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Cascade of HIV testing, care and treatment services, 2013 & 2014:

selected country profiles

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Cascade of HIV testing, care and treatment services, 2013 & 2014:

selected country profiles

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WPR/2016/DCD/001

© World Health Organization 2016

All rights reserved.

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Table of contents

Acronyms 4

Introduction 5

Cambodia 6

China 8

Lao People’s Democratic Republic 10

Malaysia 12

Mongollia 14

Papua New Guinea 16

Philippines 18

Viet Nam 20

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Acronyms

AIDS acquired immunodeficiency syndrome

ANC antenatal care

ARV antiretroviral (drug) ART antiretroviral therapy

GARPR Global AIDS Response Progress Reporting GNI gross national income

HIV human immunodeficiency virus PLHIV people living with HIV

PMTCT prevention of mother-to-child transmission of HIV

TB tuberculosis

UNAIDS Joint United Nations Programme on HIV/AIDS UNICEF United Nations Children’s Fund

VL viral load

WHO World Health Organization

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Introduction

In September 2015, the United Nations General Assembly resolved to end the AIDS epidemic by 2030. Enabling access to HIV testing and care services and life-saving treatment are key to meeting this goal, and monitoring progress is critical for national governments and partners to appropriately prioritize policy and interventions.

The following pages highlight progress in 2013 and 2014 for selected countries, demonstrating the diversity of HIV epidemics across the Western Pacific Region. Cambodia, China, Malaysia, Papua New Guinea and Viet Nam make up more than 90% of the regional HIV burden. The Lao People’s Democratic Republic and Mongolia have low prevalence as well as numbers of people infected, whereas the Philippines is seeing a concerning rise in HIV infections among key populations.

Country demographics and key indicators for monitoring the HIV response are presented for each country. Data come from two main sources: (1) Global AIDS Response Progress Reporting,

1

an online tool for national AIDS programmes to report on the commitments in the 2011 United Nations Political Declaration on HIV and AIDS, and (2) HIV estimates and projections produced by UNAIDS using modelling software.

2

The ministries of health from each country validated and provided updated data where indicated.

The country profiles begin with data showing progress towards the UNAIDS 90-90-90 treatment targets, which mathematic modelling suggests will end the AIDS epidemic as a public health threat by 2030 if reached. These targets are that by 2020, 90% of all people living with HIV will be diagnosed, 90% of all people with diagnosed infection will receive antiretroviral therapy, and 90%

of all people on antiretroviral therapy will have viral suppression. Data presented for the first two

targets follow the UNAIDS definitions for these indicators. For the third target on viral suppression, the definition from the WHO Consolidated Strategic Information Guidelines for HIV in the Health Sector

3

is applied because in 2013 and 2014, no country was yet fully equipped to provide all patients on ART with viral load testing. The countries were able to report instead the number of patients who had a viral load measurement, which according to WHO guidelines can be used as the denominator to calculate the percentage of people living with HIV who were virologically suppressed. Likewise, many countries do not yet have unique identification systems in place to identify repeat testers. In these countries, the second of the 90-90-90 targets cannot be reported.

By applying the WHO guidelines definition, which uses the number of people with HIV as the denominator, countries are able to monitor treatment access.

Data informing these targets come from a series of linked HIV services that are all critical for improving the health of people living with HIV and reducing HIV transmission. Tracking the number of people across these services helps identify where the HIV response can perform better, and this can be visualized through the “cascades” of HIV testing, care and treatment services. These cascades are shown for all people living with HIV, women and children receiving services to prevent parent-to-child transmission, and tuberculosis cases who are coinfected with HIV.

The cascade framework has been adopted by many national AIDS programmes to monitor the HIV response and progress towards ending the AIDS epidemic. Additional information on the HIV response in the Western Pacific Region can be found at http://www.wpro.who.int/hiv.

1 Global AIDS Response Progress Reporting [website]. Geneva: Joint United Nations Programme on HIV/AIDS (UNAIDS); 2015 (http://www.unaids.org/en/dataanalysis/knowyourresponse/globalaidsprogressreporting, accessed 31 December 2015).

2 Data tools: Spectrum [website]. Geneva: UNAIDS; 2015 (http://www.unaids.org/en/dataanalysis/datatools/spectrumepp, accessed 31 December 2015).

