1. www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific Review in slides Pakistan

2. 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

3. 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 (2015-2020) 4 Population aged 15-49 (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 (2005-2010) 1 Ratio of girls to boys in primary and secondary education (%) 79.01 (2011) 3 GDP per capita (PPP, $US) 1,189 (2011) 3 Per capita total health expenditure (Int.$) 57 (2009) 2 Sources: Prepared by www.aidsdatahub.org based on 1. UNDP. (2011). Human Development Report 2011 - 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.www.aidsdatahub.org

4. HIV prevalence and epidemiology

5. 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, 1990-2012 Source: Prepared by www.aidsdatahub.org based on UNAIDS HIV Estimates 2012 for UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. and www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

6. 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, 1990-2012 Source: Prepared by www.aidsdatahub.org based on UNAIDS HIV Estimates 2012 for UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. and www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

7. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 7 Key population size estimates, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report 2012.www.aidsdatahub.org Population size estimates PopulationsEstimateYear of estimate People who inject drugs91,0002007 Female sex workers136,0002007 Male sex workers63,0002007 Hijra sex workers43,0002007

8. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 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.www.aidsdatahub.org

9. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 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.www.aidsdatahub.org

10. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key populations, selected cities, 2011 10 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.www.aidsdatahub.org

11. Risk behaviours

12. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 12 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.www.aidsdatahub.org Proportion of key populations reported condom use at last sex, 2005-2011

13. 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, 2005-2011 13 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.www.aidsdatahub.org

14. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 14 Proportion of PWID reported using sterile injecting equipment, 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.www.aidsdatahub.org

15. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of sex workers who inject drugs in the last six months, 2011 15 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.www.aidsdatahub.org

16. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Interactions and overlapping risk behaviours among key populations in the last six months, 2011 16 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.www.aidsdatahub.org

17. 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, 2011 17 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.www.aidsdatahub.org

18. Vulnerability and HIV knowledge

19. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 19 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.www.aidsdatahub.org National AIDS Control Program, UNGASS Country Progress Report 2010: Pakistan

20. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 20 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.www.aidsdatahub.orgNational AIDS Control Program, UNGASS Country Progress Report 2010: Pakistan

21. www.aidsdatahub.org HIV Expenditure

22. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 22 AIDS spending by financing source, 2007-2010 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

23. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by category, 2007-2010 23 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

24. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of total prevention programme spending on key populations at higher risk, 2008-2010 24 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

25. www.aidsdatahub.org National response

26. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 26 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, and 5. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.www.aidsdatahub.org

27. 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, 2005-2011 27 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Programme, Pakistan. (2012). Pakistan Global AIDS Response Progress Report, 2012.www.aidsdatahub.org

28. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites, 2011 28 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Programme, Pakistan (2012). Pakistan Global AIDS Response Progress Report, 2012.www.aidsdatahub.org

29. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of needle/syringes distributed per person who inject drugs per year, 2008-2012 29 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; and 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.www.aidsdatahub.org 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

30. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 30 Number of ART sites and number of people on ART, 2004-2012 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; and 3. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.www.aidsdatahub.org

31. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 31 ART scale up, 2004-2012 Source: Prepared by www.aidsdatahub.org based on - 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 2. www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

32. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults needing and receiving ART, and coverage, 2012. 32 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.www.aidsdatahub.org

33. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Prevention of mother-to-child transmission cascade, 2011 33 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Programme, Pakistan. (2012). Pakistan Global AIDS Response Progress Report, 2012.www.aidsdatahub.org

34. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Spectrum of engagement in prevention of mother-to- child transmission (PMTCT), 2011 34  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 www.aidsdatahub.org based on National AIDS Control Programme, Pakistan (2012). Pakistan Global AIDS Response Progress Report, 2012.www.aidsdatahub.org

35. 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

36. HIV and AIDS Data Hub for Asia-Pacific 36 THANK YOU slides compiled by www.aidsdatahub.orgwww.aidsdatahub.org 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 www.aidsdatahub.org if slides are lifted directly from this sitewww.aidsdatahub.org