Pacific Island Countries (without Papua New Guinea)

2 HIV prevalence and epidemiological status (1985-2010) Risk behaviors (2003-2008) Vulnerability and HIV knowledge (2004-2008) HIV Expenditure (2003-2009) National Response (2004-2010) Archives CONTENT

HIV prevalence and epidemiological status

Cumulative HIV incidence per 100,000 population in Pacific regions, December 2009 4 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence PICT= Pacific Island Countries and Territories

Trends of cumulative HIV incidence per 100,000 population in Pacific regions (excluding PNG), 2005-2009 5 Sources: Prepared by www.aidsdatahub.org based on 1. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2006). 2005 HIV, AIDS and AIDS Related Death Cases and Incidence, 2. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2007). 2006 HIV, AIDS and AIDS Related Death Cases and Incidence, 3. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2008). 2007 HIV, AIDS and AIDS Related Death Cases and Incidence, 4. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence and 5. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Trends of cumulative HIV incidence per 100,000 population, Papua New Guinea versus Pacific Island Countries and Territories (PICTs), 2005-2009 6 Sources: Prepared by www.aidsdatahub.org based on 1. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2006). 2005 HIV, AIDS and AIDS Related Death Cases and Incidence, 2. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2007). 2006 HIV, AIDS and AIDS Related Death Cases and Incidence, 3. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2008). 2007 HIV, AIDS and AIDS Related Death Cases and Incidence, 4. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence and 5. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Number of cumulative people living with HIV, new infections and deaths, Pacific regions, 2009 7 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Cumulative HIV incidence per 100,000 population, Melanesia countries (excluding PNG), December 2009 8 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Trends of cumulative HIV incidence per 100,000 population, Melanesia countries (excluding PNG), 2005-2009 9 Sources: Prepared by www.aidsdatahub.org based on 1. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2006). 2005 HIV, AIDS and AIDS Related Death Cases and Incidence, 2. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2007). 2006 HIV, AIDS and AIDS Related Death Cases and Incidence, 3. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2008). 2007 HIV, AIDS and AIDS Related Death Cases and Incidence, 4. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence and 5. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Number of cumulative people living with HIV, new infections and deaths, Melanesia countries (excluding PNG), 2009 10 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Cumulative HIV incidence per 100,000 population, Micronesia countries, December 2009 11 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Trends of cumulative HIV incidence per 100,000 population, Micronesia countries, 2005-2009 12 Sources: Prepared by www.aidsdatahub.org based on 1. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2006). 2005 HIV, AIDS and AIDS Related Death Cases and Incidence, 2. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2007). 2006 HIV, AIDS and AIDS Related Death Cases and Incidence, 3. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2008). 2007 HIV, AIDS and AIDS Related Death Cases and Incidence, 4. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence and 5. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Number of cumulative people living with HIV, new infections and deaths, Micronesia countries, 2009 13 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Cumulative HIV incidence per 100,000 population, Polynesia countries, December 2009 14 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Trends of HIV incidence per 100,000 population, Polynesia countries, 2005-2009 15 Sources : Prepared by www.aidsdatahub.org based on 1. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2006). 2005 HIV, AIDS and AIDS Related Death Cases and Incidence, 2. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2007). 2006 HIV, AIDS and AIDS Related Death Cases and Incidence, 3. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2008). 2007 HIV, AIDS and AIDS Related Death Cases and Incidence, 4. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence and 5. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Number of cumulative people living with HIV, new infections and deaths, Polynesia countries, 2009 16 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2010). 2009 HIV, AIDS and AIDS Related Death Cases and Incidence

Annual reported HIV cases by sub-regions, 1983-2008 17 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

% distribution of cumulative HIV and AIDS cases in Pacific Island Countries and Territories (PICTs), 1984-2008 18 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence

% distribution of reported new HIV and AIDS cases in Pacific Island Countries and Territories (PICTs), 2008 19 Source: : Prepared by www.aidsdatahub.org based on Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence

