1. 2006 Report on the global AIDS epidemic Fig 06/06 e

2. 2006 Report on the global AIDS epidemic Fig 06/06 e Adult (aged 15 49 years) HIV prevalence (%) in countries in sub-Saharan Africa which have conducted population-based HIV surveys in recent years Median HIV prevalence (%) among women attending antenatal clinics 2003 2004* Population-based survey prevalence (%) (year) 2003 HIV prevalence (%) reported in 2004 Report on the global epidemic Adjusted 2003 HIV prevalence (%) in current report 2005 HIV prevalence (%) in current report Trend in prevalence Botswana Stable38.525.2 (2004)38.024.024.1 Burkina Faso Decline in urban areas2.51.8 (2003)4.22.12.0 Burundi Decline in capital city4.83.6 (2002)6.03.3 Cameroon Stable7.3 5.5 (2004)7.05.55.4 Ethiopia Decline in urban areas8.51.6 (2005) § 4.4 (1.0 3.5)(0.9 3.5) Ghana Stable3.12.2 (2003)3.12.3 Guinea Stable4.21.5 (2005)2.81.61.5 Lesotho Stable28.423.5 (2004)29.323.723.2 Sierra Leone Stable3.01.5 (2005)-1.6 Rwanda Decline in urban areas4.63.0 (2005)5.13.83.1 Senegal Stable1.90.7 (2005)0.80.9 South Africa Increasing29.516.2 (2005)20.918.618.8 UR Tanzania Stable 7.07.0 (2004)9.06.66.5 Uganda Stable 6.2 7.1 (2004 5) 4.16.86.7 *WHO Africa (2005). HIV/AIDS epidemiological surveillance report for the WHO African region, 2005 Update. Harare Estimate based on country report for 2002 (2003). Ministry of Public Health Cameroon. National HIV sentinel surveillance report 2002. Estimate based on country report for 2002 (2003). Ministry of Health Uganda. STD/HIV/AIDS surveillance report. STD/AIDS control programme. Kampala §Preliminary result. Additional analysis is ongoing. 2.1

3. 2006 Report on the global AIDS epidemic Fig 06/06 e

4. 2006 Report on the global AIDS epidemic Fig 06/06 e

5. 2006 Report on the global AIDS epidemic Fig 06/06 e A global view of HIV infection 38.6 million people [33.4 46.0 million] living with HIV, 2005 2.4

6. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV prevalence (%) in adults in Africa, 2005 2.5

7. 2006 Report on the global AIDS epidemic Fig 06/06 e Southern Africa HIV prevalence (%) among pregnant women attending antenatal clinics in sub-Saharan Africa, 1997/98 2004 West Africa 1997 1998 1999 2000 2001200220032004 0 5 10 15 20 Median HIV prevalence (%) Burkina Faso Côte d'Ivoire Ghana Senegal 1997 1998 1999 2000 2001200220032004 0 10 20 30 40 Median HIV prevalence (%) 50 Mozambique South Africa Swaziland Zimbabwe Note: Analysis restricted to consistent surveillance sites for all countries except South Africa (by province) and Swaziland (by region) Sources: Ministry of Health (Mozambique); Department of Health (South Africa); Ministry of Health and Social Welfare (Swaziland); Ministry of Health and Child Welfare (Zimbabwe); Adapted from Asamoah-Odei, et al. HIV prevalence and trends in sub-Saharan Africa: no decline and large subregional differences. Lancet, 2004 (Ethiopia); Ministry of HealthNational AIDS/STD Control Programme (Kenya); Ministry of Health (United Republic of Tanzania); Conseil national de lutte contre le sida et les IST (Burkina Faso); Centers for Disease Control and Prevention (CDC)GAPCôte d'Ivoire (Côte d'Ivoire); Ghana Health Service (Ghana); Conseil National de Lutte Contre le SIDA (Senegal). 1997 1998 1999 2000 2001200220032004 0 5 10 15 20 Median HIV prevalence (%) Eastern Africa Ethiopia Kenya United Republic of Tanzania 2.6

8. 2006 Report on the global AIDS epidemic Fig 06/06 e

9. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV prevalence (%) in adults in Asia and Oceania, 2005 2.8

10. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV prevalence (%) trends in India among injecting drug users and pregnant women, selected areas, India, 1998–2004* Antenatal Clinic attendees Antenatal clinic attendees Injecting drug users 1998199920002001200220032004 % 0.0 1.0 2.0 3.0 4.0 5.0 1998199920002001200220032004 % 0.0 0.3 0.6 0.9 1.2 1.5 1998199920002001200220032004 % 0.0 3.0 6.0 9.0 12.0 15.0 Andhra Pradesh Karnataka Maharashtra Tamil Nadu Madhya Pradesh Mizoram Uttar Prahesh West Bengal Delhi Mizoram West Bengal 2.9 *Data from consistent surveillance sites only.

11. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV prevalence trends among pregnant women in major cities in Cambodia, Myanmar and Thailand, 1990–2004 Phnom PenhMandalay and YangonBangkok Sources: Cambodia National Center for HIV/AIDS, Dermatology and STDs (Phnom Penh); Myanmar Ministry of Health (Mandalay and Yangon); Thailand Ministry of Public Health (Bangkok), 2005. 1990 19992003 2004 0.0 1.0 2.0 3.0 4.0 5.0 1993 1994 1995 1996 1997 19982000 2001 2002 1991 1992 % HIV prevalence 2.10

12. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV prevalence (%) trends among injecting drug users in Bangladesh, Pakistan and the Philippines, 1998–2005* *Other sites in Bangladesh and Pakistan continue to show very low HIV prevalence in their latest surveillance surveys (0% in 13 sites in Bangladesh, and 0.5% in Lahore, Pakistan) Pakistan [Karachi] 20032004 0% 10% 20% 30% Bangladesh 1998– 1999 1999– 2000 2000– 2001 20022003– 2004 2004– 2005 0% 2% 4% 6% Northwest F1 Central A Southeast D Philippines [Cebu City] 2002200320042005 0% 2% 4% 6% 0.0 Sources: 2005 Integrated HIV Behavioral and Serologic Surveillance Findings, Summary Report. National Epidemiology Center, Department of Health (Philippines); National HIV Serological Surveillance, 2004-2005, 6th Round Technical Report. Natonal AIDS/STD Programme, Ministry of Health and Family Welfare (Bangladesh); National Study of Reproductive Tract and Sexually Transmitted Infections, Survey of High Risk Groups in Lahore and Karachi, 2005. National AIDS Control Program, Ministry of Health (Pakistan) 2.11

13. 2006 Report on the global AIDS epidemic Fig 06/06 e Increase in reported HIV cases in the Russian Federation and Ukraine, 1987–2005 1987198919911993199519971999200120032005 0 50 000 100 000 150 000 200 000 250 000 300 000 350 000 400 000 30 000 45 000 60 000 75 000 90 000 105 000 120 000 15 000 0 Reported HIV cases in the Russian Federation Reported HIV cases in Ukraine Russian Federation Newly reported cases Cumulative (previous years) Ukraine Newly reported cases Cumulative (previous years) 2.12 Sources: Russian Federal AIDS Centre; Ukranian AIDS Centre and Ministry of Health of Ukraine

14. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV prevalence (%) in adults in Latin America and the Caribbean, 2005 2.13

15. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV prevalence (%) among female sex workers and men who have sex with men in Latin America, 1999–2002 Provinces (7 cities) La Paz Santa Cruz Border cities with Argentina Santiago Bogotá Argentina Bolivia Chile Colombia 0.0 % HIV prevalence 051015202530 Buenos Aires Quito Guayaquil Other city ports (4) Asunción and 4 other cities Lima Provinces Montevideo Border cities with Brazil Isla Margarita Ecuador Paraguay Peru Uruguay Venezuela 0.0 % HIV prevalence 051015202530 Female sex workersMen who have sex with men 2.14 Source: Montano SM et al., JAIDS (2005).

