Final_Edited_Complete-Draft_2012_Annual_STIs, HIVAIDS_Surveillance_Report_13_5_15

THE 2012 ANNUAL STIs, HIV/AIDS SURVEILLANCE
REPORT
Papua New Guinea National Department of Health
HIV Surveillance Unit
Published in June 2015

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Contents
Executive Summary .....................................................................................................................................10
Routine HIV Monthly Testing Reporting..............................................................................................10
Routine HIV Case Surveillance/Reporting ..........................................................................................11
Routine Monthly Anti-Retroviral Therapy (ART) Monitoring .....................................................11
Trends of TB & Other STIs among PLHIVs 2010 – 2012.................................................................12
Section 1: Introduction...............................................................................................................................14
1.1. HIV Estimations & Projections ........................................................................................................14
Section 2: Routine HIV Counseling & Testing Monitoring .............................................................15
Section 4: HIV Case Surveillance.............................................................................................................23
Section 6: Routine Other STIs Surveillance (NHIS) ..........................................................................40
Section 7: HIV/TB Collaboration.............................................................................................................42
Section 9: Recommendations...............................................................................................................47
9.1. Management perspectives............................................................................................................47
9.2. Technical perspective ....................................................................................................................47
Table.29. National perspective recommendations for the technical officers ....................47

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List of Tables
Table 1 – HIV Testing & Counseling by Age, Sex & Point of Testing
Table 2 – HIV Testing & Counseling by Province, Total Tests, Total Positive Tests & Prevalence
Table 3 – HIV Testing & Counseling at ANC by Province, Region, Sex, Total Tested, Total Positive
& Prevalence
Table 4 – Infants Tested for HIV through EID by Years, Number Tested & Number Tested
Positive
Table 5 – ARVs Given to HIV Positive Mothers & their Infants by Province, Sites & Dosages
Table 6 – Infants Prescribed ARVs prophylaxis by Province, Site & Dosages
Table 7 – HIV Positive Cases Detected in 2012 by Age & Sex
Table 8 – Annual & Cumulative HIV Positive Cases Reported, 1987–2012
Table 9 – HIV Positive Cases Reported in 2012 by Province of Detection, Region & Sex
Table 10 – HIV Positive Cases Detected in 2012 by Province of Origin, Region & Sex
Table 11 – HIV Positive Cases Detected in 2012 by Mode of Transmissions, Sex & Regions
Table 12 – HIV Positive Cases Detected in 2012 by Marital Status, Sex & Regions
Table 13 – HIV Positive Cases Detected in 2012 by Education Status, Sex & Regions
Table 14 – HIV Positive Cases Detected in 2012 by Occupation Status, Sex & Regions
Table 15 – HIV Positive Cases Detected in 2012 by Sexual Risk Factors
Table 16 – HIV Positive Cases Detected in 2012 by Current TB status, Sex & Regions
Table 17 – HIV Positive Cases Detected in 2012 by Current Other STIs Status, Sex & Regions
Table 18 – Annual HIV Care & Treatment Summary by Years, HIV Care & Treatment
Registration, Started & On ART Treatment, Started & On ART-TB Treatments, PPTCT,
PEP, Deaths & Defaults
Table 19 – HIV Patients Registered in 2012 by Regions, Site & Sex
Table 20 – HIV Patients Starting Treatment in 2012 by Regions, Province, Site & Sex
Table 21 – Deaths & Defaults in 2012 by Region, Province, Site & Sex
Table 22 – ARVs Prescribed to Infants & Mothers by Region, Province & Site
Table 23 – Cumulative HIV Care & Treatment Summary by Years, HIV Care & Treatment
Registration, Started & On ART Treatment, Started & On ART-TB Treatments, PPTCT,
PEP, Deaths & Defaults
Table 24 – Proportions of Reported Other STIs by Regions
Table 25 – Number of Other STIs Reported by Province, Region, Sex & Types of Cases
Table 26 – Annual & Cumulative Number of TB & HIV Positive Patients Taking both TB & HIV
Treatments by Years
Table 28 – National Perspectives Recommendations for the Management
Table 29 – National Perspective Recommendations for the Technical Officers

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List of Figures
Figure 1 – HIV Prevalence >1.0% in 2012 by Province
Figure 2 – Three years TB trends among PLHIVs, 2010–2012
Figure 3 – Three years Other STIs trends among PLHIVs, 2010–2012
Figure 4 – Estimated & Projected HIV Prevalence by Regions
Figure 5 – Infants Tested for HIV through EID by Years, Number Tested & Number Tested
Positive
Figure 6 – ARVs Prescribed to Exposed Infants by Province & Doses
Figure 7 – Three Years Trend Points of HIV Positive Cases by Province of Detection, Years &
Regions, 2010–2012
Figure 8 – Three Years Trend Points of PLHIVs Living in the Provinces by Province & Years
Figure 9 – Number of Health Facilities Reporting Other STIs Cases by Province
Figure 10 – Diagram Showing National HIV Data Reporting Mechanisms/Systems

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List of Appendixes
Appendix 1 – HIV Testing & Counselling at ANC
Appendix 2 – HIV Testing & Counselling at Blood Donors
Appendix 3 – HIV Testing & Counselling at Other STIs
Appendix 4 – HIV Counselling & Testing at TB
Appendix 5 – HIV Testing & Counselling at VCT
Appendix 6 – HIV Counselling & Testing at Other Health
Appendix 7 – Annual & Cumulative HIV Positive Cases Reported in PNG, 1987–2012 by Years &
Sex

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Abbreviations and Acronyms
ADB Asian Development Bank
AIDS Acquired Immunodeficiency Syndrome
ANC Antenatal Clinic
ART Anti-Retroviral Therapy
AusAID Australian Agency for International Development
BAHA Business Coalition against HIV and AIDS
BSS Behavioural Surveillance Surveys
CBO Community Based Organization
CDC U.S. Centres for Disease Control and Prevention
CHAI Clinton Health Access Initiatives
CHW Community Health Workers
CIS Correctional Institute Services
CPHL Central Public Health Laboratory
CSO Civil Society Organization
DBS Dry Blood Spot
DHS Demographic and Health Survey
DMS Director of Medical Services
EHP Eastern Highlands Province
ENBP East New Britain Province
EPP Estimation and Projection Package
ESP East Sepik Province
FBO Faith Based Organization
FHI Family Health International 360
FSW/s Female Sex Worker(s)
GFATM Global Fund for AIDS, TB and Malaria
GIS Geographic Information System
GLA Government Line Agency
HAMP HIV/AIDS Management and Prevention Act
HBC Home Based Care
HPDB HIV Patient DataBase
HEO Health Extension Officer
HIV Human Immunodeficiency Virus
HRC HIV Response Coordinator
IBBS Integrated Bio-Behavioural Survey
IDU Injecting Drug Users
IMAI Integrated Management of Adults and Adolescent Illnesses
IMR Institute of Medical Research
LNG Liquefied Natural Gas
MARPS Most At Risk Populations
MDR Resistance to Isoniaid & Rifampicin with or without resistance to other First-
Line Drugs (FLDs)
MLT Medical Laboratory Technician
MO Medical Officer
MSM Men Who Have Sex with Men
MSW/s Male Sex Worker(s)
NAC National AIDS Council
NACS National AIDS Council Secretariat
NCD National Capital District
NDoH National Department of Health
NGO Non Government Organization
NHASP National HIV/AIDS Support Project
NHIS National Health Information System

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NIP New Ireland Province
NRI National Research Institute
NSO National Statistical Office
OI Opportunistic Infections
OIC Officer in Charge
PAC Provincial AIDS Committee
PACS Provincial AIDS Committee Secretariat
PASHIP Papua New Guinea Australia Sexual Health Improvement Program
PCR Polymerase Chain Reaction
PEP Post Exposure Prophylaxis
PHIO Provincial Health Information Officer
PHO Provincial Health Office
PICT Provider Initiated Counselling and Testing
PLO Provincial Liaison Officer
PLHIV People Living with HIV
PMGH Port Moresby General Hospital
PPTCT Prevention of Parent to Child Transmission
PNG Papua New Guinea
ProMEST Provincial Monitoring and Evaluation Surveillance Team
PSI Population Service International
RDS Respondent Driven Sampling
SHP Southern Highlands Province
SIC Sister in Charge
SOPs Standard Operating Procedures
SPC South Pacific Commission
SPSS Statistical Package for Social Sciences
STIs Sexually Transmitted Infection
SITWG Strategic Information Technical Working Group
TB Tuberculosis
UNAIDS Joint United Nations Program on HIV/AIDS
UNDP United Nations Development Program
UNGASS United Nations General Assembly Special Session
UNICEF United Nations Children Fund
UPNG University of Papua New Guinea
VCT Voluntary Counselling and Testing
WHO World Health Organization
WHP Western Highlands Province
WNBP West New Britain Province
WSP West Sepik Province
XDR Resistance to at least Isoniaid & Rifampicin & to any Fluoroquinolone & to any of
The 3 Second-Line injectables (Amikacin, Capreomycin & Kanamycin)

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Acknowledgement
This report is a fruit of team efforts. NACS senior HIV Surveillance officers and NDoH HIV
Surveillance staff provided tireless efforts in compiling this report through conducting series of
data quality checks which included data follow-ups, entries, collation, analysis and report
writing; Mr. Marcel Burro, Mr. Willie Warie, Ms. Agnes Daniels, Ms. Pauline Pandea, Mr. Henry
Wou, Mr. Benjamin Haindapa and Mr. Luke Kumuno provided these efforts. Our special thanks
to Dr. Anup Gurung (WHO) for his contributions to data cleaning, analysis and interpretation
and Mr. Namarola Lote for putting together all data tables. We thanked Ms. Patricia Kepui for
editing and finalising this report.
We also extend our sincere thank you to Ms. Apa Parunga of Oil Search Limited Health
Foundation (GFATM PR), a partner supporting NDoH HIV Surveillance team with HIV
surveillance activities. We also acknowledged management support and leaderships of Dr. Nick
Dala and Mr. Danny Beiyo.
Finally, this report cannot be completed without efforts of local HIV testing facilities’ staff, ART
facilities’ staff, PACs M&E officers, hospitals laboratories’ staff and provincial health offices’ staff
who reported data to NDoH HIV Surveillance unit.

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Foreword
Papua New Guinea National Department of Health would like to express its sincere gratitude to
those who have contributed towards production of 2012 Annual STIs, HIV/AIDS Surveillance
report. Information in this report will assist all stakeholders develop policies, plan intervention
programs, monitor and evaluate existing programs and advocate for additional resources where
they see fit.
Compilation of this report satisfies one of the key objectives of government of PNG through
National AIDS Council and National Department of Health that is to provide up to date
information on HIV and Other STIs so that all stakeholders can access and use to plan and
implement their responses to HIV and Other STIs. Data used in this report was collected from
VCT sites, ANCs, Other STIs clinics, TB clinics, Blood Banks, Other Health HIV service delivery
points and ART sites through routine data collection.
A lot of efforts were made towards improving quantity and quality of data collected at
provincial and facility levels. At the end of 2012, 383 health facilities providing HIV testing and
counselling services reported data to NDoH HIV Surveillance unit compared to 356 in 2011, 266
in 2010, 250 in 2009, 201 in 2008, 60 in 2007, 35 in 2006, 12 in 2005 and 4 in 2004. A total of
200,711 HIV tests were administered in 2012, of which 4,723 were reported as confirmed HIV
positive. Furthermore, 59 ART sites offering HAART reported to NDoH.
While data generated from points of HCT, ART sites, 2-tests algorithm sites and hospital
laboratories has improved in quantity over the years, it has however dropped in quality in
terms of timeliness of reporting, accuracy and completeness of filling of the forms. Importance
of strategic information cannot be overemphasized given the need to create a more evidence-
based response to HIV so to direct resources and support where most required. Understanding
trends in HIV, Other STIs and TB infections plus practices that increase potential transmissions
of HIV are critical to understanding changing patterns and developments of HIV.
I encourage all staff working at health facilities to take data recording, collection and reporting
seriously as part of their routine work. Data from health facilities should be recorded, collected
and reported systematically in a timely manner to facilitate better studying and monitoring of
HIV and monitoring and evaluation of HIV intervention programs.
I am confident that the 2012 Annual STI, HIV/AIDS Surveillance report provides most up to date
data and information for all stakeholders to plan their responses and ensure scaling up of
strategies to contain HIV are accessible, equitable and stigma and discrimination free for people
living with and affected by HIV.
I wish to once again thank all stakeholders and partners for their continuous support in
assisting NDoH and NACS generate data and information presented in this report. I recommend
that this report be disseminated to all sectors and stakeholders for every one’s use.
………………………………………………………………………..
Secretary – National Department of Health

