HIV and AIDS Data Hub for Asia-Pacific Review in slides Pakistan

HIV and AIDS Data Hub for Asia-Pacific 2 Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV Expenditure National Response CONTENT

HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 183,189 (2013) 4 Annual population growth rate 1.6 ( ) 4 Population aged (thousands) 90,292 (2010) 4 Percentage of population in urban areas 36 (2011) 3 Crude birth rate (births per 1,000 population) 27.3 (2010) 3 Under-5 mortality rate (per 1,000 live births) 87 (2010) 2 Human development index (HDI) - Rank/Value 145/0.504 (2011) 1 Life expectancy at birth (years) 65.4 (2011) 1 Adult literacy rate 55.5 ( ) 1 Ratio of girls to boys in primary and secondary education (%) (2011) 3 GDP per capita (PPP, $US) 1,189 (2011) 3 Per capita total health expenditure (Int.$) 57 (2009) 2 Sources: Prepared by based on 1. UNDP. (2011). Human Development Report Sustainability and Equity: A Better Future for All; 2. WHO. (2012). World Health Statistics 2012; 3. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved March, 2013, from h ​ t ​ t ​ p ​ : ​ / ​ / ​ d ​ a ​ t ​ a ​ b ​ a ​ n ​ k ​. ​ w ​ o ​ r ​ l ​ d ​ b ​ a ​ n ​ k ​. ​ o ​ r ​ g ​ ; and 4. UN Population Division. (2011). World Population Prospects The 2010 Revision.

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Estimated number of adults and children living with HIV, new infections and AIDS deaths, Source: Prepared by based on UNAIDS HIV Estimates 2012 for UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 6 Estimated number of adults (15+) living with HIV and women (15+) living with HIV, Source: Prepared by based on UNAIDS HIV Estimates 2012 for UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 7 Key population size estimates, 2007 Source: Prepared by based on National AIDS Control Program, Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report Population size estimates PopulationsEstimateYear of estimate People who inject drugs91, Female sex workers136, Male sex workers63, Hijra sex workers43,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 HIV prevalence among key populations, Source: Prepared by based on 1. National AIDS Control Program, Ministry of Health, and HIV/ AIDS Surveillance Project. (2009). Special Integrated Biological and Behavioral Surveillance Survey (IBBS) Round for FSW 2009 data cited in UNGASS Country Progress Report 2010: Pakistan, and 2. National AIDS Control Program, Ministry of Health, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan Round I, II, III, and IV cited in Pakistan Global AIDS Response Progress Report,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among key populations, 2011 Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011 cited in Pakistan Global AIDS Response Progress Report,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key populations, selected cities, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011 cited in Pakistan Global AIDS Response Progress Report,

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 12 Source: Prepared by based on: 1. National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2005). HIV Second Surveillance in Pakistan - National Report Round I; 2. National AIDS Control Program and Canada-Pakistan HIV/AIDS Surveillance Project. (2007). HIV Second Generation Surveillance in Pakistan: National Report- Round II; 3. National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III; 4. FHI, & National AIDS Control Program Pakistan. (2009). Situation Assessment Sex Work and HIV Prevention in Pakistan, and 5. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV Proportion of key populations reported condom use at last sex,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of sex workers who reported consistent condom use with clients in the last month, Source: Prepared by based on: 1. National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2005). HIV Second Surveillance in Pakistan - National Report Round I; 2. National AIDS Control Program and Canada-Pakistan HIV/AIDS Surveillance Project. (2007). HIV Second Generation Surveillance in Pakistan: National Report- Round II; 3. National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III; 4. FHI, & National AIDS Control Program Pakistan. (2009). Situation Assessment Sex Work and HIV Prevention in Pakistan, and 5. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 14 Proportion of PWID reported using sterile injecting equipment, Source: Prepared by based on: 1. National AIDS Control Program and Canada-Pakistan HIV/AIDS Surveillance Project. (2007). HIV Second Generation Surveillance in Pakistan: National Report- Round II, 2. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011; and 3. UNAIDS (2010). Report on the Global AIDS Epidemic

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of sex workers who inject drugs in the last six months, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Interactions and overlapping risk behaviours among key populations in the last six months, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Average number of clients per day among sex workers and average number of injections per day among PWID, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 19 Proportion of key populations with comprehensive HIV knowledge, 2007 versus Source: Prepared by based on National AIDS Control Program, HIV/ AIDS Surveillance Project, IBBS Round II, III and Special Round for FSW cited in National AIDS Control Program, UNGASS Country Progress Report 2010: Pakistan. National AIDS Control Program, UNGASS Country Progress Report 2010: Pakistan

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 20 Proportion of key populations with comprehensive HIV knowledge by age group, Source: Prepared by based on National AIDS Control Program, HIV/ AIDS Surveillance Project, IBBS Round III, 2008 and Special Round for FSW, 2009 cited in National AIDS Control Program, UNGASS Country Progress Report 2010: Pakistan. AIDS Control Program, UNGASS Country Progress Report 2010: Pakistan

HIV Expenditure

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 22 AIDS spending by financing source, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by category, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of total prevention programme spending on key populations at higher risk, Source: Prepared by based on

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 26 Proportion of key populations reached with HIV prevention programmes, Source: Prepared by based on: 1. National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2005). HIV Second Surveillance in Pakistan - National Report Round I; 2. National AIDS Control Program and Canada-Pakistan HIV/AIDS Surveillance Project. (2007). HIV Second Generation Surveillance in Pakistan: National Report- Round II; 3. National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III; 4. FHI, & National AIDS Control Program Pakistan. (2009). Situation Assessment Sex Work and HIV Prevention in Pakistan, and 5. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who received an HIV test in the last 12 months and know their results, Source: Prepared by based on National AIDS Control Programme, Pakistan. (2012). Pakistan Global AIDS Response Progress Report,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites, Source: Prepared by based on National AIDS Control Programme, Pakistan (2012). Pakistan Global AIDS Response Progress Report,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of needle/syringes distributed per person who inject drugs per year, Source: Prepared by based on 1. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2009; 2. National AIDS Control Programme, Pakistan (2012); 3. Pakistan Global AIDS Response Progress Report, 2012; and 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic Medium coverage: >100–<200 syringes per PWID per year Low coverage: <100 syringes per PWID per year High coverage: >200 syringes per PWID per year

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 30 Number of ART sites and number of people on ART, Source: Prepared by based on - 1.WHO,UNAIDS,& UNICEF.( ). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report ; 2. UNAIDS.(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; and 3. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 31 ART scale up, Source: Prepared by based on - 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 2.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults needing and receiving ART, and coverage, Source: Prepared by based on UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Prevention of mother-to-child transmission cascade, Source: Prepared by based on National AIDS Control Programme, Pakistan. (2012). Pakistan Global AIDS Response Progress Report,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Spectrum of engagement in prevention of mother-to- child transmission (PMTCT),  57 HIV-infected pregnant women received ARV for PMTCT in the last 12 months  38 infants born to HIV-infected women received ARV prophylaxis to reduce early mother-to-child transmission  8 infants received an HIV test within 2 months of birth Source: Prepared by based on National AIDS Control Programme, Pakistan (2012). Pakistan Global AIDS Response Progress Report,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 35 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and partnerswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 36 THANK YOU slides compiled by Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used. Please acknowledge if slides are lifted directly from this sitewww.aidsdatahub.org