2014 STATISTICAL UPDATE
“Children should be the first to benefit from our successes in defeating HIV, and the last to suffer from our failures.”
Anthony Lake
Executive Director, UNICEF
,
AND
Digital Release, 28 November 2014

• An AIDS-free generation is within reach, and it starts with children.
• Globally, more than 1.1 million new HIV infections among children were averted between 2005 and 2013 but efforts need be stepped up dramatically to reach 2015 goals.
1
• Treatment is not equitable: children and adolescents lag behind adults on access to antiretroviral therapy (ART).
2
1.UNAIDS, 2013 HIV and AIDS estimates, July 2014.
2.UNAIDS, WHO, UNICEF, Global AIDS Response Progress Reporting; and UNAIDS, 2013 HIV and AIDS estimates, July 2014.

• Adolescents are being left behind.
• AIDS is #1 killer of adolescents in Africa, and #2 globally.
3
• Adolescents are the only age group in which AIDS-related deaths have not decreased.
4
• Prevention efforts need to be intensified and targeted to reach those most at risk; adolescent girls in sub-Saharan
Africa and adolescent key affected populations.
• Stigma and discrimination, along with policy and legal barriers such as age-of-consent or punitive laws, prevent services from reaching adolescents.
3. WHO, Health for the world’s adolescents: a second chance in the second decade, World Health Organization, Geneva, 2014.
4. UNICEF analysis of UNAIDS, 2013 HIV and AIDS estimates, July 2014.

• Improving strategic information is essential to facilitating better results, especially where data is made available nearly in real time, and is effectively utilized in planning and programming.
• We have the knowledge and tools to achieve an AIDS-free generation.
• Achieving an AIDS-free generation will mean addressing inequities and reaching the most vulnerable children, adolescents, and their families.

UPDATE ON THE FIRST DECADE OF A CHILD’S LIFE
“Eliminating new HIV infections among children is an ambitious but achievable goal. With the support of the Every Woman Every Child movement, an AIDSfree generation can be ours. There is no better investment than the health of women and children.”
Ban Ki-moon
Secretary-General of the United Nations

st
1.1m
240,000
1.1 million new HIV infections were prevented among children (0–14 years) in low- and middle-income countries between 2005 and 2013 based on UNAIDS models.
5
240,000 new HIV infections occurred among children (0–14 years) in low- and middle-income countries in 2013.
5
67%
23% vs 37%
67% of pregnant women living with HIV in low- and middle-income countries received the most efficacious antiretroviral medicines to prevent mother-tochild transmission in 2013, compared to 47%** in 2010.
6
23% of children (0–14 years) living with HIV in low- and middle-income countries received life-saving ART in 2013 vs 37% of adults.
6
5. UNAIDS, 2013 HIV and AIDS estimates, July 2014.
6. UNAIDS, WHO, UNICEF, Global AIDS Response Progress Reporting; and UNAIDS, 2013 HIV and AIDS estimates, July 2014.
** Note: Data from 2005 through 2009 include single-dose nevirapine, a regimen no longer recommended by WHO; thererfore values from 2005-2009 are not directly comparable to those from 2010-2013.

2 000 000
1.5 million pregnant women living with HIV (2013)
1 500 000
1 000 000
500 000
0
1990 1995 2000 2005 2010 2013
Estimated number of pregnant women living with HIV, globally, 1990–2013
Note: The shaded area indicates the uncertainty ranges around the estimates.
Source: UNAIDS 2013 HIV and AIDS estimates, July 2014.

Estimated number of new HIV infections in children (aged 0–14): global trend, percent decline, and projection, 2001–2015
Source: UNICEF analysis of UNAIDS 2013 HIV and AIDS estimates, July 2014.

Estimated percentage of HIV-exposed infants who were vertically infected with HIV, 2013
Note: The boundaries and the names shown and the designations used on this map does not imply official endorsement or acceptance by the
United Nations
Source: UNAIDS, 2013 HIV and AIDS estimates, July 2014.

