Nepal

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1990-2011) Risk behaviors (2002-2011) Vulnerability and HIV knowledge (2005-2011) HIV Expenditure (2007) National Response (2005-2011) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Source: 1.UNFPA. (2010). State of World Population 2010 2. UN Statistics Division. (2010). Social Indicators 3.Word Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved January, 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2, 4. WHO. (2010). World Health Statistics 2010, 5. UNDP. (2010). Human Development Report 2010, and 6. UN Population Division. (2009). World Population Prospects The 2008 Revision.

HIV prevalence and epidemiological status

5 Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

6 Estimated number of adults (15+) living with HIV vs women (15+) living with HIV, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

7 Estimated adult HIV prevalence vs new HIV infections, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

8 % distribution of adults (15+) living with HIV by gender, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

9 % distribution of estimated HIV cases by population group, 2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). National Estimates of HIV Infections: 2009 Nepal.

10 % distribution of cumulative HIV infections by gender, Sept 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 17th Sept 2011.

11 % distribution of cumulative HIV infections by gender, 2007 - Sept 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2007, Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2008, Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2009, Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2010 and Cumulative HIV and AIDS Situation of Nepal, as of 17th Sept 2011.

12 Number of cumulative HIV infections by age group and gender, July 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 16th July 2011.

13 % distribution of reported cumulative HIV infections by population group, July 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 16th July 2011.

14 Trends of HIV prevalence among key affected populations, Kathmandu, 2002-2011 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys, 2002-2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report: Nepal , National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011 and Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

15 HIV prevalence among key affected populations by age group, 2008-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs, FSWs, MSWs and MSM, 2008-2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

16 Trends of HIV prevalence among PWID by region, 2002-2011 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs, Round I Round II, Round III, Round IV and Round V 2002-2011

17 HIV prevalence among PWID by selected region, 2009 Source: Prepared by www.aidsdatahub.org based on USAID, ASHA Project, & National Center for AIDS and STD Control. (2009). IBBS 2009, Round IV, Injecting Drug Users (IDUs), Kathmandu, Pokhara, Eastern Terai, Western to Far Western Terai Fact Sheet.

18 Trends of HIV prevalence among female sex workers by region, 1999-2011 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among Sex Workers, 1999-2009 and National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

19 Trends of HIV prevalence among female sex workers in Kathmandu and Pokhara Valley, 2004 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

20 Trends of HIV prevalence among female sex workers and their clients (Truckers) in 22 highway districts, 2003-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among FSWs and their Clients_22 Highway Districts, 2003-2009

21 Trends of HIV prevalence among MSM and male sex workers in Kathmandu valley, 2004-2009 Source: Prepared by www.aidsdatahub.org based onIntegrated Biological and Behavioral Survey among MSM and Male Sex Workers_ Kathmandu Valley, Round I to III, 2004-2009

22 Trends of HIV and STIs prevalence among MSM, Kathmandu valley, 2004-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among MSM and Male Sex Workers_ Kathmandu Valley, Round I to III, 2004-2009

23 HIV prevalence among male labour migrants in 11 districts of Western and mid to far Western Regions, 2006-2008 Source: Prepared by www.aidsdatahub.org based on 1. FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006, and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal

24 HIV prevalence among wives of migrant labourers in 4 districts of Western Region, 2008 Source: Prepared by www.aidsdatahub.org based on USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). Integrated Biological and Behavioral Surveillance Survey among Wives of Migrant Laborers in Four Districts of Far-Western Regions of Nepal: Round I -2008

25 Active syphilis prevalence among female sex workers in Kathmandu and Pokhara Valley, 2004 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

26 Trends of HIV and STIs prevalence among female sex workers, 22 Highway Districts, 2003-2009 Source: Prepared by www.aidsdatahub.org based on FHI, ACNielsen Nepal Pvt Ltd, STD/AIDS Counseling and Training Services, et al. (2009). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal.

27 STI prevalence among FSWs in 16 districts of East-west Highways of Nepal, 1999-2006 Source: Prepared by www.aidsdatahub.org based on FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Female Sex Workers in East-West Highways Covering 22 Districts of Nepal: Round III -2006.

