Transcript Estimated number of people living with HIV and adult HIV prevalence Global HIV epidemic, 1990‒2005* Number of people living with HIV (millions) HIV epidemic.

Estimated number of people living with HIV and adult HIV prevalence
Global HIV epidemic, 1990‒2005*
Number of people
living with HIV (millions)
HIV epidemic in sub-Saharan Africa, 1985‒2005*
% HIV prevalence,
adult (15‒49)
50
5.0
40
4.0
30
3.0
20
2.0
10
1.0
0
0.0
1990
1995
2000
2005
Number of people
living with HIV (millions)
% HIV prevalence,
adult (15‒49)
30
15.0
25
12.5
20
10.0
15
7.5
10
5.0
5
2.5
0
0.0
1985
1990
1995
2000
2005
Number of people living with HIV
% HIV prevalence, adult (15-49)
This bar indicates the range around the estimate
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*Even though the HIV prevalence rates have stabilized in sub-Saharan Africa, the actual number of people infected continues to grow
Because of population growth. Applying the same prevalence rate to a growing population will result in increasing numbers of people living
with HIV
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Regional HIV and AIDS statistics and features, 2003 and 2005
REGION
Adults (15+) and children
living with HIV
2005
Sub-Saharan Africa
North Africa and
Middle East
Asia
Oceania
Latin America
Caribbean
Eastern Europe and
Central Asia
North America, Western
and Central Europe
TOTAL
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2003
Adults (15+) and children
newly infected with HIV
2005
2003
Adult (15-49)
prevalence (%)
2005
2003
Adult (15+) and child
deaths due to AIDS
2005
2003
24.5 million
23.5 million
2.7 million
2.6 million
6.1
6.2
2.0 million
1.9 million
[21.6‒27.4 million]
[20.8‒26.3 million]
[2.3‒3.1 million]
[2.3‒3.0 million]
[5.4‒6.8]
[5.5‒7.0]
[1.7‒2.3 million]
[1.7‒2.3 million]
440 000
380 000
64 000
54 000
[250 000‒720 000]
[220 000‒620 000]
[38 000‒210 000
[31 000‒150 000
8.3 million
7.6 million
930 000
860 000
[5.7‒12.5 million]
[5.2‒11.3 million]
[620 000‒2.4 million]
[560 000‒2.3 million]
78 000
66 000
7200
9000
[48 000‒170 000]
[41 000‒140 000]
[3500‒55 000]
[4300-69 000]
1.6 million
1.4 million
140 000
130 000
[1.2‒2.4 million]
[1.1‒2.0 million]
[100 000‒420 000]
[95 000‒310 000]
330 000
310 000
37 000
34 000
[240 000‒420 000]
[230 000‒400 000]
[26 000‒54 000]
[24 000‒47 000]
1.5 million
1.1 million
220 000
160 000
[1.0‒2.3 million]
[790 000‒1.7 million]
[150 000‒650 000]
[110 000‒440 000]
2.0 million
1.8 million
65 000
65 000
[1.4‒2.9 million]
[1.3‒2.7 million]
[52 000‒98 000]
[52 000‒98 000]
0.2
0.2
[0.1‒0.4]
[0.1‒0.3]
0.4
0.4
[0.3‒0.6]
[0.2‒0.6]
0.3
0.3
[0.2‒0.8]
[0.2‒0.7]
0.5
0.5
[0.4‒1.2]
[0.4‒0.7]
1.6
1.5
[1.1‒2.2]
[1.1‒2.0]
0.8
0.6
[0.6‒1.4]
[0.4‒1.0]
0.5
0.5
[0.4‒0.7]
[0.3‒0.6]
37 000
34 000
[20 000‒62 000]
[18 000‒57 000]
600 000
500 000
[400 000‒850 000]
[340 000‒710 000]
3400
2300
[1900‒5500]
[1300‒3600]
59 000
51 000
[47 000‒76 000]
[40 000‒67 000]
27 000
28 000
[19 000‒36 000]
[19 000‒38 000]
53 000
28 000
[36 000‒75 000]
[19 000‒39 000]
30 000
30 000
[24 000‒45 000]
[24 000‒45 000]
38.6 million
36.2 million
4.1 million
3.9 million
1.0
1.0
2.8 million
2.6 million
[33.4‒46.0 million]
[31.4‒42.9 million]
[3.4‒6.2 million]
[3.3‒5.8 million]
[0.9‒1.2]
[0.8‒1.2]
[2.4‒3.3 million]
[2.2‒3.1 million]
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A global view of HIV infection