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Executive Summary
This report provides updated Other STIs and HIV related information compiled from four
different databases at NDoH in 2012. These databases include; (1) Routine HIV Case Reporting,
(2) Routine Monthly HIV Testing, (3) Routine Monthly Other STIs data through National Health
Information System (NHIS) and (4) Routine Monthly HIV Antiretroviral Therapy (ART)
Monitoring.
In 2009, data quality assurance and control tools were developed. Reporting performance of
sites, timeliness and completeness of routine data collected and reported were carefully
checked and recorded at the national level. This report contains key findings and updated
information from vital components of PNG’s current HIV Surveillance system. Unfortunately,
Sentinel (Periodic) Sero-Surveillance survey among ANC, Other STIs and TB clients and HIV
Behavioral Surveillance were not conducted for the year 2012 hence cannot be reported.
Routine HIV Monthly Testing Reporting
There were a total of 200,711 HIV tests carried out in 2012, out of which 4,723 were found to be
HIV positive, giving a HIV positivity rate of 3.41%. The trend remains the same like the earlier
years where more tests are conducted among females 138,578 in 2012 compared to 62,113
tests among males. Though more tests were conducted among females, HIV positivity rate is
however, higher among males (2.97%) than females (2.08%). At different points of entries for
HIV testing, HIV positivity rates were seen to be 0.53% among ANC clients, 0.24% among blood
banks clients, 3.22% among Other STIs clients, 4.56% among TB clients and 3.24% among VCT
clients.
At regional levels, the trend remains the same where more tests are carried out in the Highlands
region compared to other regions. Among ANC clients, some of the provinces showed high
positivity rates and these included Enga (6.12%), WHP (4.28%), NCD (4.14%), EHP (3.33%) and
Simbu (3.15%). Nine provinces out of 22 provinces had more than 1.0% positivity rates among
ANC clients. Most of these provinces belong to the Highlands and the Momase regions. These
findings are given in the graph below.
Fig.1. HIV Prevalence >1.0% in 2012 by Province
Reports of antenatal mothers tested for HIV are sent to NDoH from health facilities testing
antenatal mothers for HIV. Data recorded on these reports is entered into the national HIV
testing (Surv1) database from which ANC HIV testing data is generated from.
There was no Sentinel (Periodic) Sero-Surveillance carried out among antenatal mothers hence,
inferences towards HIV prevalence are fraught with biases. There are provinces which are
showing high HIV prevalence among antenatal mothers skewing the inference towards a more
generalized epidemic than concentrated epidemic as presently being thought.

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Routine HIV Case Surveillance/Reporting
A total of 2,857 HIV positive cases were reported through HIV Confidential Case Notification
forms or Surv4 forms in 2012. These were 1,096 (38.36%) males and 1,724 (60.34%) females.
Maximum number of cases was reported from the Highlands region (62.41%) followed by
Southern region (22.26%), Momase region (12.99%) and NGI region (2.35%). Analysis of
PLHIVs in regards to their Province of Origin showed 23.31% were originally from Enga,
20.01% from SHP, 12.9% from EHP, 11.5% from Simbu and 9.1% from WHP.
When analyzed by Current Province of Residence, 16.28% of the cases reported in 2012
stated they were based in NCD at the time of their detection, 14.44% were based in Enga,
12.73% in EHP, 8.57% in SHP and 6.1% in Simbu. Comparison of Province of Origin versus
Current Province of Residence shows maximum migration of PLHIVs took place from
provinces in the Highlands region to NCD and to other provinces where major
commercial/urban congregations are taking place.
There are limitations to Surv4 reporting form which remains unsolved. One of the major
limitations is the underreporting of Surv4. The issue is to do with sites that are conducting two-
tests or confirmatory test on-site. Some of these sites do not report cases they detect.
The other major limitation to Surv4 reporting is; many questions on sexual history are never
filled out and so most of the variables/questions on these remain blank. Probably, this shows
apathy towards taking sexual history in general or the lack of more focused mentoring towards
sexual history takings. These need to be improved so that epidemiological
variables/questions for HIV transmission can be captured accurately.
Routine Monthly Anti-Retroviral Therapy (ART) Monitoring
Surv2 forms report number of newly diagnosed HIV positive individuals who are registered into
HIV Care program. For 2012, 3,837 (3,648 adults and 189 pediatrics) newly diagnosed HIV
individuals registered for HIV care. Of these, 2,652 adults (41.0% males and 59.0% females) and
194 peadiatrics actually took ART. Close analysis showed more pediatrics were put on
treatment than registered into care. This may be due to a fallacy in data quality or it might be
that some pediatrics directly went into treatment without registering for care or that some
pediatrics cases were double counted.
There were 287 cases of defaults and 188 cases of deaths reported in 2012 per national Surv2
database. Data quality audits were not performed on a regular basis. Number of defaults was
highest at Heduru HIV/Other STIs clinic in Port Moresby. These numbers will be validated with
data contained in Heduru clinic’s HPDB as HPDBs contained recorded data of a PLHIV in a
cohort fashion.
For PPTCT, there were a total of 636 cases (334 mothers, 302 infants) placed on ARVs as part of
PPTCT. Single, dual and triple therapies were given for PPTCT however, there was no way
Option B-Plus and the earlier regiments given can be distinguished. These now, have been
streamlined in which new data collection and reporting tools were designed to capture Option
B-Plus regiment.
Routine Other STIs Data through NHIS Monthly Report
Other STIs syndromic data is being reported through NHIS. It is the only HIV surveillance data
recording, collection and reporting system that is integrated with NHIS as opposed to the rest of
HIV data recording, collection and reporting systems. Quality of data generated through this

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system cannot be assured due to infrequent systems of data quality audits and also inconsistent
reporting by the many Other STIs clinics.
Other STIs syndromes being reported must be seen with the fact that 50.0% of the syndromes
are asymptomatic mostly among females. There were 103,227 Other STIs syndromes reported
in 2012. These included 5.66% Genital Ulcer Disease (GUDs); 16.1% Urethral Discharge, 24.94%
Vaginal Discharge, 25.0% Pelvic Inflammatory Disorder (PID), 1.90% Genital Warts and 26.26%
Unclassified Other STIs syndromes.
Trends of Other STIs syndromes were seen to be highest in the Highlands region, (66.3% of all
Other STIs syndromes) followed by Momase region (12.9%), Southern region (12.08%) and NGI
region (8.84%). More trends of Other STIs syndromes can be analyzed once data recording,
collection and reporting systems are improved with consistent mentoring and data quality
audits to see if these syndromes are bacterial or viral. Other STIs control measures must be seen
as important for reducing HIV transmission. This needs a more concentrated effort in the
coming years.
Trends of TB & Other STIs among PLHIVs 2010 – 2012
HIV-TB co-infection must be seen as a major factor causing high mortality among PLHIVs.
Collaboration between HIV and TB programs is a first step to reducing chances of developing
MDR and XDR TB variants among PLHIVs. It is however, encouraging seeing some reports
showing trends in percentage (%) of TB cases among PLHIVs declining over the past three years
as seen in the graphs below.
Fig.2. Three years TB trends among PLHIVs, 2010–2012
Fig.3. Three years Other STIs trends among PLHIVs, 2010–2012
For HIV-Other STIs co-infection among PLHIVs, PNG is also witnessing a declining trend. This
however, must be interpreted with caution as Other STIs cases reported are syndromic
diagnosis thus, may not represent the actual trend unless this is confirmed by conducting an
operational research. Trends of Other STIs among PLHIVs form an important component of

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positive prevention of Other STIs. One of the positive prevention of Other STIs would be partner
treatment which can be a pillar to prevent further transmission of HIV.

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Section 1: Introduction
The 2012 Annual STIs, HIV/AIDS Surveillance report is delayed due to many reasons. The delay
is primarily due to late reports received from HIV testing and HIV treatment sites in the
provinces. Other delays include entering data into respective databases at the central level and
compiling of data to write the report. Cleaning of data and data bases and recovery of some data
also delay the whole process of writing this report. The server which was used for doing
backups of national databases crashed and so there were no backups made.
This report also displays the 2013 Epi-Projections results. Epi-Projection was undertaken using
HIV surveillance data up to 2013. Facilities having three and more data points were applied. For
PNG, Epi-Projection was conducted using Spectrum modeling for a generalized epidemic. This
may not be the correct model for PNG considering the fact that PNG may have a mixed or a
concentrated epidemic as some parts of the country are having generalized epidemic while
some are having concentrated epidemic. Thus, concentrated efforts are required to generate
enough data on key populations such as sex workers, MSMs and TGs to produce meaningful
projections. Until then, Epi-Projections in PNG uses whatever data that is available and that is
the HIV testing data among antenatal mothers.
The Epi-Projection report separates Hela and Jiwaka provinces from SHP and WHP while the
whole 2012 Annual STIs, HIV/AIDS Surveillance report does not. The reason being that Hela and
Jiwaka were just carved out in terms of government administration and mechanisms for which
health sector reporting is part of thus, Hela and Jiwaka HIV surveillance data are lump with SHP
and WHP data. This will be rectified and so in the next Annual STIs, HIV/AIDS Surveillance
report, Hela and Jiwaka will be shown in the data tables as separate provinces from SHP and
WHP.
1.1. HIV Estimations & Projections
2013 Estimates and Projections exercise used HIV surveillance data up to 2013 and applied
facilities that have 3 or more data points. Antenatal HIV testing, PMTCT and ART data were used
as principal data sources. Spectrum software (version 4.68) was used to run the estimates and
projections. Results of 2013 Estimates & Projections generated a national HIV prevalence of
0.49% over all for the country with varying provincial and regional estimates & projections.
Fig.4. Estimated & Projected HIV Prevalence by regions

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It can be seen that HIV prevalence rose and fell at different rates regionally, peaked at different
rates and at different times. All regions are projected to have a declining prevalence through to
2020. 2013 is the first time NCD was separated out from Southern region and taken as a region
on its own. This is due to the fact that there are lots of economic developments taking place and
hence majority of people from all over PNG come to reside in NCD making its population
equivalent to a region’s population.
HIV prevalence in NCD rose above the national average in 2001 to a peak of 1.25% in 2008
before starting to decline. Antenatal HIV testing data for NCD shows HIV prevalence of over
1.0% in 2003, peaked at 1.6% in 2006 and remains above 1.0% in 2012. The 2013 estimates
and projection exercise projects and estimates that NCD will not fall below 1.0% of HIV
prevalence until 2016.
2013 estimates & projections show Highlands region taking a similar course to that of the
national HIV prevalence rates although peaking slightly in 2006 at 0.76%. Highlands’s region
HIV prevalence rose above national average HIV prevalence in 2004 and has however, declined
to 0.63% in 2012. There are certain provinces within the Highlands region that continue to
report HIV prevalence of <1.0% among antenatal mothers. These provinces included WHP and
Enga. Eastern Highlands and Jiwaka provinces are reporting HIV prevalence of around 0.8%.
Section 2: Routine HIV Counseling & Testing Monitoring
2.1. HIV Testing & Counseling by Age, Sex & Point of Testing
HIV prevalence by age, sex and point of testing as presented in the tables below showed
prevalence of 0.53% among antenatal clients, 0.24% among blood banks’ clients, 3.22% among
Other STIs clients, 4.56% among TB clients, 3.24% among VCT clients and 3.41% among Other
Health seeking clients. HIV prevalence by age groups and point of testing showed that among
antenatal clients, age groups most affected were 10-14, 15-19 and 20-24 with HIV prevalences
at 0.69% and 0.63% respectively.
With Blood Bank, age groups most affected are 15-19 and 30-49 with prevalences of 0.26% and
0.28% respectively. Similarly, for Other STIs, age group 20-24 and 50 years and over are mostly
affected with prevalences of 3.99% and 4.04% respectively. This justifies that most of HIV
transmission occurs among young people which could also mean that there is high incidence of
HIV transmission taking place among these age groups. It is another story for TB, VCT and Other
Health where HIV prevalences are higher among older age groups. Among TB clients,
prevalence was 5.59% and 5.95% respectively for age groups 25-29 and 30-49.
Among VCT clients, age groups 25-29 and 30-49 have the highest HIV prevalences at 3.86% and
3.78% respectively. This might probably because young people have difficulty accessing VCT
HIV testing services. Under Other Health, clients are mainly In-Patients who mostly opted for
PICT. For this group, HIV prevalence was 3.4% across all age groups.
Table.1. HIV Testing & Counseling by Age, Sex & Point of Testing
Point of
Testing
Age
Group
Number tested for HIV Number of HIV positive test
Prevalence (%)
M F Total M F Total
ANC
<5 11 8 19 0 0 0 0.00
5-9 7 11 18 0 0 0 0.00
10-14 3 141 144 0 1 1 0.69
15-19 45 9,582 9,627 0 61 61 0.63
20-24 143 23,855 23,998 1 151 152 0.63