3 Consolidated Strategic Information Guidelines for HIV in the Health Sector. Geneva: World Health Organization (WHO); 2015.

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Cambodia

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population (million)

(a)

15.3

GNI per capita, Atlas Method (current USD)

(a)

1 020

Income level

(b)

Low income

Birth rate, crude (per 1000 people)

(c)

24

Death rate, crude (per 1000 people)

(c)

6

Fertility rate, total (births per woman)

(c)

2.7

Estimated number of women aged 15 and up living with HIV

(d)

36 000

Prevalence of tuberculosis (per 100 000)

(e)

668

Births attended by skilled health staff (% of total)

(f)

89

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress 79%

PLHIV diagnosed

88%

On ART of diagnosed

91%

Virally suppressed of viral load tests

Number of people

of PLHIV 71%

on ART

0 10000 20000 30000 40000 50000 60000 70000 80000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed1 Estimated

number of PLHIV

1 Unpublished estimate, Ministry of Health, Cambodia, 2015

75000 59826 57081 52907 22027 19939

National adult HIV prevalence

0.6%

AIDS-related deaths

2600

New HIV infections

856

Number of people

of PLHIV 66%

on ART

0 10000 20000 30000 40000 50000 60000 70000 80000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

77000 NA NA 50659 12334 11045

2013

2014

Impact 2014

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Prevention of mother-to-child transmission TB/HIV coinfection

1 UNICEF, 2015 2 Unvalidated GARPR data, 2015

Number of pregnant women diagnosed

with HIV 0 200 400 600 800 1000

Number of pregnant

women receiving

ARVs

Number of infants exposed to HIV1

Number of HIV-exposed

infants who received prophylactic

ARV1

Number of HIV- exposed infants tested

within 2 months1

Number of infants diagnosed

with HIV2 2013 2014

Number of people

965 695 691 636 956 779 700 638 434 380 NA 6

Figure 2: Estimated number of PLHIV and number on ART (2009–2014)

0 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000

2014 2013 2012 2011 2010 2009

Number of people

Number of PLHIV On ART

Figure 5: Cascade of PMTCT services Figure 3: Percentage of key populations who received an HIV

test and knew their results in past 12 months

Female sex workers

68%

Men who have sex with men

87%

People who inject drugs

NA

NA NA 15%

Figure 7: Cascade of TB/HIV services

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

1241 1100

0 300 600 900 1200 1500

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

953 938

Number of people

89% 98%

Figure 4: HIV testing among pregnant women

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

362095 NA 288564 0

50000 100000 150000 200000 250000 300000 350000 400000

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once1 Estimated

number of pregnant

women

396268 365828 296152

1 Unvalidated GARPR data, 2015

Number of people

Figure 6: HIV testing among newly registered TB cases

Number of TB cases

tested for HIV Number

of newly registered

TB cases

37743 32176 0

10000 20000 30000 40000 50000

Number of TB cases

tested for HIV Number

of newly registered

TB cases

43059 35635

Number of people

85% 83%

HIV testing, care and treatment

2013

2014

2013 2014 2013 2014

2013 2014

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China

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population (million)

(a)

1 364

GNI per capita, Atlas Method (current USD)

(a)

7 380

Income level

(b)

Upper middle income

Birth rate, crude (per 1000 people)

(c)

24

Death rate, crude (per 1000 people)

(c)

7

Fertility rate, total (births per woman)

(c)

1.7

Estimated number of women aged 15 and up living with HIV

(d)

na

Prevalence of tuberculosis (per 100 000)

(e)

89

Births attended by skilled health staff (% of total)

(f)

99.9

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress 62%

PLHIV diagnosed

59%

On ART of diagnosed

90%

Virally suppressed of viral load tests

Number of people

of PLHIV 36%

on ART

0 100000 200000 300000 400000 500000 600000 700000 800000 900000

Number of people who achieved viral

suppression (<1000 copies/ml)2 Number

of people who obtained

viral load test2 Number

of people on ART Number

of people enrolled in care2 Number

of people diagnosed Estimated

number of PLHIV1

1 Unofficial estimates, 2015 2 Unvalidated GARPR data, 2015

810000 NA 441809 295358 216427 195104

National adult HIV prevalence

0.4%

AIDS-related deaths

21 000

New HIV infections

103 500

Number of people

of PLHIV 28%

on ART

0 100000 200000 300000 400000 500000 600000 700000 800000 900000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

