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HIV and AIDS Data Hub for Asia-Pacific

HIV and AIDS Data Hub for Asia-Pacific. Review in slides Pakistan. Content. Basic socio-demographic indicators HIV prevalence and epidemiological status (2001-2008) Vulnerability and HIV knowledge (2004-2008) Risk Behaviors (2003-2008) Economics of AIDS (2001-2008)

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HIV and AIDS Data Hub for Asia-Pacific

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  1. HIV and AIDS Data Hub for Asia-Pacific Review in slides Pakistan

  2. Content • Basic socio-demographic indicators • HIV prevalence and epidemiological status (2001-2008) • Vulnerability and HIV knowledge (2004-2008) • Risk Behaviors (2003-2008) • Economics of AIDS (2001-2008) • National Response (2005-2008)

  3. Basic socio-demographic indicators Source: 1a 2007 UN Population Division cited in WHO, UNAIDS and UNICEF. Epidemiological Fact Sheet on HIV and AIDS: Pakistan, July 2008 1b World Health Statistics 2008, cited in WHO, UNAIDS and UNICEF. Epidemiological Fact Sheet on HIV and AIDS: Pakistan, July 2008 1c UNESCO 2006, cited in WHO, UNAIDS and UNICEF. Epidemiological Fact Sheet on HIV and AIDS: Pakistan, July 2008 2 UNDP. Human Development Report, 2007/2008 3 World Development Indicators database. September 2008; http://ddp-ext.worldbank.org/. Data refers to the percentage of girls to boys enrolled at primary and secondary levels in public and private schools. UNESCO Institute for Statistics

  4. Risk behaviours

  5. % of IDUs who used sterile injecting equipment at the last time they injected by age group, 2007 Vs 2008 Sources: Pakistan_UNGASS Country Progress Reports, 2008 and 2010

  6. IDUs with selected characteristics of injecting drug use, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  7. % of IDUs with selected injecting behaviors, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  8. % of IDUs sharing syringes/needles at last injection by city, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  9. % of IDUs who always used a new syringe for injection in the last month by city, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  10. Percentage of IDUs who reported the use of a condom at last sexual intercourse, by age group, 2007 Vs 2008 Sources: Pakistan_UNGASS Country Progress Reports, 2008 and 2010

  11. % of IDUs having had sex with SWs in last six months by city, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  12. Trends of injecting alone and needle sharing behaviors among IDUs, 2005-2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  13. Trends of condom use in last commercial sex among IDUs, 2005-2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  14. Selected sexual behaviors among IDUs in the last 6 months, 2008 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% Source: Ministry of Health, HIV Second Generation Surveillance in Pakistan, National Report Round 3, 2008

  15. Risk practices according to HIV status of IDUs, 2008 * Statistically significant p value < 0.05 ** Statistically significant at p < 0.1 Source: Ministry of Health, HIV Second Generation Surveillance in Pakistan, National Report Round 3, 2008

  16. % of key populations at higher risk with overlapping risk behaviors in past six months, 2008-2009 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008 and special round for FSW, 2009_cited in UNGASS Country Progress Report, 2010

  17. Networking between IDUs and other most-at-risk populations, 2006-2007 Source: National AIDS Control Program, MoH, HIV Second Generation Surveillance in Pakistan, National Report Round II, 2006-2007

  18. Percentage of MSWs and Hijra SWs who reported injecting drug use in the past six months, selected cities, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  19. % of female sex workers who used a condom with their most recent client by age group, 2007 Vs 2009 Sources: Pakistan_UNGASS Country Progress Reports, 2008 and 2010

  20. % of MSWs and Hijra SWs who always used a condom with their clients in the last month by city, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  21. Sexual behaviors and practices of male sex workers, 2008 Source: Ministry of Health, HIV Second Generation Surveillance in Pakistan, National Report Round 3, 2008

  22. % of condom use practices among MSWs and Hijra SWs with paying and non paying clients, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  23. Mean number of clients per month among MSWs and Hijra SWs by age group, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  24. Mean duration in sex work among MSWs and Hijra SWs, selected cities, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  25. Percentage of MSWs and Hijra SWs who carried along a condom at the time of survey by city, 2008 Source: Pakistan_NACP, MOH, HIV/ AIDS Surveillance Project, HIV Second Generation Surveillance in Pakistan, IBBS round III, 2008