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25-29 176 21,653 21,829 6 102 108 0.49
30-49 264 20,999 21,263 14 71 85 0.40
50+ 31 446 477 2 2 4 0.84
Total 680 76,695 77,375 23 388 411 0.53
Blood
Bank
<5 0 0 0 0 0 0 0.00
5-9 2 0 2 0 0 0 0.00
10-14 4 9 13 0 0 0 0.00
15-19 793 346 1,139 2 1 3 0.26
20-24 1,642 417 2,059 2 1 3 0.15
25-29 1,657 366 2,023 3 2 5 0.25
30-49 3,763 890 4,653 7 6 13 0.28
50+ 657 165 822 2 0 2 0.24
Total 8,518 2,193 10,711 16 10 26 0.24
Other
STIs
<5 16 29 45 0 0 0 0.00
5-9 2 23 25 0 0 0 0.00
10-14 25 94 119 0 1 1 0.84
15-19 383 1,002 1,385 5 24 29 2.09
20-24 836 1,993 2,829 31 82 113 3.99
25-29 1,093 2,033 3,126 37 68 105 3.36
30-49 2,093 3,390 5,483 70 95 165 3.01
50+ 369 349 718 13 16 29 4.04
Total 4,817 8,913 13,730 156 286 442 3.22
TB
<5 145 145 290 4 2 6 2.07
5-9 99 78 177 0 1 1 0.56
10-14 80 114 194 0 1 1 0.52
15-19 226 303 529 1 15 16 3.02
20-24 404 477 881 10 25 35 3.97
25-29 463 467 930 25 27 52 5.59
30-49 979 955 1,934 57 58 115 5.95
50+ 447 326 773 23 11 34 4.40
Total 2,843 2,865 5,708 120 140 260 4.56
VCT
<5 251 252 503 21 13 34 6.76
5-9 364 457 821 6 4 10 1.22
10-14 962 1,160 2,122 0 12 12 0.57
15-19 4,143 5,420 9,563 19 138 157 1.64
20-24 7,363 7,533 14,896 121 331 452 3.03
25-29 7,266 8,061 15,327 233 359 592 3.86
30-49 14,328 14,886 29,214 572 533 1,105 3.78
50+ 3,761 ,2525 6,286 135 55 190 3.02
Total 38,438 40,294 78,732 1,107 1,445 2,552 3.24

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Other
Health
<5 591 559 1150 33 40 73 6.35
5-9 64 129 193 7 10 17 8.81
10-14 71 192 263 3 7 10 3.80
15-19 370 706 1,076 10 36 46 4.28
20-24 815 1,378 2,193 34 118 152 6.93
25-29 1,253 1,506 2,759 65 130 195 7.07
30-49 2,664 2,712 5,376 229 231 460 8.56
50+ 1,009 436 1,445 43 36 79 5.47
Total 6,837 7,618 14,455 424 608 1,032 7.14
All Total 62,133 138,578 200,711 1,846 2,877 4,723 2.35
2. 2. HIV Testing & Counseling by Province
By provinces, highest prevalence for HIV was found in Enga (6.12%) followed by WHP (4.78%),
NCD (4.14%), EHP (3.45%) and Simbu (3.26%). The overall HIV prevalence covering all
provinces is 2.35% and consists of 4,723 HIV positive tests reported in 2012.
Table.2. HIV Testing & Counseling by Province, Total Tests, Total Positive Tests & Prevalence
Province
Total Number of Tests
in the Province
Total Number of
Positive HIV Tests
Prevalence (%)
Western 5,691 76 1.34
Gulf 2,043 8 0.39
Central 3,902 36 0.92
NCD 22,539 934 4.14
Milne Bay 7,081 49 0.69
Oro 1,164 4 0.34
SHP 19,896 362 1.82
Enga 10,943 670 6.12
WHP 23,657 1,131 4.78
Simbu 9,153 298 3.26
EHP 14,449 499 3.45
Morobe 18,105 288 1.59
Madang 8,010 200 2.5
ESP 3,161 24 0.76
WSP 4,726 29 0.61
Manus 1,856 27 1.45
NIPs 10,473 26 0.25
ENBP 10,789 29 0.27
WNBP 13,298 28 0.21
ARoB 9,775 5 0.05
Total 200,711 4,723 2.35
2.1.1. HIV Testing & Counseling at ANC (Refer to Table1 in the Appendix)
Reports of males accompanying their wives/partners to antenatal clinics for HIV testing are
minimal. However, this is being improved by some pilot projects for increasing male
involvement. It is not at scale yet as males are generally shy and do not attend antenatal clinics
with their partners as a general rule in PNG. Linkages of HIV positive mothers and their infants
from point of testing to ART centers need strengthening in most provinces. Integrated services
are provided only in Goroka. Hence, a lot of mothers and their infants are lost to the continuum
of care and treatment.
2.1.2. HIV Testing & Counseling at Blood Banks (Refer to Table2 in the
Appendix)

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Mechanisms of reporting from Blood Banks to NDoH need to be strengthened, especially from
Moresby General hospital blood bank which is the main blood bank. At the blood banks, overall
HIV prevalence was found to be 0.24% in 2012. This excludes HIV testing done at major blood
banks in Port Moresby. By province, the highest prevalence of HIV at blood bank was found to
Daru Provincial hospital at 1.11%.
2. 1.3. HIV Testing & Counseling at Other STIs
Other STIs and HIV transmission go hand in hand. Some of the Other STIs clinics show a high
range of HIV prevalence (more than 5.0%) such that in Enga, WHP and EHP (highlighted in the
table) while national average HIV prevalence among Other STIs clients remains below 5.0%
(3.22%). This seems to be pointing towards a concentrated epidemic rather than a generalized
epidemic.
Clinics with HIV prevalence higher than 5.0% positivity rate are highlighted in blue in Table3 in
the Appendix. The reasons why these clinics have higher HIV positivity rates can be verified
however; at this point it is most likely that these clinics are catering for a population that is at
higher risk of HIV. No sexual behavioral patterns are recorded in the HIV testing reporting
(Surv1) forms hence, it is difficult to state which high risk category these population fall under.
Most of these clinics are also in the urban area with an exception of a few. Hence, to segregate
HIV prevalence among Other STIs clients, there needs to be more information to state whether
these cases belong to key population groups or other populations.
2.1.4. HIV Testing & Counseling at TB
Most of HIV-TB co-infections are detected through referrals of TB patients screened for TB at TB
screening sites referred for HIV screening at HIV testing sites. To minimize referrals (as with
referrals a lot of TB-HIV referred clients for HIV screening ends up getting lost before they
eventually get a HIV test), staffs at TB sites were trained to conduct both HIV rapid single and
two tests. This has resulted in a major shift in the number of HIV tests conducted at TB sites and
has improved reporting from these sites. This shows a positive move towards HIV-TB
collaboration in the country.
At Daru Provincial hospital in Western province, HIV prevalence of 2.42% was seen among TB
clients in 2012. This is not so high compared to other provinces like EHP, WHP, Enga and others.
However, this might be true for Daru as Western province has majority of MDR and XDR TB
cases. The dual epidemics may be fueled by each other thus; this needs further epidemiological
investigations into both HIV and TB in Western province. Refer to Table4 in Appendix.
2.1.5. HIV Testing & Counseling at VCT
Most of the highlands provinces and the high burden provinces have rolled out two test
algorithms. However, some of the provinces have HIV prevalence below 5.0%. Because of the
low HIV prevalence in these provinces, PNG may need to implement a third tie-breaker test to
further validate HIV test results in order to verify specificity and sensitivity of the two previous
tests. This is another internal and external quality assurance mechanisms and systems that also
need to be put in place by CPHL and should add onto what is already there.
Some of the provinces like NCD, Enga, WHP, EHP and Morobe show high HIV prevalence
although there are no measures yet at the national level to capture key populations attending
clinics that are reporting more than 1.0% HIV positivity. In this report, clinics that reported HIV
positivity more than 1.0% in 2012 are highlighted in the table below.
Geographical distributions of these clinics show they are located mostly in urban and peri-urban
areas but a few of them are also found in rural areas such as Migende District/Rural Hospital in

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Simbu. Some clinics like Poro Support and clinics supported by FHI360 and AusAID do cater
exclusively for key populations and are highlighted in maroon. Trend data in a retrospective
manner can be developed once HIV surveillance information systems for key populations are
built. Further analysis and exploring is needed to see if this is feasible. Refer to Table5 in the
Appendix.
2.1.6. HIV Testing & Counseling at Other Health
HIV Counseling & Testing conducted through PICT among In-Patients, TB wards, Labor wards
and Accidents & Emergencies clients are not reported under any format. Counsellors are
advised to report data from PICT under “Other Health”. At present, there are no systems to
capture HIV positive tests at Labor wards. This has been rectified now with the design of new
HIV surveillance data recording, collection & reporting tools. These tools will also capture
Option B-Plus data. In addition, HIV cases detected at TB wards are being captured in the TB
reports but do not find their way separately to HIV reports. Refer to Table6 in Appendix.
Section 3: PPTCT – HIV Testing & Counseling & HIV Treatment among
ANC mothers
3.1. PPTCT by Sex
Reports for males accompanying their wives/partners to test for HIV at ANC are minimal. This
is being improved by some pilot projects for increasing male involvement. However, this is not
at scale and males are generally shy and do not approach ANC as a general rule in Papua New
Guinea. Linkages towards HIV positive mothers being sent to ART centre need strengthening in
most provinces. Integrated services are provided only in Goroka. Hence, many mothers are lost
to the continuum of care and treatment.
Table.3. HIV Testing & Counseling at ANC by Province, Region, Sex, Total Tested, Total Positive &
Prevalence
Province/
Region
Male Female Both Sex Prevalence
#
tested # HIV+ % HIV+
#
tested # HIV+ Prev*
#
tested # HIV+
%
HIV+
Western 10 0 0.00 1,880 8 0.4 1,890 8 0.42
Gulf 3 0 0.00 832 1 0.1 835 1 0.12
Central 46 0 0.00 2,297 3 0.1 2,343 3 0.13
NCD 5 5 100.00 11,815 118 1.0 11,820 123 1.04
Milne Bay 75 0 0.00 2,854 2 0.1 2,929 2 0.07
Oro 0 0 0.00 684 0 0.0 684 0 0.00
Southern
Region 139 5 3.60 20,362 132 0.6 20,501 137 0.67
SHP 46 2 4.35 7,054 19 0.3 7,100 21 0.30
Enga 51 3 5.88 2,998 31 1.0 3,049 34 1.12
WHP 33 8 24.24 8,965 104 1.2 8,998 112 1.24
Simbu 17 0 0.00 2,889 16 0.6 2,906 16 0.55
EHP 170 4 2.35 5,346 39 0.7 5,516 43 0.78
Highlands
Region 317 17 5.36 27,252 209 0.8 27,569 226 0.82
Morobe 22 1 4.55 7,667 21 0.3 7,689 22 0.29
Madang 44 0 0.00 3,769 9 0.2 3,813 9 0.24
ESP 23 0 0.00 724 1 0.1 747 1 0.13
WSP 18 0 0.00 2,124 2 0.1 2,142 2 0.09
Momase Region 107 1 0.93 14,284 33 0.2 14,391 34 0.24
Manus 8 0 0.00 760 4 0.5 768 4 0.52
NIPs 50 0 0.00 1,540 2 0.1 1,590 2 0.13
ENBP 6 0 0.00 5,349 3 0.1 5,355 3 0.06
WNBP 49 0 0.00 4,063 5 0.1 4,112 5 0.12
ARoB 4 0 0.00 3,085 0 0.0 3,089 0 0.00