810000 437000 369428 230826 165865 147092

2013

2014

Impact 2014

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Prevention of mother-to-child transmission TB/HIV coinfection

1 UNICEF, 2015 2 Unvalidated GARPR data, 2015

Number of pregnant

women diagnosed

with HIV 0 1000 2000 3000 4000 5000 6000 7000

Number of pregnant

women receiving

ARVs

Number of infants exposed to HIV1

Number of HIV-exposed

infants who received prophylactic

ARV1

Number of HIV- exposed infants tested

within 2 months1

Number of infants diagnosed

with HIV2 2013 2014

Number of people

NA 6583 3081 3576 3736 2837 3374 3959 1433 1738 NA 0

Figure 2: Estimated number of PLHIV and number on ART (2009–2014)

0 100000 200000 300000 400000 500000 600000 700000 800000 900000

20141 2013 2012 2011 2010 2009

Number of people

Number of PLHIV On ART

1 Unofficial estimates, 2015

Figure 5: Cascade of PMTCT services Figure 3: Percentage of key populations who received an HIV

test and knew their results in past 12 months

People who inject drugs Female

sex workers

38%

Men who have sex with men

46% 38%

37% 45% 41%

Figure 7: Cascade of TB/HIV services

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

4649 3127

0 1000 2000 3000 4000 5000 6000

Number of people on both

ART and TB treatment Number of

TB cases diagnosed

with HIV

5309 3675

Number of people

67% 69%

Figure 4: HIV testing among pregnant women

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

13.1 13.1 12.7

0 2.0 4.0 6.0 8.0 10.0 12.0 14.0

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

13.8 NA 13.5

Number of people (millions)

Figure 6: HIV testing among newly registered TB cases

Number of TB cases

tested for HIV Number

of newly registered

TB cases

847176 329415 0

100000 200000 300000 400000 500000 600000 700000 800000 900000

Number of TB cases

tested for HIV Number

of newly registered

TB cases

819283 343515

Number of people

39% 42%

HIV testing, care and treatment

2013

2014

2013 2014 2013 2014

2013 2014

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Lao People’s Democratic Republic

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population (million)

(a)

7

GNI per capita, Atlas Method (current USD)

(a)

1 650

Income level

(b)

Lower middle income

Birth rate, crude (per 1000 people)

(c)

27

Death rate, crude (per 1000 people)

(c)

6

Fertility rate, total (births per woman)

(c)

3

Estimated number of women aged 15 and up living with HIV

(d)

4 700

Prevalence of tuberculosis (per 100 000)

(e)

464

Births attended by skilled health staff (% of total)

(f)

42

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress 65%

PLHIV diagnosed

47%

On ART of diagnosed

79%

Virally suppressed of viral load tests

Number of people

of PLHIV 30%

on ART

10000 2000 30004000 50006000 70008000 9000 100001100012000

Number of people who achieved viral

suppression (<1000 copies/ml)1 Number

of people who obtained

viral load test1 Number

of people on ART Number

of people enrolled in care1 Number

of people diagnosed Estimated

number of PLHIV

11000 7172 4009 3336 2766 2648

1 Unvalidated GARPR data, 2015

National adult HIV prevalence

0.3%

AIDS-related deaths

490

New HIV infections

928

Number of people

of PLHIV 25%

on ART

10000 2000 3000 4000 5000 6000 7000 8000 9000 101112000000000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

11000 4730 NA 2787 NA NA

2013

2014

Impact 2014

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Prevention of mother-to-child transmission TB/HIV coinfection

1 UNICEF, 2015 2 Unvalidated GARPR data, 2015

Number of pregnant

women diagnosed

with HIV 0 50 100 150 200 250 300 350 400

Number of pregnant

women receiving

ARVs

Number of infants exposed to HIV1

Number of HIV-exposed

infants who received prophylactic

ARV1

Number of HIV- exposed infants tested

within 2 months1

Number of infants diagnosed

with HIV2 2013 2014

Number of people

366 NA 55 70 366 309 NA 111 39 10 NA 2

Figure 2: Estimated number of PLHIV and number on ART (2009–2014)

