HIV and AIDS Data in Papua New Guinea: An Overview

HIV and AIDS Data Hub for Asia-Pacific Review in slides Papua New Guinea Last updated: August 2019 www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific CONTENT Basic socio-demographic indicators HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge HIV expenditure National response 2

HIV and AIDS Data Hub for Asia-Pacific BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 7,619 (2015) 1 Population aged 15-49 (thousands) 3,933 (2015) 1 Maternal mortality ratio (per 100 000 live births) 215 (2015) 5 Percentage of population in urban areas 13 (2015) 2 Antenatal care coverage - At least one visit (%) 62 (2010) 7 Crude birth rate (births per 1,000 population) 28.5 (2014) 2 Under-5 mortality rate (per 1,000 live births) 57 (2015) 2 Human development index (HDI) - Rank/Value 158/0.505 (2014) 4 Life expectancy at birth (years) - Male/Female 61/65 (2015) 5 Adult literacy rate (%) Ratio of girls to boys enrolled at primary level in public and private school (%) GDP per capita (PPP, current international $) 63 (2013) 2 0.91 (2012) 2 2,865 (2014) 2 Per capita total expenditure on health (PPP int. $) 108 (2012) 3 Sources: Prepared by www.aidsdatahub.org based on 1. UN Population Division. (2015). World Population Prospects: The 2015 Revision - Extended Dataset; 2. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved July 2016, from http://data.worldbank.org/; 3. WHO. (2015). World Health Statistics 2015; 4. Palanivel, T., Mirza, T., Tiwari, B. N., Standley, S., & Nigam, A. (2016). Asia-Pacific Human Development Report - Shaping the Future: How Changing Demographics Can Power Human Development; 5. WHO. (2016). World Health Statistics 2016: Monitoring health for the SDGs; 6. World Bank Group. (2016). World Development Indicators 2016 and 7. Secretariat of the Pacific Community. Compare MDG5 Indicators (MDG) - Antenatal Care Coverage Retrieved May 2016, from http://www.spc.int/nmdi/ mdg5

HIV prevalence and epidemiology www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Estimated people living with HIV and new HIV infections, 1990-2018 60,000 50,000 45,000 Number (estimate) 40,000 30,000 20,000 10,000 2,100 - 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 PLHIV New HIV infections 5 Source: Prepared by www.aidsdatahub.org based on UNAIDS 2019 HIV Estimates

HIV and AIDS Data Hub for Asia-Pacific Estimated people living with HIV and new HIV infections, 1990-2018 60,000 8,000 7,000 50,000 45,000 Number (estimate) 6,000 Number (estimate) 40,000 5,000 30,000 4,000 3,000 20,000 2,100 2,000 10,000 1,000 - - 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 PLHIV New HIV infections 6 Source: Prepared by www.aidsdatahub.org based on UNAIDS 2019 HIV Estimates

HIV and AIDS Data Hub for Asia-Pacific Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2018 50,000 45,000 43,000 40,000 35,000 Number (estimate) 30,000 25,000 25,000 20,000 15,000 10,000 5,000 0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 Adults (15+) living with HIV Women (15+) living with HIV 7 Source: Prepared by www.aidsdatahub.org based on UNAIDS 2019 HIV Estimates

HIV and AIDS Data Hub for Asia-Pacific Key population size estimates, 2016 Key population size estimates Populations Estimate Year of estimate Female sex workers (FSW) Port Moresby Lae Mt. Hagen 16 100 6100 2700 2016 Combined MSM and TG Port Moresby Lae 7500 4700 2016 Source: Prepared by www.aidsdatahub.org based Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea. 8