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NGI Region 117 0 0.00 14,797 14 0.1 14,914 14 0.09
PNG Total 680 23 3.38 76,695 388 0.0 77,375 411 0.53
3.2. Early Infant Diagnosis of HIV (EID)
CHAI initiated EID in PNG in 2008. CHAI worked with CPHL and Goroka Base hospital
laboratory in building staff capacity to take DBS samples to test infants through PCR. CPHL and
Goroka Base hospital laboratory staff were also trained to do external and internal quality
controls using DBS samples. However, there are no formal mechanisms for data reporting
between CPHL, Goroka Base hospital laboratory and NDoH. This needs streamlining in the
future so that national data can be maintained and the M&E systems are not fragmented.
Number of infants diagnosed as HIV positive in 2012 stands at 117. Comparing this to the
number of infants given ARVs prophylaxis in 2012 which is at 302, this does not match. The
question is where the other 185 infants also given ARVs prophylaxis come from. It can be
assumed that the additional 185 infants might be infants given ARVs straight at birth when they
were not tested yet as testing for infants born to HIV positive women is done at 6 weeks and 18
months. However, this still needs further investigation.
Table.4. Infants Tested for HIV Through EID by Years, Number Tested & Number Tested Positive
# of Infants (<2 years) Tested for HIV through
EID
# of HIV Positive Infants (<2 years) Diagnosed
through EID
2008 122 44
2009 415 110
2010 625 162
2011 543 115
2012 540 117
Fig.5. Infants Tested for HIV through EID by Years, Number Tested & Number Tested Positive
3.2. PPTCT by Sites
PPTCT program was initiated in PNG in 2004 and scaled up slowly since then. In 2012, Option
B-Plus method was introduced and Health Care workers were re-trained on this method.
Monitoring and evaluation of the PPTCT program however, was lacking behind. The old HIV
surveillance data recording, collection & reporting tools captured some PPTCT data such as
single, dual and triple doses prescribed for mothers and infants but do not really distinguish
which is Option B and which is Option B-Plus.
This has been rectified by the design of the new HIV surveillance data recording, collection &
reporting tools. In 2012, 334 mothers were given ARVs which came in a combination of single,
double and triple doses. Of this, 6 mothers were given single drug ARVs, another 6 were
prescribed double drug ARVs and 322 were given triple ARVs. Furthermore, 302 exposed
infants were given ARVs prophylaxis. Of this, 19 were given single dose ARVs prophylaxis and
283 were given double dose ARVs prophylaxis.

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Table.5. ARVs Given to HIV Positive Mothers & their Infants by Province, Sites & Dosages
Province Facility
Infant Mother
TotalSingle Dual Total Single Dual Triple Total
Western Tabubil Hospital 0 4 4 0 0 2 2 6
Kiunga Good Samaritan 0 4 4 0 0 0 0 4
Central
Louis Vangeke Viefa’a
Health Centre 0 3 3 0 1 4 5 8
NCD
Port Moresby General
Hospital ANC 15 144 159 0 0 130 130 289
St. Mary’s Boroko Medical
Centre 0 5 5 0 0 3 3 8
9 Mile Clinic 0 0 0 0 1 3 4 4
Milne Bay
Hagu Disease Control
Clinic – Alotau Provincial
Hospital 1 5 6 0 0 4 4 10
Lema Budoiya Clinic 0 0 0 0 0 1 1 1
Oro Siroga Higaturu Clinic 2 0 2 0 0 0 0 2
SHP
Kumin Epeanda Care
Centre 0 0 0 0 0 24 24 24
Nina Clinic – Mendi
Provincial Hospital 0 0 0 0 0 1 1 1
Oil Search Moro Clinic 0 3 3 0 0 4 4 7
Hela Innanaka Clinic 0 4 4 0 1 3 4 8
Enga Yampu Health Centre 1 2 3 0 0 2 2 5
Endakalipin Clinic 0 18 18 0 0 0 0 18
Jiwaka
Kudjip Nazarene Rural
Hospital 0 15 15 0 0 15 15 30
WHP
Rebiamul Care &
Counselling Centre 0 0 0 0 0 4 4 4
Simbu
Mingende District/Rural
Hospital 0 0 0 3 3 9 15 15
Prapra Clinic – Kundiawa
EHP
Michael Alper’s HIV/Other
STIs Clinic 0 0 0 0 0 3 3 3
Paediatrics Ward –
Goroka Base Hospital 0 58 58 0 0 31 31 89
Morobe
Anua Moriri Day Care
Centre – Angau Memorial
Hospital 0 3 3 0 0 7 7 10
Buimo Urban Health
Centre 0 0 0 0 0 50 50 50
Madang
ID-INAD Clinic – Modilon
WSP
ODI Clinic – Vanimo
NIPs
HIV/Other STIs Clinic –
Kavieng Provincial
Hospital 0 0 0 2 0 0 2 2
Lihir Private Clinic 0 0 0 1 0 0 1 1
ENBP Peter Torot’s VCT Centre 0 3 3 0 0 3 3 6
WNBP
Leguava HIV/Other STIs
Clinic – Kimbe Provincial
Hospital 0 10 10 0 0 14 14 24
Valoka Divine Mercy
Centre 0 0 0 0 0 2 2 2
Total 19 283 302 6 6 322 334 636
3.4. Pediatrics ARVs for PPTCT by Site in 2012

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Site wise distribution of Peadiatrics ARVs prophylaxis is given in the table below. Some of the
sites may have a well-developed reporting system. Hence, there are likely to be more reporting
from these sites. Reporting from all sites needs further streamlining. The new sites need
mentoring and also data quality assessments done over a period of time so that data quality will
not be an issue when it comes to compiling reports.
A total of 302 infants were given ARVs in 2012 (19 single does, 283 dual doses). By site, Port
Moresby General hospital ANC prescribed highest number of ARVs to infants (15 single dose,
144 dual dose) followed by Goroka Base hospital Peadiatrics ward with 58 dual does straight
and Wabag Provincial hospital’s Endakalipin clinic with 18 dual dose straight. In the NGI region,
Leguava HIV/Other STIs clinic prescribed highest number of ARVS to infants, 10 dual does
straight.
Table.6. Infants Prescribed ARVs prophylaxis by Province, Site & Dosages
Province Site Single Dual Total
Western Tabubil Hospital 0 4 4
Kiunga Good Samaritan 0 4 4
Central Louis Vangeke Viefa’a Health Centre 0 3 3
NCD
Port Moresby General Hospital ANC 15 144 159
St. Mary’s Boroko Medical Centre 0 5 5
9 Mile Clinic 0 0 0
Milne Bay Hagu Disease Control Clinic – Alotau Provincial Hospital 1 5 6
Lema Budoiya Clinic 0 0 0
Northern Siroga Higaturu Oil Palm Clinic 2 0 2
SHP
Kumin Epeanda Care Centre 0 0 0
Nina Clinic – Mendi Provincial Hospital 0 0 0
Oil Search Moro Clinic 0 3 3
Hela Innanaka Clinic 0 4 4
Enga Yampu Health Centre 1 2 3
Endakalipin Clinic – Wabag Provincial Hospital 0 18 18
Jiwaka Kudjip Nazarene Rural Hospital 0 15 15
WHP Rebiamul Care & Counselling Centre 0 0 0
Simbu Mingende Rural Hospital 0 0 0
Prapra HIV/Other STIs Clinic – Kundiawa Provincial Hospital 0 0 0
EHP Michael Alper’s HIV/Other STIs Clinic 0 0 0
Paediatrics Ward – Goroka Base Hospital 0 58 58
Morobe Anua Moriri Day Care Centre – Angau Memorial Hospital 0 3 3
Buimo Urban Health Centre 0 0 0
Madang ID-INAD Clinic – Madang Provincial Hospital 0 0 0
WSP ODI Clinic – Vanimo Provincial Hospital 0 2 2
NIPs HIV/Other STIs Clinic – Kavieng Provincial Hospital 0 0 0
Lihir Private Clinic 0 0 0
ENBP Peter Torot’s VCT Centre 0 3 3
WNBP Leguava HIV/Other STIs Clinic – Kimbe provincial Hospital 0 10 10
Valoka Divine Mercy Centre 0 0 0
Total 19 283 302
3.5. Pediatrics ARVs for PPTCT by Province
In 2012, NCD, EHP, Enga, Jiwaka and WNBP prescribed highest number of ARVs to peadiatrics.
Western and Milne Bay, Hela and other provinces like Central, ENBP and WSP also prescribed
ARVs to peadiatrics.
This would mean PPTCT program is scaling up in provinces which were once finding it difficult
to implement the program. Identifying exposed children and infants exposed to HIV or born to
HIV positive parents and getting them into the program is an important step for the program to
be successful.

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Fig.6. ARVs Prescribed to Exposed Infants by Province & Doses
Section 4: HIV Case Surveillance
4.1. HIV Positive Cases Detected in 2012 by Age Groups
Age group with the highest number of HIV positive cases in 2012 is the age group 25-29 with
624 cases followed by age group 20-24 with 528 cases, age group 30-34 with 539 cases and age
group 35-39 with 398 cases. It would seem, in 2012 HIV is concentrated among age groups 20-
39 years.
4.2. Annual & Cumulative HIV Positive Cases Reported, 1987–2012
In 2012 alone, a total of 2,843 newly HIV positive cases were reported to NDoH. Of this, 1,104
were males, 1,739 were females and 34 where sex was not stated. Adding number of new cases
reported in 2012 onto number of cases reported in previous years gives a cumulative total of
38,005 cases reported so far in PNG since the first case was reported in 1987.
Of this, a cumulative of 15,930 is males, 20,693 females and 1,376 where sex was not stated. By
year, highest number of cases was reported in 2010 at 4,208 cases followed by 2011 at 3,912,
2009 at 3,711 cases, 2006 at 3,682 cases, 2005 at 3,078 cases and 2008 at 3,059 cases. It would
seem the years 2009 to 2011 and 2005 to 2008 were the peak years during which highest
number of cases were reported.
Table.7. HIV Positive Cases Detected in 2012 by Age & Sex
Age group Male Female Sex not specified Total
0 -4 yrs 21 19 1 41
5-9 yrs 6 8 0 14
10 -14 yrs 2 5 0 7
15-19 yrs 26 186 1 213
20 -24 yrs 104 415 9 528
25 -29 yrs 216 399 9 624
30 -34 yrs 225 308 6 539
35 - 39 yrs 187 204 7 398
40 - 44 yrs 111 103 2 216
45 -49 yrs 82 38 1 121
50 - 54 yrs 58 28 1 87
55 -59 yrs 26 7 0 33
>60 yrs 32 4 0 36
Total 1,096 1,724 37 2,857