% distribution of reported HIV and AIDS cases in Pacific regions and in PNG vs all other Pacific island countries and territories (PICTs), 2006-2008 20 PNG vs all other Pacific Island Countries and Territories (PICTs) Pacific Regions (excluding PNG) Sources: Prepared by www.aidsdatahub.org based on 1. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2007). 2006 HIV, AIDS and AIDS Related Death Cases and Incidence, 2. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2008). 2007 HIV, AIDS and AIDS Related Death Cases and Incidence, and 3. Secretariat of the Pacific Community, Public Health Program, HIV & STI (2009). 2008 HIV, AIDS and AIDS Related Death Cases and Incidence

Proportion of cumulative HIV cases by the type of exposure (1984-2007) 21 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Proportion of cumulative HIV cases by the type of exposure (1984-2007) 22 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Proportion of cumulative HIV cases by the type of exposure (1984-2007) 23 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percent distribution of HIV cases over time for all Pacific Island Countries and Territories (PICTs) excluding PNG 24 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percent distribution of reported men living with HIV by age group in the each sub-region, 1984-2006 25 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percent distribution of reported women living with HIV by age group in the each sub-region, 1984-2006 26 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Age at HIV diagnosis in all Pacific Island Countries and Territories (excluding PNG and Fiji) 27 Number of Cases Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Ratio of men to women infected with HIV in selected countries, 1985-2006 28 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Number of reported new HIV cases by year, Fiji, 1989-June 2009 29 Source: Prepared by www.aidsdatahub.org based on Fiji_Ministry of Health, 2009

Percent distribution of cumulative reported HIV cases by age group and mode of transmission, Fiji, 1989- June 2009 30 Source: Prepared by www.aidsdatahub.org based on Fiji_Ministry of Health, 2009

31 Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Fiji. (2010). UNGASS Country Progress Report: Fiji, 2) WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010. 3) Coghlan, B., Gouillou, M., Gemert, C. V., Hellard, M., Hocking, J., O'Neill, S., et al. (2008). HIV in the Pacific, 1984-2007 Burnet Institute. 4) UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. 5) WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011 Chlamydia, syphilis and hepatitis B prevalence among pregnant women in Pacific Island Countries and Territories (countries where data is available), 2001 -2010 * Year of survey is not reported in Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

STI prevalence among ANC attendees in Fiji, 2004 vs 2008 32 Sources: Prepared by www.aidsdatahub.org based on 1. Ministry of Health Fiji, Ministry of Health Kiribati, Ministry of Health Samoa, et al. (2006). Second Generation Surveillance Surveys of HIV, other STIs and Risk Behaviours in Six Pacific Island Countries, and 2..Fiji_Second Generation Surveillance 2008

STI prevalence among pregnant women and seafarers, Tuvalu, 2005-2006 33 Source: Prepared by www.aidsdatahub.org based on Tuvalu_Second Generation Surveillance 2005-2006 cited in Tuvalu National AIDS Committee. (2010 ). UNGASS Country Progress Report: Tuvalu

Trends of STIs incidence/10,000 population in New Caledonia, 1990-2006 34 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Trend of Female: Male ratio for STI prevalence in New Caledonia, 1990-2006 35 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Risk behaviors 36

Percentage of young people (15-24) who used a condom at last sex with non-commercial partner in selected countries, 2003-2007 37 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of women exchanging sex for money and gifts in selected countries, 2004-2007 38 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of young people (15-24) reporting multiple sexual partners in the last 12 months in selected countries, 2004-2006 39 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of young men (15-24) who had sex with another male in the last 12 months in selected countries, 2004-2006 40 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of young people (15-24) reported having sex with commercial partner in the last 12 months in selected countries, 2004-2006 41 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of young men (15-24) who used a condom at last sex with a commercial partner in selected countries, 2004-2006 42 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of young people (15-24) reported multiple sexual partners in the last 12 months, Marshall Islands, 2008 43 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of condom use among young people (15-24) at last sex and in the last 12 months, Federated States of Micronesia, 2007 44 Source: Prepared by www.aidsdatahub.org based on Federated States of Micronesia_Pohnpei State Dept Health, unpublished data from 2007 Youth Survey cited in National Department of Health and Social Affairs Micronesia. (2008). UNGASS Country Progress Report: Micronesia.

Percentage of young women (15-24) with selected risky sexual behaviors, Palau, 2006 45 Source: Prepared by www.aidsdatahub.org based on HIV Section Ministry of Health Palau. (2008). UNGASS Country Progress Report: Palau

Selected risky sexual behaviors among seafarers, Tuvalu, 2005-2006 46 Source: Prepared by www.aidsdatahub.org based on Tuvalu_Second Generation Surveillance cited in Tuvalu National AIDS Committee. (2008). UNGASS Country Progress Report: Tuvalu.