28 Active syphilis prevalence among PWID in Kathmandu and Pokhara Valley, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

Risk behaviours

% of sex workers who reported condom use with their most recent client, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

31 % of female sex workers who reported consistent condom use in the last 12 months by type of partner, Kathmandu, 2004 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

32 % of female sex workers who reported consistent condom use in the last 12 months by type of partner, Pokhara Valley, 2004 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

33 % of female sex workers who were forced to have sex and who were physically assaulted in the last 12 months, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

34 % of female sex workers in the survey who were younger than 20 years of age, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

35 Average duration of sex work among female sex workers, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

36 % of key affected populations who used condom at last sexual encounter, 2008-2009 Source:Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

37 % of PWID and MSM who used condom at last sexual encounter by age group, 2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

38 % of PWID who reported consistent condom use with female sex workers in the last 12 months, selected region, 2002 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

39 % of PWID who reported unprotected sex in the last 12 months by type of partner, Kathmandu and Pokhara Valley, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

40 % of PWID with consistent condom use in the last year with different types of sexual partners, Kathmandu valley, 2002-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs_Kathmandu Valley, Round I to Round IV, 2002-2009

41 % of PWID with consistent condom use in the last year with different types of sexual partners, Pokhara valley, 2003-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs_Pokhara Valley, Round I to Round IV, 2003-2009

42 % of PWID with consistent condom use in the last year with different types of sexual partners, Eastern Terai, 2003-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs_EasternTerai, Round I to Round IV, 2003-2009

43 % of PWID with consistent condom use in the last year with different types of sexual partners, Western to Far-Western Terai, 2005-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs, Western to Far-Western Terai, Round I to Round III, 2005-2009

44 % of PWID reporting the use of a condom the last time they had sexual intercourse, 2006-2007 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, & UNAIDS. (2008). UNGASS Country Progress Report: Nepal.

45 % of PWID who reported sharing injecting equipment and needles in the last week, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

46 % of PWID reporting the use of sterile injecting equipment in the last time they injected, 2009 Source: Prepared by www.aidsdatahub.org based on USAID, ASHA Project, & National Center for AIDS and STD Control. (2009). IBBS 2009, Round IV, Injecting Drug Users (IDUs), Kathmandu, Pokhara, Eastern Terai, Western to Far Western Terai

47 % of PWID reporting the use of sterile injecting equipment in the last time they injected, 2006-2009 Source: Prepared by www.aidsdatahub.org based on 1. National Centre for AIDS and STD Control Nepal, & UNAIDS. (2008). UNGASS Country Progress Report: Nepal. 2. National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

48 % of PWID in the survey who were younger than 25 years of age, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

49 % of MSM with consistent condom use in the last year with different types of sexual partners, Kathmandu valley, 2004-2009 Source:Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among MSM and Male Sex Workers_ Kathmandu Valley, Round I to III, 2004-2009

50 % of men reporting the use of a condom the last time they had anal sex with a male partner, 2006-2007 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, & UNAIDS. (2008). UNGASS Country Progress Report: Nepal

51 % of sex workers reporting the use of a condom with their most recent client, 2007-2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

52 % of condom use at last sex and consistent condom use in the last year among sex workers with different types of sexual partners, 22 Highway Districts, 2009 Source: Prepared by www.aidsdatahub.org based on FHI, ACNielsen Nepal Pvt Ltd, STD/AIDS Counseling and Training Services, et al. (2009). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal.

53 % of condom use at last sex and consistent condom use in the last year among sex workers with different types of sexual partners, Kathmandu and Pokhara valley, 2008 Source: Prepared by www.aidsdatahub.org based on 1. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers Kathmandu Valley: Round III -2008, and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). IBBS among Female Sex Workers Pokhara Valley Round III -2008.

54 % of male migrant laborers who used condom at last sex with female sex workers, 2006-2008 Source: Prepared by www.aidsdatahub.org based on 1.FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006, and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal. Integrated Biological and Behavioral Survey among Male Labour Migrants_11 Districts of Western and Mid to Far Western Region, 2006-2008

55 % of men (15-49 yr) with mean number of life-time sexual partners, by marital & residential status, 2006 1.7 1.9 1.9 2.1 2.2 2.5 2.6 3.4 0 1 2 3 4 Terai Married Rural Urban Hill Mountain Never married Divorced/widowed Mean number of partners Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA, & Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc.