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By sex, highest numbers of cases were seen among females and were reported in 2010, 2009,
2011, 2008 and 2006. High numbers of females reported as having HIV positive does not mean
HIV is concentrated among females. These meant females are getting tested and that what is
seen easy year is highest number of females getting tested through antenatal HIV testing.
This is confirmed with HIV Testing & Counseling data which shows highest numbers of females
being tested for HIV compared to males. It is only through testing that HIV can be detected. The
more HIV tests are conducted, the more number of HIV would be reported.
Table.8. Annual & Cumulative HIV Positive Cases Reported, 1987–2012
Year of Detection
Annual Cumulative
Male Female
Sex
missing
Total Male Female
Sex
missing
Total
1987 2 4 - 6 2 4 - 6
1988 8 5 - 13 10 9 - 19
1989 11 7 - 18 21 16 - 37
1990 24 12 - 36 45 28 - 73
1991 17 16 2 35 62 44 2 108
1992 12 18 - 30 74 62 2 138
1993 19 21 - 40 93 83 2 178
1994 42 31 1 74 135 114 3 252
1995 68 57 1 126 203 171 4 378
1996 94 96 2 192 297 267 6 570
1997 173 174 1 348 470 441 7 918
1998 331 307 23 661 801 748 30 1,579
1999 421 336 34 791 1,222 1,084 64 2,370
2000 602 449 25 1,076 1,824 1,533 89 3,446
2001 650 618 46 1,314 2,474 2,151 135 4,760
2002 841 797 76 1,714 3,315 2,948 211 6,474
2003 1,058 1,142 117 2,317 4,373 4,090 328 8,791
2004 1,158 1,197 283 2,638 5,531 5,287 611 11,429
2005 1,321 1,610 147 3,078 6,852 6,897 758 14,507
2006 1,556 1,830 296 3,682 8,408 8,727 1,054 18,189
2007 832 1,162 49 2,043 9,240 9,889 1,103 20,232
2008 1,149 1,840 70 3,059 10,389 11,729 1,173 23,291
2009 1,383 2,280 48 3,711 11,772 14,009 1,221 27,002
2010 1,568 2,566 74 4,208 13,340 16,575 1,295 31,210
2011 1,486 2,379 47 3,912 14,826 18,954 1,342 35,122
2012 1,104 1,739 34 2,843 15,930 20,693 1,376 38,005
4.3. HIV Positive Cases Reported in 2012 by Province of Detection
In 2012, Enga reported highest number of cases at 559 (201 males, 358 females) followed by
NCD with 484 cases (183 males, 295 females and 6 sexes not stated), EHP with 315 cases (121
males, 191 females and 3 sex not stated) and WHP with 269 cases (114 males, 148 females and
7 sex not stated).
Morobe reported 238 cases (87 males, 136 females) followed by Simbu with 220 cases (84
males, 136 females), Hela with 200 cases (73 males, 115 females and 8 sexes not stated) and
Madang with 118 cases (48 males, 70 females). SHP reported 196 cases (73 males, 115 females
and 8 sexes not stated while Madang reported 118 cases (48 males, 70 females).
Central and Jiwaka reported 28 cases each, Central (6 males, 22 females and Jiwaka (9 males, 19
females). Oro reported 26 of the cases (9 males, 17 females) while NIPs reported 22 of the cases
(9 males, 12 females and 1 sex not stated). Milne Bay reported 21 cases (7 males, 13 females
and 1 sex not stated), Manus reported 20 cases (11 males, 9 females) followed by ENBP which
reported 17 cases (9 males, 8 females), WSP reporting 12 cases (6 males, 6 females). ARoB and
WNBP reporting 5 cases each while Gulf reported 3 cases.

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Western, Manus and NIPs reported high number of HIV positive cases in 2012 in their
respective regions compared to previous years.
Table.9. HIV Positive Cases Reported in 2012 by Province of Detection, Region & Sex
Male Female
Sex
missing
Total Male Female
Sex
missing
Total
Male Female
Sex
Missing Total
PNG total 1,096 1,724 37 2,857 38.4 60.4 1.2 100 100.0 100.0 100.0 100.0
Southern Region244 394 8 646 37.8 61.0 1.2 100 22.1 22.7 23.5 22.5
Western 38 45 1 84 45.2 53.6 1.2 100 3.4 2.6 2.9 2.9
Gulf 1 2 - 3 33.3 66.7 0.0 100 0.1 0.1 0.0 0.1
Central 6 22 - 28 21.4 78.6 0.0 100 0.5 1.3 0.0 1.0
NCD 183 295 6 484 37.8 61.0 1.2 100 16.6 17.0 17.6 16.8
MilneBay 7 13 1 21 33.3 61.9 4.8 100 0.6 0.7 2.9 0.7
Oro 9 17 - 26 34.6 65.4 0.0 100 0.8 1.0 0.0 0.9
Highlands Region683 1,083 21 1,787 38.2 60.6 1.2 100 61.9 62.3 61.8 62.1
SHP 73 115 8 196 37.2 58.7 4.1 100 6.6 6.6 23.5 6.8
Hela 81 116 3 200 40.5 58.0 1.5 100 7.3 6.7 8.8 7.0
Enga 201 358 - 559 36.0 64.0 0.0 100 18.2 20.6 0.0 19.4
WHP 114 148 7 269 42.4 55.0 2.6 100 10.3 8.5 20.6 9.4
Jiwaka 9 19 - 28 32.1 67.9 0.0 100 0.8 1.1 0.0 1.0
Simbu 84 136 - 220 38.2 61.8 0.0 100 7.6 7.8 0.0 7.6
EHP 121 191 3 315 38.4 60.6 1.0 100 11.0 11.0 8.8 10.9
Momase Region 143 228 4 371 38.1 60.8 1.1 100 13.0 13.1 11.8 13.0
Morobe 87 151 - 238 36.3 62.9 0.8 100 7.9 8.7 5.9 8.3
Madang 48 70 - 118 40.3 58.8 0.8 100 4.3 4.0 2.9 4.1
ESP 2 1 - 3 50.0 25.0 25.0 100 0.2 0.1 2.9 0.1
WSP 6 6 - 12 50.0 50.0 0.0 100 0.5 0.3 0.0 0.4
NGI Region 34 34 1 69 49.3 49.3 1.4 100 3.1 2.0 2.9 2.4
Manus 11 9 - 20 55.0 45.0 0.0 100 1.0 0.5 0.0 0.7
NIP 9 12 1 22 40.9 54.5 4.5 100 0.8 0.7 2.9 0.8
ENB 9 8 - 17 52.9 47.1 0.0 100 0.8 0.5 0.0 0.6
WNB 1 4 - 5 20.0 80.0 0.0 100 0.1 0.2 0.0 0.2
ARoB 4 1 - 5 80.0 20.0 0.0 100 0.4 0.1 0.0 0.2
Province of
Detection
Number Confirmed Sex Composition (%)*
Distribution (percentage)of new HIV
infections
4.3.1. Three Years Trend Points of HIV Positive Cases by Province of
Detection & Regions
Three years trend data of HIV positive cases reported by Province of Detection showed
provinces in the Highlands region were detecting and reporting high number of cases followed
by provinces in the Southern region. Again, this does not mean that HIV is concentrated in these
provinces. Data has to be examined across all factors relating to HIV to understand
developments and changes in HIV.
Highest number of HIV cases reported from a province would also mean that a lot of HIV tests
were being conducted in and around that province. HIV Testing & Counseling data by province
has to be cross examined together with this set of data. Provinces in the Highlands region are
detecting and reporting a lot of HIV cases is because these provinces have been conducting high
number of HIV tests.

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Fig.7. Three Years Trend Points of HIV Positive Cases by Province of Detection, Years & Regions, 2010–2012
4.4. HIV Positive Cases Detected in 2012 by Province of Origin
HIV positive cases reported by Province of Origin showed Enga having the highest number at
656 cases (236 males, 416 females and 4 sex not stated) followed by SHP at 370 cases (146
males, 214 females and 10 sex not stated), EHP with 346 (132 males, 210 females and 4 sex not
stated), Simbu at 321 cases (117 males, 204 females), WHP with 242 cases (110 males, 128
females and 4 sex not stated), Hela with 200 cases (81 males, 116 females and 3 sex not stated).
A case reported as originally coming from a province meant a person originally belonging to
that province. That same person can be detected somewhere else instead of being detected in
his or her province of origin e.g. in the “Province of Detection” data, 559 HIV positive people
reported they were detected in Enga while in the “Province of Origin” data, 656 HIV positive
people reported they were originally from Enga. This meant 656 HIV positive people are
originally Engaians of whom, 97 were detected outside of Enga while 559 were detected in Enga.
In another scenario, 15 HIV positive people reported they were originally from NCD in the
“Province of Origin” data while in the “Province of Detection” data, 484 HIV positive people
reported they were detected in NCD. This meant 469 HIV positive were detected in NCD but
were not originally from NCD. They were from other provinces.
In the “Province of Detection” data, 28 people reported they were detected in Central province
while in the “Province of Origin” data, 135 people reported they were originally from Central.
This meant, out of the overall 2,857 people detected HIV positive in 2012, 135 of them are
originally from Central province of whom, 25 were detected in Central while 110 were detected
somewhere else outside of Central.
With the case in WHP, “Province of Detection” data showed 269 HIV positive people were
detected there while in the “Province of Origin” data, 242 people reported they were originally
from WHP. This meant 242 out of the overall 2,857 HIV positive people detected in 2012 are
originally Western Highlanders and that 27 people (269 – [minus] 242) who also reported being
detected in WHP are not Western Highlanders but some other people living in WHP and got
detected there.
“Province of Origin” data is important to understand originality of a person and the socio-
economic, legal, demographics and other implications of HIV related to an individual while
“Province of Detection” data is important for accessibility of services. Many people are getting
detected in NCD is because HIV Testing & Counseling services are accessible and readily
available.
In addition, this also relates to population. The more populated a place is, more detection is
likely to take place at the same time high chances of a disease to spread quickly and to become
concentrated there.

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Table.10. HIV Positive Cases Detected in 2012 by Province of Origin, Region & Sex
Male Female
Sex
missing
Total Male Female
Sex
missing
Total
Male Female
Sex
Missing Total
PNG total 1,104 1,739 34 2,877 38.4 60.4 1.2 100 100 100 100 100
Southern Region 104 213 5 322 32.3 66.1 1.6 100 9.4 12.2 14.7 11.2
Western 20 41 1 62 32.3 66.1 1.6 100 1.8 2.4 2.9 2.2
Gulf 20 29 1 50 40.0 58.0 2.0 100 1.8 1.7 2.9 1.7
Central 44 89 2 135 32.6 65.9 1.5 100 4.0 5.1 5.9 4.7
NCD 3 12 - 15 20.0 80.0 0.0 100 0.3 0.7 0.0 0.5
Milne Bay 5 15 1 21 23.8 71.4 4.8 100 0.5 0.9 2.9 0.7
Oro 12 27 - 39 30.8 69.2 0.0 100 1.1 1.6 0.0 1.4
Highlands Region 831 1,307 25 2,163 38.4 60.4 1.2 100 75.3 75.2 73.5 75.2
SHP 146 214 10 370 39.5 57.8 2.7 100 13.2 12.3 29.4 12.9
Enga 236 416 4 656 36.0 63.4 0.6 100 21.4 23.9 11.8 22.8
WHP 110 128 4 242 45.5 52.9 1.7 100 10.0 7.4 11.8 8.4
Jiwaka 9 19 0 28 32.1 67.9 0.0 100 0.8 1.1 0.0 1.0
Simbu 117 204 - 321 36.4 63.6 0.0 100 10.6 11.7 0.0 11.2
EHP 132 210 4 346 38.2 60.7 1.2 100 12.0 12.1 11.8 12.0
Hela 81 116 3 200 40.5 58.0 1.5 100 7.3 6.7 8.8 7.0
Momase Region 118 155 2 275 42.9 56.4 0.7 100 10.7 8.9 5.9 9.6
Morobe 41 70 1 112 36.6 62.5 0.9 100 3.7 4.0 2.9 3.9
Madang 24 41 - 65 36.9 63.1 0.0 100 2.2 2.4 0.0 2.3
ESP 39 32 1 72 54.2 44.4 1.4 100 3.5 1.8 2.9 2.5
WSP 14 12 - 26 53.8 46.2 0.0 100 1.3 0.7 0.0 0.9
NGI Region 36 45 1 82 43.9 54.9 1.2 100 3.3 2.6 2.9 2.9
Manus 14 13 - 27 51.9 48.1 0.0 100 1.3 0.7 0.0 0.9
NIP 11 13 1 25 44.0 52.0 4.0 100 1.0 0.7 2.9 0.9
ENB 8 9 - 17 47.1 52.9 0.0 100 0.7 0.5 0.0 0.6
WNB 2 7 - 9 22.2 77.8 0.0 100 0.2 0.4 0.0 0.3
ARoB 1 3 - 4 25.0 75.0 0.0 100 0.1 0.2 0.0 0.1
Sub-total
(excluding
missing)
1,089 1,720 33 2,842
Province Missing 15 19 1 35
Number Confirmed Sex Composition (%)*
Distribution (percentage) of new HIV
infections**
Province of
Origin
4.4.1. Three Years Tend Points of PLHIVs Living in the Provinces
Three years trend point of PLHIVs living in each province shows highest number were living in
NCD, WHP, Enga, EHP, Morobe, SHP, Simbu and Madang from the years 2010 to 2012. This does
not necessarily mean that the PLHIVs were originally from these provinces.
In 2010, majority of the PLHIVs were living in NCD, WHP, EHP, Enga and Morobe. In 2011,
majority were living in WHP, EHP, Enga, Morobe and NCD and in 2012, majority were living in
Enga, NCD, SHP, EHP and WHP. This data relates to movement of people as well as detection and
reporting of people at that point of time and place.