16. 2006 Report on the global AIDS epidemic Fig 06/06 e 50% coverage (3 million people on treatment) 21 countries achieved this Global target not achieved Percentage of people with advanced HIV infection receiving antiretroviral therapy**** 9% (Country range: 1% 59% coverage), (n=41) Percentage of youth aged 15 24 who correctly identify ways of preventing HIV transmission and who reject major misconceptions about HIV transmission** US$ 7.0 billion US$ 10.0 billion Global target achieved US$ 8 297 000 000 Estimated range: US$ 7.5 billion US$ 8.5 billion MALE: 33% (Country range: 7% 50% coverage), (n=16) FEMALE: 20% (Country range: 8% 44% coverage), (n=17) Total annual expenditure* Percentage of HIV-positive pregnant women receiving antiretroviral prophylaxis*** 2005 Country progress towards 2001 Declaration of Commitment on HIV/AIDSGlobal targets (low- and middle-income countries) on HIV/AIDSGlobal targets (low- and middle-income countries) [First of 2 slides] 90% coverage No country achieved this 80% coverage No country achieved this 20% (Country range: 1% 100% coverage), (n=116) 1 300 000 people on treatment GLOBAL RESULTS 2005GLOBAL TARGETS 2005 * See Financing chapter ** Demographic and Health Survey/AIDS Indicator Survey, 2001 2005 (MEASURE DHS, 2006) *** Stover et al. (2006) **** 3 by 5 Report (WHO/UNAIDS, 2006) 3.1a

17. 2006 Report on the global AIDS epidemic Fig 06/06 e 2005 Country progress towards 2001 Declaration of Commitment on HIV/AIDS Global targets (low- and middle-income countries) on HIV/AIDS Global targets (low- and middle-income countries) [Last of 2 slides] GLOBAL RESULTS 2005GLOBAL TARGETS 2005 26% of infants born to HIV-infected mothers were also infected (n=33 most affected countries) In 2001, approximately 30% of infants were infected. There has been an estimated 10% reduction in HIV transmission between 2001 and 2005. Estimated percentage of infants born to HIV-infected mothers who are infected in 2005****** 20% reduction 11 of the most affected countries achieved this 25% reduction in most affected countries 6 of the most affected countries achieved this MALES: 1.4% (Measure of uncertainty: 1.1% 1.8%), (n=54) FEMALES: 3.8% (Measure of uncertainty: 3.0% 4.7%), (n=54) No comparable global data on this age cohort is available from 2001. Progress towards target can only be measured in individual countries. Percentage of young males and females, aged 15 24, who are HIV infected***** ***** UNAIDS/WHO 2005 Estimates for countries with generalized epidemics ****** UNAIDS/WHO 2005 Estimates 3.1b

18. 2006 Report on the global AIDS epidemic Fig 06/06 e Access to mother-to-child prevention services (all pregnant women) Comparison of 2003 and 2005 data on the coverage of antiretroviral therapy, access to mother-to-child prevention services and coverage of HIV-infected mothers who received antiretroviral prophylaxis to prevent mother-to-child transmission Coverage of antiretroviral therapy 7.0 20.0 0 5 10 15 20 25 20032005 % 7.6 9.0 0 5 10 15 20 25 20032005 % Coverage of HIV-infected mothers who received antiretroviral prophylaxis 3.3 9.2 0 5 10 15 20 25 20032005 % Sources: WHO/UNAIDS (2006). Progress on global access to HIV antiretroviral therapy: a report on 3 by 5 and beyond; USAID et al. (2006). Coverage of selected services for HIV/AIDS prevention, care and support in low and middle income countries in 2003 and 2005. 3.2

19. 2006 Report on the global AIDS epidemic Fig 06/06 e Coverage of HIV-infected mothers who received antiretroviral prophylaxis Comparison of 2003 and 2005 data on the expansion of antiretroviral therapy and coverage of HIV-infected mothers who received antiretroviral prophylaxis in three sub-Saharan African countries Coverage of antiretroviral therapy 30 40 50 60 % 20 10 0 KenyaUgandaNamibia 1.0 7.0 4.6 9.3 25.0 12.0 30 40 50 60 % 20 10 0 KenyaUgandaNamibia 3.0 0.0 6.3 19.7 35.0 56.0 20032005 3.3 Sources: Individual country reports (2005).