38.6 million people [33.4‒46.0 million] living with HIV, 2005
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3
HIV prevalence (%) among pregnant women attending antenatal clinics
in sub-Saharan Africa, 1997/98‒2004
50
Eastern Africa
Median HIV prevalence (%)
Median HIV prevalence (%)
Southern Africa
Swaziland
40
Zimbabwe
30
20
10
South
Africa
Mozambique
0
1997‒
1998
1999‒
2000
2001
2002
2003
20
United Republic of Tanzania
15
Ethiopia
10
Kenya
5
0
1997‒
1998
2004
1999‒
2000
2001
2002
2003
2004
Median HIV prevalence (%)
West Africa
20
15
10
5
Ghana
Senegal
0
1997‒
1998
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Côte d'Ivoire
Burkina Faso
Note: Analysis restricted to consistent
surveillance sites for all countries
except South Africa (by province) and
Swaziland (by region)
1999‒
2000
2001
2002
2003
2004
Sources: Ministry of Health (Mozambique); Department of Health (South Africa); Ministry of Health and Social Welfare (Swaziland); Ministry of Health and Child Welfare
(Zimbabwe); Adapted from Asamoah-Odei, et al. HIV prevalence and trends in sub-Saharan Africa: no decline and large subregional differences. Lancet, 2004 (Ethiopia); Ministry
of Health—National AIDS/STD Control Programme (Kenya); Ministry of Health (United Republic of Tanzania); Conseil national de lutte contre le sida et les IST (Burkina Faso);
Centers for Disease Control and Prevention (CDC)—GAP—Côte d'Ivoire (Côte d'Ivoire); Ghana Health Service (Ghana); Conseil National de Lutte Contre le SIDA (Senegal).
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2005 Country progress towards 2001 Declaration of Commitment
on HIV/AIDS—Global targets (low- and middle-income countries) [First of 2 slides]
GLOBAL RESULTS 2005
GLOBAL TARGETS 2005
Total annual expenditure*
US$ 8 297 000 000
Estimated range: US$ 7.5 billion‒US$ 8.5 billion
US$ 7.0 billion‒US$ 10.0 billion
Global target achieved
Percentage of youth aged 15‒24 who correctly identify ways of preventing HIV transmission and who reject major
misconceptions about HIV transmission**
MALE: 33% (Country range: 7%‒50% coverage), (n=16)
FEMALE: 20% (Country range: 8%‒44% coverage), (n=17)
90% coverage
No country achieved this
Percentage of HIV-positive pregnant women receiving antiretroviral prophylaxis***
9% (Country range: 1%‒59% coverage), (n=41)
80% coverage
No country achieved this
Percentage of people with advanced HIV infection receiving antiretroviral therapy****
20% (Country range: 1%‒100% coverage), (n=116)
1 300 000 people on treatment
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* See ‘Financing’ chapter
** Demographic and Health Survey/AIDS Indicator Survey, 2001‒2005 (MEASURE DHS, 2006)
*** Stover et al. (2006)
**** “3 by 5” Report (WHO/UNAIDS, 2006)
50% coverage (3 million people on treatment)
21 countries achieved this
Global target not achieved
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2005 Country progress towards 2001 Declaration of Commitment
on HIV/AIDS—Global targets (low- and middle-income countries) [Last of 2 slides]
GLOBAL RESULTS 2005
GLOBAL TARGETS 2005
Percentage of young males and females, aged 15‒24, who are HIV infected*****
MALES: 1.4% (Measure of uncertainty: 1.1%‒1.8%), (n=54)
FEMALES: 3.8% (Measure of uncertainty: 3.0%‒4.7%), (n=54)
No comparable global data on this age cohort is available from 2001.