56 % of men (15-49 yr) who had higher-risk sex during the past 12 months, by marital & residential status, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA, & Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. Marital status Place of residence Higher-risk sex: sex with non-regular, non-cohabitating partner 2. National average for men 15-49 yrs = 5.5 % (N=4,016) 3. Nearly 100% of the never married men (N=1,207) reported having higher-risk in the past 12 months 96.5 1.8 10.7 4.5 5.4 6.6 4.7 0 20 40 60 80 100 Never married Married Urban Rural Mountain Hill Terai (%)

57 % of men (15-49 yr) reporting condom use during high-risk sex in past 12 months, by marital & residential status, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA, & Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. 1. Higher-risk sex: sex with non-regular, non-cohabitating partner 2. National average for men 15-49 yrs = 71.2 % Marital status Place of residence

58 % of men (15-49 yr) who had multiple partners in the past 12 months, by age, 2006 1. National average for men 15-49 yrs = 3 % Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA, & Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc.

% young people (15-24 yr) who had sex before the age of 15, by education, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA, & Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. 13 9.4 4.5 0.3 7.5 9.7 4.8 4.5 0.2 4 0 3 6 9 12 15 No education Primary completed Some secondary Secondary+ National Education level completed (%) Female Male 59

60 % of young men (15-24 yr) who had higher-risk sex during the past 12 months, by wealth quintile & region, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA, & Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. 1. Higher-risk sex: sex with non-regular, non-cohabitating partner 2. National average = 19.6 % 13.9 11.6 12.3 22.6 36.3 21.9 20.2 21.3 20.2 12.2 0 9 18 27 36 45 Lowest Second Middle Fourth Highest Eastern Central Western Mid- Western Far- Western (%) Wealth quintile Region

Vulnerability and HIV knowledge

% of PWID with comprehensive knowledge of HIV, Kathmandu and Pokhara Valley, 2007 and 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

63 % of female sex workers with comprehensive knowledge of HIV, Kathmandu and Pokhara Valley, 2006 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

64 % of key affected populations with comprehensive HIV knowledge by age group, Kathmandu, 2008-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs, FSWs, MSWs and MSM, 2008-2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

65 % of key affected populations and returned migrants with comprehensive HIV knowledge, Kathmandu, 2005-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys, 2005-2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

66 % of key affected populations with comprehensive knowledge, 2005 vs. 2007 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, & UNAIDS. (2008). UNGASS Country Progress Report: Nepal Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition)

67 % of IDUs with comprehensive HIV knowledge, selected areas, 2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys among IDUs, Kathmandu Valley, Pokhara Valley, Eastern Terai, and Western to Far–Western Terai, 2009

68 % of female sex workers with comprehensive HIV knowledge, 2008-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among Sex Workers_22 Highway Districts, Kathmandu Valley and Pokhara Valley, 2008-2009

69 % of male migrant laborers with comprehensive HIV knowledge, 2006-2008 Source: Prepared by www.aidsdatahub.org based on 1. FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006 , and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS and National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal. Mid to Far Western Region, 2006-2008

70 % of women with comprehensive knowledge on HIV prevention by age group, 2010 Source: Prepared by www.aidsdatahub.org based on Central Bureau of Statistics, & UNICEF. (2011). Monitoring the Situation of Children and Women - Findings from the Multiple Indicator Cluster Survey 2010 in the Mid-and Far-Western Regions, Nepal Preliminary Report.

71 % of young people (15-24 yr) with comprehensive HIV knowledge by age group and gender, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA and Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc.

72 % of young people (15-24 yr) with comprehensive knowledge, by place of residence, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA and Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) 57.5 39.9 27 51.3 38.4 43.6 24.8 32.2 27.6 13.1 25.9 42.6 0 20 40 60 80 Urban Rural Mountain Hill Terai National Place of residence (%) Female Male

% of adults (15-49 yr) with comprehensive knowledge, 2005-2006 National average: Female (15-49) yrs = 19.6 Male (15-49) yrs = 35.6 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA and Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) 32.0 33.9 44.8 31.6 36.7 19.8 21.1 22.7 13.2 18.8 0 25 50 75 100 Eastern Central Western Mid-Western Far-Western Region (%) Female Male 73

74 % of adults (15-49 yr) with knowledge of ways of HIV prevention, 2005-2006 67.3 89.6 88.4 64.8 80.7 70.2 89 75.5 88 67.3 82.6 59.8 55 77 64.6 82.6 58.3 82.6 67.8 73.2 83 68.8 77.7 83.5 0 20 40 60 80 100 Female Male Female Male Female Male Female Male Abstinence Condom use One faithful partner Condom + one partner (%) 15-49 yr 15-19 yr 15-24 yr Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA and Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc.

