REPORT HIGHLIGHTS “Children should be the first to benefit from our successes in defeating HIV, and the last to suffer from our failures.” Anthony Lake, Executive Director

EXECUTIVE SUMMARY #1 An AIDS-free generation is within reach, and it starts with children Globally, more than 850,000 new HIV infections among children were averted between 2005 and 2012 Ensuring the health of pregnant and breastfeeding women living with HIV is central to protecting babies from acquiring HIV More children are accessing antiretroviral therapy (ART), but progress achieved for children lags behind progress achieved for adults

EXECUTIVE SUMMARY #2 An AIDS-free generation cannot be achieved, without adolescents Adolescents are the only age group in which AIDS- related deaths have increased Discrimination, poverty, inequalities, and harsh laws often prevent adolescents from seeking and receiving testing, health care and support Too many children and adolescents die because they miss out on HIV treatment and care

EXECUTIVE SUMMARY #3 Innovations are taking us closer to an AIDS-free generation. With a renewed push, innovations that strengthen linkages to services can accelerate the pace of progress, especially at local levels Examples of innovations – “One pill” once per day, point of care devices, mobile technology For the first time in the history of the epidemic we have the knowledge and tools to achieve an AIDS- free generation

EXECUTIVE SUMMARY #4 An AIDS-free generation is becoming reality with the help of cross-sectoral partnerships Social protection and child protection, care and support must underpin efforts to scale up high- impact interventions through the first two decades of life To achieve an AIDS-free generation requires addressing inequities and reaching the most vulnerable children and families

RESPONDING TO HIV IN THE FIRST DECADE OF LIFE CHAPTER ONE © UNICEF South Africa/2013/Marinovich “Children should be the first to benefit from our successes in defeating HIV, and the last to suffer from our failures.” Anthony Lake Executive Director, UNICEF

1.5 million pregnant women living with HIV

More progress since 2009 than the previous decade

62% of pregnant women living with HIV reached, to prevent mother-to-child transmission

Children half as likely as adults to get the treatment they need

Most infections in sub-Saharan Africa

The gap between adults and children by country % OF ART COVERAGE AMONG ELIGIBLE ADULTS (AGED 15+), CHILDREN (AGED 0-14) AND ALL AGES IN THE 22 GLOBAL PLAN PRIORITY COUNTRIES, 2012 Inequity

Only 39% of infants tested in time

RESPONDING TO HIV IN THE SECOND DECADE OF LIFE CHAPTER TWO ©UNICEF/NYHQ /Jayasuriya New infections among adolescents could be halved by 2020 by scaling up high- impact interventions and working across sectors.

Girls most vulnerable in most regions

Marked differences between females and males in some countries

Almost two-thirds of adolescents living with HIV are in ESA

Half of adolescents living with HIV are in six countries

Adolescent AIDS -related deaths: the only group where deaths are increasing

Infections among adolescents not slowing fast enough

Most adolescents don’t know their HIV status

Future prospects for adolescents - 2 million infections averted -

Future prospects for adolescents

CHAPTER THREE PARTNERSHIPS FOR AN AIDS-FREE GENERATION “Eliminating new HIV infections among children is an ambitious but achievable goal. With the support of the Every Woman Every Child movement, and AIDS-free generation can be ours. There is no better investment than the health of women and children.” Ban Ki-moon Secretary-General of the United Nations © UNICEF/ZIMA /Pirozzi

United Nations Children’s Fund, Towards an AIDS-Free Generation: Children and AIDS, Sixth Stocktaking Report 2013, UNICEF, New York, 2013

Focusing on the first and second decades of life, the Children and AIDS: Sixth Stocktaking Report, 2013: reviews the HIV burden among children and adolescents and the progress being made identifies key strategies to accelerate access to HIV prevention, treatment, protection, care and support for children and adolescents summarizes opportunities arising from recent scientific advances, new technology and emerging practice innovations seeks to mobilize national and international efforts to keep children HIV-free and ensure that children living with HIV remain AIDS- free. For supporting data and materials, please visit: