Towards universal access: scaling up priority HIV/AIDS interventions in the health sector Progress report 2009 Slide set – six summary data slides and all 40 figures from the report Increase in antiretroviral therapy in low- and middle-income countries, adults and children [combined], December 2007–December 2008 Geographical region Sub-Saharan Africa Number of people receiving ARV therapy Number of people receiving ARV therapy December 2008 December 2007 Increase in one year 2 925 000 2 100 000 39% Latin America and the Caribbean 445 000 390 000 14% East, South and South-East Asia 565 000 420 000 35% Europe and Central Asia 85 000 54 000 39% North Africa and the Middle East 10 000 7 000 43% 4 030 000 2 970 000 36% [3.7–4.4 million] [2.7–3.3 million] Total 2| Towards universal access: progress report 2009 | 24 July 2016 Antiretroviral therapy coverage in low- and middle-income countries, adults and children [combined], December 2008 Geographical region Sub-Saharan Africa Estimated number of people receiving ARV therapy Estimated number of people needing ARV therapy Antiretroviral therapy coverage 2 925 000 6 700 000 44% Latin America and the Caribbean 445 000 820 000 54% East, South and South-East Asia 565 000 1 500 000 37% Europe and Central Asia 85 000 370 000 23% North Africa and the Middle East 10 000 68 000 14% 4 030 000 9 500 000 42% [3.7–4.4 million] [8.6–10 million] [40–47%] Total 3| Towards universal access: progress report 2009 | 24 July 2016 Antiretroviral therapy coverage in low- and middle-income countries, adults (≥15 years), December 2008 Geographical region Sub-Saharan Africa Reported number of adults (≥15 years) receiving ARV therapy Estimated number of adults needing ARV therapy Antiretroviral therapy coverage 2 700 000 6 100 000 44% Latin America and the Caribbean 429 000 800 000 54% East, South and South-East Asia 537 000 1 500 000 36% 80 000 370 000 22% 9 400 62 000 15% 8 800 000 43% [8.1–9.5 million] [39–46%] Europe and Central Asia North Africa and the Middle East Total 4| 3 755 000 Towards universal access: progress report 2009 | 24 July 2016 Antiretroviral therapy coverage in low- and middle-income countries, children (0–14 years), December 2008 Geographical region Sub-Saharan Africa Reported number of children (0–14 years) receiving ARV therapy Estimated number of children needing ARV therapy Antiretroviral therapy coverage 224 900 640 000 35% Latin America and the Caribbean 16 100 21 000 76% East, South and South-East Asia 30 000 58 000 52% 4 200 4 900 85% 400 6 700 6% 730 000 38% [580 000–880 000] [31–47%] Europe and Central Asia North Africa and the Middle East Total 5| 275 700 Towards universal access: progress report 2009 | 24 July 2016 Prevention of mother-to-child transmission coverage in low- and middleincome countries, December 2008 Geographical region Estimated number of pregnant women living with HIV needing ARVs for PMTCT Prevention of mother-tochild transmission coverage 576 800 1 280 000 45% Latin America and the Caribbean 17 100 32 000 54% East, South and South-East Asia 21 700 85 000 25% Europe and Central Asia 12 600 13 400 94% <200 13 400 1% 1 400 000 45% [1.1–1.7 million] [37–57%] Sub-Saharan Africa Reported number of pregnant women living with HIV receiving ARVs for PMTCT North Africa and the Middle East Total 6| 628 400 Towards universal access: progress report 2009 | 24 July 2016 Number of people receiving antiretroviral therapy in low- and middle-income countries, by region, 2002–2008 4.5 North Africa and the Middle East 4.0 Europe and Central Asia 3.5 East, South and South-East Asia Latin America and the Caribbean 3.0 Millions Sub-Saharan Africa 2.5 2.0 1.5 1.0 0.5 0.0 End 2002 7| End 2003 End 2004 End 2005 Towards universal access: progress report 2009 | 24 July 2016 End 2006 End 2007 End 2008 Fig. 2.1. Transaction volumes of rapid HIV tests, 2004–2008 8| Towards universal access: progress report 2009 | 24 July 2016 Fig. 2.2. Reported number of health facilities providing HIV testing and counselling services in low- and middle-income countries with comparable data, by region, 2007 and 2008 9| Towards universal access: progress report 2009 | 24 July 2016 Fig. 2.3. Percentage of women with HIV testing and counselling and percentage of women with secondary or higher education, district comprehensive assessment districts in Burkina Faso, Haiti and Zambia, 2008 10 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 2.4. Percentage of women and men receiving an HIV test and test results in the 12 months preceding the survey in countries with repeat population surveys, 2003–2008 11 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 2.5. Percentage of women and men (≥15 years) who had ever received an HIV test and test results, South Africa, 2002, 2005 and 2008 12 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 3.1. Situation analysis of harm reduction interventions in the Middle East and North Africa at baseline, 2008 13 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 3.2. Blood donation per 1000 population, 2007 14 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.1. Number of people receiving antiretroviral therapy in low- and middle-income countries, by region, 2002–2008 15 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.2. Measuring attrition from antiretroviral therapy programmes 16 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.3. Retention on antiretroviral therapy at 12 months after initiation of treatment in 61 low- and middle-income countries by region, 2008 17 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.4. 