World Health Organization Department of HIV/AIDS Estimates of ARV Treatment Needs 2003-2005.

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World Health Organization Department of HIV/AIDS Estimates of ARV Treatment Needs

World Health Organization Department of HIV/AIDS Estimating treatment needs Sum of newly needing treatment and those on treatment already: –Newly needing treatment in 2003 = the projected number of deaths in year the projected number of deaths of deaths in 2004 –Already on treatment at the beginning of 2003 with a survival rate of 80%

World Health Organization Department of HIV/AIDS Projected Number of Adult Deaths by Region,

World Health Organization Department of HIV/AIDS ARV therapy coverage estimates, end of ,000 people on treatment out of 5.5 million in need: 5% coverage

World Health Organization Department of HIV/AIDS The Road to 3 Million on Treatment: Doubling of numbers every year

World Health Organization Department of HIV/AIDS Increasing needs for ARV therapy Based on deaths and increasing coverage

World Health Organization Department of HIV/AIDS Number of People on Treatment by Region,

World Health Organization Department of HIV/AIDS Proportion of People in Need who are on Treatment by Region,

World Health Organization Department of HIV/AIDS Strong commitment from developing countries 58 of the 90 countries with national HIV/AIDS strategic plans have incorporated ART into the plans and have defined specific ART coverage targets

World Health Organization Department of HIV/AIDS … some targets in national plans/proposals for people on ART by 2005 (total 300,000) Strong commitment from developing countries

World Health Organization Department of HIV/AIDS Substantial resources are becoming available Approved $860 million for HIV/AIDS for two years covering: 70 programmes 57 countries 30% for drugs Available $1 billion & $155 million for HIV/AIDS programs in Africa and the Caribbean, respectively, covering: 23 countries include health infrastructure and drugs for ART Proposed $15 billion for HIV/AIDS for 5 years covering: $10 billion as new money Africa and Caribbean countries to include ART programmes Global Fund World Bank - MAP US Government

World Health Organization Department of HIV/AIDS Global Fund: Majority of funds for drugs and commodities Administrative costs (6%) Human Resources (9%) Training/planning (11%) Commodities/Products (26%) Drugs (30%) Expenditure items for recommended components 100% = USD 866 million Infrastructure/Equipment (9%) Other (4%) Monitoring & Evaluation (5%)

World Health Organization Department of HIV/AIDS GLOBAL FUND Treatment Activities in Approved Proposals Percent of HIV/AIDS proposals integrating different treatment activities % % % % %