Middle East and North
Latin America and
Industrialzed
Africa countries
Caribbean
1,800
East Asia and Pacific 2,300
<500
1%
1% <1%
8,200 CEE/CIS
3%
South Asia
14,000
6%
<1,000
<1%
West and Central Africa
92,000
38%
Eastern and Southern
Africa
120,000
51%
Total: 240,000 (100%)
Estimated number and percentage of new HIV infections among children aged 0–14 globally, by UNICEF region, 2013
Source: UNAIDS 2013 HIV and AIDS estimates, July 2014.

Global plan priority countries and respective 2015 targets
Number of new HIV infections among children
(0-14 years)
Percentage decline in new HIV infections among children (0-14 years)
2009 (baseline) 2013 (latest) 2015 (target) Achieved (2009–2013) Required (2013–2015)
Malawi 23,000 7,400 2,300 67% 69%
Ethiopia 20,000 8,300 2,000 57% 77%
Zimbabwe
Botswana
Namibia
21,000
<1,000
2,400
9,000
<500
1,100
2,100
<100
<500
57%
57%
57%
77%
77%
77%
Mozambique
South Africa
Ghana
27,000
33,000
4,800
12,000
16,000
2,400
2,700
3,300
<500
57%
52%
50%
77%
79%
80%
Burundi
United Republic of Tanzania
Uganda
Swaziland
Côte d'Ivoire
Kenya
Zambia
Cameroon
2,600
31,000
30,000
1,900
8,200
21,000
19,000
14,000
1,300
16,000
16,000
1,100
4,900
13,000
12,000
9,500
7,400
<500
3,100
3,000
<200
<1,000
2,100
1,900
1,400
49%
49%
47%
46%
40%
38%
37%
32%
80%
81%
81%
81%
83%
84%
84%
85%
Democratic Republic of the Congo
Chad
Lesotho
India
Nigeria
Angola
10,000
4,900
4,400
17,000
63,000
4,400
3,700
3,400
13,000
51,000
4,000
1,000
<500
<500
1,700
6,300
<500
27%
25%
23%
22%
19%
10%
86%
87%
87%
87%
88%
89%
Country progress in reducing new HIV infections among children aged 0–14 in 22 Global Plan priority countries, 2009–2013
Source: UNICEF analysis of UNAIDS, 2013 HIV and AIDS estimates, July 2014.

100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
78%
67% of pregnant women living with
HIV received PMTCT in 2013
>95%
93%
2005* 2009* 2010
39%
2011 2012 2013
16%
42%
17%
67%
68%
Eastern and
Southern
Africa
West and
Central Africa
Middle East and North
Africa
East Asia and
Pacific
South Asia Latin America and Caribbean
CEE/CIS All low- and middle-income countries
21 African
Global Plan countries
Estimated percentage of pregnant women living with HIV receiving the most effective antiretroviral medicines for PMTCT, in UNICEF regions, all low- and middle-income countries and the 21 African Global Plan priority countries, 2005–2013
Source: UNAIDS, UNICEF and WHO, 2005-2013 Global AIDS Response Progress Reporting, and UNAIDS, 2013 HIV and AIDS estimates, July 2014.
*Note: Data from 2005 through 2009 include single-dose nevirapine, a regimen no longer recommended by WHO; thererfore values from
2005-2009 are not directly comparable to those from 2010-2013.

New infections among children rapidly declining as PMTCT coverage increases
600 000
500 000
400 000
300 000
200 000
100 000
0
14%
22%
31%
40%
48%
47%
1
Maternal ARVs for PMTCT
0,9
New HIV infections in children (0-4)
0,8
0,7
67%
62%
0,6
56%
0,5
0,4
0,3
0,2
0,1
0
2001 2002 2003 2004 2005* 2006* 2007* 2008* 2009* 2010 2011 2012 2013
Estimated number of new HIV infections among children (aged 0–14) and coverage of antiretroviral medicines for PMTCT in all low- and middle-income countries 2001–2013
Source: UNAIDS, UNICEF and WHO, 2005-2013 Global AIDS Response Progress Reporting, and UNAIDS, 2013 HIV and AIDS estimates, July 2014.
*Note: Data from 2005 through 2009 include single-dose nevirapine, a regimen no longer recommended by WHO; thererfore values from 2005-
2009 are not comparable to those from 2010-2013