0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 11000

2014 2013 2012 2011 2010 2009

Number of people

Number of PLHIV On ART

Figure 5: Cascade of PMTCT services Figure 3: Percentage of key populations who received an HIV

test and knew their results in past 12 months

People who inject drugs Female

sex workers

NA

Men who have sex with men

36% NA

38% 18% NA

Figure 7: Cascade of TB/HIV services

Number of people on both

ART and TB treatment1 Number of

TB cases diagnosed with HIV

266 215

0 50 100 150 200 250 300

Number of people on both

ART and TB treatment Number of

TB cases diagnosed

with HIV

258 NA

Number of people

1 Ministry of Health, Lao People's Democratic Republic, 2015

81%

Figure 4: HIV testing among pregnant women

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

NA NA 10844

0 5000 10000 15000 20000 25000 30000

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once1 Estimated

number of pregnant

women

NA 30618 NA

Number of people

1 Unvalidated GARPR data, 2015

Figure 6: HIV testing among newly registered TB cases

Number of TB cases

tested for HIV Number

of newly registered

TB cases

4130 2462

0 1000 2000 3000 4000 5000

Number of TB cases

tested for HIV1 Number

of newly registered TB cases1

4396 3390

Number of people

1 Ministry of Health, Lao People's Democratic Republic, 2015

60%

77%

HIV testing, care and treatment

2013

2014

2013 2014 2013 2014

2013 2014

(14)

Malaysia

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population (million)

(a)

3

GNI per capita, Atlas Method (current USD)

(a)

10 760

Income level

(b)

Upper middle income

Birth rate, crude (per 1000 people)

(c)

17

Death rate, crude (per 1000 people)

(c)

5

Fertility rate, total (births per woman)

(c)

2

Estimated number of women aged 15 and up living with HIV

(d)

20 000

Prevalence of tuberculosis (per 100 000)

(e)

135

Births attended by skilled health staff (% of total)

(f)

99

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress NA

PLHIV diagnosed

NA

On ART of diagnosed

92%

Virally suppressed of viral load tests

Number of people

22%

of PLHIV on ART

0

20000 40000 60000 80000 100000

Number of people who achieved viral

suppression (<1000 copies/ml)1 Number

of people who obtained

viral load test1 Number

of people on ART Number

of people enrolled in care1 Number

of people diagnosed Estimated

number of PLHIV

1 Unpublished GARPR data, 2015

100000 NA 88093 21654 15037 13834

National adult HIV prevalence

0.5%

AIDS-related deaths

9000

New HIV infections

6200

Number of people

17%

of PLHIV on ART

0

20000 40000 60000 80000 100000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

100000 85332 28368 17369 3995 1908

2013

2014

Impact 2014

(15)

Prevention of mother-to-child transmission TB/HIV coinfection

1 UNICEF, 2015 2 Unvalidated GARPR data, 2015

Number of pregnant

women diagnosed

with HIV 0 100 200 300 400 500

Number of pregnant

women receiving

ARVs

Number of infants exposed to HIV1

Number of HIV-exposed

infants who received prophylactic

ARV1

Number of HIV- exposed infants tested

within 2 months1

Number of infants diagnosed

with HIV2 2013 2014

Number of people

298 324 343 349 401 309 274 306 274 306 5 4

Figure 2: Estimated number of PLHIV and number on ART (2009–2014)

0 10000 20000 30000 40000 50000 60000 70000 80000 90000 100000 110000

2014 2013 2012 2011 2010 2009

Number of people

Number of PLHIV On ART

Figure 5: Cascade of PMTCT services Figure 3: Percentage of key populations who received an HIV

test and knew their results in past 12 months

Female sex workers

32%

Men who have sex with men

79%

People who inject drugs

NA

49% 41% 38%

Figure 7: Cascade of TB/HIV services

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

1510 407

0 500 1000 1500 2000

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

1468 453

Number of people

27% 31%

Figure 4: HIV testing among pregnant women

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

592 489 478 915 475 233 0

100000 200000 300000 400000 500000 600000

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

575604 NA 489933

Number of people

Figure 6: HIV testing among newly registered TB cases

Number of TB cases

tested for HIV Number

of newly registered

TB cases

23417 20635 0

5000 10000 15000 20000 25000

Number of TB cases

tested for HIV Number

of newly registered

TB cases

24054 21698

Number of people

88% 90%

HIV testing, care and treatment

2013

2014

2013 2014 2013 2014

2013 2014

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Mongolia

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population (million)

(a)

