with HIV, this has serious implications for both the individual and public health as it can increase the risk that HIV will be transmitted.
In 2016, an estimated 23,000 Netherlanders are living with HIV, out of the 17 million total population. Less than 500 estimated new HIV infections occurred in 2016. Gender prevalence amongst adults (15-49) shows women at .1% compared to men at .3%. Out of the 23,000 Netherlanders living with HIV, approximately 18,600 are on treatment.
Sources: UNAIDS 2016 estimates, CIA World Factbook 2016
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