  26. Trends of consistent condom use with clients by MSWs/ HSWs, 2005-2008 Source: Ministry of Health, HIV Second Generation Surveillance in Pakistan, National Report Round 3, 2008

  27. Sexual behaviors and practices of Hijra sex workers, 2008 Source: Ministry of Health, HIV Second Generation Surveillance in Pakistan, National Report Round 3, 2008

  28. Risk practices according to HIV status of Hijra sex workers, 2008 * Statistically significant p value < 0.05 ** Statistically significant p value < 0.05 by fisher exact test Source: Ministry of Health, HIV Second Generation Surveillance in Pakistan, National Report Round 3, 2008

  29. % of FSWs and MSWs reporting the use of a condom with their most recent client by age group, 2007 Source: UNAIDS, UNGASS Country Report Pakistan January 2006 to December 2007

  30. % of IDUs reporting the use of a condom the last time they had sex with various partners, Karachi and Rawalpindi, 2004-2005 Source: NACP, Integrated Behavioral and Biological Surveillance, A Pilot Study in Karachi and Rawalpindi, 2004-2005

  31. % of IDUs who adopted safe behaviors inKarachi and Lahore, 2005 • Total IDUs sampled = 799 • Lahore IDUs N= 397 Karachi • IDUs N= 402 Safe behaviors include: - avoiding use of non-sterile injecting equipment - using condoms during sexual intercourse Source: UNAIDS, UNGASS Country Report Pakistan, 2005 refers to National AIDS Control Program, Ministry of Health, Government of Pakistan, FHI, DFID. National study of reproductive tract and sexually transmitted infections: Survey of high risk groups in Lahore and Karachi, 2005. 2006

  32. (%) 90 82 80 Karachi Lahore 70 60 51 48 50 35 40 28 28 30 21 20 6 10 0 Shared at last Share a needle at Used an unsafe Injected in another needle any time in the city last year injection every injection last week last week % of IDUs who shared needles in the last week/year, 2005 Source: National AIDS Control Program, Ministry of Health, Government of Pakistan, FHI, DFID. National study of reproductive tract and sexually transmitted infections: Survey of high risk groups in Lahore and Karachi, 2005. 2006

  33. % of FSWs and MSWs who reported always using a condom with their clients in the last month, Karachi and Rawalpindi, 2004-2005 Source: NACP, Integrated Behavioral and Biological Surveillance, A Pilot Study in Karachi and Rawalpindi, 2004-2005

  34. % of FSWs who are exposed to injecting drug use in Karachi and Lahore, 2005 Source: National AIDS Control Program, Ministry of Health, Government of Pakistan, FHI, DFID. National study of reproductive tract and sexually transmitted infections: Survey of high risk groups in Lahore and Karachi, 2005. 2006

  35. % of MSWs reporting consistent condom use with different sex partners in Karachi and Lahore, 2005 • Lahore MSWs N= 400 Karachi MSWs N= 407 Source: National AIDS Control Program, Ministry of Health, Government of Pakistan, FHI, DFID. National study of reproductive tract and sexually transmitted infections: Survey of high risk groups in Lahore and Karachi, 2005. 2006

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

  37. % of truckers reporting commercial sex in Karachi and Lahore, 2005 • Lahore Truckers N= 400 Karachi Truckers N= 402 Source: National AIDS Control Program, Ministry of Health, Government of Pakistan, FHI, DFID. National study of reproductive tract and sexually transmitted infections: Survey of high risk groups in Lahore and Karachi, 2005. 2006

  38. % of truckers who never used a condom with various partners, Karachi and Lahore, 2005 • Lahore Truckers N= 400 Karachi Truckers N= 402 Source: National AIDS Control Program, Ministry of Health, Government of Pakistan, FHI, DFID. National study of reproductive tract and sexually transmitted infections: Survey of high risk groups in Lahore and Karachi, 2005- 2006

  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

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