20. 2006 Report on the global AIDS epidemic Fig 06/06 e Comprehensive knowledge about HIV and AIDS among young males aged 15–24, by level of education, in 11 sub-Saharan African countries, 2000–2004 Sources: Demographic and Health Surveys; HIV/AIDS Indicator Surveys (2000–2004). 0 10 20 30 40 50 60 70 80 Burkina Faso Cameroon Ghana Kenya Mali Mozambique Namibia Nigeria Rwanda Uganda Zambia % No educationPrimary educationSecondary education and beyond 3.4

21. 2006 Report on the global AIDS epidemic Fig 06/06 e Comprehensive knowledge about HIV and AIDS among young females aged 15–24, by level of education, in 11 sub-Saharan African countries, 2000–2004 Sources: Demographic and Health Surveys; HIV/AIDS Indicator Surveys (2000–2004). 0 10 20 30 40 50 60 70 80 Burkina Faso Cameroon Ghana Kenya Mali Mozambique Namibia Nigeria Rwanda Uganda Zambia % No educationPrimary educationSecondary education and beyond : 3.5

22. 2006 Report on the global AIDS epidemic Fig 06/06 e Percentage of young people aged 15–24 reporting the use of a condom during sexual intercourse with a non-regular partner, Sub-Saharan Africa, 2001–2005 Male Female Countries with date of survey indicated 1000102030405060708090 % Benin 2001 Botswana 2001 Burkina Faso 2003 Cameroon 2004 Chad 2004 Ghana 2003 Guinea 2005 Kenya 2003 Lesotho 2004 Madagascar 2003 Malawi 2004 Mali 2001 Mozambique 2003 Nigeria 2003 Rwanda 2004 Senegal 2005 United Republic of Tanzania 2003 Uganda 2004 Zambia 2003 Sources: Demographic Health Surveys; HIV/AIDS Indicator Surveys (2001-2005). 3.6

23. 2006 Report on the global AIDS epidemic Fig 06/06 e Median percentage of most-at-risk populations reached with prevention programmes and those who received HIV testing in the last 12 months and who knew their results Sex workersMen who have sex with menInjecting drug users 0 10 20 30 40 50 Percentage who received HIV testing and who knew their results Percentage reached with prevention programmes % 42% (n=13) 19% (n=10) 23% (n=10) 17% (n=10) 38% (n=9) 28% (n=10) 3.7

24. 2006 Report on the global AIDS epidemic Fig 06/06 e Estimated total annual resources available for AIDS, 1996 2005 292 1623 8297* 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 1996199719981999200020012002200320042005 US$ million Signing of Declaration of Commitment on HIV/AIDS Data include: International donors, domestic spending (including public spending and out-of-pocket expenditures) International Foundations and Global Fund included from 2003 onwards, PEPFAR included from 2004 onwards * Projections based on previous pledges and commitments (range of the estimation: US$7.5 to US$8.5 billion). 3.8

25. 2006 Report on the global AIDS epidemic Fig 06/06 e Per capita HIV and AIDS expenditures by country income level* 0.0 0.5 1.0 1.5 2.0 2.5 200020012002200320042005 US$ per capita Low income Lower middle Higher middle Low income SSA Trends based on a sample of 25 countries from sub-Saharan Africa and 57 countries from other regions 3.9

26. 2006 Report on the global AIDS epidemic Fig 06/06 e Progress towards achieving the Three Ones: Percentage of countries with one national coordinating body, one national HIV/AIDS strategy or framework and one national monitoring and evaluation plan 50 90 85 0 20 40 60 80 100 National bodyNational frameworkNational monitoring and evaluation plan % 3.10

27. 2006 Report on the global AIDS epidemic Fig 06/06 e

28. 2006 Report on the global AIDS epidemic Fig 06/06 e Percentage of distribution of deaths by age in southern Africa, 1985–1990 and 2000–2005 0–45–1920–2930–3940–4950–5960+ 40 35 30 25 20 15 10 5 0 1985-19902000-2005 Percentage of total deaths Age-groups : Source: Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat (2005). World Population Prospects: The 2004 Revision. Highlights. New York: United Nations. 4.2

