HIV in PAKISTAN The National ResponseNational AIDS Control ProgramMinistry of Health, Pakistan

Cities reporting HIV epidemics among IDUs in PakistanPeshawarBannuSialkotLahoreSargodhaFaislabadGujranwalaMultanQuettaLarkanaSukkhurHyderabadKarachi

INJECTION DRUG USERS - Estimates* PNCB 1993** UNODC 2005 & Surveillance Data 2006

IDUs - Estimates

IDUs : Coverage Estimates

Services provided to IDUs - DICs and Mobile DICsSocial servicesBehavior changePeer outreach through motor bikesPrimary Health Care / STIs : ASD & Refrerrals Provision of condoms and lubricantsVCTCARTDetoxification and Rehabilitation.

Opportunities for scaling upCommitment : Government (MoH, MNC, ANF, MoSW) NGOs, CommunityCapacity available at local levelAvailability of skilled Human resource Data base available for planning targeted interventionsComprehensive surveillance system available for monitoring

Challenges for scaling upRapidly changing drug scenarioResources : financial Legal barriers

Next StepsScaling up of existing servicesMappingNew sites included80% coverageGovernment initiativeInclusion of Oral Substitution Therapy