Population, 180,800,000

People living with HIV/AIDS, 96,000

Women (aged 15+) with HIV/AIDS, 27,000

Children with HIV/AIDS, no data

Adult HIV prevalence (%), 0.1

AIDS deaths, 5,100

Pakistan is the seventh most populous country in the worldPakistan is the seventh most populous country in the world

Risk groups

IDUs

Deportees

Sex Workers

Truck Drivers

Prisoners

Low Prevalence, High Risk…!!!!!Low Prevalence, High Risk…!!!!!

General Female Population

Clients

General Male Population

MSMs IDUs

FSWs

Source : Tim Brown, East-West Centre, Hawaii, USA

Asian HIV Epidemic Model

Newborns

Type Estimated population (2009)

Total screened(HASP-R3)

HIV positive

IDU 91,000 2979 20.8%

MSW 91,000 1205 0.9%

FSW 136,000 4,639 0.002%

HSW 42,000 1186 6.4%

High population growth rate

High fertility rate

Poor primary health care services

Lack of integration of Preventive programs

Lack of sex education for HIV/AIDS

Taboo…!!!

Combating HIV/AIDS

Capacity for Monitoring and Reporting Progress (MGD Goals Report 2008 – Planning Commission of Pakistan)

Quality and Regularity of

Survey Information

Statistical AnalysisStatistics in Policy

Making

Reporting and Dissemination of

Information

Strong Fair Weak Strong Fair Weak Strong Fair Weak Strong Fair Weak

stig

ma

It creates ‘excluding behaviors'

Causes people to withdraw, putting them beyond the reach of support services

It generates a strong ‘us and them’ phenomenon

‘‘Many people suffering Many people suffering from AIDS are not killed from AIDS are not killed

by the disease itself, they by the disease itself, they are killed by the stigma.’are killed by the stigma.’

Nelson Mandela, 14Nelson Mandela, 14thth International AIDS Conference, Barcelona July 2002 International AIDS Conference, Barcelona July 2002

International Agencies

NGOs

Government

Patients

Counsellors Physicians

COMBATING HIV/AIDS: COMBATING HIV/AIDS: KEY PLAYERSKEY PLAYERSCOMBATING HIV/AIDS: COMBATING HIV/AIDS: KEY PLAYERSKEY PLAYERS

Economy

Media

13 HIV Surveillance Centres

Four HIV/AIDS Treatment Centres

Free CD-4 and Viral Load tests

Counseling

ELISA & treatment for jail inmates

2 PPTCT Centres in collaboration with UNICEF

Screening kits to all public sector blood banks

STI Medicines to teaching and District Hospitals

Communication & Advocacy campaign

1077

477

0

200

400

600

800

1000

1200

Total No. of Registered Patients Total No. of Patients on ARV

Treatment Centres

Transparency and open door policy

Multi-sectoral coordination

Pooling of Resources

Increased participatory role in future funding

opportunities

Increased involvement of district health authorities

Greater Civil Society Involvement

Operational research on vulnerable populations

Provincial Data Coordination Unit

Upcoming Action Plan will lead to wider response