29. 2006 Report on the global AIDS epidemic Fig 06/06 e Wealth, poverty and HIV: countries grouped by region and HIV prevalence 0 10 20 30 40 50 60 70 80 over 20 % 10-205-101-5 Latin America and Caribbean Asia*AfricaAll (48) % of population living on less that $1 per day Relative income of richest 10% to poorest 10% *except Japan Industrialized countries Countries with HIV prevalence over 1.9% in 2002 Countries according to level of HIV prevalence in 2001 (%) Source: UN Population Division( 2005a). Most figures relate to 2002, or earlier. 4.3

30. 2006 Report on the global AIDS epidemic Fig 06/06 e Violations of reproductive rights women surveyed in four Asian countries IndiaIndonesiaPhilippinesThailandTotal 70 60 50 40 30 20 10 0 % Mandatory HIV testing during pregnancy or due to illness of child Coerced into abortion due to HIV status Advised not to have a child since HIV-positive diagnosis Source: Paxton S, et al. (2005) AIDS-related discrimination in Asia. 4.4

31. 2006 Report on the global AIDS epidemic Fig 06/06 e TB notification rate in 20 African countries* versus HIV prevalence in sub-Saharan Africa, 1990–2004 Sources: World Health Organization (2006), Global TB database; UNAIDS (2006) Consistently reporting each year: Algeria, Angola, Botswana, Cameroon, Comoros, Congo, Côte d'Ivoire, Democratic Republic of Congo, Ghana, Guinea, Kenya, Malawi, Mauritius, Mozambique, Nigeria, Senegal, South Africa, Uganda, United Republic of Tanzania, Zimbabwe 0 20 40 60 80 100 120 140 160 180 200 199019911992199319941995199619971998199920002001200220032004 0 1 2 3 4 5 6 7 8 TB notification rate TB notification rate per 100,000 population % Adult HIV prevalence (15-49) HIV prevalence 4.5

32. 2006 Report on the global AIDS epidemic Fig 06/06 e Estimated impact of AIDS on under-five mortality rates 2002–2005, selected countries in sub-Saharan Africa Without AIDSWith AIDS Sources: UNICEF (2005); United Nations Population Division, World Population Prospects: The 2004 Revision, database. Deaths per 1,000 live births 117 173 143 74 78 123 118 106 78 142 73 43 71 98 42 020406080100120140160180200 Botswana Kenya Lesotho Namibia South Africa Swaziland Zambia Zimbabwe 4.6

33. 2006 Report on the global AIDS epidemic Fig 06/06 e Source: Roeland Monasch and J. Ties Boerma, Orphanhood and childcare patterns in sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS 2004, 18 (suppl 2): S55-S65. Impact of orphanhood on school attendance among 10–14-year-olds (%) West (9 countries) Central (6 countries) Eastern (9 countries) Southern (10 countries) All (34 countries) Percentage in school Non-orphans Orphans Double orphans 67 58 57 75 69 58 70 54 49 88 84 80 74 69 64 Ratios Double vs. non-orphans Boys Girls 0.86 0.96 0.91 0.94 0.96 0.94 0.72 0.82 0.88 0.90 0.93 0.96 0.87 0.94 0.93 4.7

34. 2006 Report on the global AIDS epidemic Fig 06/06 e Projected reduction in African agricultural labour force due to HIV and AIDS by 2020 Sources: ILO (2004). HIV/AIDS and work: global estimates, impact and responses Projected labor force loss (%) by year Namibia Botswana Zimbabwe Mozambique South Africa Kenya Malawi Uganda UR Tanzania Central African Republic Côte dIvoire Cameroon 0 51015202530 20202000 4.8

35. 2006 Report on the global AIDS epidemic Fig 06/06 e Impact of three scenarios on HIV infection in sub-Saharan Africa, 2003–2020 0.0 1.0 2.0 3.0 4.0 5.0 20032005201020152020 Year Treatment-centered Prevention-centered Baseline Comprehensive response Number of new HIV infections (millions) Source: Salomon JA et al. (2005). Integrating HIV prevention and treatment: from slogans to impact 6.1

