In doing so, Brazil is one of the first 40 countries to provide self-testing. Explore this page to find out more about people most affected by HIV in Brazil, HIV testing and counselling programmes, HIV prevention programmes , antiretroviral treatment availability , barriers to prevention and the way forward for Brazil. In , , people were living with HIV compared to , in In the same year there were 48, new infections, more than in This is in part due to its large population in comparison to other Latin American countries.
Most notable has been a shift to younger men and women. While the highest rates of infection are reported among people aged 30—49, there is an increasing trend in detection rates among young people aged 15—24 and adults aged over More recently, trends are showing increasing dependence on non-injecting drug use including crack and other stimulants.
Prisoners in Brazil HIV prevalence among people who inject drugs who are also part of the prison population in Brazil continues to be higher than that of the general population. The incidence of HIV is accelerated by issues of overcrowding and violence, and is exacerbated by other social and welfare vulnerabilities and legal and policy constraints. These include campaigns that promote the self-esteem and rights of sex workers and emphasise consistent condom use.
As a result of lobbying by sex worker organisations, sex work has been included as a profession in Brazil, thereby entitling sex workers to social security and other work benefits. Overall, it found However, it emphasised that condom use studies tend to focus on adolescents and women, which means knowledge remains limited when it comes to other key affected populations.
During the past five years, HIV prevention and sex worker rights interventions have become more restricted in scope as a result of declining national and international political and financial support. The restructured campaign focused exclusively on condom use without any reference to human rights or citizenship, which is indicative of the ongoing challenges for the Brazilian sex worker community.
Among those aged 18 to 24 years, HIV prevalence was already 6. This has also occurred among young men aged 15—24 who have sex with men. Despite the gains of the past 20 years, the proportion of men reporting unsafe sex in high-risk settings has dramatically increased.
To be effective this approach must take into account the community and social norms that contribute to individual risks. The vast majority of killings go unpunished.
In , Brazil began providing self-testing kits to the general population. These kits were made available free of charge from pharmacies, medication distribution centres, health services and government health programmes, as well as through the mail.
By March , more than 72, people had accessed the online platform for self testing and around 2, self-testing kits had been distributed. This has expanded access to key populations by providing access at times and locations that better suit their needs. It targets men who have sex with men and transgender people with the use of a mobile unit.
These units reach populations in community settings with high HIV prevalence and those who also face great challenges for early diagnosis, mainly due to issues of stigma and discrimination that are still prevalent in some traditional healthcare facilities.