1. 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

2. 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 – 820 000) 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 http://www.who.int/hiv/epi-update2005_en.pdf

3. Regional HIV and AIDS statistics and features, end of 2005 3.1 million [2.8 – 3.6 million] 3600 [1700 – 8200] 18 000 [9 000 – 30 000] 12 000 [ <15 000] 62 000 [39 000 – 91 000] 24 000 [16 000 – 40 000] 66 000 [52 000 – 86 000] 41 000 [20 000 – 68 000] 480 000 [290 000 – 740 000] 58 000 [25 000 – 145 000] 2.4 million [2.1 – 2.7 million] 1.1 % [1.0 - 1.3%] 0.5 [0.2 - 0.7] 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] 8 200 [2 400 – 25 000] 43 000 [15 000 – 120 000] 22 000 [15 000 – 39 000] 270 000 [140 000 – 610 000] 30 000 [17 000 – 71 000] 200 000 [130 000 – 360 000] 140 000 [42 000 – 390 000] 990 000 [480 000 – 2.4 million] 67 000 [35 000 – 200 000] 3.2 million [2.8 – 3.9 million] 40.3 million [36.7 – 45.3 million] 74 000 [45 000 – 120 000] 1.2 million [650 000 – 1.8 million] 720 000 [570 000 – 890 000] 1.6 million [990 000 – 2.3 million] 300 000 [200 000 – 510 000] 1.8 million [1.4 – 2.4 million] 870 000 [440 000 – 1.4 million] 7.4 million [4.5 – 11.0 million] 510 000 [230 000 – 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

4. Adults and children estimated to be living with HIV as of end 2005 Total: 40.3 (36.7 – 45.3) million Western & Central Europe 720 000 [570 000 – 890 000] North Africa & Middle East 510 000 [230 000 – 1.4 million] Sub-Saharan Africa 25.8 million [23.8 – 28.9 million] Eastern Europe & Central Asia 1.6 million [990 000 – 2.3 million] South & South-East Asia 7.4 million [4.5 – 11.0 million] Oceania 74 000 [45 000 – 120 000] North America 1.2 million [650 000 – 1.8 million] Caribbean 300 000 [200 000 – 510 000] Latin America 1.8 million [1.4 – 2.4 million] East Asia 870 000 [440 000 – 1.4 million]

5. 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 Africa810 000 (730 000 – 890 000) 4 700 00017% Latin America and the Caribbean 315 000 (295 000 – 335 000) 465 00068% East, South and South- East Asia 180 000 (150 000 – 210 000) 1 100 00016% Europe and Central Asia 21 000 (20 000 – 22 000) 160 00013% North Africa and the Middle East 4 000 (3 000 – 5 000) 75 0005% Total1 330 000 (1 200 000 – 1 460 000) 6.5 million20%

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

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

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

9. Percentage of women among all adults receiving antiretroviral therapy, 2005

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

11. 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

12. 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

13. 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

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

15. 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

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

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

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

19. 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

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

21. HRSA/Global HIV/AIDS Program Carolyn M Hall, MSN/MPH, ACRN 5600 Fishers Lane, Suite 7-05 Rockville, MD 20857 301-443-5647 chall@hrsa.gov