Population, 180,800,000 People living with HIV/AIDS, 96,000 Women (aged 15+) with HIV/AIDS, 27,000 Children with HIV/AIDS,no data Adult HIV prevalence (%),0.1 AIDS deaths,5,100 Pakistan is the seventh most populous country in the world

Risk groups IDUs Deportees Sex Workers Truck Drivers Prisoners Low Prevalence, High Risk…!!!!!

General Female Population Clients General Male Population MSMs IDUs FSWs Source : Tim Brown, East-West Centre, Hawaii, USA Asian HIV Epidemic Model Newborns

TypeEstimated population (2009) Total screened (HASP-R3) HIV positive IDU91, % MSW91, % FSW136,0004, % HSW42, %

High population growth rate High fertility rate Poor primary health care services Lack of integration of Preventive programs Lack of sex education for HIV/AIDS Taboo…!!!

Combating HIV/AIDS Capacity for Monitoring and Reporting Progress (MGD Goals Report 2008 – Planning Commission of Pakistan) Quality and Regularity of Survey Information Statistical Analysis Statistics in Policy Making Reporting and Dissemination of Information StrongFairWeakStrongFairWeakStrongFairWeakStrongFairWeak

stigma

It creates excluding behaviors' Causes people to withdraw, putting them beyond the reach of support services It generates a strong us and them phenomenon

Many people suffering from AIDS are not killed by the disease itself, they are killed by the stigma. Nelson Mandela, 14 th International AIDS Conference, Barcelona July 2002

International Agencies NGOs Government Patients Counsellors Physicians COMBATING HIV/AIDS: KEY PLAYERS Economy Media

13 HIV Surveillance Centres Four HIV/AIDS Treatment Centres Free CD-4 and Viral Load tests Counseling ELISA & treatment for jail inmates 2 PPTCT Centres in collaboration with UNICEF Screening kits to all public sector blood banks STI Medicines to teaching and District Hospitals Communication & Advocacy campaign

Treatment Centres

Transparency and open door policy Multi-sectoral coordination Pooling of Resources Increased participatory role in future funding opportunities Increased involvement of district health authorities Greater Civil Society Involvement Operational research on vulnerable populations Provincial Data Coordination Unit Upcoming Action Plan will lead to wider response