Pakistan

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (2001-2009) Risk behaviors (2003-2009) Vulnerability and HIV knowledge (2004-2009) HIV Expenditure (2001-2009) National Response (2005-2009) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS, 2007-2008 Source: 1. UN Statistics Division. (2010). Demographic and Social Statistics. Retrieved 10 January 2011, from http://unstats.un.org/unsd/demographic/products/socind/population.htm 2. UN Population Division. (2011). World Population Prospects, the 2010 Revision. Retrieved 8 September 2011, from http://esa.un.org/unpd/wpp/unpp/panel_indicators.htm. 3. UNFPA. (2010). State of World Population 2010 . 4. World Bank. World Development Indicators & Global Development Finance. Retrieved 10 January 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2 5. WHO. (2010). World Health Statistics 2010. 6. UNDP. (2010). Human Development Report 2010. 7. World Bank. World Development Indicators: Ratio of Girls to Boys in Primary and Secondary Education (%). Retrieved 10 Jan 2011, from http://data.worldbank.org/indicator/SE.ENR.PRSC.FM.ZS

Risk behaviours

% of IDUs who used sterile injecting equipment at the last time they injected by age group, 2007 Vs 2008 5 Sources: Prepared by www.aidsdatahub.org based on National AIDS Control Program. UNGASS Country Progress Report 2010: Pakistan. and National AIDS Control Program. UNGASS Country Progress Report 2008: Pakistan.

IDUs with selected characteristics of injecting drug use, 2008 6 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of IDUs with selected injecting behaviors, 2008 7 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of IDUs sharing syringes/needles at last injection by city, 2008 8 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of IDUs who always used a new syringe for injection in the last month by city, 2008 9 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Trends of injecting alone and needle sharing behaviors among IDUs, 2005-2008 10 Source: National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of IDUs who shared needles in the last week/year, 2005 11 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, FHI, & DFID. (2005). National Study of Reproductive Tract and Sexually Transmitted Infections: Survey of High Risk Group in Lahore and Karachi, 2005.

% of IDUs who adopted safe behaviors in Karachi and Lahore, 2005 12 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, FHI, & DFID. (2005). National Study of Reproductive Tract and Sexually Transmitted Infections: Survey of High Risk Group in Lahore and Karachi, 2005. cited in National AIDS Control Program, UNGASS Country Report 2006: Pakistan. Safe behaviors include: - avoiding use of non-sterile injecting equipment - using condoms during sexual intercourse Total IDUs sampled = 799 Lahore IDUs N= 397 Karachi IDUs N= 402

Percentage of IDUs who reported the use of a condom at last sexual intercourse, by age group, 2007 Vs 2008 13 Sources: Prepared by www.aidsdatahub.org based on National AIDS Control Program. UNGASS Country Progress Report 2010: Pakistan. and National AIDS Control Program. UNGASS Country Progress Report 2008: Pakistan.

% of IDUs reporting the use of a condom at the last time they had sex, Karachi and Rawalpindi, 2004-2005 14 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, & HIV/AIDS Surveillance Project. (2006). Integrated Behavioral and Biological Surveillance: A Pilot Study in Karachi and Rawalpindi 2004-05.

% of IDUs having had sex with SWs in last six months by city, 2008 15 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Trends of condom use in last commercial sex among IDUs, 2005-2008 16 Source: National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Selected sexual behaviors among IDUs in the last 6 months, 2008 17 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III. Regular female sex partner Sexually active with regular female sex partner 38.8% Condom use at last sex 33.5% Had sex with FSWs Mean number of paid female partners 2.9 Condom use in last sex with paid female sexual partner 31.0% Had sex with a MSW or HSW Condom used in last sex with MSW or HSW 13.8% Lubricant use in last sex with MSW or HSW 60.3%

Risk practices according to HIV status of IDUs, 2008 18 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III. * Statistically significant p value < 0.05 ** Statistically significant at p < 0.1

% of key affected populations with overlapping risk behaviors in past six months, 2008-2009 19 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan IBBS Round III, 2008 and Special Round for FSW, 2009 cited in National AIDS Control Program, UNGASS Country Progress Report 2010: Pakistan.

Networking between IDUs and other key affected populations, 2006-2007 20 Source: National AIDS Control Program, & Canada-Pakistan HIV/AIDS Surveillance Project. (2007). HIV Second Generation Surveillance in Pakistan: National Report Round II.

Percentage of MSWs and Hijra SWs who reported injecting drug use in the past six months, selected cities, 2008 21 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of FSWs who are exposed to injecting drug use in Karachi and Lahore, 2005 22 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program Pakistan, FHI, & DFID. (2005). National Study of Reproductive Tract and Sexually Transmitted Infections: Survey of High Risk Group in Lahore and Karachi, 2005.

% of female sex workers who used a condom with their most recent client by age group, 2007 Vs 2009 23 Sources: Prepared by www.aidsdatahub.org based on National AIDS Control Program. UNGASS Country Progress Report 2010: Pakistan. and National AIDS Control Program. UNGASS Country Progress Report 2008: Pakistan.

% of FSWs and MSWs reporting the use of a condom with their most recent client by age group, 2007 24 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program. (2008). UNGASS Country Progress Report: Pakistan.

% of FSWs and MSWs who reported always using a condom with their clients in the last month, Karachi and Rawalpindi, 2004-2005 25 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, & HIV/AIDS Surveillance Project. (2006). Integrated Behavioral and Biological Surveillance: A Pilot Study in Karachi and Rawalpindi 2004-05.

% of MSWs and Hijra SWs who always used a condom with their clients in the last month by city, 2008 26 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Sexual behaviors and practices of male sex workers, 2008 27 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of condom use practices among MSWs and Hijra SWs with paying and non paying clients, 2008 28 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Trends of consistent condom use with clients by MSWs/ HSWs, 2005-2008 29 Source: National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of MSWs reporting consistent condom use with different sex partners in Karachi and Lahore, 2005 30 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program Pakistan, FHI, & DFID. (2005). National Study of Reproductive Tract and Sexually Transmitted Infections: Survey of High Risk Groups in Lahore and Karachi, 2005. Lahore MSWs N= 400 Karachi MSWs N= 407

Percentage of MSWs and Hijra SWs who carried along a condom at the time of survey by city, 2008 31 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Sexual behaviors and practices of Hijra sex workers, 2008 32 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Risk practices according to HIV status of Hijra sex workers, 2008 33 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III. * Statistically significant p value < 0.05 ** Statistically significant p value < 0.05 by fisher exact test

Mean number of clients per month among MSWs and Hijra SWs by age group, 2008 34 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

Mean duration in sex work among MSWs and Hijra SWs, selected cities, 2008 35 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program, Pakistan, & Canada-Pakistan HIV/AIDS Surveillance Project. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III.

% of MSM reporting the use of a condom the last time they had anal sex with a male partner by age group, 2003-2005 36 Source: Prepared by www.aidsdatahub.org based UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic.

% of truckers reporting commercial sex in Karachi and Lahore, 2005 37 Lahore Truckers N= 400 Karachi Truckers N= 402 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program Pakistan, FHI, & DFID. (2005). National Study of Reproductive Tract and Sexually Transmitted Infections: Survey of High Risk Groups in Lahore and Karachi, 2005.

% of truckers who never used a condom with various partners, Karachi and Lahore, 2005 38 Lahore Truckers N= 400 Karachi Truckers N= 402 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Program Pakistan, FHI, & DFID. (2005). National Study of Reproductive Tract and Sexually Transmitted Infections: Survey of High Risk Groups in Lahore and Karachi, 2005.

39 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