Upload
alyson-dixon
View
214
Download
1
Embed Size (px)
Citation preview
© 2006 Population Reference Bureau
Map of HIV Prevalence Worldwide
2005
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
Adults Ages 15-49 with HIV
15.01% - 34.0%
5.01% - 15.0%
1.01% - 5.0%
0.51% - 1.0%
0.0% - 0.5%
Not available
© 2006 Population Reference Bureau
People Living with HIV, by Region
Sub-Saharan Africa63%
North Africa and Middle East
1%
South and South-East Asia
20%
Latin America4%
Caribbean1%
Eastern Europe and Central Asia
4%
Oceania<1%
East Asia2%
North America3%
Western and Central Europe
2%
Distribution, 2005
Note: Total exceeds 100 percent due to rounding.Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
• In 2005, an estimated 38.6 million adults and children worldwide were living with HIV.• Sixty-three percent of the world’s HIV population lives in sub-Saharan Africa.
Notes on People Living with HIV, by Region
© 2006 Population Reference Bureau
HIV Demographics, Worldwide
Men49%
Women45%
Children6%
Composition of the Population Living with HIV, 2005
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
Men38%
Women54%
Children8%
Men69%
Women29%
Children2%
HIV Demographics, Africa
Composition of the Population Living with HIV, 2005
Sub-Saharan Africa Rest of the World
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
Notes on HIV Demographics, Africa
• The proportion of people living with HIV who are adult women (ages 15 to 49) is 1.9 times higher in sub-Saharan Africa than in other regions.
• In sub-Saharan Africa, where HIV is spread predominantly through heterosexual activity, women account for more than half of the 24.5 million people living with HIV. In other regions, the proportion of people living with HIV who are women drops to an average of around one-third.
© 2006 Population Reference Bureau
HIV Demographics, Caribbean
Children7%
Women50%
Men43%
Composition of the Population Living with HIV, 2005
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
HIV Demographics, East Asia
Children1%
Women28%
Men71%
Composition of the Population Living with HIV, 2005
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
HIV Demographics, Eastern Europe/Central Asia
Children<1%
Women28%
Men72%
Composition of the Population Living with HIV, 2005
Note: Total exceeds 100 percent due to rounding.Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
HIV Demographics, Latin America
Children2%
Women29%
Men69%
Composition of the Population Living with HIV, 2005
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
HIV Demographics, North Africa/Middle East
Children7%
Women44%
Men49%
Composition of the Population Living with HIV, 2005
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
HIV Demographics, South/Southeast Asia
Men69%
Women29%
Children2%
Composition of the Population Living with HIV, 2005
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
Adults with HIV Who are Women
48
59
53
48
30
30
28
28
28
26
World
Sub-Saharan Africa
Caribbean
North Africa/Middle East
Latin America
South/Southeast Asia
East Asia
Eastern Europe/Central Asia
Western and Central Europe
North America
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
2005Percent
© 2006 Population Reference Bureau
• Women make up almost one-half of HIV-infections worldwide and 59 percent of infections in sub-Saharan Africa, where the virus is spread predominantly through heterosexual transmission and has reached the general population. In a generalized epidemic, women’s low status and inability to negotiate with men puts them at great risk of contracting the disease.• Women account for smaller percentages of infected people where the AIDS epidemic is limited to high-risk populations such as injecting drug users or men having sex with men.
Notes on Adults with HIV Who are Women
© 2006 Population Reference Bureau
72
4246
39
5862
66676963 65
76
Lesotho Malawi Zimbabwe Belize Haiti Cambodia
With AIDS Without AIDS
Projections for Selected CountriesLife expectancy at birth, in years
Effect of AIDS on Life Expectancy 2015-2020
Source: United Nations, World Population Prospects: The 2004 Revision, 2005.
© 2006 Population Reference Bureau
• AIDS has reduced life expectancy in several countries around the world.• In Lesotho, for example, without accounting for the impact of AIDS, life expectancy would have been 69 years; however, with AIDS, life expectancy has dropped to 39 years.
Notes on Effect of AIDS on Life Expectancy 2015-2020
© 2006 Population Reference Bureau
3 2 1 0 1 2 33 2 1 0 1 2 3
Population Structure in 2020Millions
Males Females
With AIDS Without AIDS
Age80+7570656055504540353025201510 5 0
AIDS’ Toll on Population Structure, South Africa
Source: United Nations, World Population Prospects: The 2004 Revision (CD-ROM Edition—Extended Dataset), 2005.
© 2006 Population Reference Bureau
Millions
South Africa’s Population With and Without AIDS
0
10
20
30
40
50
60
70
1980 1985 1990 1995 2000 2005 2010 2015 2020
With AIDS Without AIDS
Source: United Nations, World Population Prospects: The 2004 Revision (CD-ROM Edition—Extended Dataset), 2005.
© 2006 Population Reference Bureau
118123
78 74
143
117
98
71
43 43
7378
Kenya Lesotho Nambia South Africa Swaziland Zimbabwe
With AIDS Without AIDS
Selected Countries in Sub-Saharan Africa, 2002-2005Deaths of children under age 5 per 1,000 live births
Source: UNAIDS and UNICEF, A Call to Action: Children, The Missing Face of AIDS, 2005; and United Nations, World Population Prospects: The 2004 Revision, 2005.
Effect of AIDS on Child Mortality
© 2006 Population Reference Bureau
0.6
3.0
8.5
12.3
18.4
1990 1995 2000 2003 2010
Sub-Saharan AfricaMillions of children under age 18
Note: Estimate of children who lost at least one parent to an AIDS-related cause.Source: UNAIDS, UNICEF, and USAID, Children on the Brink 2004.
Increase in Children Orphaned By AIDS
© 2006 Population Reference Bureau
Children Orphaned by AIDS in Sub-Saharan Africa
Distribution of Orphans, by Country, 2005
Kenya10%
Tanzania10%
Zimbabwe10%
Uganda9%Nigeria
8%
Zambia6%
Malawi5%
Mozambique4%
Côte d'Ivoire4%
Cameroon2%
Rwanda2%
Other 14%
South Africa10%
Democratic Republic of
Congo6%
Source: UNAIDS, 2006 Report on the Global AIDS Epidemic, 2006.
© 2006 Population Reference Bureau
HIV Testing Models for Different Settings
Doorway to Prevention and Access to Care
Note: STI: Sexually transmitted infections, TB: Tuberculosis, VCT: Voluntary counseling and testing, HBC: Home-based careSource: Family Health International, 2006.
MandatoryImmigrationWork-related
Custodial settings
Blood SafetyBlood products
SurveillanceAnonymous
Population Level
Individual Level
VCTYouth
Most-at-risk-populations
CouplesFamily planning
RoutineTesting
STIAntenatalTB clinics
Community-Based
Door-to-doorMobile
Outreach
DiagnosticTesting
Clinical settingsHBC
Symptomatic
Prevention and Access to Care