1. 2008 International AIDS Conference UNGASS reporting Matthew Warner-Smith Monitoring and Evaluation Division UNAIDS 2008 International AIDS Conference Satellite Session: Contribution of the UNGASS Reporting Process to the Implementation of the Third One in Latin America August 5 th 2008

2. 2008 International AIDS Conference Contents What is UNGASS? What is reported? Response rates Findings

3. 2008 International AIDS Conference What is UNGASS?

4. 2008 International AIDS Conference 2001 United Nations General Assembly Special Session on HIV/AIDS 189 Member States adopted a Declaration of Commitment to respond to the epidemic 192 Member States renewed this commitment in a High Level Meeting in 2006, and set targets for achieving Universal Access UNAIDS Secretariat charged with responsibility for monitoring the progress against the Declaration

5. 2008 International AIDS Conference Countries report on progress against the Declaration every two years 25 national indicators, in four categories –National commitment and action (NCPI & funding) –National programme –Knowledge and behaviour –Impact More information on the indicators and the reporting process are on the UNAIDS website: www.unaids.org/goals/ungass

6. 2008 International AIDS Conference Country Progress Reports are posted on the UNAIDS website (http://www.unaids.org/en/KnowledgeCentre/HIVData/CountryProgress) Results disseminated through: –NCPI responses on-line http://www.unaids.org/en/KnowledgeCentre/HIVData/CountryProgress) –Epidemiological Fact Sheets (http://www.unaids.org/en/KnowledgeCentre/HIVData/Epidemiology) –Country Profiles (http://www.unaids.org/en/CountryResponses/Countries/default.asp Findings presented in the Report on the Global AIDS Epidemic (http://www.unaids.org/en/KnowledgeCentre/HIVData/GlobalReport/2008) Conferences and publications in the peer-reviewed literature

7. 2008 International AIDS Conference Improved UNGASS responses Increased number of indicators reported Increased quality of data reported on these indicators Increased number of countries reporting –Response rates in Latin America are consistently higher than the global average

8. 2008 International AIDS Conference Global and Latin American response rates, 2004  2008

9. 2008 International AIDS Conference Response rates by region, 2004  2008

10. 2008 International AIDS Conference Response to indicators on most-at-risk populations: sex workers

11. 2008 International AIDS Conference Response to indicators on most-at-risk populations: men who have sex with men

12. 2008 International AIDS Conference Response to indicators on most-at-risk populations: injecting drug users

13. 2008 International AIDS Conference UNGASS 2008 findings

14. 2008 International AIDS Conference Per capita HIV expenditures from domestic public sources in low- and middle-income countries, 2004–2007 Year 2004200620052007 4 8 12 0 2 6 10 14 US$ Sub-Saharan Africa Upper middle income countries Rest of the world Upper middle income countries Rest of the world Low and lower middle income countries Sub-Saharan Africa Low and lower middle income countries (9.89) (1.17) (0.63) (0.14) (12.01) (2.04) (1.15) (0.20)

15. 2008 International AIDS Conference Number of people receiving antiretroviral drugs in low- and middle income countries, 2002−2007 Source: Data provided by UNAIDS & WHO, 2008. end- 2002 end- 2004 end- 2003 end- 2005 0.4 0.8 1.2 1.6 2.2 2.8 Millions Year 2.4 2.6 3.0 0.0 0.2 0.6 1.0 1.4 1.8 2.0 end- 2007 end- 2006 North Africa and the Middle East Eastern Europe and Central Asia East, South and South-East Asia Latin America and the Caribbean Sub-Saharan Africa

16. 2008 International AIDS Conference Number and percentage of HIV-positive pregnant women receiving antiretroviral prophylaxis, 2004–2007 200420062005 Number of HIV-positive pregnant women receiving antiretrovirals Year 400 000 500 000 600 000 0 100 000 200 000 300 000 % of HIV-positive pregnant women receiving antiretrovirals 0 5 30 35 15 20 25 40 10 2007 Source: UNAIDS, UNICEF & WHO, 2008; data provided by countries.

17. 2008 International AIDS Conference Comprehensive knowledge of HIV among young people (ages 15–24), 1999–2007 1999–200320102004–2007 0 20 40 60 80 100 % Year Male Female 2005 Target 2010 Target Source: MEASURE DHS (2008)

18. 2008 International AIDS Conference Percentage of most-at-risk populations reached with HIV prevention programmes, 2005–2007 Sex workers Injecting drug users Men having sex with men % Median 60.4%* (39 countries) 46.1%** (15 countries) 40.1%* (27 countries) 20 50 80 60 70 0 10 30 40 90 100 * Percentage of sex workers and men having sex with men reported knowing where they can receive an HIV test and that they were given condoms. ** Percentage of injecting drug users who reported knowing where they could receive an HIV test and be provided with condoms and sterile injecting needles and syringes. Source: UNGASS Country Progress Reports 2008

19. 2008 International AIDS Conference

21. TOTAL 2.0 million [1.8 – 2.3 million] 0.8% [0.7% - 0.9%] 2.7 million [1.6 – 3.9 million] 33 million [30 – 36 million] Adult & child deaths due to AIDS Adult prevalence (15 ‒ 49) [%] Adults & children newly infected with HIV Adults & children living with HIV The ranges around the estimates in this table define the boundaries within which the actual numbers lie, based on the best available information. Regional HIV and AIDS statistics, 2007 North America Eastern Europe & Central Asia Latin America South and South-East Asia Sub-Saharan Africa Oceania Western & Central Europe Caribbean East Asia Middle East & North Africa 23 000 [9100 – 55 000] 58 000 [41 000 – 88 000] 63 000 [49 000 – 98 000] 340 000 [230 000 – 450 000] 1.5 million [1.3 – 1.7 million] 110 000 [53 000 – 200 000] 0.6% [0.4% – 1.0%] 0.8% [0.6% – 1.1%] 0.5% [0.4% – 0.6%] 0.3% [0.2% – 0.4%] 5.0% [4.6% – 5.4%] 54 000 [7600 – 130 000] 110 000 [37 000 – 200 000] 330 000 [76 000 – 680 000] 1.9 million [1.3 – 2.4 million] 1000 [<1000 – 1400] 8000 [4800 – 17 000] 14 000 [11 000 – 16 000] 40 000 [24 000 – 63 000] 27 000 [20 000 – 35 000] 0.4% [0.3% – 0.5%] 0.3% [0.2% – 0.4%] 1.1% [1.0% – 1.2%] 0.1% [<0.1% – 0.2%] 0.3% [0.2% – 0.4%] 13 000 [ 12 000 – 15 000] 27 000 [3200 – 69 000] 20 000 [14 000 – 27 000] 51 000 [27 000 – 86 000] 40 000 [18 000 – 69 000] 22.0 million [20.5 – 23.6 million] 1.2 million [760 000 – 2.0 million] 1.5 million [1.1 – 1.9 million] 1.7 million [1.5 – 2.1 million] 4.2 million [3.5 – 5.3 million] 74 000 [66 000 – 93 000] 730 000 [580 000 – 1.0 million] 230 000 [210 000 – 270 000] 740 000 [480 000 – 1.1 million] 380 000 [280 000 – 510 000]