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Fig.8. Three Years Trend Points of PLHIVs Living in the Provinces by Province & Years, 2010–2012
4.5. HIV Positive Cases Detected in 2012 by Mode of Transmission
“Mode of Transmission” data showed “Heterosexual” as the main route of HIV transmission in
PNG in 2012 where 85.0% of overall cases detected in 2012 reported as being transmitted
heterosexually. Furthermore, 2.5% of the cases were reported as being transmitted “Parentally”
(from Parents to Child) while 0.3% was reported as through “Body piercing or tattooing”, 0.4%
through “Occupational Exposure”, 0.5% through “Sexual Assaults” and 11.1% through “Others”
routes.
“Mode of Transmission of HIV” data is important to understand how HIV is transmitted so that
prevention programs can be tailored to address sexual behaviors involved. In PNG, HIV is
known to be largely heterosexually transmitted. This would mean prevention programs must be
tailored to target sexual risk factors or factors that put a person at high risk of having sex.
Table.11. HIV Positive Cases Detected in 2012 by Mode of Transmissions, Sex & Regions
Tot M F Tot M F Tot M F Tot M F Tot M F
Heterosexual 85.0 53.1 84.1 77.4 75.9 78.9 89.5 89.0 87.1 77.4 89.1 79.4 79.1 92.6 73.3
Homosexual 0.2 0.2 0.0 1.3 1.0 0.0 0.3 0.2 0.0 1.7 0.7 0.0 0.0 0.0 0.0
Perinatal 2.5 1.9 2.1 3.8 2.0 1.2 1.6 3.2 1.8 2.1 3.6 5.2 3.3 7.4 3.3
Body piercing
or Tatto 0.3 0.1 0.5 5.0 0.0 0.0 0.0 0.0 0.2 1.5 0.7 2.6 2.2 0.0 0.0
Occupational
Exposure 0.4 0.2 0.4 0.4 0.5 0.9 0.8 0.2 0.0 5.5 1.5 1.5 0.0 0.0 0.0
Blood
transfusion 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
IDU 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Sexual assault 0.5 0.1 0.7 1.9 0.5 0.3 0.4 0.0 0.4 1.0 0.7 2.1 1.1 0.0 3.3
Others 11.1 5.7 12.2 10.3 20.2 18.7 7.4 7.4 10.4 10.7 3.6 9.3 14.3 0.0 20.0
Total* 100 61 100 100 100 100 100 100 100 100 100 100 100 100 100
TotalCases (N)
(excluding
missing) 2,522 1,605 1,536 477 203 332 2,088 619 980 523 137 194 91 27 30
PNG-Total Southern Highlands Momase NGIMode of
Transmission
4.6. HIV Positive Cases Detected in 2012 by Marital Status
Of those reported as HIV positive in 2012, 63.8% (65.6% males, 62.6% females) stated their
marital status as married while 18.2% (21.4% males, 16.2% females) stated they were single,
18.0% (12.9% males, 21.2% females) stated they were separated/divorced/widowed. Of those
who were married, 78.6% (78.2% males, 78.9% females) had monogamies marriage (single
partner) while 21.4% (21.8% males, 21.1% females) stated they had polygamous marriage

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(more than one partner). Of those that had polygamous marriage, 60.5% (56.1% males, 63.5%
females) stated they had 2 partners while 36.1% (40.9% males, 32.8% females) said they had 3
partners and 3.4% (3.0% males, 3.6% females) said they had more than 3 (>3) partners.
Is is clear from the data presented here that over half of the individuals reported as HIV positive
are married and of them being married, almost a quarter of them have polygamous marriage
and having more than two partners. This set of that has to be recorded, collected and reported
properly at the point of recording as it is very important to understand relationship of HIV
positive individuals at their time of detection
Table.12. HIV Positive Cases Detected in 2012 by Marital Status, Sex & Regions
Single 160 70 90 272 130 142 67 26 41 8 5 3 507 231 276
Married 347 132 215 1,161 467 694 215 83 132 52 25 27 1,775 707 1,068
Separated/Widowed/
Divorced 116 37 79 299 72 227 81 28 53 4 2 2 500 139 361
Sub-total (excluding
missing) 623 239 384 1,732 669 1,063 363 137 226 64 32 32 2,782 1,077 1,705
Missing - - - - - - - - - - - - - - -
Total Reported Cases 623 239 384 1,732 669 1,063 363 137 226 64 32 32 2,782 1,077 1,705
Note: Total includes missing for 'sex' and hence does not equal to sum of female and male
Table 3.3. Distribution of HIV infections by marital status according to sex and region, PNG, 2012
Marital Status
Single 25.7 29.3 23.4 15.7 19.4 13.4 18.5 19.0 18.1 12.5 15.6 9.4 18.2 21.4 16.2
Married 55.7 55.2 56.0 67.0 69.8 65.3 59.2 60.6 58.4 81.3 78.1 84.4 63.8 65.6 62.6
Separated/Widowed/
Divorced 18.6 15.5 20.6 17.3 10.8 21.4 22.3 20.4 23.5 6.3 6.3 6.3 18.0 12.9 21.2
Total* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total (excluding
missing) (N) 623 239 384 1,732 669 1,063 363 137 226 64 32 32 2,782 1,077 1,705
*% is calculated against the total (excluding missing values)
Annex Table 3.7. HIV infections by types of marriages, PNG, 2012
Monogamy (single
spouse) 206 76 130 813 332 481 136 48 88 40 20 20 1,195 476 719
Polygamy (>1 spouse) 57 21 36 198 80 118 61 27 34 9 5 4 325 133 192
not stated) 263 97 166 1,011 412 599 197 75 122 49 25 24 1,520 609 911
Not stated 375 147 228 754 271 483 175 68 107 19 9 10 1,323 495 828
Total (who reported
being married)* 638 244 394 1,765 683 1,082 372 143 229 68 34 34 2,843 1,104 1,739
* This should be total who are married Note: Total includes missing for 'sex' and hence does not equal to sum of female and male
Table 3.4. Distribution of HIV infections by types of marriages (of those married) according to sex and region, PNG, 2012
Monogamy (single
spouse) 78.3 78.4 78.3 80.4 80.6 80.3 69.0 64.0 72.1 81.6 80.0 83.3 78.6 78.2 78.9
Polygamy (>1 spouse) 21.7 21.6 21.7 19.6 19.4 19.7 31.0 36.0 27.9 18.4 20.0 16.7 21.4 21.8 21.1
Total* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total (who reported
being married)* 263 97 166 1,011 412 599 197 75 122 49 25 24 1,520 609 911
Annex Table 3.8: HIV infection by number of spouses
2 spouses 36 12 24 119 44 75 34 15 19 7 3 4 196 74 122
3 spouses 19 8 11 74 33 41 23 12 11 1 1 - 117 54 63
>3 spouses 2 1 1 4 2 2 4 - 4 1 1 - 11 4 7
not stated) 57 21 36 197 79 118 61 27 34 9 5 4 324 132 192
Not stated - - - 1 1 - - - - - 1 1 -
Total (who reported
being in polygamy)* 57 21 36 198 80 118 61 27 34 9 5 4 325 133 192
*Total number for 2 or >2 spouses Note: Total includes missing for 'sex' and hence does not equal to sum of female and male
Table 3.5. Distribution of HIV infection by number of spouses (of those who are married and in polygamous relationship) according to sex and region, PNG, 2012
2 spouses 63.2 57.1 66.7 60.4 55.7 63.6 55.7 55.6 55.9 77.8 60.0 100.0 60.5 56.1 63.5
3 spouses 33.3 38.1 30.6 37.6 41.8 34.7 37.7 44.4 32.4 11.1 20.0 0.0 36.1 40.9 32.8
>3 spouses 3.5 4.8 2.8 2.0 2.5 1.7 6.6 0.0 11.8 11.1 20.0 0.0 3.4 3.0 3.6
Total* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total (who reported
being in polygamy)* 57 21 36 197 79 118 61 27 34 9 5 4 324 132 192
PNG (Total)
Number of spouses
Southern Highlands Momase NGI PNG (Total)
Number of spouses
Southern Highlands Momase NGI
PNG (Total)
Types of marriage
(based on # of spouse)
Types of marriage
PNG (Total)
Marital Status

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4.7. HIV Positive Cases Detected in 2012 by Education Status
Of the overall cases detected in 2012, 39.6% reported as having “No Education” while 34.4%
reported as having gone through “Primary School”. Further, 18.2% reported as having gone
through “High School” while 7.8% reported as underwent “College & Above” level of education.
This data is telling us that highest proportion of people detected with having HIV are those with
no formal education and would be those that are at the village and rural areas. It would also
necessarily mean that the more educated a person is, the more he or she is aware of the risks of
acquiring HIV.
Table.13. HIV Positive Cases Detected in 2012 by Education Status, Sex & Regions
No
education
28.0 27.7 28.1 48.3 41.3 52.7 24.0 17.8 27.8 7.6 9.4 6.3 39.6 34.3 43.0
Primary
school
31.0 21.0 37.1 34.4 34.0 34.6 40.5 34.1 44.4 31.8 21.9 43.8 34.4 30.8 36.6
High
school
26.7 29.4 25.0 13.6 19.1 10.2 23.2 29.6 19.3 30.3 28.1 28.1 18.2 23.0 15.1
College and
above
14.4 21.8 9.8 3.7 5.6 2.5 12.3 18.5 8.5 30.3 40.6 21.9 7.8 11.9 5.3
Total (%)* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total
Number
(N)**
626 238 388 1,717 661 1,056 358 135 223 66 32 32 2,765 1,066 1,699
*% is calculated against the total (excluding missing values).** excluding missing values
Total number of cases does not include cases where sex is missing-37 cases
Education
status
4.8. HIV Positive Cases Detected in 2012 by Occupation
HIV positive cases by ‘Occupation Status” data showed that highest number of those detected
with having HIV in 2012 are those who reported as being unemployed. Data showed that 53.6%
of the overall cases detected in 2012 were “Unemployed” while 21.9% reported as having
“Farming/Fishing” as their employment, 8.0% did not respond to the question on their
“Occupation Status”, 7.8% responded as having “Others” occupation, 3.1% said they were
“Students”, 3.0% said they were employed under “Uniformed Services” and 2.6% reported as
they were employed in the “Administration sector.
Farming/Fishing meant someone was earning his or her living through doing something for him
or her while Unemployed meant someone not doing anything at all and living off or depending
on someone for his or her living. Uniformed Services meant those employed as security guards,
police personnel or army/navy. Administration meant someone having a formal employment of
working in a profession.