2.9

GNI per capita, Atlas Method (current USD)

(a)

4 280

Income level

(b)

Upper middle income

Birth rate, crude (per 1000 people)

(c)

28

Death rate, crude (per 1000 people)

(c)

6

Fertility rate, total (births per woman)

(c)

3.1

Estimated number of women aged 15 and up living with HIV

(d)

85

Prevalence of tuberculosis (per 100 000)

(e)

227

Births attended by skilled health staff (% of total)

(f)

98.9

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress NA

PLHIV diagnosed

NA

On ART of diagnosed

NA

Virally suppressed of viral load tests

Number of people

16%

of PLHIV on ART

0

100 200 300 400 500 600 700 800

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

772 181 156 126 129 81

Source: Ministry of Health and Sports, Mongolia, 2015

National adult HIV prevalence

0.02%

AIDS-related deaths

18

New HIV infections

133

Number of people

14%

of PLHIV on ART

0

100 200 300 400 500 600 700 800

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

659 150 120 94 NA 28

2013

2014

Impact 2014

(17)

Prevention of mother-to-child transmission TB/HIV coinfection

Source: Ministry of Health and Sports, Mongolia, 2015 Number

of pregnant women diagnosed

with HIV 0 1 2 3 4 5

Number of pregnant

women receiving

ARVs

Number of infants exposed to HIV

Number of HIV-exposed

infants who received prophylactic

ARV

Number of HIV- exposed infants tested

within 2 months

Number of infants diagnosed

with HIV 2013 2014

Number of people

2 4 2 4 0 3 0 3 0 3 0 0

Figure 2: Estimated number of PLHIV and number on ART (2009–2014)

0 100 200 300 400 500 600 700 800 900 1000

20141 2013 2012 2011 2010 2009

Number of people

Number of PLHIV On ART

1 Source: Ministry of Health and Sports, Mongolia, 2015

Figure 5: Cascade of PMTCT services Figure 3: Percentage of key populations who received an HIV

test and knew their results in past 12 months

Female sex workers

55%

Men who have sex with men

65%

People who inject drugs

NA

53% 63% NA

1 Source: Ministry of Health and Sports, Mongolia, 2015

Figure 7: Cascade of TB/HIV services

Number of people on both

ART and TB treatment Number of

TB cases diagnosed

with HIV

5 1

0 1 2 3 4 5 6 7 8

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

8 6

Number of people

20%

75%

Figure 4: HIV testing among pregnant women

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

NA 84399 78153 0

10000 20000 30000 40000 50000 60000 70000 80000 90000 100000

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

NA 83618 79437

Number of people

Source: Ministry of Health and Sports, Mongolia, 2015

Figure 6: HIV testing among newly registered TB cases

Number of TB cases

tested for HIV Number

of newly registered

TB cases

4331 3659

0 1000 2000 3000 4000 5000

Number of TB cases

tested for HIV Number

of newly registered

TB cases

4483 3498

Number of people

84% 78%

HIV testing, care and treatment

2013

2014

1

2013 2014 2013 2014

2013 2014

(18)

Papua New Guinea

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population (million)

(a)

7.4

GNI per capita, Atlas Method (current USD)

(a)

2 030

Income level

(b)

Lower middle income

Birth rate, crude (per 1000 people)

(c)

33

Death rate, crude (per 1000 people)

(c)

10

Fertility rate, total (births per woman)

(c)

4.3

Estimated number of women aged 15 and up living with HIV

(d)

19 000

Prevalence of tuberculosis (per 100 000)

(e)

529

Births attended by skilled health staff (% of total)

(f)

(2006) 53

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress NA

PLHIV diagnosed

NA

On ART of diagnosed

NA

Virally suppressed of viral load tests

Number of people

of PLHIV 45%

on ART

0 5000 10000 15000 20000 25000 30000 35000 40000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care1 Number

of people diagnosed Estimated

number of PLHIV

37000 NA 29434 16489 NA NA

1 Unvalidated GARPR data, 2015

National adult HIV prevalence

0.7%

AIDS-related deaths

900

New HIV infections

2000

Number of people

of PLHIV 41%

on ART

0 5000 10000 15000 20000 25000 30000 35000 40000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

36000 NA 23817 14791 NA NA

2013

2014

Impact 2014

(19)