75 % of adults (15-49 yr) who have heard of HIV and AIDS, 2005-2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA and Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. 96.4 95.8 97.4 95.4 90.5 81.6 80.1 81.8 77.9 73.9 71.5 56.5 0 50 100 15-24 15-19 20-24 25-29 30-39 40-49 Age groups (%) Female Male

% of adults (15-49 yr) willing to buy fresh vegetables from a person with HIV/AIDS, by wealth quintile, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA and Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. 63.3 80.3 86.2 49.4 78.7 67.1 60.1 63.8 89.7 67.6 0 50 100 Lowest Second Middle Fourth Highest Wealth quintile (%) Female Male 76

% of adults (15-49 yr) who say that a person with AIDS should be allowed to continue working, by level of education, 2006 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population Nepal, New ERA and Macro International Inc. (2007). Nepal Demographic and Health Survey 2006: Kathmandu, Nepal: Ministry of Health and Population, New ERA, and Macro International Inc. 77 63.3 80.3 86.2 49.4 78.7 67.1 60.1 63.8 89.7 67.6 0 50 100 Lowest Second Middle Fourth Highest Wealth quintile (%) Female Male

HIV expenditure

79 Amount of domestic and international HIV expenditures and % shared by government, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

80 % distribution of total HIV expenditures by financing source, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

81 Amount of total HIV expenditures by service category, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

82 Amount of total HIV expenditures by major spending category, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

83 % distribution of total HIV expenditures by major spending category, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

84 Amount of total HIV expenditures on prevention by service category, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

85 % distribution of total HIV expenditures on prevention by service category, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

National response

Status of health facilities providing VCCT services, 2008 - 2010 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 3: HIV Testing and Counseling Services in Nepal as of July 2010. WHO, UNAIDS and UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

88 Number of HIV testing done at VCCT services, 2008 - 2010 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 3: HIV Testing and Counseling Services in Nepal as of July 2010.

89 Status of health facilities providing VCCT services and uptakes by gender, 2008 and 2009 Source: Prepared by www.aidsdatahub.org based on 1.WHO, UNAIDS and UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and 2. WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

90 % of PWID and FSWs who received an HIV test in the last 12 months and knew the results, 2008 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011 and Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

91 % of FSWs who received an HIV test in the last 12 months and knew the results, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

92 % of PWID who know a place to get HIV tested, 2002 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

93 % of PWID who have ever received an HIV test, 2002 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

94 % of key affected populations and clients of SWs who have tested for HIV in the last 12 months and knew their results, 2006-2009 Source: Prepared by www.aidsdatahub.org based on 1. National Centre for AIDS and STD Control Nepal, and UNAIDS. (2008). UNGASS Country Progress Report: Nepal, and 2. National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

95 % of PWID who received HIV test in the last year and knew the result, 2009 Source: Prepared by www.aidsdatahub.org based on USAID, ASHA Project, & National Center for AIDS and STD Control. (2009). IBBS 2009, Round IV, Injecting Drug Users (IDUs), Kathmandu, Pokhara, Eastern Terai, Western to Far Western Terai Fact Sheet.

96 % of PWID and FSWs reached with HIV prevention programmes, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011 and Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

97 % of selected populations reached with HIV prevention programmes, Kathmandu, 2006-2009 Source : Prepared by www.aidsdatahub.org based on Integrated Bio-behavioral surveys cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

98 % of PWID reached with HIV prevention programs in the last year, 2009 Source: Prepared by www.aidsdatahub.org based on USAID, ASHA Project, & National Center for AIDS and STD Control. (2009). IBBS 2009, Round IV, Injecting Drug Users (IDUs), Kathmandu, Pokhara, Eastern Terai, Western to Far Western Terai

99 Number of drop-in-centres and number of PWID per site per week, 2008-2009 Source: Prepared by www.aidsdatahub.org based on Routine programme data, 2008-2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

100 % of FSWs reached with HIV prevention programmes, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

101 % of sex workers reached with HIV prevention programs & who received HIV test in the last year and knew the result, 2008 Source: Prepared by www.aidsdatahub.org based on 1. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). Integrated Bio-behavioral Survey (IBBS) among Female Sex Workers Pokhara Valley Round III -2008, and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers Kathmandu Valley: Round III -2008.

102 Trends of HIV prevalence among key affected populations and programme coverage, Kathmandu, 2006-2009 Source : Prepared by www.aidsdatahub.org based onIntegrated Bio-behavioral surveys in Nepal

103 Decline in HIV prevalence among PWID following programme efforts, Kathmandu, 2007-2009 Source : Prepared by www.aidsdatahub.org based on 1. USAID, & Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS. (2008). Integrated Bio-behavioral Survey (IBBS) among Injecting Drug Users in the Kathmandu Valley – 2007, and 2. FHI, New ERA, & STD/AIDS Counseling and Training Services. (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Injecting Drug Users in Kathmandu Valley: Round IV - 2009.

104 % of programme coverage, knowledge , condom use, and HIV prevalence among PWID in Kathmandu, 2007-2009 Source : Prepared by www.aidsdatahub.org based on 1. USAID, & Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS. (2008). Integrated Bio-behavioral Survey (IBBS) among Injecting Drug Users in the Kathmandu Valley – 2007, and 2. FHI, New ERA, & STD/AIDS Counseling and Training Services. (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Injecting Drug Users in Kathmandu Valley: Round IV - 2009.

105 % of programme coverage, knowledge , condom use, and HIV prevalence among sex workers in Kathmandu, 2006-2008 Source : Prepared by www.aidsdatahub.org based on 1. FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Female Sex Workers Kathmandu Valley: Round II , and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers Kathmandu Valley: Round III -2008.

106 % of programme coverage, knowledge , condom use, and HIV prevalence among Male Sex Workers and MSM in Kathmandu, 2007-2009 Source : Prepared by www.aidsdatahub.org based on 1 USAID and ASHA Project. (2008). Integrated Bio-behavioral Survey (IBBS) among Men who have Sex with Men in the Kathmandu Valley – 2007, and 2. FHI, New ERA, & STD/AIDS Counseling and Training Services. (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) Men who have Sex with Men in Kathmandu Valley: Round III - 2009.

107 % of male migrant laborers reached with HIV prevention programs in the last year & who received HIV test in the last year and knew the result, 2008 Source: Prepared by www.aidsdatahub.org based on USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS and National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal.

108 Specific indicators on wives of migrant laborers in 4 districts of Far-Western regions, 2008 Source: Prepared by www.aidsdatahub.org based on USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS and National Centre for AIDS and STD Control Nepal. (2008). Integrated Biological and Behavioral Surveillance Survey among Wives of Migrant Laborers in Four Districts of Far-Western Regions of Nepal: Round I -2008

109 % of programme coverage, knowledge , condom use, and HIV prevalence among returned migrants, 2006-2008 Source: Prepared by www.aidsdatahub.org based on 1. FHI and USAID. (2006).Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006 , and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS and National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal. Mid to Far Western Region, 2008

110 Number of health facilities providing PPTCT, paediatric ART and ART services, 2008 - 2010 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS and UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010 , National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 5: Prevention of Mother-to-Child Transmission (PMTCT) of HIV Services in Nepal as of July 2010. and National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 4: Anti-Retroviral Therapy (ART) Services in Nepal as of July 2010.

111 Number of pregnant women who received an HIV test at PPTCT services, 2005 – July 2010 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 5: Prevention of Mother-to-Child Transmission (PMTCT) of HIV Services in Nepal as of July 2010.

112 Status of health facilities providing ANC, PPTCT services and their uptakes, 2008 and 2009 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS and UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and 2. WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

113 Status of maternal and infant PPTCT coverage, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

114 Status of health facilities providing ART and their uptakes, 2008 and 2009 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS and UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009 and 2. WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

115 Number of adults and children with advanced HIV infection who received antiretroviral therapy, 2005 - 2010 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 4: Anti-Retroviral Therapy (ART) Services in Nepal as of July 2010.

116 Number of adults and children who are in need of ART and % of ART coverage, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

117 Number of children (<15 years) who are in need of ART, who are receiving ART and % of ART coverage, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

118 % of adults and children with HIV who are on treatment 12, 24 and 36 months after the initiation of ART, 2009 and 2010 Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic, 2.WHO, UNAIDS and UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010 and 3. National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 4: Anti-Retroviral Therapy (ART) Services in Nepal as of July 2010.

119 % of adults and children with HIV who are on treatment 12 months after the initiation of ART by age group and gender, 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

120 % of adults and children with HIV known to be on treatment 12 months after the initiation of ART, 2006 and 2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

121 % distribution of outcomes of ART programme, as of July 2010 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). Fact Sheet No. 4: Anti-Retroviral Therapy (ART) Services in Nepal as of July 2010.

122 % of schools that provided life skills-based education in the last academic year, 2006-2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

Archives

HIV prevalence and epidemiological status

125 % distribution of HIV infections across the four different epidemic regions (2007) Source: Prepared by www.aidsdatahub.org based on HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.

