Pakistan Last updated: July 2015

CONTENT Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV Expenditure National Response

BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 185,133 (2014) 4 Annual population growth rate 1.6 (2014) 4 Population aged 15-49 (thousands) 90,292 (2010) 5 Percentage of population in urban areas 38 (2013) 3 Crude birth rate (births per 1,000 population) 25.7 (2012) 3 Under-5 mortality rate (per 1,000 live births) 86 (2012) 2 Human development index (HDI) - Rank/Value 146/0.537 (2013) 1 Life expectancy at birth (years) 66.6 (2013) 1 Adult literacy rate (%) 54.9 (2005-2012) 1 Ratio of girls to boys in primary and secondary education (%) 81.7 (2012) 3 GDP per capita (PPP, $US) 1,299 (2013) 3 Per capita total health expenditure (Int.$) 83 (2011) 2 Sources: Prepared by www.aidsdatahub.org based on 1. UNDP. (2014). Human Development Report 2014 Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience; 2. WHO. (2014). World Health Statistics 2014; 3. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved October, 2014, 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​; 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset; and 5. UN Population Division. (2011). World Population Prospects The 2010 Revision.

HIV prevalence and epidemiology

Estimated number of people living with HIV, new infections and AIDS-related deaths, 1990-2014 Source: Prepared by www.aidsdatahub.org based on  UNAIDS. (2015). HIV Estimates 1990-2014 and www.aidsinfoonline.org

Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2014 Source: Prepared by www.aidsdatahub.org based on  UNAIDS. (2015). HIV Estimates 1990-2014 and www.aidsinfoonline.org

Key population size estimates, 2009 Year of estimate People who inject drugs 91,000 2009 Female sex workers 136,000 Male sex workers 63,000 Hijra sex workers 43,000 Source: Prepared by www.aidsdatahub.org based on Pakistan Global AIDS Response Progress Reporting 2014.

HIV prevalence among key populations, 2005-2011 Source: Prepared by www.aidsdatahub.org 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, 2012.

HIV prevalence among key populations, 2011 Source: Prepared by www.aidsdatahub.org 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, 2012.

HIV prevalence among key populations in selected cities, 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011

Risk behaviours

Proportion of key populations who reported condom use at last sex, 2005-2011 Source: Prepared by www.aidsdatahub.org 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, 5. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011; and 6. www.aidsinfoonline.org

Proportion of sex workers who reported consistent condom use with clients in the last month, 2005-2011 Source: Prepared by www.aidsdatahub.org 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 2011.

Proportion of PWID who reported using sterile injecting equipment at last injection, 2007-2011 Source: Prepared by www.aidsdatahub.org 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 2010.

Proportion of sex workers who reported injecting drugs in the last six months, 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.

Interactions and overlapping risk behaviors among key populations in the last six months, 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.

Average number of clients per day among sex workers and average number of injections per day among PWID, 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.

Vulnerability and HIV knowledge

Proportion of key populations with comprehensive HIV knowledge, 2007 versus 2008-09 Source: Prepared by www.aidsdatahub.org 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.

Proportion of key populations with comprehensive HIV knowledge by age group, 2008-2009 Source: Prepared by www.aidsdatahub.org 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.

HIV Expenditure

AIDS spending by financing source, 2007-2013 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

AIDS spending by category, 2007-2010 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of total prevention programme spending on key populations at higher risk, 2008-2010 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of spending on HIV prevention programmes from domestic and international sources, 2007 - 2010 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of spending on care and treatment from domestic and international sources, 2007 - 2010 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

National response

Proportion of key populations reached with HIV prevention programmes, 2005-2011 Source: Prepared by www.aidsdatahub.org 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, 5. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011; and 6. www.aidsinfoonline.org

HIV testing coverage among key populations, 2011 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2012). Annexes - UNAIDS Report on the Global AIDS Epidemic 2012; and www.aidsinfoonline.org

Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites, 2011-2012 Source: Prepared by www.aidsdatahub.org based on Pakistan Global AIDS Progress Reporting 2014

Number of needle/syringes distributed per PWID per year, 2008-2013 Source: Prepared by www.aidsdatahub.org 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; 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 5. www.aidsinfoonline.org

Number of ART sites and number of people on ART, 2004-2013 Source: Prepared by www.aidsdatahub.org based on - 1.WHO,UNAIDS,& UNICEF.(2006-2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2006-2010 ; 2. UNAIDS.(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; 3. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 4. UNAIDS. (2014). The gap report.

ART scale up, 2004-2013 Source: Prepared by www.aidsdatahub.org based on - 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 2. UNAIDS. (2014). The Gap Report; and 3. www.aidsinfoonline.org

Estimated number of adults living with HIV, adults receiving ART, and adult ART coverage, 2013 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). The Gap Report.

Estimated number of pregnant women living with HIV, receiving ARVs, and PMTCT coverage, 2013 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). The Gap Report.

National data on stigma and discrimination Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms Civil society perspectives/ratings: 2009 2011 2013 Trend Laws and policies in place to protect and promote HIV- related human rights 2/10  3/10  2/10   Efforts to implement human rights-related laws and policies STIGMA INDEX (2009-10 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 20% Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and partners

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