Transition to treatment for pregnant women living with HIV - too slow
100%
90%
80%
Maternal ARVs for PMTCT
Maternal ART
70%
67%
60%
62%
50%
56%
48%
47%
40%
40%
30%
31%
33%
20%
22%
25%
10%
18%
14%
13%
0%
2005* 2006*
1%
2007*
3%
2008*
9%
2009* 2010 2011 2012 2013
Estimated percentage of pregnant women living with HIV receiving antiretroviral medicines (ARVs) for PMTCT or receiving antiretroviral therapy (ART), in all low- and middle-income countries, 2005–2013
Source: (ARVS) – UNAIDS, UNICEF and WHO, 2005-2013 Global AIDS Response Progress Reporting; and (ART) – UNAIDS, 2013 HIV and AIDS estimates, July 2014.
*Note: Data from 2005 through 2009 include single-dose nevirapine, a regimen no longer recommended by WHO; thererfore values from 2005-
2009 are not directly comparable to those from 2010-2013.

Increased ART access for children living with HIV is critical for their survival
350 000
300 000
250 000
200 000
150 000
100 000
50 000
0
2001 2002 2003 2004 2005 2006
6%
2007
8%
2008
10%
2009
13%
2010
17%
Paediatric ART coverage
Child AIDS deaths
19%
23%
1
0,9
0,8
0,7
0,6
0,5
0,4
0,3
0,2
0,1
0
2011 2012 2013
Estimated number of AIDS-related deaths and ART coverage among children (aged 0–14) in all low- and middle-income countries, 2001–2013
Source: UNAIDS, UNICEF and WHO, 2005-2013 Global AIDS Response Progress Reporting, and UNAIDS, 2013 HIV and AIDS estimates, July 2014.
Note: The coverage estimate is based on the estimated unrounded number of all children living with HIV receiving ART. UNAIDS recommends using the denominator of all adults and children living with HIV and not just those eligible for ART based on 2013 WHO eligibility HIV treatment criteria.

Treatment is not currently equitable: children lag behind adults
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
37%
23%
All adults (aged 15+) Children (aged 0–14)
Percentage of adults (aged 15+) and children (aged 0–14) living with HIV receiving antiretroviral therapy, global, 2013
Note: The coverage estimate is based on the estimated unrounded number of all adults and children living with HIV receiving ART. UNAIDS recommends using the denominator of all adults and children living with HIV and not just those eligible for ART based on 2013 WHO eligibility HIV treatment criteria.
Source: UNAIDS, UNICEF and WHO, 2005-2013 Global AIDS Response Progress Reporting, and UNAIDS, 2013 HIV and AIDS estimates, July 2014.

Children not benefitting from
ART as much as adults
100%
80%
84%
Adults (aged 15+)
Children (aged 0–14)
60%
40%
20%
0%
69% 55% 52% 51% 51%
50% 49% 48%
33%
45%
27%
24%
9%
46%
12%
44%
42% 41% 40%
42%
38% 36% 36%
33%
29% 27%
31%
30%
22% 22%
16%
11%
15% 14%
8%
25% 24%
21% 20%
6%
5%
12%
8%
Percentage of adults (aged 15+) and children (aged 0–14) living with HIV receiving ART, 22 Global Plan priority countries, 2013
Source: UNAIDS, UNICEF and WHO, 2013 Global AIDS Response Progress Reporting and UNAIDS, 2013 HIV and AIDS estimates, July 2014.
Note: The coverage estimate is based on the estimated unrounded number of all children living with HIV receiving ART. UNAIDS recommends using the denominator of all adults and children living with HIV and not just those eligible for ART based on 2013 WHO eligibility HIV treatment criteria.