126 Reported new HIV and AIDS cases, 2000-2009 Source: Prepared by www.aidsdatahub.org based onNational Centre for AIDS and STD Control Teku Kathmandu. (2009). Factsheet N°3: HIV Testing and Counseling Services in Nepal (as of July 2009). .

127 Cumulative reported HIV and AIDS cases, 2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Teku Kathmandu. (2009). Factsheet N°2: Cumulative HIV and AIDS Situation of Nepal, as of Aswin 2066 (17 Oct 09).

128 HIV prevalence among STI patients in different sites (1998-2001) Source: HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.

129 HIV prevalence among STI patients, Kathmandu, 1992-2000 Source: European Union, WHO, UNICEF, et al. (2006). Nepal: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

130 Estimated number of people living with HIV, 2001-2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic

131 Estimated number of women (15-49) living with HIV, 2001-2007 Sources: Prepared by www.aidsdatahub.org based on 1. European Union, WHO, UNICEF, et al. (2006). Nepal: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic

132 Estimated number of deaths due to AIDS, 2001-2007 Source: 1. WHO, UNAIDS and UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS Nepal 2008 Update, and 2. Centre for AIDS and STD Control Nepal, & UNAIDS. (2008). UNGASS Country Progress Report: Nepal.

133 HIV prevalence among clients of PMTCT services (2006-2007) Source: Prepared by www.aidsdatahub.org based on HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.

Risk behaviours

135 Median number of clients of FSWs per day, 1999-2002 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys in Highway routes of Nepal , round I, II, III and IV, 1999-2002 1.8 1.7 1.6 1.7 1.5 1.55 1.6 1.65 1.7 1.75 1.8 1.85 Round 1 (1999) Round 2 (2000) Round 3 (2001) Round 4 (2002) Median number of clients per day

136 % of men in high-risk occupation reporting ever visiting FSWs, 1998-2001 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys in Highway routes of Nepal , round I, II, III and IV, 1999-2002 74.3 68.5 64 81 34.7 33.5 28 55.7 0 25 50 75 100 1998 1999 2000 2001 Year (%) Transport worker Male labor

137 % of males in high-risk groups used condom during sex with FSWs in the past 12 months, 2001 Source: Prepared by www.aidsdatahub.orgbased on FHI and USAID. (2002). Behavioral Surveillance Survey in the Highway Route of Nepal: Round No. 4 60.4 0 24.9 8.3 3.9 1.1 16.6 10.6 2 4.5 22.4 45.3 0 15 30 45 60 75 Always Most of the time Sometimes Rarely Never Never used a condom Frequency of condom use (%) Transport worker Male laborer

HIV expenditure

139 National AIDS spending, 2007 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

140 A comparison of the 2003 and 2005 AIDS Programme Effort Index scores Source: Prepared by www.aidsdatahub.org based on USAID /Futures Group, Policy Project, AIDS Programme Effort Index in Nepal, 2005 cited in National Centre for AIDS and STD Control Nepal and UNAIDS. (2005). UNGASS National Report: Nepal 2005. 5 5 3 5 2 0 3 3 3 7 3 4 6 3 0 3 5 4 0 1 2 3 4 5 6 7 8 Strategic Plan Political Support Policy Efforts (Prev.) Prev. Prog. Impl. Care & Support OVC efforts M&E Environ. Human Rights Legal & Regulatory Score (10) 2003 2005

National response

142 % of PMTCT uptake, 2006-2009 Source: Prepared by www.aidsdatahub.org based on NCASC 2006-2009, Routine Programme Data

143 Number of HIV+ pregnant women who are in need of and who received ART to prevent mother-to-child transmission of HIV, 2007 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS and UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector.

144 % of adults and children with advanced HIV infection receiving ART, 2007-2009 Source: Prepared by www.aidsdatahub.org based onNational Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

145 Number of adults and children with advance HIV infection who are in need of and who received ART, 2007 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS and UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector.

146 % of key affected populations reached by HIV prevention programs, 2005 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal and UNAIDS. (2005). UNGASS National Report: Nepal 2005. 8.6 5.4 35.2 0 5 10 15 20 25 30 35 40 IDUs MSM FSWs Percentage of program coverage

147 ART uptake by gender, 2009 Source: Prepared by www.aidsdatahub.org based on NCASC, 2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

148 ART uptake by adults and children, 2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

149 THANK YOU slides compiled by www.aidsdatahub.org Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used. Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site