36. 2006 Report on the global AIDS epidemic Fig 06/06 e Impact of AIDS-related deaths in sub-Saharan Africa, 2003–2020 20032005201020152020 Year Treatment-centered Prevention-centered Baseline Comprehensive response 0.0 0.5 1.0 1.5 2.0 2.5 3.0 Number of AIDS- related deaths (millions) Source: Salomon JA et al. (2005). Integrating HIV prevention and treatment: from slogans to impact 6.2

37. 2006 Report on the global AIDS epidemic Fig 06/06 e 6.3

38. 2006 Report on the global AIDS epidemic Fig 06/06 e Number of people on antiretroviral therapy in low- and middle-income countries, 2002–2005 North Africa and the Middle East Europe and Central Asia East, South and South-East Asia Latin America and the Caribbean Sub-Saharan Africa Source: WHO/UNAIDS (2005). Progress on global access to HIV antiretroviral therapy: An update on 3 by 5. 0 200 400 600 800 1000 1200 1400 End 2002 Mid- 2003 End 2003 Mid- 2004 End 2004 Mid- 2005 End 2005 People receiving therapy (thousands) 7.1

39. 2006 Report on the global AIDS epidemic Fig 06/06 e People in sub-Saharan Africa on antiretroviral treatment as percentage of those in need, 2002–2005 2002 2003 2004 2005 7.2 Source: WHO/UNAIDS (2005). Progress on global access to HIV antiretroviral therapy: An update on 3 by 5.

40. 2006 Report on the global AIDS epidemic Fig 06/06 e

41. 2006 Report on the global AIDS epidemic Fig 06/06 e

42. 2006 Report on the global AIDS epidemic Fig 06/06 e Country Coordinating Mechanisms (CCMs): Entities participating in preparation of Round Four proposals, 100% = all representatives of all 78 surveyed CCMs Source: The Global Fund to Fight AIDS, Tuberculosis and Malaria 20% Government health ministry 19% Government other ministries 15% UN/Multilateral agencies Religious/faith-based groups 5% Private sector 7% People living with the disease 4% Academic/educational 4% organizations International NGOs 3% Bilateral agencies 6% NGO/community-based 17% organizations Public sector Non-public sector 9.1

43. 2006 Report on the global AIDS epidemic Fig 06/06 e Sector of recipients 25%Non-governmental and community-based organizations 4% People living with HIV, Tuberculosis or Malaria 5% Academic institutions 5% Faith-based organizations 5% Private sector 5% Other 51% Government Source: The Global Fund to Fight AIDS, Tuberculosis and Malaria. Rounds 2 4 only. Information not available for Round 1. 9.2

44. 2006 Report on the global AIDS epidemic Fig 06/06 e AIDS funding requirements for low- and middle-income countries Prevention 8.410.011.429.8 Care and treatment 3.04.05.312.3 Support for orphans and vulnerable children 1.62.12.76.4 Programme costs 1.51.41.84.6 Human resources 0.40.60.91.9 TOTAL14.922.155.118.1 20062007 2006 2008 US$ billion Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries. 10.1

45. 2006 Report on the global AIDS epidemic Fig 06/06 e PREVENTION ACTIVITIES (US$ million) 2006200720082006–08 Mass media 91 100 109 299 Community mobilization 449 608 772 1830 Voluntary counselling and testing 451 569 690 1710 Youth in school 101 104 108 313 Youth out of school 768 945 1126 2838 Programmes focused on sex workers and their clients 429 552 682 1663 Programmes focused on men who have sex with men 312 407 499 1218 Harm reduction programmes for injecting drug users 114 149 180 443 Workplace 421 523 628 1573 Prevention programmes for people living with HIV 22 33 48 103 Special populations 151 252 654 Condom social marketing 159 175 190 525 Public and commercial sector condom provision 1381 1501 1625 4506 Improving management of sexually transmitted infections 672 718 764 2154 Prevention of mother-to-child transmission 206 264 324 794 Blood safety 226 228 231 685 Post-exposure prophylaxis (health care setting, rape) 1 2 2 5 Safe medical injections 897 2690 Universal precautions 1590 1944 2303 5838 TOTAL 8441 9969 11 430 29 840 Funding required for prevention Funding required for prevention 10.2 Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.