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Table.14. HIV Positive Cases Detected in 2012 by Occupation Status, Sex & Regions
Farming/
Fishing
40 13 27 557 198 359 31 14 17 10 5 5 638 230 408
Administra
tion
30 16 14 22 15 7 16 11 5 8 6 2 76 48 28
Uniformed
services
31 23 8 30 17 13 19 12 7 6 3 3 86 55 31
Student 25 7 18 54 22 32 10 4 6 1 - 1 90 33 57
Unemploye
d
423 139 284 896 326 570 217 63 154 27 6 21 1,563 534 1,029
Others 54 33 21 105 60 45 60 29 31 9 8 1 228 130 98
Not reported 55 33 22 106 61 45 63 31 32 9 8 1 233 133 100
Sub-total
(excluding
missing)
658 264 394 1,770 699 1,071 416 164 252 70 36 34 2,914 1,163 1,751
Missing 26 12 14 93 42 51 15 8 7 5 4 1 139 66 73
Total Reported Cases684 276 408 1,863 741 1,122 431 172 259 75 40 35 3,053 1,229 1,824
Total number of cases does not include cases with sex missing = 37
Table 3.7. Distribution of HIV infections by Occupation status according to sex and region, PNG, 2012
Farming/
Fishing
6.1 4.9 6.9 31.5 28.3 33.5 7.5 8.5 6.7 14.3 13.9 14.7 21.9 19.8 23.3
Administra
tion
4.6 6.1 3.6 1.2 2.1 0.7 3.8 6.7 2.0 11.4 16.7 5.9 2.6 4.1 1.6
Uniformed
services
4.7 8.7 2.0 1.7 2.4 1.2 4.6 7.3 2.8 8.6 8.3 8.8 3.0 4.7 1.8
Student 3.8 2.7 4.6 3.1 3.1 3.0 2.4 2.4 2.4 1.4 0.0 2.9 3.1 2.8 3.3
Unemploye
d
64.3 52.7 72.1 50.6 46.6 53.2 52.2 38.4 61.1 38.6 16.7 61.8 53.6 45.9 58.8
Others 8.2 12.5 5.3 5.9 8.6 4.2 14.4 17.7 12.3 12.9 22.2 2.9 7.8 11.2 5.6
Not reported 8.4 12.5 5.6 6.0 8.7 4.2 15.1 18.9 12.7 12.9 22.2 2.9 8.0 11.4 5.7
Total* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total
Number
(N)**
658 264 394 1,770 699 1,071 416 164 252 70 36 34 2,914 1,163 1,751
*% is calculated against the total (excluding missing values).** excluding missing values.
Occupation
Occupation
4.9. HIV Positive Cases Detected in 2012 by Sexual Risk Factors
Of the overall cases detected in 2012, 84.9% reported they “Had Sex with Non-Regular Partners
in the Last 12 Months” while 2.0% reported they “Had Anal Intercourse with Male Partners in
Had sex with non-regular partner(s) 84.9 87.4 83.5 75.9 79.7 74.1 89.3 92.1 87.7 76.4 75.7 76.8 79.5 84.6 75.5
Had anal intercourse with male partner(s) 2.0 1.1 2.5 4.1 2.3 5.0 1.4 0.6 1.7 2.5 1.9 2.9 2.3 0.0 4.1
Had anal intercourse with female partner(s) 1.0 1.6 0.4 1.7 2.9 0.7 0.6 1.2 0.1 2.0 2.4 1.6 0.0 0.0 0.0
Injected any drugs 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Had occupational exposure 1.5 1.9 1.4 0.4 0.0 0.7 0.8 1.1 0.7 5.7 6.8 4.9 0.0 0.0 0.0
Had body piercing or tattoo 1.1 0.8 1.3 5.2 4.7 5.7 0.0 0.0 0.0 1.6 0.5 2.3 2.3 2.6 2.0
Sexually assaulted (raped) 0.8 0.0 1.3 2.0 0.0 3.2 0.4 0.0 0.7 1.0 0.0 1.6 1.1 0.0 2.0
Had blood transfusion 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Otherrisk behaviors (breakdown below) 8.8 7.2 9.6 10.6 10.5 10.6 7.5 4.9 9.1 10.9 12.6 9.8 14.8 12.8 16.3
Faithful and/or regular partner 3.2 2.0 3.9 2.8 2.3 2.8 3.5 2.0 4.5 2.3 1.5 2.9 3.4 5.1 2.0
HIV and/or TB/STI infected partner 1.0 0.6 1.2 1.3 1.7 1.1 0.9 0.0 1.6 0.8 1.5 0.3 1.1 2.6 0.0
Infected pregnant mothers and/or child 1.6 2.2 1.1 3.5 4.7 2.8 1.3 1.8 0.8 1.0 1.5 0.7 2.3 2.6 2.0
AIDS defining illness or other illness 0.4 0.3 0.4 0.7 1.2 0.4 0.4 0.2 0.5 0.0 0.0 0.0 0.0 0.0 0.0
Others-mixed 0.2 0.1 0.3 0.4 0.6 0.4 0.1 0.0 0.2 0.0 0.0 0.0 1.1 0.0 2.0
No response, not sure or denied 2.4 2.0 2.7 2.0 0.0 3.2 1.3 0.9 1.5 6.8 8.3 5.9 6.8 2.6 10.2
Total* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total Number (N)** 3,119 1,228 1,849 461 172 282 2,058 811 1,212 512 206 306 88 39 49
*% is calculated against the total (excluding missing values). **excluding missing values.
Risk behaviors in the past 12 months
PNG-Total Southern Highlands Momase NGI

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the Last 12 Months”. Of those that reported having anal intercourse with male partners in the
last 12 months, 1.1% were males and 2.5% were females.
Furthermore, 1.0% reported they “Had Anal Intercourse with Female Partners in the Last 12
Months. Of this, 1.6% was males and 0.4% was females. These sets of data showed that men
were having anal intercourse with other males and females were having anal intercourse with
other females. In addition, high proportions of females were having anal intercourse with male
partners.
4.10. HIV Positive Cases Detected in 2012 by Current TB Status
Of the overall HIV positive cases reported in 2012, 6.6% reported “Current TB Status” as “Yes”
meaning; at their time of diagnosis they had TB. Of this, 8.5% were males and 5.4% were
females. Across regions, NGI region has the highest proportion (19.1%) of those reporting
“Current TB Status” as “Yes” followed by Momase region at 13.7%, Southern region at 8.0% and
Highlands region at 4.2%.
One major issue seen here is quite large proportion 21.3% reporting “Current TB Status” as
“Unknown.” This could mean two things, either the person does not know his or her current TB
status at the time of his/her diagnosis or that HCT counselors are not asking the question
relating to current TB status and are just filling out the answers as unknown.
Table.16. HIV Positive Cases Detected in 2012 by Current TB status, Sex & Regions
No 417 150 267 1,303 493 810 216 80 136 41 20 21 1,977 743 1,234
Yes 49 22 27 73 42 31 47 18 29 13 9 4 182 91 91
Unknown 148 67 81 342 131 211 80 33 47 14 5 9 584 236 348
Sub-total
(excluding
missing) 614 239 375 1,718 666 1,052 343 131 212 68 34 34 2,743 1,070 1,673
Missing 24 5 19 48 17 31 28 12 16 - - - 100 34 66
Table 3.11. Percentage distribution of HIV infections by current TB Status, according to sex and region, PNG, 2012
Current TB
status
No 67.9 62.8 71.2 75.8 74.0 77.0 63.0 61.1 64.2 60.3 58.8 61.8 72.1 69.4 73.8
Yes 8.0 9.2 7.2 4.2 6.3 2.9 13.7 13.7 13.7 19.1 26.5 11.8 6.6 8.5 5.4
Unknown 24.1 28.0 21.6 19.9 19.7 20.1 23.3 25.2 22.2 20.6 14.7 26.5 21.3 22.1 20.8
Total* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total
Number
(N)** 614 239 375 1,718 666 1,052 343 131 212 68 34 34 2,743 1,070 1,673
*% is calculated against the total (excluding missing values).**excluding missing values.
Current TB status
4.11. HIV Positive Cases Detected in 2012 by Current Other STIs Status
Of the overall HIV positive cases reported in 2012, 7.1% reported “Current Other STIs Status” as
“Yes” meaning; at their time of diagnosis they had Other STIs. Of this, 5.8% were males and
7.9% were females. Across regions, Momase region has the highest proportion (10.8%) of those

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reporting “Current Other STIs Status” as “Yes” followed by NGI region at 8.8%, Southern region
at 8.0% and Highlands region at 5.9%.
One major issue seen here is quite a large proportion at 21.2% reporting “Current Other STIs
Status” as “Unknown.” This could mean two things, either the person does not know his or her
current Other STIs status at the time of his/her diagnosis or that HCT counselors are not asking
the question relating to current Other STIs status and are just filling out the answers as
unknown.
Table.17. HIV Positive Cases Detected in 2012 by Current Other STIs Status, Sex & Regions
No 428 158 270 1,269 496 773 231 90 141 42 21 21 1,970 765 1,205
Yes 49 21 28 102 31 71 37 7 30 6 3 3 194 62 132
Unknown 139 61 78 348 140 208 75 34 41 20 10 10 582 245 337
Sub-total
(excluding
missing) 616 240 376 1,719 667 1,052 343 131 212 68 34 34 2,746 1,072 1,674
Missing 22 4 18 47 16 31 28 12 16 - - - 97 32 65
Table 3.12. Percentage distribution of HIV infections by current STI Status, according to sex and region, PNG, 2012
Current STI status
No 69.5 65.8 71.8 73.8 74.4 73.5 67.3 68.7 66.5 61.8 61.8 61.8 71.7 71.4 72.0
Yes 8.0 8.8 7.4 5.9 4.6 6.7 10.8 5.3 14.2 8.8 8.8 8.8 7.1 5.8 7.9
Unknown 22.6 25.4 20.7 20.2 21.0 19.8 21.9 26.0 19.3 29.4 29.4 29.4 21.2 22.9 20.1
Total* 100 100 100 100 100 100 100 100 100 100 100 100 100 100 100
Total
Number
(N)** 616 240 376 1,719 667 1,052 343 131 212 68 34 34 2,746 1,072 1,674
*% is calculated against the total (excluding missing values).**excluding missing values.
Current STI status
Section 5: Routine ART Monitoring
5.1. Annual Summary, 2004–2012
HIV Care & Treatment program began in 2004 during which 211 adults and 19 paediatrics
registered into the program. Of these, 78 adults and 2 paediatrics actually took treatment. None
of the PLHIVs took TB treatment and no persons took PEP at that time however, there were 10
deaths and 48 defaults among the 80 PLHIVs that took treatment.
By 2005, 79 mothers enrolled into the PPTCT program, 50 people took PEP, deaths increased
five times while defaults decreased by 64.6%, number registered and number started ART
increased almost three times and four times respectively.
By 2006, number registering into care increased by 74.7% while number of those starting
treatment increased three times. This meant, PNG was detecting a lot more cases than before
and that can be attributed to the scaling up of HIV testing program in the country.
In 2007, number of those enrolled into the PPTCT decreased by 43.1%, PEP decreased by 50.9%
while defaults and deaths increased by 100.0% and 30.0% respectively, number registered
increased by 91.9% while number started ART increased by 94.3%.

