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.

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

6 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.

7 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

8 % 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

9 % 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

10 % 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

11 % 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

12 % 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

13 % 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.

14 % 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

15 % 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

16 % 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

17 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

18 % 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

19 % 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.

20 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

21 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.

22 % 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.

23 % 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.

24 % 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.

25 % 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.

26 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

27 % 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

28 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.

29 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.

30 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

31 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

32 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

33 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.

34 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

35 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

36 % 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.

37 % 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.

38 % 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

39 % 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.

40 % 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

National response

42 % of PMTCT uptake, 2006-2009 Source: Prepared by www.aidsdatahub.org based on NCASC 2006-2009, Routine Programme Data

43 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.

44 % 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

45 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.

46 % 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

47 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

48 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

49 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