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among key populations, Port Moresby, 2009-2016 19 20 14.9 HIV prevalence (%) 14.2 15 10 8.5 7.4 4.4 5 0 2009 2010 2016 MSM* FSW MSW * Combined sample of MSM and TG in 2016 9 Source: Prepared by www.aidsdatahub.org based on: Save the Children. (2009). Poro Sapot Projecct; IBBS 2010, and Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio- Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among key populations, 2016 25 19.6 20 HIV prevalence (%) 14.9 15 11.9 10 8.5 6.9 5 0 Mt. Hagen Port Moresby Lae FSW Combined sample of MSM and TG Source: Prepared by www.aidsdatahub.org based on: Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea 10

HIV and AIDS Data Hub for Asia-Pacific Prevalence of STIs among a mixed survey sample of MSM and TG, 2016 0 5 10 15 20 25 % 9.6 Chlamydia - Anorectal 6.5 12.3 Chlamydia - Urogenital 14.5 7.1 Gonorrhoea - Anorectal 4.6 3.6 Gonorrhoea - Urogenital 7.5 10 Syphiis- Ever infected 21.1 4 Active syphilis 8.3 11.6 Hepatitis B virus 13.8 Port Moresby Lae Source: Prepared by www.aidsdatahub.org based on: Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea 11

HIV and AIDS Data Hub for Asia-Pacific Prevalence of STIs among FSW, 2016 0 10 20 30 40 % 31.8 32.1 32 Chlamydia - Anorectal 29.7 Chlamydia - Urogenital 35.3 32.5 19.3 Gonorrhoea - Anorectal 22.6 15.1 18.6 Gonorrhoea - Urogenital 21.5 15.4 16.1 Syphiis- Ever infected 19.7 10.9 7.2 6.9 Active syphilis 3 9.3 Hepatitis B virus 10.7 10.8 Port Moresby Lae Mt Hagen Source: Prepared by www.aidsdatahub.org based on: Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea 12

HIV and AIDS Data Hub for Asia-Pacific Annual reported number of HIV infections, 1996-2010 4500 4208 4000 3711 3682 3500 3078 3059 3000 2638 Number 2317 2500 2043 2000 1714 1314 1500 1076 790 1000 661 348 500 192 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS Council PNG. (2007). The 2007 Estimation Report on the HIV Epidemic in Papua New Guinea; and 2. Wanyeki, I (2011). 2011 HIV Epidemiological Update: Pacific Island Countries & Territories; 13

HIV and AIDS Data Hub for Asia-Pacific Annual reported number of new HIV cases and cumulative HIV infections, 1996-2010 35,000 31,609 30,000 27,002 25,000 23,291 20,232 Number 20,000 18,189 14,507 15,000 11,429 8,791 10,000 6,474 4,760 5,000 3,446 1,5792,370 918 570 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 14 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS Council PNG. (2007). The 2007 Estimation Report on the HIV Epidemic in Papua New Guinea; and 2. Wanyeki, I (2011). 2011 HIV Epidemiological Update: Pacific Island Countries & Territories; and 3. Intelligence, Cross Cutting Issues, Monitoring and Evaluation Unit of the Papua New Guinea National AIDS Council Secretariat. (2012). Factsheet 2011 Edition.

HIV and AIDS Data Hub for Asia-Pacific Reported new HIV cases by mode of transmission, 2006-2010 100 % Unknown/Others 80 Injecting drug use Blood Transfer 60 Body piercing/Tattoo 85 MSM 82 40 Perinatal 60 52 50 Heterosexual 20 0 2006 2007 2008 2009 2010 15 Source: Prepared by www.aidsdatahub.org based on the data received from PNG UNAIDS Country Office as part of preparation for the 9th UNAIDS Regional Management Meeting, October 2012.