Progress towards target can only be measured in individual countries.
25% reduction in most affected countries
6 of the most affected countries
achieved this
Estimated percentage of infants born to HIV-infected mothers who are infected in 2005******
26% of infants born to HIV-infected mothers were also infected
(n=33 most affected countries)
In 2001, approximately 30% of infants were infected. There has been an estimated
10% reduction in HIV transmission between 2001 and 2005.
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***** UNAIDS/WHO 2005 Estimates for countries with generalized epidemics
****** UNAIDS/WHO 2005 Estimates
20% reduction
11 of the most affected countries
achieved this
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Comparison of 2003 and 2005 data on the coverage
of antiretroviral therapy, access to mother-to-child prevention services
and coverage of HIV-infected mothers who received antiretroviral prophylaxis
to prevent mother-to-child transmission
Coverage of antiretroviral therapy
Access to mother-to-child prevention
services (all pregnant women)
25
Coverage of HIV-infected mothers who
received antiretroviral prophylaxis
25
25
20
20
20
15
15
15
20.0
%
%
10
7.0
7.6
%
5
5
0
0
0
2005
2003
2005
9.2
10
5
2003
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10
9.0
3.3
2003
Sources: WHO/UNAIDS (2006). Progress on global access to HIV antiretroviral therapy: a report on “3 by 5” and beyond; USAID et al.
(2006). Coverage of selected services for HIV/AIDS prevention, care and support in low and middle income countries in 2003 and 2005.
2005
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Percentage of young people aged 15‒24 reporting the use of a condom during
sexual intercourse with a non-regular partner, Sub-Saharan Africa, 2001‒2005
Benin 2001
Botswana 2001
Burkina Faso 2003
Countries
Cameroon 2004
with
Chad 2004
date of
Ghana 2003
survey
Guinea 2005
Kenya 2003
indicated
Lesotho 2004
Madagascar 2003
Malawi 2004
Mali 2001
Mozambique 2003
Nigeria 2003
Rwanda 2004
Senegal 2005
United Republic of Tanzania 2003
Uganda 2004
Zambia 2003
0
10
20
30
40
Female
Male
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Sources: Demographic Health Surveys; HIV/AIDS Indicator Surveys (2001-2005)
50
60
70
80
90
100
%
8
Estimated total annual resources available for AIDS, 1996‒2005
9000
Signing of
Declaration of
Commitment
on HIV/AIDS
8000
7000
US$ million
6000
8297*
5000
Data include:
• International donors,
domestic spending
(including public spending
and out-of-pocket
expenditures)
• International Foundations
and Global Fund included
from 2003 onwards,
PEPFAR included from
2004 onwards
4000
3000
2000
1623
1000
292
* Projections based on previous pledges
and commitments (range of the
estimation: US$7.5 to US$8.5 billion).
0
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
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AIDS funding requirements for low- and middle-income countries
US$ billion
2006‒2008
2006
2007
2007
Prevention
8.4
10.0
11.4
29.8
Care and treatment
3.0
4.0
5.3
12.3
Support for orphans and vulnerable children
1.6
2.1
2.7
6.4
Programme costs
1.5
1.4
1.8
4.6
Human resources
0.4
0.6
0.9
1.9
14.9
18.1
22.1
55.1
TOTAL
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Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.
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Distribution by region of the funding required for prevention
Latin America/Caribbean: 9%
Eastern Europe: 12%
North Africa/Middle East: 3%
Africa: 29%
South/South-East Asia: 21%
East Asia/Pacific: 26%
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Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.
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Distribution by region of the funding required for treatment and care
Latin America/Caribbean: 17%
Eastern Europe: 7%
North Africa/Middle East: 1%
Africa: 55%
South/South-East Asia: 4%
East Asia/Pacific: 16%
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Source: UNAIDS (2005). Resource needs for an expanded response to AIDS in low- and middle-income countries.
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