46. 2006 Report on the global AIDS epidemic Fig 06/06 e Distribution by region of the funding required for prevention Latin America/Caribbean: 9% Eastern Europe: 12% North Africa/Middle East: 3% Africa: 29% South/South-East Asia: 21% East Asia/Pacific: 26% Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries. 10.3

47. 2006 Report on the global AIDS epidemic Fig 06/06 e Year People on ART (million) ART coverage of urgent cases Total Funding (US$ million) 20063.055% 2986 20074.867% 4029 20086.675% 5250 20098.379%- 20109.880%- Funding required for treatment and care, including antiretroviral therapy (ART), in order to achieve the coverage targets shown 10.4 Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.

48. 2006 Report on the global AIDS epidemic Fig 06/06 e TREATMENT AND CARE ACTIVITIES (US$ million) 2006200720082006–08 Palliative care 308 302 295 905 Provider initiated testing 66 79 109 254 Opportunistic infections treatment 686 703 707 2096 Opportunistic infections prophylaxis 287 403 510 1200 Antiretroviral therapy, including nutritional support 1642 2482 3624 7748 Laboratory testing 54 79 104 237 TOTAL 3043 4048 5349 12 440 Distribution by activity of the funding required for treatment and care 10.5 Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.

49. 2006 Report on the global AIDS epidemic Fig 06/06 e Distribution by region of the funding required for treatment and care Latin America/Caribbean: 17% Eastern Europe: 7% North Africa/Middle East: 1% Africa: 55% South/South-East Asia: 4% East Asia/Pacific: 16% Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries. 10.6

50. 2006 Report on the global AIDS epidemic Fig 06/06 e ORPHAN-SUPPORT ACTIVITIES (US$ million)2006200720082006–08 Education 193 287 443 923 Health care and support 145 174 200 519 Family/home support 971 1255 1604 3830 Community support 14 18 25 57 Organization costs 246 322 422 990 TOTAL 3043 4048 5349 12 440 Funding required for activities supporting orphans and vulnerable children 10.7 Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.

51. 2006 Report on the global AIDS epidemic Fig 06/06 e PROGRAMME ACTIVITIES (US$ million)2006200720082006–08 Management 485 376 390 1251 Advocacy and communications 118 111 340 Monitoring and Evaluation 148 138 146 432 Operations Research 11 7 7 25 Training 72 136 231 439 Logistics and suppy, including transportation 305 259 304 868 Supervision of personnel and patient tracking 97 68 92 257 Drug resistance surveillance 69 68 205 Construction of new health centers 60 23 167 250 Laboratory and other infrastructure upgrading 121 185 236 542 PROGRAMME AND INFRASTRUCTURE COSTS 1486 1371 1753 4610 Funding required for programme support and infrastructure 10.8 Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.

52. 2006 Report on the global AIDS epidemic Fig 06/06 e (US$ million)2006200720082006–2008 Education 50 89 123 262 Nurses wage supplements 153 261 370 784 Doctors wage supplements 152 258 366 776 TOTAL 355 608 859 1822 Funding required for building human resource capacity 10.9 Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.

53. 2006 Report on the global AIDS epidemic Fig 06/06 e Sources of the estimated and projected funding for the AIDS response from 2005 to 2007* * Assuming there are no new commitments Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries. Domestic Bilateral Multilateral Private Sector 200520062007 US$ billion 0 2 4 6 8 10 12 10.10

54. 2006 Report on the global AIDS epidemic Fig 06/06 e Sources of HIV spending in three countries, 2004 US$ 1.87 HIV and AIDS spending per capita US$ 0.59US$ 0.28 World Bank loan 27% All donors 14% Public 86% Public 9% Global Fund 9% Bilateral 35% World Bank credit 32% Multilateral (excluding GF) 15% Bilateral 32% Public 36% Global Fund 2% Multilateral (excluding GF) 3% India Russian Federation Burkina Faso 10.11 Source: UNAIDS, based on National AIDS Spending Assessments.