Less than 1 in 4 children living with HIV receiving
ART in 2013
2007 2009 2011 2012 2013
>95%
100%
90%
80%
70%
60%
50%
51%
40%
30%
27%
38%
30%
23%
22%
20%
10%
10%
15%
0%
Eastern and
Southern
Africa
West and
Central Africa
Middle East and North
Africa
East Asia and
Pacific
South Asia Latin America and Caribbean
CEE/CIS All low- and middle-income countries
21 African
Global Plan countries
Estimated percentage of children living with HIV receiving antiretroviral therapy, in UNICEF regions, all low- and middle-income countries and the 21
African Global Plan priority countries, 2007–2013
Source: UNAIDS, UNICEF and WHO, 2007–2013 Global AIDS Response Progress Reporting, and UNAIDS, 2013 HIV and AIDS estimates, July 2014.
Note: The coverage estimate is based on the estimated unrounded number of all children living with HIV receiving ART. UNAIDS recommends using the denominator of all adults and children living with HIV and not just those eligible for ART based on 2013 WHO eligibility HIV treatment criteria.

Only 37% of infants tested in time
…progress is too slow
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
2010
49%
2011 2012
10%
2013
19%
25%
4%
43%
80%
37%
39%
Eastern and
Southern
Africa
West and
Central Africa
Middle East and North
Africa
East Asia and
Pacific
South Asia Latin America and Caribbean
CEE/CIS All low- and middle-income countries
21 African
Global Plan countries
Estimated percentage of infants born to women living with HIV receiving a virological test by two months of age, in UNICEF regions, all low- and middle-income countries and the 21 African Global Plan priority countries, 2010–2013
Source: UNAIDS, UNICEF and WHO, 2005–2013 Global AIDS Response Progress Reporting, and UNAIDS, 2013 HIV and AIDS estimates, July 2014.

70%
60%
50%
40%
30%
20%
10%
0%
100%
99%
90%
80%
2010 2011 2012 2013
47%
13%
19%
18%
17%
48%
37%
Eastern and
Southern
Africa
West and
Central Africa
Middle East and North
Africa
East Asia and
Pacific
South Asia Latin America and Caribbean
CEE/CIS All low- and middle-income countries
21 African
Global Plan countries
38%
Estimated percentage of infants born to women living with HIV receiving cotrimoxazole, in UNICEF regions, all low- and middle-income countries and the 21 African Global Plan priority countries, 2010–2013
Source: UNAIDS, UNICEF and WHO, 2005–2013 Global AIDS Response Progress Reporting, and UNAIDS, 2013 HIV and AIDS estimates, July 2014.

UPDATE ON THE SECOND DECADE OF A CHILD’S LIFE
“We cannot run away from adolescents. HIV is the leading cause of adolescent mortality in Africa – especially among young women. This is a moral injustice. I am calling on young people to lead the new ‘All In’ initiative, alongside UNICEF and UNAIDS, to end the adolescent AIDS epidemic.”
Michel Sidibé
Executive Director, UNAIDS

nd
#1 and
#2
#1 killer of adolescents in Africa and #2 worldwide, is AIDS.
7
2.1m
2.1 million adolescents (10–19 years) were living with HIV in 2013 more than 80% of whom live in sub-Saharan Africa, and many of whom still do not know their HIV status.
8
64%
64% of the 250,000 new HIV infections among older adolescents
(15–19 years) were among girls in 2013.
8
1.2bn
1.2 billion adolescents; the largest generation in history.
9
7. WHO, Health for the world’s adolescents: a second chance in the second decade, World Health Organization, Geneva, 2014.
8. UNICEF analysis of UNAIDS, 2013 HIV and AIDS estimates, July 2014.
9. United Nations Population Division, 2014.

Adolescents living with HIV is a global issue
Estimated number of adolescents
(aged 10-19) living with HIV, 2013
Estimated adolescents living with HIV globally in 2013
Note: The boundaries and the names shown and the designations used on this map does not imply official endorsement or acceptance by the
United Nations
Source: UNAIDS, 2013 HIV and AIDS estimates, July 2014.

