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Presentation transcript:

World Health Organization 31 July 2018 Towards Universal Access Scaling up priority HIV/AIDS internventions in the health sector Progress Report, April 2007

Number of people receiving ARV therapy Estimated number of people receiving and needing antiretroviral therapy, and percentage coverage in low- and middle income countries according to region, December 2006 Geographical Region Number of people receiving ARV therapy Estimated need Coverage   Sub-Saharan Africa 1 340 000 4 800 000 28% Latin America and the Caribbean 355 000 490 000 72% East, South and South-East Asia 280 000 1 500 000 19% Europe and Central Asia 35 000 230 000 15% North Africa and the Middle East 5 000 77 000 6% Total 2 015 000 [1.8 – 2.2 million] 7 100 000 [6.0 – 8.4 million] [24 – 34%]

Estimated need among children Estimated number of children aged under 15 years receiving and needing antiretroviral therapy, and percentage coverage in low- and middle income countries according to region, December 2006 Geographical region Estimated number of children receiving antiretroviral therapy Estimated need among children Coverage    Estimate Low estimate High estimate Sub-Saharan Africa 85 000 680 000 510 000 890 000 13% 10% 17% Latin America and the Caribbean 15 500 23 000 16 000 37 000 67% 42% 97% East, South and South-East Asia 13 300 64 000 32 000 120 000 21% 11% Europe and Central Asia 1 500 7 500 3 800 14 000 20% 39% North Africa and the Middle East <100 10 000 4 400 20 000 <1% 0% 1% TOTAL 115 500 780 000 600 000 1 000 000 15% 12% 19%

World Health Organization Number of people receiving ARV therapy in low- and middle-income countries, 2002—2006 World Health Organization 31 July 2018

Unmet need in low- and middle-income countries according to region, December 2006

Estimated antiretroviral therapy coverage of at least 28% in low- and middle-income countries, December 2006a a28% is the overall ART coverage for low-income and middle-income countries. Only countries with an estimated ART need of at least 1000 are included in this graph. The bar indicates the uncertainty range around the estimate.

Fifteen low- income and middle- income countries with the highest estimated numbers of people receiving treatment, and corresponding estimated antiretroviral therapy coverages, December 2006 a a a aThe estimated ART coverage is currently under review and will be adjusted, as appropriate, based on new data collected during 2006. Preliminary analysis suggests that numbers lie within these ranges. The bar indicates the uncertainty range around the estimate.

Low-income and middle-income countries with antiretroviral therapy coverages of at least 25% among children under 15, 2006a aOnly countries with an ART need among children of at least 1000 are included in this graph. The bar indicates the uncertainty range around the estimate.

Treatment access among injecting drug users (IDUs) in Eastern Europe, selected countries, 2004

Percentages of men reporting symptoms of STIs in the last 12 months who sought care at a service provider with personnel trained in STI care, 2002-2005 Source: Demographic and Health Surveys (DHS), MEASURE DHS

Probability of death in African children starting antiretroviral therapy (ART) according to age at ART initiation (n = 1195). KIDS-ART-LINC Collaboration, February 2007

Source: National AIDS Control Organization (NACO), Ministry of Health, India

Probability of death among people on antiretroviral therapy in four ART programmes in Côte d'Ivoire, Malawi and South Africa, February 2007 Kaplan-Meier curves of probability of death in 7109 HIV-1-infected patients treated in four large ART programmes in Côte d'Ivoire, Malawi and South Africa. Results from individual clinics are shown in grey, combined estimates in blue. ART-LINC (ANRS/NIH) Collaboration, February 2007.

2002 estimated from mortality reports Institutional deaths per 100 000 population and programmatic data: patients currently receiving antiretroviral therapy and deaths on therapy, Botswana 1994-2005a 2002 estimated from mortality reports a2005 deaths annualized on basis of deaths until June 2005, reported by November 2005; ART programme data reported until September 2005.

Ten low-income and middle-income countries with the highest estimated numbers of HIV-infected pregnant women and corresponding percentages of HIV-infected pregnant women who received ARVs for PMTCT, 2005

Percentage of pregnant women who received an HIV testb Percentages of pregnant women who received an HIV test and percentages of HIV-infected pregnant women receiving ARVs for PMTCT, selected countries, 2005a Percentage of pregnant women who received an HIV testb Percentage of HIV-infected pregnant women who received ARVs for PMTCTc aCountries with at least 40% of HIV-infected pregnant women who received ARVs for PMTCT are included in this graph (countries with less than 500 estimated HIV-infected pregnant women are not included). Countries are ranked by the numbers of HIV-infected pregnant women, i.e. Botswana has the highest number and Jamaica the lowest. b Denominator is estimated number of pregnant women (15-49 years old) as of 2005. c Denominator is estimated number of HIV-infected pregnant women (15-49 years old) as of 2005. The bar indicates the uncertainty range around the estimate. Source: UNICEF and WHO on behalf of the expanded Interagency Task Team on PMTCT, "A report card on the prevention of mother-to-child transmission of HIV and paediatric HIV care", 2006 (forthcoming).

Number of PMTCT sites in Rwanda, 1999-2006 Source: Ministry of Health, Rwanda

Selected PMTCT programme indicators, Rwanda, 2005 Source: Ministry of Health, Rwanda

Percentage of pregnant women who received an HIV test in the ten countries with the highest estimated number of HIV-infected pregnant women, 2005 Source: UNICEF and WHO on behalf of the expanded Interagency Task Team on PMTCT, "A report card on the prevention of mother-to-child transmission of HIV and paediatric HIV care", 2006 (forthcoming).

Middle-income countries Trends in the cost of first-line antiretroviral therapy regimens in low-income and middle-income countries, 2004‒2006 Low-income countries Middle-income countries

Proportion of the estimated total number of HIV-positive tuberculosis cases identified through testing for HIV in 2005

Time trends in prevalences of gonorrhoea, chlamydia, syphilis among female sex workers in Cotonou, Benin, 1993-2005 Source: Labbé AC, et al.

Low-income and middle-income countries implementing WHO drug resistance surveys and the proposed WHO HIVDR Laboratory Network in 2006