Progress Report 2016 PREVENT HIV TEST AND TREAT

Progress Report 2016 PREVENT HIV, TEST AND TREAT ALL WHO SUPPORT FOR COUNTRY IMPACT Excellent healthcare – locally delivered

Contents 1. Global impact 2. Service cascade 3. Policies and WHO support

Global summary of the AIDS epidemic Number of people living with HIV in 2015 People newly infected with HIV in 2015 AIDS deaths in 2015 Source: UNAIDS/WHO estimates. Total 36. 7 million [34. 0 million – 39. 8 Adults million] Women 31. 8 million [30. 1 million – 33. 7 Children (<15 million] years) 16. 0 million [15. 2 million – 16. 9 million] 3. 2 million [2. 9 million – 3. 5 Total million] Adults Children (<15 years) 2. 1 million [1. 9 million – 2. 4 million] 1. 9 million [1. 7 million – 2. 1 million] 240 000 [210 000 – 280 000] Total Adults Children (<15 1. 1 million [940 000 – 1. 3 million] years) 1. 0 million [1. 2 million – 1. 5 million] 190 000 [170 000 – 220 000]

Decline in HIV incidence and mortality over time 3 500 000 People dying from AIDS-related causes globally 3 000 People newly infected with HIV/AIDS globally 2 500 000 2 000 1 500 000 1 000 500 0 2001 2002 2003 2004 Source: UNAIDS/WHO estimates. 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Number of people newly infected with HIV Source: UNAIDS/WHO estimates. The red shading shows future targets.

Number of people dying from HIV Source: UNAIDS/WHO estimates. The red shading shows future targets.

Contents 1. Global impact 2. Service cascade 3. Policies and WHO support

Universal health coverage to end AIDS Source: Global Health Sector Strategy on HIV, 2016 -2021.

Improvements are needed at each stage of the cascade of HIV testing and treatment services, 2015 Source: UNAIDS/WHO estimates.

Number of people receiving antiretroviral treatment Source: UNAIDS/WHO estimates. The red shading shows future targets.

Countries with their size proportional to the number of people on treatment between 2000 and 2015 (video) Source: UNAIDS/WHO estimates.

Increase in people receiving ART over time Source: UNAIDS/WHO estimates.

ART coverage over time 50% 40% 30% 20% 10% 0% 3% 3% 3% 4% 5% 7% 9% 12% 16% 20% 23% 27% 32% 37% 42% 46% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Source: UNAIDS/WHO estimates.

ART coverage by sex among adults, 2015 70% Women Men 60% 50% 40% 30% 20% 10% 0% 52% 40% 53% 39% 59% 44% 34% 21% 56% 52% 46% 35% 42% 39% 12% 11% 51% 45% Global African Region Eastern and southern Africa Western and central Africa Region of the Americas South-East Asia Region European Region Eastern Mediterranean Region Western Pacific Region Source: UNAIDS/WHO estimates.

Contents 1. Global impact 2. Service cascade 3. Policies and WHO support

WHO has developed four core sets of guidelines to support Fast. Track action in countries Source: WHO

Countries that have included or that plan to include HIV self-testing in their national policies, October 2016 Source: WHO 2016 survey (HIV Country Intelligence Tool).

Adoption of the "treat all" recommendation among adults and adolescents living with HIV, October 2016 33% of all LMIC and 71% of fast track countries have adopted "treat all". By the end of 2016, more than half of all LMIC and 80% of fast track countries will have adopted "treat all" Source: Global AIDS Response Progress Reporting (WHO/UNICEF/UNAIDS) and WHO HIV Country Intelligence Tool.

Implementation of the "treat all" recommendation among adults and adolescents living with HIV, October 2016 30% of all LMIC and 63% of fast track countries have implemented "treat all" Source: Global AIDS Response Progress Reporting (WHO/UNICEF/UNAIDS) and WHO HIV Country Intelligence Tool.

Provision of lifelong ART to pregnant and breastfeeding women living with HIV, October 2016 Source: Global AIDS Response Progress Reporting (WHO/UNICEF/UNAIDS) and WHO HIV Country Intelligence Tool.

Countries are adapting the WHO guidelines for key population services in their national HIV policies or plans, October 2016 Source: WHO 2016 survey (WHO Country Intelligence Tool).

Countries that completed HIV services cascades, October 2016 Source: WHO 2016 survey (WHO Country Intelligence Tool).

Median CD 4 cell count at ART initiation have increased significantly in all regions

Prices are still falling, but second-line ART costs three times more than first-line ART Source: WHO Global Price Reporting Mechanism.

Capacity-building workshops are supporting the implementation of key WHO guidelines, 2016 Source: WHO

Areas in which WHO provided countries with significant technical support for their HIV programmes in the past three years Note: There are no countries where support for only treatment and testing are provided. Source: WHO 2016 survey (WHO HIV Country Intelligence Tool).