Risk behaviors www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations who reported condom use at last sex, Port Moresby, 2009-2016 FSW MSM Male sex workers % 100 90 80 76 80 70 63 60 53 51 50 50 42 40 30 30 20 10 0 2009 2010 2016 Data points are not strictly comparable. 2009 data is from Save the Children Poro Sapot Project, and 2010 and 2016 data are from Integrated Biological and Behavioral Survey in Port Moresby 17 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS Council Secretariat PNG and Partners. (2010). UNGASS Country Progress Report: Papua New Guinea; 2. National AIDS Council Secretariat. (2012). Papua New Guinea Global AIDS Response Progress Report, 2012, and 3. Global AIDS Monitoring 2017

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM and TG who reported condom use by partner type, 2016 % 100 90 80 70 60 50 42 36 40 33 31 30 25 30 20 17 20 10 0 with main male partner with casual male partner with main male partner with casual male partner condom use at last sex Consistent condom use Port Moresby Lae 18 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW who reported condom use at last vaginal sex by partner type, 2016 % 100 90 80 70 59 56 60 50 44 50 39 38 40 32 31 31 30 20 14 11 11 10 0 with casual male partner with non-paying regular partner with one-time client * with regular client * * in the last 2 weeks Port Moresby Lae Mt Hagen 19 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW who reported condom use at last anal sex by partner type, 2016 % 100 90 80 70 60 50 37 40 30 24 17 20 11 7 6 10 0 with casual male partner with non-paying regular partner Port Moresby Lae Mt Hagen 20 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW who reported consistent condom use at vaginal sex in the last 6 months by partner type, 2016 % 100 90 80 70 58 60 50 35 40 33 30 23 20 18 20 13 5 10 3 0 with casual male partner with non-paying regular partner with clients Port Moresby Lae Mt Hagen 21 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Number of clients in the last 6 months among FSW, 2016 100% 19 34 80% 42 20 60% 10+ clients 5-9 clients 3-4 clients 1-2 clients 23 29 26 40% 20 21 20% 32 23 12 0% Port Moresby Lae Mt Hagen 22 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Number of non-paying regular partners in the last 6 months among FSW, 2016 100% 11 11 18 80% 28 36 2 or more regular partners 37 60% 1 regular partner 40% 60 54 No regular partner 45 20% 0% Port Moresby Lae Mt Hagen 23 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Number of lifetime male or transgender partners among a mixed survey sample of MSM and TG, 2016 100% 14 20 80% 25 10+ partners 23 60% 5-9 partners 21 26 40% 3-4 partners 1-2 partners 20% 39 31 0% Port Moresby Lae 24 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Number of main female partners in the last 6 months among mixed survey sample of MSM and TG who reported sex with a female 100% 9 12 3 or more partners 19 80% 16 2 partners 60% 1 partner 40% 72 72 NOTE: 81% and 92% of the mixed survey sample of MSM in Port Moresby respectively, reported having sex with a female partner in the last 6 months 20% and Lae, 0% Port Moresby Lae 25 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Age at first sex with a male or TG partner among mixed survey sample of MSM and TG, 2016 100 90 80 70 % (weighted) 60 50 41 38 40 30 29 25 30 22 20 8 7 10 0 10-14 yr 15-19 yr 20-24 yr 25+ yr Port Moresby Lae 26 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Age of initiation into sex work among sex workers, 2016 Mt Hagen 6 39 31 16 6 2 14 yr 15-19 yr 20-24 yr Lae 7 33 26 19 8 7 25-29 yr 30-34 yr Port Moresby 5 35 26 16 12 6 35+ yr 0% 20% 40% 60% 80% 100% 27 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of surveyed MSM and TG with other risk behaviors, 2016 Port Moresby Lae 100 80 % (weighted) 60 52 38 40 20 13 9 1.9 0.4 0 Ever sold sex Bought sex * Ever injected drugs * Bought sex from another male or TG in the last 6 months 28 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations who reported being forced to have sex in the last 12 months, 2016 100 80 % weighted 60 45 41 38 36 40 23 20 0 Port Moresby Lae Mt Hagen FSWs MSM/TG 29 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of adults (15-49) years who reported having multiple sex partners in the last 12 months, 2007-2011 % 100 80 60 40 23 17 20 8 0 2007 2009 2011 30 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of adults (15-49) who reported condom use at last sex among people with multiple sexual partnerships, 2007-2011 % 100 90 80 70 60 50 43 39 40 29 30 20 10 0 2007 2009 2011 31 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Vulnerability and HIV knowledge www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of surveyed key populations who have heard about pre and post exposure prophylaxis, 2016 % weighted 0 20 40 60 80 100 Heard about post- 19 Port Moresby 16 prophylaxis exposure 11 13 Lae 10 FSW Mt Hagen MSM/TG 11 Heard about pre- Port Moresby 7 prophylaxis exposure 10 10 Lae 4 Mt Hagen 33 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations who have ever been arrested because of sexual practices or gender identity, 2016 100 80 % weighted 60 40 20 11 7 5 4 1 0 Port Moresby Lae Mt Hagen FSW MSM/TG 34 Source: Prepared by www.aidsdatahub.org based on Kelly-Hanku, A et al. (2018). Kauntim mi tu: Multi-Site Summary Report from the Key Population Integrated Bio-Behavioural Survey, PNG. PNG Institute of Medical Research and Kirby Institute, UNSW Sydney: Goroka, Papua New Guinea.

HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations with comprehensive HIV knowledge by age group, 2006-2007 100 % 80 72 71 68 60 40 39 35 33 20 0 Total <25 25+ Total <25 25+ FSWs (2006) MSM (2007) Source: Prepared by www.aidsdatahub.org based on PNG NACS, First Round Behavioral Surveillance Survey, 2006-07 cited in National AIDS Council Secretariat PNG and Partners. (2010). UNGASS Country Progress Report: Papua New Guinea 35

HIV and AIDS Data Hub for Asia-Pacific Proportion of surveyed populations with comprehensive HIV knowledge by age group and gender, 2008-2009 % 100 <25 25+ 80 60 46 40 29 20 21 20 19 18 23 14 34 19 25 19 44 47 44 0 Total Female Male Total Female Male Total Female Male STI patients Plantation workers Petroleum development workers Source: Prepared by www.aidsdatahub.org based on NDoH and National Research Institute Bio-Behavioural Survey, Lae Friends Clinic, 2008 and National Research Institute Behavioral Surveillance Surveys, 2008-2009 cited in National AIDS Council Secretariat PNG and Partners. (2010). UNGASS Country Progress Report: Papua New Guinea 36

HIV and AIDS Data Hub for Asia-Pacific Proportion of young people (15-24) with comprehensive HIV knowledge by age group and gender, 2008 100 % 80 60 40 26 20 16 22 17 26 0 Total Female Male <25 25+ 37 Source: Prepared by www.aidsdatahub.org based on Data from Institute of Medical Research Study, Kimbe, 2008 cited in National AIDS Council Secretariat PNG and Partners. (2010). UNGASS Country Progress Report: Papua New Guinea

HIV and AIDS Data Hub for Asia-Pacific Proportion of young people (15-24) with comprehensive HIV knowledge by gender, 2004 and 2008 % 0 20 40 60 80 100 8 Total 22 2004 2008 6 Female 17 10 Male 26 Sources: Prepared by www.aidsdatahub.org based on 1. National AIDS Council Secretariat PNG. (2006). UNGASS Country Progress Report: Papua New Guinea, and 2. Data from Institute of Medical Research Study, Kimbe, 2008 cited in National AIDS Council Secretariat PNG and Partners. (2010). UNGASS Country Progress Report: Papua New Guinea 38

HIV expenditure www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific AIDS spending by financing source, 2009-2012 US$ million 70 $60.6 60 $14.5 50 40 30 $46.1 20 10 0 2009 2010 2011 2012 Domestic funding International funding Total AIDS spending 40 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific AIDS spending by financing source, 2010-2012 100% 80% $22,602,413 $33,527,352 $34,349,562 $25,043,519 60% USD $4,828,222 40% $3,753,986 $5,706,317 $5,991,131 20% $18,914,094 $12,712,210 $10,843,186 $4,884,539 0% 2009 2010 2011 2012 Prevention Care and treatment Others 41 Source: : Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of total prevention programme spending on key populations at higher risk, 2009-2012 100% 90% 80% 70% % Others 60% 91% 98 99 50% 100% % on men who have sex with men % on sex workers and their clients 40% 30% 20% 10% 2 1 1 0% 2009 2010 2011 2012 42 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