Prevention of mother-to-child transmission TB/HIV coinfection

1 UNICEF, 2015 2 Unvalidated GARPR data, 2015

Number of pregnant women diagnosed

with HIV 0 200 400 600 800 1000 1200

Number of pregnant

women receiving

ARVs

Number of infants exposed to HIV1

Number of HIV-exposed

infants who received prophylactic

ARV1

Number of HIV- exposed infants tested

within 2 months1

Number of infants diagnosed

with HIV2 2013 2014

Number of people

1046 508 429 616 1046 1037 307 553 825 486 112 34

Figure 2: Estimated number of PLHIV and number on ART (2009–2014)

0 5000 10000 15000 20000 25000 30000 35000 40000

2014 2013 2012 2011 2010 2009

Number of people

Number of PLHIV On ART

Figure 5: Cascade of PMTCT services Figure 3: Percentage of key populations who received an HIV

test and knew their results in past 12 months

People who inject drugs Female

sex workers

NA

Men who have sex with men

18% NA

NA NA NA

Figure 7: Cascade of TB/HIV services

Number of people on both

ART and TB treatment Number of

TB cases diagnosed

with HIV

807 307

0 100 200 300 400 500 600 700 800 900 1000

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

781 484

Number of people

38%

62%

Figure 4: HIV testing among pregnant women

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

253657 134755 79123 0

50000 100000 150000 200000 250000 300000

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

120434 120434 72234

Number of people

Figure 6: HIV testing among newly registered TB cases

Number of TB cases

tested for HIV Number

of newly registered

TB cases

22657 5939 0

5000 10000 15000 20000 25000 30000

Number of TB cases

tested for HIV Number

of newly registered

TB cases

26170 7218

Number of people

26% 28%

HIV testing, care and treatment

2013

2014

2013 2014 2013 2014

2013 2014

(20)

Philippines

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population (million)

(a)

99.1

GNI per capita, Atlas Method (current USD)

(a)

3 470

Income level

(b)

Lower middle income

Birth rate, crude (per 1000 people)

(c)

23

Death rate, crude (per 1000 people)

(c)

6

Fertility rate, total (births per woman)

(c)

2.9

Estimated number of women aged 15 and up living with HIV

(d)

4100

Prevalence of tuberculosis (per 100 000)

(e)

417

Births attended by skilled health staff (% of total)

(f)

72.8

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress 63%

PLHIV diagnosed

38%

On ART of diagnosed

89%

Virally suppressed of viral load tests

Number of people

24%

of PLHIV on ART

30000 6000 9000 12000 15000 18000 21000 24000 27000 30000 33000 36000

Number of people who achieved viral

suppression (<1000 copies/ml)1 Number

of people who obtained

viral load test1 Number

of people on ART Number

of people enrolled in care1 Number

of people diagnosed1 Estimated

number of PLHIV

1 HIV/AIDS & ART Registry of the Philippines, 2015

36000 22527 9644 8481 1002 888

National adult HIV prevalence

0.06%

AIDS-related deaths

493

New HIV infections

6400

Number of people

19%

of PLHIV on ART

30000

6000 9000 12000 15000 18000 21000 24000 27000 30000 33000 36000

Number of people who achieved viral

suppression (<1000 copies/ml)1 Number

of people who obtained

viral load test1 Number

of people on ART1 Number

of people enrolled in care1 Number

of people diagnosed Estimated

number of PLHIV

1 HIV/AIDS & ART Registry of the Philippines, 2014

30000 16516 6147 5564 699 620

2013

2014

Impact 2014

(21)

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

NA NA NA

0 5000 10000 15000 20000 25000 30000

Number of pregnant

women tested for HIV Number of

pregnant women attending

ANC at least once Estimated

number of pregnant

women

NA NA NA

Number of people

Prevention of mother-to-child transmission TB/HIV coinfection

1 UNICEF, 2015 2 Unvalidated GARPR data, 2015

Number of pregnant

women diagnosed

with HIV 0 50 100 150 200 250 300 350 400

Number of pregnant

women receiving

ARVs

Number of infants exposed to HIV

Number of HIV-exposed

infants who received prophylactic

ARV1

Number of HIV- exposed infants tested

within 2 months1

Number of infants diagnosed

with HIV2 2013 2014

Number of people

364 NA 14 23 364 296 8 NA 1 5 0 0

Figure 2: Estimated number of PLHIV and number on ART (2009–2014)

