HIV and AIDS Data Hub for Asia-Pacific Review in slides Afghanistan Last updated: December 2014

HIV and AIDS Data Hub for Asia-Pacific 2 Basic socio-demographic indicators HIV prevalence and epidemiology 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) 31,281 (2014) 4 Annual population growth rate 2.3 (2014) 4 Population aged (thousands) 14,329 (2014) 4 Percentage of population in urban areas 26 (2013) 3 Crude birth rate (births per 1,000 population) 35.3 (2012) 3 Under-5 mortality rate (per 1,000 live births) 99 (2012) 2 Human development index (HDI) - Rank/Value 169/0.468 (2013) 1 Life expectancy at birth (years) 60.9 (2013) 1 Adult literacy rate (%) N/A Ratio of girls to boys in primary and secondary education (%) 66.6 (2012) 3 GDP per capita (PPP, $US) 678 (2013) 3 Per capita total health expenditure (Int.$) 43 (2011) 2 Sources: Prepared by 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 ​​ ; and 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset.

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Estimated number of adults and children living with HIV and AIDS deaths, Source: Prepared by based on UNAIDS. (2014). UNAIDS HIV Estimates 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. (2014). UNAIDS HIV Estimates and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 7 Key population size estimates, 2012 Population size estimates PopulationsEstimateYear of estimate Men who have sex with men (Kabul) 1, People who inject drugs (in 6 cities) 17, Female sex workers (2 cities) 4, Source: Prepared by based on Afghanistan Global AIDS Response Progress Reporting 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 HIV prevalence among key populations, Source: Prepared by based on Integrated Biological and Behavioural Survey in Afghanistan:2012 (Preliminary Report)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among prisoners and road transport workers, 2012 Source: Prepared by based on Integrated Biological and Behavioural Survey in Afghanistan:2012 (Preliminary Report)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 10 STI prevalence among key populations, 2012 Source: Prepared by based on Integrated Biological and Behavioural Survey in Afghanistan:2012 (Preliminary Report) Weighted prevalence

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 STI prevalence among prisoners and road transport workers, 2012 Source: Prepared by based on Integrated Biological and Behavioural Survey in Afghanistan:2012 (Preliminary Report) Weighted prevalence

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who reported condom use at last sex, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW with reported number of paid sex acts in the last week, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW who reported condom use at last sex with any partner, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW who have ever injected drugs, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID with reported duration of injecting drugs in years, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID who reported safe injection practices Source: Prepared by based on 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID who used unsterile injecting equipment at least once in the last 3 months, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID who reported paying for sex, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM with reported risk behaviors, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of prisoners and road transport workers with reported risk behaviors, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM with correct knowledge of HIV, Kabul, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID with correct knowledge of HIV, Source: Prepared by based on National AIDS Control Programme. (2013). Integrated Behavioral and Biological Surveillance in Afghanistan: 2012 Survey and Comparison of Trends 2009 to

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW and PWID with comprehensive knowledge of HIV, Source: Prepared by based on IBBS, 2009 cited in National AIDS Control Program Afghanistan. (2010). UNGASS Country Progress Report: Afghanistanwww.aidsdatahub.org PWID

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations with comprehensive knowledge of HIV by age group, Source: Prepared by based on 1. National AIDS Control Program Afghanistan. (2010). UNGASS Country Progress Report: Afghanistan and 2. UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic citing Afghanistan, IBBS, 2009www.aidsdatahub.org PWID

HIV Expenditure

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

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 30 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

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 32 Proportion of spending on HIV prevention from domestic and international sources, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 33 Proportion of spending on care and treatment from domestic and international sources, Source: Prepared by based on

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV testing coverage among key populations, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of needles/syringes distributed per person who inject drugs per year, Source: Prepared by based on 1. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report ; 2. UNAIDS Report on the Global AIDS Epidemic (2010 – 2013 Reports); and 3.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of ART sites and number of people on ART, Source: Prepared by based on 1. WHO, UNAIDS, & UNICEF. (2010). 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.; 3. Afghanistan Global AIDS Response Progress Reporting 2014; and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART scale up, Source: Prepared by based on 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 2. UNAIDS. (2014). The Gap Report; and 3.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults living with HIV, adults receiving ART, and adult ART coverage, Source: Prepared by based on UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of pregnant women living with HIV, receiving ARVs and PMTCT coverage, Source: Prepared by based on UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms National data on stigma & discrimination Civil society perspectives/ratings: Trend Laws and policies in place to protect and promote HIV- related human rights 2/10 4/10 5/10 Efforts to implement human rights-related laws and policies 5/10 3/10 5/10 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific and based on information provided by UNAIDS country office and partnerswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 42 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 site.