National response www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations who received an HIV test in the last 12 months and know their results, 2006-2016 Female sex workers Men who have sex with men % 100 90 80 70 60 67 60 59 50 57 56 40 47 47 42 30 20 10 0 2006 2009 2010 2016 Data points are not strictly comparable. 2006 = End Project Evaluation Survey data 2009 = Save the Children Poro Sapot Project data 2010 = Data from Integrated Biological and Behavioral Survey in Port Moresby 2016 = Mixed sample of MSM and TG 44 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS Council Secretariat PNG and Partners. (2010). UNGASS Country Progress Report: Papua New Guinea; 2. National AIDS Council Secretariat. (2012). Papua New Guinea Global AIDS Response Progress Report, 2012, and 3. Global AIDS Monitoring 2017

HIV and AIDS Data Hub for Asia-Pacific Number of ART sites and people on ART, 2000-2017 30,000 120 26,393 25,000 100 90 87 87 People on ART 76 20,000 80 ART sites 5255 15,000 60 10,000 40 5,000 20 0 0 Number of health facilities that offer ART Number of people on ART Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010; 2. Papua New Guinea Global AIDS Response Progress Reports; 3. Global AIDS Monitoring 2017 and 4. UNAIDS. (2018). UNAIDS 2018 HIV estimates. 45

HIV and AIDS Data Hub for Asia-Pacific HIV testing and treatment cascade, 2018 100 % 90 81 80 73 60 40 20 87 65 n/a 0 PLHIV who their status PLHIV on treatment PLHIV who are virally suppressed Progress (%) Gap Target 46 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2019). UNAIDS 2019 HIV Estimates and Global AIDS Monitoring 2019

HIV and AIDS Data Hub for Asia-Pacific Treatment cascade, 2018 50000 45,000 45000 39,321 40000 Number of people 35000 29,420 30000 25000 20000 15000 10000 5000 1,475 1,208 n/a 0 Estimated PLHIV PLHIV know their status PLHIV receiving care People on ART Tested for viral load Suppressed viral load * * Number of people on ART who received a viral load test in the past year and have VL of <1000copies/ml 47 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2019). UNAIDS 2019 HIV Estimates and Global AIDS Monitoring 2019

HIV and AIDS Data Hub for Asia-Pacific Estimated adults living with HIV, adults receiving ARVs, and adult ART coverage, 2018 50,000 100 45,000 40,000 80 35,000 ART coverage (%) 66 30,000 60 27,975 Number 25,000 42,000 20,000 40 15,000 10,000 20 5,000 - 0 Estimated number of adults 15+ living with HIV Number of adults 15+ receiving ARVs ART coverage (%) 48 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2019). UNAIDS 2019 HIV Estimates and Global AIDS Monitoring 2019

HIV and AIDS Data Hub for Asia-Pacific ART scale up, 2000-2018 35,000 100 29,420 30,000 80 25,000 ART coverage (%) Number 60 20,000 15,000 40 10,000 20 5,000 1 3 9 13 17 20 25 31 38 46 51 56 60 65 0 0 %PLHIV on ART Number of people on ART 49 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2019). UNAIDS 2019 HIV Estimates and Global AIDS Monitoring 2019

HIV and AIDS Data Hub for Asia-Pacific Estimated pregnant women living with HIV, pregnant women receiving ARVs, and PMTCT coverage, 2018 1,600 100 1,400 80 79 1,200 ART coverage (%) 959 1,000 Number 60 800 40 1,200 600 400 20 200 - 0 Estimated number of pregnant women living with HIV Number of pregnant women receiving ARVs PMTCT coverage (%) 50 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2019). UNAIDS 2019 HIV Estimates and Global AIDS Monitoring 2019