55. 2006 Report on the global AIDS epidemic Fig 06/06 e HIV spending by programmatic area in four countries, 2004 Thailand Senegal Ethiopia Burkina Faso Prevention Treatment and care Orphans and vulnerable children Program development Other US$ 1.87 US$ 0.45 US$ 1.40 US$ 1.91 Total AIDS spending per capita 020406080100 % 10.12 Source: UNAIDS, based on National AIDS Spending Assessments.

56. 2006 Report on the global AIDS epidemic Fig 06/06 e

57. 2006 Report on the global AIDS epidemic Fig 06/06 e

58. 2006 Report on the global AIDS epidemic Fig 06/06 e DAC members bilateral commitments to HIV-related programmes in 2004 France 0.9% United Kingdom 20.5% United States 49.6% Other DAC country members 13.1% Italy 0.5% European Community 4.3% Canada 4.1% Germany 3.5% Japan 3.4% Total: US$ 2.7 billion 10.15 Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.

59. 2006 Report on the global AIDS epidemic Fig 06/06 e UNAIDS Unified Budget compared to resources available for HIV in low- and middle-income countries Total funding for AIDS UNAIDS Unified Budget* 200320042005 US$ million 0 2000 4000 6000 8000 10 000 12 000 20062007 UNAIDS Unified Budget includes core, supplemental and agency own resources. It does not include estimates of country-level spending by Cosponsors. Source: UNAIDS (2005). UNAIDS Unified Budget and Workplan 2006-2007. 10.16

60. 2006 Report on the global AIDS epidemic Fig 06/06 e Commitments by foundations based in the United States to domestic and global HIV projects, 2000–2003 Source: Funders Concerned About AIDS (2005). 200520062007 US$ million 0 100 200 300 400 500 600 2003 10.17

61. 2006 Report on the global AIDS epidemic Fig 06/06 e Annual public sector investment in preventive HIV vaccine research and development between 2000 and 2005 by region 200320042005 US$ million 0 100 200 300 400 500 600 20062007 700 USEuropeOther Public Sector Multilaterals Source: HIV Vaccines and Microbicides Resource Tracking Working Group (2005). 10.18

62. 2006 Report on the global AIDS epidemic Fig 06/06 e 200020012002200320042005 PUBLIC SECTOR United States34.661.375.378.892.099.3 Europe0.70.45.110.629.937.8 Other0.3<0.10.20.92.05.0 Multilaterals<0.10.30.4<0.10.2 Total public 35.762.081.090.2124.2142.3 PHILANTHROPIC SECTOR Total philanthropic 29.43.424.816.918.121.1 NON-COMMERCIAL (PUBLIC & PHILANTHROPIC) Total non-commercial 65.165.4105.8107.1142.3163.4 Annual public and philanthropic sector investment in microbicide research and development between 2000 and 2005 (US$ million) 10.19 Source: HIV Vaccines and Microbicides Resource Tracking Working Group (2005).

63. 2006 Report on the global AIDS epidemic Fig 06/06 e Stakeholder participation in development of national AIDS plans in 79 countries, 2004 full participation insufficient but increasing participation insufficient participation with no signs of improvement no participation Source: (UNAIDS 2006) From advocacy to action: A progress report on UNAIDS at country-level, UNAIDS. UN agencies Civil society/NGOs People living with HIV Donors Line ministries Media District and local authorities Faith-based organizations Private sector Womens groups 0%20%40%60%80%100% 11.1

64. 2006 Report on the global AIDS epidemic Fig 06/06 e Sites Involved with Collaborative Fund for HIV Treatment Preparedness, March 2006 Sources: The International Treatment Preparedness Coalition (2006); TIDES Foundation (2006) 11.2

65. 2006 Report on the global AIDS epidemic Fig 06/06 e Trends in HIV and AIDS per-capita expenditures in current US$, selected sub-Saharan countries 0.22 0.65 0.31 0.15 0.49 0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0 20012002200320042005 HIV per capita spending (US$) Sources: Countries reporting on UNGASS on domestic public expenditure; UNAIDS estimates 11.3

66. 2006 Report on the global AIDS epidemic Fig 06/06 e Countries using the Country Response Information System (92 countries as of January 2006) Sources: Countries reporting on UNGASS; UNAIDS (Country Coordinator Reports and Monitoring and Evaluation Officers personal communications) 11.4