Global Response to HIV/AIDS Nigerian Nurses Association of USA June 30, 2006 Carolyn M Hall, MSN/MPH, ACRN Global HIV/AIDS Program U.S. Department of Health and Human Services Health Resources and Services Administration HIV/AID Bureau

Global summary of the HIV and AIDS epidemic December 2005 Number of people living with HIV in 2005 Total 40.3 million (36.7– 45.3 million) Adults 38.0 million (34.5 – 42.6 million) Women 17.5 million (16.2 – 19.3 million) Children under 15 years 2.3 million (2.1 – 2.8 million) People newly infected with HIV in 2005 Total 4.9 million (4.3 – 6.6 million) Adults 4.2 million (3.6 – 5.8 million) Children under 15 years 700,000 (630,000 – ) AIDS deaths in 2005 Total 3.1 million (2.8 – 3.6 million) Adults 2.6 million (2.3 – 2.9 million) Children under 15 years 570,000 (510,000 – 670,000) AIDS Epidemic Update: December 2005, UNAIDS, WHO

Regional HIV and AIDS statistics and features, end of million [2.8 – 3.6 million] 3600 [1700 – 8200] [9 000 – ] [ <15 000] [ – ] [ – ] [ – ] [ – ] [ – ] [ – ] 2.4 million [2.1 – 2.7 million] 1.1 % [ %] 0.5 [ ] 0.7 [0.4 – 1.1] 0.3 [0.2 – 0.4] 0.9 [0.6 – 1.3] 1.6 [1.1 – 2.7] 0.6 [0.5 – 0.8] 0.1 [0.05 – 0.2] 0.7 [0.4 – 1.0] 0.2 [0.1 – 0.7] 7.2 [6.6 – 8.0] 4.9 million [4.3 – 6.6 million] [2 400 – ] [ – ] [ – ] [ – ] [ – ] [ – ] [ – ] [ – 2.4 million] [ – ] 3.2 million [2.8 – 3.9 million] 40.3 million [36.7 – 45.3 million] [ – ] 1.2 million [ – 1.8 million] [ – ] 1.6 million [ – 2.3 million] [ – ] 1.8 million [1.4 – 2.4 million] [ – 1.4 million] 7.4 million [4.5 – 11.0 million] [ – 1.4 million] 25.8 million [23.8 – 28.9 million] TOTAL Oceania North America Western & Central Europe Eastern Europe & Central Asia Caribbean Latin America East Asia South and South-East Asia North Africa & Middle East Sub-Saharan Africa Adult & child deaths due to AIDS Adult prevalence [%] * Adults & children newly infected with HIV Adults & children living with HIV

Adults and children estimated to be living with HIV as of end 2005 Total: 40.3 (36.7 – 45.3) million Western & Central Europe [ – ] North Africa & Middle East [ – 1.4 million] Sub-Saharan Africa 25.8 million [23.8 – 28.9 million] Eastern Europe & Central Asia 1.6 million [ – 2.3 million] South & South-East Asia 7.4 million [4.5 – 11.0 million] Oceania [ – ] North America 1.2 million [ – 1.8 million] Caribbean [ – ] Latin America 1.8 million [1.4 – 2.4 million] East Asia [ – 1.4 million]

Antiretroviral therapy coverage in low- and middle-income countries, December 2005 Geographical RegionNumber of people receiving ARV therapy Estimated need Coverage (low estimate – high estimate) Sub-Saharan Africa ( – ) % Latin America and the Caribbean ( – ) % East, South and South- East Asia ( – ) % Europe and Central Asia ( – ) % North Africa and the Middle East (3 000 – 5 000) % Total ( – ) 6.5 million20%

Number of people receiving ARV therapy in low and middle income countries, 2002—2005

Percentage of people on antiretroviral therapy among those in need, December 2005

Percentage of people in sub-Saharan Africa on antiretroviral therapy among those in need

Percentage of women among all adults receiving antiretroviral therapy, 2005

Global HIV/AIDS spending in millions of US dollars, 1996—2004

International HIV/AIDS Funders World Health Organization (WHO) United Nations (UNAIDS) Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria President’s Emergency Plan for AIDS Relief (Emergency Plan) Department for International Development (DFID) The Gates Foundation

The President’s Emergency Plan for AIDS Relief Goals: –Treat 2 million HIV-infected people –Prevent 7 million new infections –Care for 10 million HIV-infected individuals and AIDS orphans

The President’s Emergency Plan for AIDS Relief $15 billion in 5 years 15 focus countries: –Africa (12) –Caribbean (2) –Asia (1) 30+ other countries

US Government Partners HRSA CDC USAID DoS (OGAC, Embassies) Peace Corps US Census Bureau DoD

HRSA/HAB Ryan White CARE Act Work in partnership with US (Domestic) Federal, State and local government organizations as the largest provider of HIV/AIDS health care, training and technical assistance in the world. Provide grants to thousands of community, faith-based & non-governmental organizations. Support and develop culturally appropriate HIV/AIDS health care services in underserved and low resource areas around the country by: –Supporting local community planning –Expanding health care capacity and infrastructure –Targeting services to special populations –Training providers to help prevent high risk behaviors that lead to HIV transmission

HRSA/HAB Global HIV/AIDS Program History Objectives –Care and Treatment –Education and Training –Technical Assistance –System Strengthening

Global HIV/AIDS Program Achievements Twinning Center I-AETC HMIS Track 1.0 Monitoring and evaluation systems

Global HIV/AIDS Nursing Program Achievements Curricula Development Nurse Training Collaboration with ANAC Program Implementation

Next Steps – Current Work Monograph & Brochure Nurse Registry - Uganda Pre-service Training -Tanzania Core Team Member – Namibia, Zambia HCD TWG – Retention subcommittee, Extranet I-AETC Advisor Nurse Capacity Building Grant –$500,000 x 3 years –Georgetown University

Strength does not come from physical capacity. It comes from an indomitable will. Mahatma Gandhi, August 11, 1920

HRSA/Global HIV/AIDS Program Carolyn M Hall, MSN/MPH, ACRN 5600 Fishers Lane, Suite 7-05 Rockville, MD