Vulnerability and HIV knowledge 47

Percentage of men in high risk occupation groups with comprehensive HIV knowledge, 2004-2006 48 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of youth with comprehensive HIV knowledge in selected pacific countries, 2004-2007 49 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of youth (15-24) with knowledge on HIV transmission, Marshall Islands, 2008 50 Source: Prepared by www.aidsdatahub.org based on Marshall Islands_Second Generation Surveillance cited in Ministry of Health Marshall Islands. (2008). UNGASS Country Progress Report: Marshall Islands.

Percentage of youth (15-24) with knowledge on HIV transmission, Federated States of Micronesia, 2007 51 Source: Prepared by www.aidsdatahub.org based on Federated States of Micronesia_Pohnpei State Dept Health, unpublished data from 2007 Youth Survey cited in National Department of Health and Social Affairs Micronesia. (2008). UNGASS Country Progress Report: Micronesia.

Percentage of young female (15-24) with comprehensive HIV knowledge, Palau, 2006 52 Source: Prepared by www.aidsdatahub.org based on HIV Section Ministry of Health Palau. (2008). UNGASS Country Progress Report: Palau

HIV expenditure 53

Amount of domestic and international HIV expenditure among Pacific Island Countries, 2007-2009 54 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of AIDS spending among Pacific Island Countries, 2009 55 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of total HIV expenditures by major spending category, Pacific Island Countries, 2009 56 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Percentage of funding to the Pacific (excluding PNG) by source agencies 57 Source: Prepared by www.aidsdatahub.org based on UNSW, Global 2009. The effectiveness of financing and aid coordination in responding to the HIV epidemic in the Pacific Region cited in Commission on AIDS in the Pacific. (2009). Turning the Tide: An Open Strategy for a Response to AIDS in the Pacific

Percent distribution of spending on HIV activities in the Pacific (excluding PNG) by focus area, 2005-2008 58 Source: Prepared by www.aidsdatahub.org based on UNSW, Global 2009. The effectiveness of financing and aid coordination in responding to the HIV epidemic in the Pacific Region cited in Commission on AIDS in the Pacific. (2009). Turning the Tide: An Open Strategy for a Response to AIDS in the Pacific Note: Data from Pacific Regional Strategy Implementation Plan (PRSIP)

Annual HIV funding per capita, 2004-2007 59 Source: Prepared by www.aidsdatahub.org based on UNSW, Global 2009. The effectiveness of financing and aid coordination in responding to the HIV epidemic in the Pacific Region cited in Commission on AIDS in the Pacific. (2009). Turning the Tide: An Open Strategy for a Response to AIDS in the Pacific

AIDS spending, Palau 2007 60 Source: Prepared by www.aidsdatahub.org based on HIV Section Ministry of Health Palau. (2008). UNGASS Country Progress Report: Palau

National response 61

Health facilities with HIV testing and counselling services per 100,000 adult population, 2009 and 2010 62 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

Estimated population (15+) who received HIV testing and counselling per 100,000 adult population, 2010 63 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

% of key affected populations who received who received an HIV test in the last 12 months and knew the results, 2008 and 2010 64 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

Percentage of men in high risk occupation groups ever tested for HIV and who knew the results, 2004-2006 65 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

Percentage of young people (15-24) ever tested for HIV and who knew the results, 2004-2005 66 Source: Prepared by www.aidsdatahub.org based on Burnet Institute. (2008). HIV in the Pacific, 1984-2007

% pregnant women (15-49) who received a syphilis test at first ANC visit and who received an HIV test and knew the results, 2010 67 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

Number of HIV+ pregnant women who received ARVs for PPTCT and their infants who received PPTCT prophylaxis, co-trimoxazole prophylaxis and virological test, 2010 68 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

Number of adults and children with advanced HIV infection who received antiretroviral therapy, 2008-2010 69 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010 and WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

Number of adults and children with advanced HIV infection who received antiretroviral therapy by gender, 2010 70 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011).Global HIV/AIDS Response - Epidemic Update and Health Sector Progress Towards Universal Access - Progress Report, 2011

71 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