HIV and AIDS Data Hub for Asia-Pacific Review in slides Pakistan Last updated: January 2016

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

HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 185,133 (2014) 4 Annual population growth rate 1.6 (2014) 4 Population aged (thousands) 90,292 (2010) 5 Percentage of population in urban areas 38 (2013) 3 Crude birth rate (births per 1,000 population) 25.7 (2012) 3 Under-5 mortality rate (per 1,000 live births) 86 (2012) 2 Human development index (HDI) - Rank/Value 146/0.537 (2013) 1 Life expectancy at birth (years) 66.6 (2013) 1 Adult literacy rate (%) 54.9 ( ) 1 Ratio of girls to boys in primary and secondary education (%) 81.7 (2012) 3 GDP per capita (PPP, $US) 1,299 (2013) 3 Per capita total health expenditure (Int.$) 83 (2011) 2 Sources: Prepared by based on 1. UNDP. (2014). Human Development Report 2014 Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience; 2. WHO. (2014). World Health Statistics 2014; 3. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved October, 2014, 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 ​ ; 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset; and 5. UN Population Division. (2011). World Population Prospects The 2010 Revision.

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Estimated number of people living with HIV, new infections and AIDS-related deaths, Source: Prepared by based on UNAIDS. (2015). HIV Estimates and

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, Source: Prepared by based on UNAIDS. (2015). HIV Estimates and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 7 Key population size estimates Source: Prepared by based on Pakistan Global AIDS Response Progress Report 2015www.aidsdatahub.org Population size estimates PopulationsEstimateYear of estimate People who inject drugs104, Female sex workers149, Male sex workers63, Hijra sex workers50,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 HIV prevalence among key populations, Source: Prepared by based on National AIDS Control Program, Ministry of Health, HIV/AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan Round I, II, III, and IVwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among key populations, 2011 Source: Prepared by 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,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key populations in select cities, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Rapidly expanding HIV epidemic among PWID in cities, Source: Prepared by based on National AIDS Control Program, Ministry of Health, HIV/AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan Round I, II, III, and IVwww.aidsdatahub.org

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 13 Proportion of key populations who reported condom use at last sex, Source: Prepared by based on National AIDS Control Program, Ministry of Health, HIV/AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan Round I, II, III, and IVwww.aidsdatahub.org

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, Source: Prepared by based on National AIDS Control Program, Ministry of Health, HIV/AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan Round I, II, III, and IVwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 15 Proportion of PWID who reported using sterile injecting equipment at last injection, Source: Prepared by based on National AIDS Control Program, Ministry of Health, HIV/AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan Round I, II, III, and IVwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of sex workers who reported injecting drugs in the last six months, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Interactions and overlapping risk behaviors among key populations in the last six months, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

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, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 20 Proportion of key populations with comprehensive HIV knowledge, 2007 versus Source: Prepared by 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.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 21 Proportion of key populations with comprehensive HIV knowledge by age group, Source: Prepared by 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.

HIV Expenditure

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 23 AIDS spending by financing source, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 24 AIDS spending by financing source, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by category, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on care and treatment from domestic and international sources, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on HIV prevention programmes from domestic and international sources, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of total prevention programme spending on key populations at higher risk, Source: Prepared by based on

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 30 Proportion of key populations reached with HIV prevention programmes, Source: Prepared by based on National AIDS Control Program, Ministry of Health, HIV/AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan Round I, II, III, and IVwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV testing coverage among key populations, Source: Prepared by based on National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of needles/syringes distributed per PWID per year, Source: Prepared by 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; 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 5. Pakistan Global AIDS Response Progress Report, 2015; and 6.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites, Source: Prepared by based on Pakistan Global AIDS Progress Reporting 2015www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 34 ART scale up, Source: Prepared by based on 1. UNAIDS. (2015). HIV Estimates ; 2. Pakistan Global AIDS Response Progress Report, 2015; and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 35 Number of ART sites and number of people on ART, Source: Prepared by based on - 1.WHO,UNAIDS,& UNICEF.( ). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report ; 2) Global AIDS Response Progress Reporting ; and 3.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults living with HIV, adults receiving ART, and adult ART coverage, Source: Prepared by based on UNAIDS. (2015). How AIDS Changed Every Thing. MDG 6: 15 Years, 15 Lessons of Hope from the AIDS Response.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of pregnant women living with HIV, receiving ARVs, and PMTCT coverage, Source: Prepared by based on UNAIDS. (2015). How AIDS Changed Every Thing. MDG 6: 15 Years, 15 Lessons of Hope from the AIDS Response..

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms National data on stigma and discrimination STIGMA INDEX ( Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 20% Civil society perspectives/ratings: Trend Laws and policies in place to protect and promote HIV- related human rights 2/10 3/10 2/10 Efforts to implement human rights-related laws and policies 2/10 3/10 2/10 38 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific and based on information provided by UNAIDS country office and partnerswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 39 THANK YOU slides compiled by 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 if slides are lifted directly from this sitewww.aidsdatahub.org