12-month retention of people receiving antiretroviral therapy in selected treatment sites, Papua New Guinea, 2008 18 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.5. Trends in retention on antiretroviral therapy in low- and middleincome countries by region, 2008 19 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.6. Trends over time in the median CD4 count at baseline count of 36 715 adults starting antiretroviral therapy between 2001 and 2006 20 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.7. Antiretroviral therapy coverage and all-cause mortality in South Africa, 2003–2006 21 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.8. Countries implementing at least one element of the WHO Global Strategy for the Prevention and Assessment of HIV Drug Resistance and locations of HIV drug resistance testing laboratories, February 2009 22 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.9. Main first-line antiretroviral regimens used among 2.4 million adults in 36 low- and middle-income countries, December 2008 23 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.10. Main second-line antiretroviral regimens used among adults (n=51 135) in 36 low- and middle-income countries, December 2008 24 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.11. First-line regimens used among children (n=177 064) in 36 lowand middle-income countries, December 2008 25 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.12. Second-line regimens used among children (n=5997) in 35 lowand middle-income countries, December 2008 26 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.13. Median annual cost (in US dollars) of first-line antiretroviral drug regimens in low-income countries by year, 2004–2008 27 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.14. Median annual cost (in US dollars) of first-line antiretroviral drug regimens in lower-middle-income countries by year, 2004–2008 28 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.15. Median price (in US dollars) of first-line antiretroviral drug regimens in upper-middle-income countries by year, 2004–2008 29 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.16. Estimated HIV prevalence (%) among people newly infected with TB, 2007 30 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 4.17. Rates of HIV testing among people with TB in countries in subSaharan Africa, 2004–2007 31 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.1. Number of low- and middle-income countries with national scaleup plans including population-based targets for preventing mother-to-child transmission and for HIV care and treatment for children, by region, 2008 32 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.2. Percentage of women and men aged 15–49 years with comprehensive knowledgea of HIV in countries with recent populationbased surveys (2007–2008) 33 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.3. Reported percentage condom use at last sexual intercourse among women 15–49 years old who had sex in the past year by five-year age groups in selected population-based surveys, 2005–2007 34 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.4. Unmet need for family planning among married women 15–49 years old (%) in countries with a generalized epidemic, 2006–2008 35 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.5. Percentage of pregnant women who received an HIV test in lowand middle-income countries by region, 2004–2008a 36 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.6. Percentage of pregnant women who received an HIV test in Malawi, 2004–2008 37 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.7. Percentage of pregnant women with HIV receiving antiretrovirals for preventing mother-to-child transmission of HIV in low- and middleincome countries by region, 2004–2008 38 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.8. Percentage of pregnant women living with HIV who received antiretrovirals to prevent mother-to-child transmission of HIV in Côte d’Ivoire, 2005–2008 39 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.9. Percentage of pregnant women living with HIV receiving antiretrovirals to prevent the mother-to-child transmission of HIV in 20 countries with the highest HIV disease burden among pregnant women (in descending order), 2008 40 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.10. Coverage of antiretrovirals to prevent the mother-to-child transmission of HIV, 2008 41 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.11. Percentage distribution of various antiretroviral regimens provided to pregnant women in low- and medium-income countries in 2007 and 2008, based on available data 42 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.12. Contribution of the 20 countries with the largest numbers of women needing antiretrovirals for preventing the mother-to-child transmission of HIV to the global gap to reach 80% of those in need, 2008 43 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.13. Coverage of antiretroviral prophylaxis among infants born to mothers living with HIV in low- and middle-income countries by region, 2008 44 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.14. Percentage of pregnant women living with HIV and infants born to them who received antiretrovirals for preventing mother-to-child transmission, 2004–2008 45 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.15. Average age of infants at their first HIV DNA test in Namibia in weeks, 2006–2008 46 | Towards universal access: progress report 2009 | 24 July 2016 Fig. 5.16. Percentage of children receiving antiretroviral therapy in low- and middle-income countries, 2005–2008 47 | Towards universal access: progress report 2009 | 24 July 2016