Transcript Power Point Presentation

Progress Report 2016
PREVENT HIV,
TEST AND TREAT ALL
WHO SUPPORT FOR
COUNTRY IMPACT
Excellent healthcare – locally delivered
Contents
1.Global impact
2.Service cascade
3. Policies and WHO support
Global summary of the AIDS epidemic
36.7 million [34.0 million – 39.8 million]
31.8 million [30.1 million – 33.7 million]
16.0 million [15.2 million – 16.9 million]
3.2 million [2.9 million – 3.5 million]
Number of people
living with HIV in 2015
Total
Adults
Women
Children (<15 years)
People newly infected
with HIV in 2015
Total 2.1 million [1.9 million – 2.4 million]
Adults 1.9 million [1.7 million – 2.1 million]
Children (<15 years) 240 000 [210 000 – 280 000]
AIDS deaths in 2015
Total 1.1 million [940 000 – 1.3 million]
Adults 1.0 million [1.2 million – 1.5 million]
Children (<15 years) 190 000 [170 000 – 220 000]
Source: UNAIDS/WHO estimates.
Decline in HIV incidence and mortality over time
3 500 000
People dying from AIDS-related causes globally
3 000 000
People newly infected with HIV/AIDS globally
2 500 000
2 000 000
1 500 000
1 000 000
500 000
0
2001
2002
2003
2004
Source: UNAIDS/WHO estimates.
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Number of people newly infected with HIV
Source: UNAIDS/WHO estimates.
The red shading shows future targets.
Number of people dying from HIV
Source: UNAIDS/WHO estimates.
The red shading shows future targets.
Contents
1.Global impact
2.Service cascade
3. Policies and WHO support
Universal health coverage to end AIDS
Source: Global Health Sector Strategy on HIV, 2016-2021.
Improvements are needed at each stage of the cascade of HIV
testing and treatment services, 2015
Source: UNAIDS/WHO estimates.
Number of people receiving antiretroviral treatment
Source: UNAIDS/WHO estimates.
The red shading shows future targets.
Countries with their size proportional to the number of people on treatment between
2000 and 2015 (video)
Source: UNAIDS/WHO estimates.
People living with HIV on antiretroviral therapy
(Millions)
Increase in people receiving ART over time
30
18.2 [16.1–19.0] million
on treatment by mid-2016
25
20
15
10
5
0
2010
2011
2012
2013
Numbers on antiretroviral treatment (all ages)
Source: UNAIDS/WHO estimates.
2014
2020 target
2015
mid- 2016
2016
2017
2018
2019
2020
ART coverage over time
50%
40%
30%
20%
10%
0%
3%
3%
3%
4%
5%
7%
9%
12%
16%
20%
23%
27%
32%
37%
42%
46%
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Source: UNAIDS/WHO estimates.
ART coverage by sex among adults, 2015
70%
Women
Men
60%
50%
40%
30%
20%
10%
0%
52% 40%
53% 39%
59% 44%
34% 21%
56% 52%
Global
African Region
Eastern and
southern Africa
Western and
central Africa
Region of the
Americas
Source: UNAIDS/WHO estimates.
46% 35%
42% 39%
12% 11%
South-East Asia European Region
Eastern
Region
Mediterranean
Region
51% 45%
Western Pacific
Region
Contents
1.Global impact
2.Service cascade
3. Policies and WHO support
WHO has developed four core sets of guidelines to support FastTrack action in countries
Source: WHO
Countries that have included or that plan to include HIV self-testing
in their national policies, October 2016
Source: WHO 2016 survey (HIV Country Intelligence Tool).
Adoption of the "treat all" recommendation among adults and
adolescents living with HIV, October 2016
33% of all LMIC and 71% of fast track
countries have adopted "treat all".
By the end of 2016, more than half of all
LMIC and 80% of fast track countries will
have adopted "treat all"
Source: Global AIDS Response Progress Reporting (WHO/UNICEF/UNAIDS) and WHO HIV Country Intelligence Tool.
Implementation of the "treat all" recommendation among adults
and adolescents living with HIV, October 2016
30% of all LMIC and 63% of fast track
countries have implemented "treat all"
Source: Global AIDS Response Progress Reporting (WHO/UNICEF/UNAIDS) and WHO HIV Country Intelligence Tool.
Provision of lifelong ART to pregnant and breastfeeding women
living with HIV, October 2016
Source: Global AIDS Response Progress Reporting (WHO/UNICEF/UNAIDS) and WHO HIV Country Intelligence Tool.
Countries are adapting the WHO guidelines for key population
services in their national HIV policies or plans, October 2016
Source: WHO 2016 survey (WHO Country Intelligence Tool).
Countries that completed HIV services cascades, October 2016
Source: WHO 2016 survey (WHO Country Intelligence Tool).
Median CD4 cell count at ART initiation have increased significantly
in all regions
Prices are still falling, but second-line ART costs three times more
than first-line ART
Source: WHO Global Price Reporting Mechanism.
Capacity-building workshops are supporting the implementation of
key WHO guidelines, 2016
Source: WHO
Areas in which WHO provided countries with significant technical
support for their HIV programmes in the past three years
Note: There are no countries where support for only treatment and testing are provided.
Source: WHO 2016 survey (WHO HIV Country Intelligence Tool).