55%
50%
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
55%
50%
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
1–4
Marked differences in HIV between females and males emerge during adolescence
Female Male
55%
50%
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
Female Male
5–9 10–14 15–19 20–24 25–29 30–34 35–39 40–44 45–49
Botswana (2013)
<5 5-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49
South Africa (2012)
Female Male
55%
50%
45%
40%
35%
30%
25%
20%
15%
10%
5%
0%
Female Male
<5 15–19 20–24 25–29 30–34
Uganda (2011)
35–39 40–44 45–49 <5 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49
Kenya (2012)
HIV prevalence by age group in Botswana (2013), Kenya (2012), South Africa (2012) and Uganda (2011)
Source: Botswana AIDS Impact Survey, 2013; Kenya AIDS Indicator Survey (AIS), 2012; South African National HIV Prevalence,
Incidence, Behaviour and Communication Survey, 2012; and Uganda AIDS Indicator Survey (AIS), 2011.

Almost two-thirds of adolescents living with HIV are in Eastern & Southern Africa
Latin America and
Caribbean
4%
East Asia and
Pacific
Industrialized
Countries
2%
4%
CEE/CIS
1%
South Asia
6%
Middle East and
North Africa
1%
West and Central
Africa
19%
Eastern and
Southern Africa
64%
Estimated percentage of adolescents aged 10–19 living with HIV globally, by UNICEF region, 2013
Source: UNAIDS 2013 HIV and AIDS estimates, July 2014.

Nearly half of all adolescents living with HIV are in just six countries
South Africa
15%
Rest of the World
21%
Nigeria
8%
Côte d'Ivoire 2%
Cameroon 2%
Indonesia 2%
Zambia
4%
Total: 2.1 million
Malawi
4%
Mozambique
5%
Zimbabwe
5%
Uganda
5%
India
6%
United Republic of Tanzania
7%
Ethiopia
7%
Kenya
7%
Estimated percentage of adolescents aged 10–19 living with HIV in 14 selected high burden countries, 2013.
Source: UNAIDS 2013 HIV and AIDS estimates, July 2014.

AIDS-related deaths are declining rapidly for all age groups . . . except adolescents
250 000
Children aged 0–4
Adolescents aged 10-19
Children aged 5–9
Young people aged 20–24
200 000
150 000
100 000
50 000
0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Estimated number of AIDS-related deaths among children aged 0–9, adolescents aged 10–19 and young people aged 20–24,
2001–2013
Source: UNICEF analysis of UNAIDS 2013 HIV and AIDS estimates, July 2014.
2013

Infections among infants decreasing more rapidly than adolescents and young people
700 000
600 000
500 000
400 000
300 000
Children aged 0–14
Young people aged 20–24
Adolescents aged 15–19
200 000
100 000
0
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Estimated number of new HIV infections among children (aged 0–14), adolescents (aged 15–19) and young people (aged 20–24),
2001–2013
Source: UNAIDS, 2013 HIV and AIDS estimates, July 2014.
2013

Access to testing is a challenge
…most adolescents don’t know their HIV status
Percentage of adolescent and young males and females (aged 15-19 and 20-24) who have been tested for HIV in the last 12 months and received the results of the most recent test, select sub-Saharan African countries, 2010-2014
Source: UNICEF global HIV and AIDS databases based on MICS, DHS, AIS and other nationally representative household surveys,
2010-2014.

20 000 000
18 000 000
16 000 000
14 000 000
12 000 000
Eastern and Southern Africa
West and Central Africa
East Asia and the Pacific
Latin America and the Caribbean
South Asia
CEE/CIS
10 000 000
8 000 000
6 000 000
4 000 000
2 000 000
0
1990 1995 2000 2005 2010
Estimated number of children (aged 0-17) who have lost one or both parents to an AIDS-related cause, by UNICEF region,
1990–2013
Source: UNICEF analysis of UNAIDS 2013 HIV and AIDS estimates, July 2014.
2013

Acknowledgements
UNICEF
Amaya Gillespie
Chiho Suzuki
Eduard Eduardo
Lisa Walmsely
UNAIDS
Mary Mahy
Juliana Daher
WHO
Awandha Mamahit
Chika Hayashi
Michel Beusenberg
Natalie Bailey
Priscilla Idele
Tyler Porth
Vivian Lopez
Web:
Email:
Twitter: www.childrenandaids.org childrenandaids@unicef.org
@unicef_aids