Cascade of HIV testing, care and treatment services, 2013 & 2014:
selected country profiles
Cascade of HIV testing, care and treatment services, 2013 & 2014:
selected country profiles
WPR/2016/DCD/001
© World Health Organization 2016
All rights reserved.
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
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
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,
1an 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.
2The 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
3is 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.
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
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
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
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
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
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
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
020000 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
020000 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
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
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
0100 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
0100 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
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
12013 2014 2013 2014
2013 2014
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
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
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
300006000 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
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
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