0 6000 12000 18000 24000 30000 36000

2014 2013 2012 2011 2010 2009

Number of people

Number of PLHIV On ART

Figure 5: Cascade of PMTCT services Figure 3: Percentage of key populations who received an HIV

test and knew their results in past 12 months

People who inject drugs Female

sex workers

13%

Men who have sex with men

9% 6%

NA NA 7%

Figure 7: Cascade of TB/HIV services

Number of people on both

ART and TB treatment Number of

TB cases diagnosed

with HIV

26 NA

0 20 40 60 80 100 120

Number of people on both

ART and TB treatment Number of

TB cases diagnosed with HIV

108 53

Number of people

49%

Figure 4: HIV testing among pregnant women Figure 6: HIV testing among newly registered TB cases

Number of TB cases

tested for HIV Number

of newly registered

TB cases

229918 5034 0

50000 100000 150000 200000 250000

Number of TB cases

tested for HIV Number

of newly registered

TB cases

243379 53354

Number of people

2%

22%

HIV testing, care and treatment

2013

2014

2013 2014 2013 2014

2013 2014

(22)

Viet Nam

Cascade of HIV testing, care and treatment services, 2013–2014

Country Statistics 2014

Population

(a)

million 90.7

GNI per capita, Atlas Method (current USD)

(a)

1 890

Income level

(b)

Lower middle income

Birth rate, crude (per 1000 people)

(c)

17

Death rate, crude (per 1000 people)

(c)

7

Fertility rate, total (births per woman)

(c)

2.4

Estimated number of women aged 15 and up living with HIV

(d)

77 000

Prevalence of tuberculosis (per 100 000)

(e)

198

Births attended by skilled health staff (% of total)

(f)

93.8

(a) Data; Population [website]. Washington: World Bank; 2014 (http://data.worldbank.org/indicator/SP.POP.TOTL, accessed 18 November 2015).

(b) Data; Country and lending groups [website]. Washington: World Bank; 2014 (http://data.worldbank.org/about/country-and- lending-groups, accessed 18 November 2015).

(c) 2015 World population data sheet [website]. Washington: Population Reference Bureau; 2015 (http://www.prb.org/pdf15/2015- world-population-data-sheet_eng.pdf, accessed 18 November 2015).

(d) AIDSInfo [website]. Geneva: UNAIDS ; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

(e) Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

(f) Millennium Development Goals Indicators [website]. New York: United Nations Statistics Division; 2014 (http://mdgs.un.org/

unsd/mdg/SeriesDetail. aspx?srid=570, accessed on 18 November 2015).

HIV testing, care and treatment

Sources:

• All data from the databases below unless otherwise stated.

• AIDSInfo [website]. Geneva: UNAIDS; 2015 (http://aidsinfo.unaids.org, accessed 18 November 2015).

• Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database]. Geneva: UNAIDS, WHO, UNICEF 2015; (https//aidsreportingtool.

unaids.org/, accessed 18 November 2015).

• Tuberculosis (TB) [online database]. Geneva: WHO; 2015 (http://www.who.int/tb/country/data/download/en/, accessed 18 November 2015).

ANC = antenatal care, ARV = antiretroviral, ART = antiretroviral therapy, GARPR = global AIDS response progress reporting, PLHIV = people living with HIV, PMTCT = prevention of mother-to-child transmission of HIV, VL = viral load, UNAIDS = Joint United Nations Programme, UNICEF = United Nations Children’s Fund

Figure 1: Cascade of diagnosis and treatment for people living with HIV

90-90-90 Targets

2014 Progress NA

PLHIV diagnosed

NA

On ART of diagnosed

93%

Virally suppressed of viral load tests

Number of people

of PLHIV 37%

on ART

0 50000 100000 150000 200000 250000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

250000 NA 94693 93262 1255 1167

National adult HIV prevalence

0.5%

AIDS-related deaths

11000

New HIV infections

15 000

Number of people

of PLHIV 33%

on ART

0 50000 100000 150000 200000 250000

Number of people who achieved viral

suppression (<1000 copies/ml) Number

of people who obtained

viral load test Number

of people on ART Number

of people enrolled in care Number

of people diagnosed Estimated

number of PLHIV

250000 217285 81014 82687 NA NA

2013

2014

Impact 2014

Références

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