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Table.18. Annual HIV Care & Treatment Summary by Years, HIV Care & Treatment Registration, Started & On ART Treatment,
Started & On ART-TB Treatments, PPTCT, PEP, Deaths & Defaults
Year
Registered ART Treatment TB-ART Treatment PPTCT
PEP Death Default
Adult Peads Total Adult Peads Total Adult Peads Total Infant Mother Total
2004 211 19 230 78 2 80 0 0 10 48
2005 608 44 652 311 9 320 79 50 61 17
2006 1,076 63 1,139 1,063 35 1,098 202 112 30 13
2007 2,017 169 2,186 2,065 185 2,250 107 1 108 115 55 39 26
2008 2,167 53 2,220 1,349 98 1,447 164 3 167 222 206 86 24
2009 2,697 128 2,825 1,457 98 1,555 187 8 195 514 233 110 89
2010 2,407 134 2,541 1,661 111 1,772 187 9 196 590 348 136 278
2011 3,281 126 3,407 1,932 101 2,033 211 7 218 288 221 509 384 74 121
2012 3,648 189 3,837 2,652 194 2,846 306 19 325 302 334 636 388 188 287
5.1.2. HIV Patient Registered in 2012 by Region, Province, Site & Sex
In 2012, 3,648 adults (1,487 males, 2,161 females) and 189 paediatrics (93 males, 96 females)
registered into the care program. By site, Heduru HIV/Other STIs clinic within Port Moresby
General hospital registered highest number of PLHIVs at 429 (428 adults, 1 paediatrics) into the
care program followed by Tininga HIV/Other STIs clinic with Mt. Hagen provincial hospital
which registered 421 PLHIVs 421 (all adults).
Rebiamul Care & Counselling Centre in WHP registered 371 PLHIVs (367 adults, 4 paediatrics)
while Michael Alper’s HIV/Other STIs Clinic in EHP registered 338 HIV positive people (all
adults). Anglicare STOP AIDS VCT Clinic in NCD registered 228 (all adults).
Other reporting ART sites also registered good number of PLHIVs into HIV care program. These
included Kumin Epeanda Care Centre in SHP at 178 (173 adults, 5 paediatrics), Endakalipin
Clinic–Wabag Provincial hospital in Enga at 153 (150 adults, 3 paediatrics), Kudjip Nazarene
District/Rural hospital in WHP at 151 (146 adults, 5 paediatrics), Pogera Day Care Centre in
Enga at 147 (146 adults, 1 paediatrics).
ID-INAD Clinic–Modilon Provincial hospital in Madang registered 119 (107 adults, 12
paediatrics) and Anua Moriri Day Care Centre–Angau Memorial hospital in Morobe registered
119 (109 adults, 10 paediatrics), Prapra HIV/Other STIs Clinic–Kundiawa Provincial hospital in
Simbu registered 116 (112 adults, 4 paediatrics) and Mingende District/Rural hospital also in
Simbu registered 111 (106 adults, 5 paediatrics).
Table.19. HIV Patients Registered in 2012 by Regions, Site & Sex
Region Province Facility
Registered
Adult Peads
Total
M F Total M F Total
Highlands
Simbu
Mingende District/Rural Hospital 43 63 106 1 4 5 111
Prapra HIV/Other STIs Clinic – Kundiawa
Provincial Hospital 47 65 112 2 2 4 116
EHP
Peadatrics Ward – Goroka Base Hospital 0 0 0 10 10 20 20
Michael Alper’s HIV/Other STIs Clinic 135 203 338 0 0 0 338
Enga
Yampu Health Centre 31 24 55 2 1 3 58
Pogera Day Care Centre 63 83 146 0 1 1 147
Endakalipin Clinic – Wabag Provincial
Hospital 61 89 150 1 2 3 153
Mambisanda District/Rural Hospital 20 27 47 2 0 2 49
Wapnemanda Primary Health Services 0 0 0 0 0 0 0
SHP
Kumin Epeanda Care Centre 63 110 173 3 2 5 178
Nina Clinic – Mendi Provincial Hospital 27 51 78 1 1 2 80

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Oil Search Moro Clinic 20 27 47 0 0 0 47
Innanaka Clinic 37 45 82 0 0 0 82
WHP
Kudjip Nazarene District/Rural Hospital 63 83 146 1 4 5 151
Hillary Hart Paediatrics Clinic – Mt. Hagen
Rebiamul Care & Counselling Centre 158 209 367 3 1 4 371
Tininga Clinic – Mt. Hagen Provincial
Hospital 162 259 421 0 0 0 421
Highlands Region Total 930 1,338 2,268 44 52 96 2,364
Momase
ESP Wasaie Clinic 4 6 10 0 0 0 10
Madang
ID-INAD Clinic – Modilon Provincial
Hospital 38 69 107 7 5 12 119
Madang Family Clinic 0 2 2 0 0 0 2
Ramu Sugar Agri Industry (RAI) Clinic 13 13 26 1 0 1 27
Gaubin District/Rural Hospital 2 3 5 0 0 0 5
Morobe
Anua Moriri Day Care Centre – Angau
Memorial Hospital 40 69 109 2 8 10 119
Buimo Urban Health Centre 0 5 5 0 0 0 5
Family Support Centre 0 0 0 0 0 0 0
Mutzing Health Centre 1 3 4 0 0 0 4
WSP
Raihu District/Rural Hospital 1 2 3 0 0 0 3
ODI Clinic – Vanimo Provincial Hospital 9 2 11 0 0 0 11
Vanimo Catholic Diocese 0 0 0 0 0 0 0
Momase Region Total 108 174 282 10 13 23 305
NGI
ENBP
Peter Torot’s VCT Centre – Vunapope
Hospital 12 15 27 0 0 0 27
Nonga Base Maravut Hospital 1 5 6 1 0 1 7
NIPs
HIV/Other STIs Clinic – Kavieng Provincial
Hospital 1 4 5 0 0 0 5
Lihir Private Clinic 9 6 15 0 0 0 15
ARoB Hahela Care Centre 1 1 2 0 0 0 2
WNBP
Valoka Divine Mercy Centre 0 2 2 0 0 0 2
Leguava HIV/Other STIs Clinic – Kimbe
Mosa/New Britain Palm Oil Ltd Health
Centre 2 6 8 0 0 0 8
NGI Region Total 35 55 90 2 0 2 92
Southern
Oro Siroga Higaturu Oil Palm Clinic 8 22 30 3 2 5 35
Central
Moreguina Health Centre 2 0 2 0 0 0 2
Tapini OLSH Health Centre 2 3 5 0 0 0 5
Inauaia Health Centre 1 4 5 0 0 0 5
Louis Vangeke Viefa’a Health Centre 5 8 13 0 0 0 13
Gulf
Ereitave Uvi HIV/Other STIs Clinic – Kerema
Milne Bay
Hagu Clinic – Alotau Provincial Hospital 2 8 10 6 3 9 19
Tolaba Disease Control Clinic – Misima
District/Rural Hospital 0 0 0 0 0 0 0
Lema Budoiya Clinic 1 5 6 1 0 1 7
St. Geralds Care Centre 0 2 2 0 0 0 2
NCD
9 Mile Clinic 11 21 32 0 0 0 32
Heduru HIV/Other STIs Clinic 163 265 428 0 1 1 429
POM Private Specialist 0 0 0 0 0 0 0
Port Moresby General Hospital ANC 0 0 0 0 0 0 0
St. Joseph Freindemtz 36 52 88 0 0 0 88
St. Mary’s Medical Centre 14 18 32 1 0 1 33
Well Baby Clinic 0 2 2 24 21 45 47
Anglicare STOP AIDS VCT Clinic 107 121 228 0 0 0 228
Lawes Road Clinic 29 29 58 0 0 0 58
Western
Tabubil Hospital 22 17 39 0 2 2 41
Himara Kigiro Clinic – Daru Provincial
Hospital 6 6 12 0 1 1 13
Kiunga Good Samaritan 3 7 10 1 0 1 11

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Southern Region Total 414 594 1,008 37 31 68 1,076
Country Total 1,487 2,161 3,648 93 96 189 3,837
5.1.3. HIV Patient Starting Treatment in 2012 by Region, Province,
Site & Sex
In 2012, 2,652 adults (1,097 males, 1,555 females) and 194 paediatrics (101 males, 93 females)
started treatment. By site, Tininga HIV/Other STIs Clinic–Mt. Hagen Provincial hospital had
highest number of PLHIVs starting treatment at 375 (all adults) followed by Heduru HIV/Other
STIs Clinic in Port Moresby which started 310 PLHIVs (all adults).
Rebiamul Care & Counselling Centre in WHP started 286 (285 adults, 1 paediatrics) while
Kumin Epeanda Care Centre in SHP started 184 (180 adults, 4 paediatrics). Endakalipin Clinic–
Wabag Provincial Hospital in Enga started 132 (115 adults, 17 paediatrics) while Michael
Alper’s HIV/Other STIs Clinic started 131 (all adults).
Other reporting ART sites also started good number of PLHIVs into the treatment program.
These included Anglicare STOP AIDS VCT Clinic in Port Moresby which started 127 PLHIVs on
treatment (all adults), Anua Moriri Day Care Centre–Angau Memorial Hospital in Morob e
started 125 (115 adults, 10 paediatrics), Kudjip Nazarene District/Rural hospital in WHP
started 120 (117 adults, 3 paediatrics), Yampu Health Centre in Enga started 111 (109 adults, 2
paediatrics) and Pogera Day Care Centre also in Enga started 84 (83 adults, 1 paediatrics).
Couple of sites registered less number of PLHIVs into care but started more numbers on
treatment. Such sites included Kumin Epeanda Care Centre in SHP which registered 178 PLHIVs
but started 184 on treatment. Based on the eligibility criteria of treatment, number registered
should be higher than number started treatment. If it’s the other way around, this meant there
is improper monitoring of patients and also data discrepancies.
Table.20. HIV Patients Starting Treatment in 2012 by Regions, Province, Site & Sex
Treatment
Adult Peads
Total
M F Total M F Total
Highlands
Simbu
Prapra Clinic – Kundiawa Provincial Hospital 22 24 46 1 1 2 48
EHP
Paediatrics Ward – Goroka Base Hospital 0 0 0 0 0 0 0
Michael Alper’s HIV/Other STIs Clinic 45 86 131 0 0 0 131
Enga
Hospital 53 62 115 10 7 17 132
Wapnemanda Primary Health Services 0 0 0 0 0 0 0
SHP
Nina Clinic – Mendi Provincial Hospital 29 40 69 2 1 3 72
WHP
Kudjip Nazarene District/Rural Hospital 48 69 117 0 3 3 120
Hillary Hart Paediatrics Clinic – Mt. Hagen
Rebiamul Care & Counselling Centre 134 151 285 1 0 1 286
Tininga HIV/Other STIs Clinic – Mt. Hagen
Highlands Region Total 711 1,004 1,715 42 41 83 1,798
Momase
Madang
ID-INAD Clinic – Modilon Provincial Hospital 20 28 48 1 1 2 50
Ramu Agri Industry Sugar (RAI) Clinic 8 4 12 0 0 0 12

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Morobe
Memorial Hospital 46 69 115 4 6 10 125
WSP
ODIClinic – Vanimo Provincial Hospital 13 7 20 0 0 0 20
Momase Region Total 91 115 206 5 7 12 218
NGI
ENBP
Hospital 12 15 27 0 0 0 27
Nonga Base Maravut Hospital 1 4 5 1 0 1 6
NIPs
HIV/Other STIs Clinic – Kavieng Provincial
Hospital 0 4 4 0 0 0 4
WNBP
Centre 0 7 7 0 0 0 7
NGI Region Total 26 47 73 2 0 2 75
Southern
Central
Moreguina Health Centre 2 0 2 0 0 0 2
Tapini OLSH Health Centre 1 1 2 0 0 0 2
Louis Vangeke Viefa’a Health Centre 0 5 5 0 0 0 5
Gulf
Milne Bay
Hagu Disease Control Clinic – Alotau
District/Rural Hospital 0 0 0 0 0 0 0
St. Geralds Care Centre 0 0 0 0 0 0 0
NCD
9 Mile Clinic 10 16 26 0 0 0 26
POM Private Specialist 0 0 0 0 0 0 0
Port Moresby General Hospital ANC 0 0 0 15 14 29 29
St. Joseph Freindemtz 27 33 60 0 0 0 60
St. Mary’s Boroko Medical Centre 8 14 22 2 1 3 25
Well Baby Clinic 0 1 1 27 27 54 55
Anglicare STOP AIDS VCT Clinic 60 67 127 0 0 0 127
Lawes Road Clinic 14 21 35 0 0 0 35
Western
Tabubil Hospital 13 8 21 1 0 1 22
Hospital 3 2 5 0 0 0 5
Kiunga Good Samaritan 2 4 6 0 0 0 6
Southern Region Total 269 389 658 52 45 97 755
Country Total 1,097 1,555 2,652 101 93 194 2,846
5.1.4. Deaths & Defaults in 2012 by Region, Province, Site & Sex
By site, Heduru HIV/Other STIs Clinic within Port Moresby General hospital in Port Moresby
witnessed highest number of deaths and defaults among PLHIVs at 48 and 144 respectively
followed by Anua Moriri Day Care Centre–Angau Memorial hospital in Morobe which had 16
deaths and 46 defaults.
Rebiamul Care & Counselling Centre in WHP had 9 deaths and 15 defaults while Kudjip
Nazarene District/Rural hospital also in WHP had 7 deaths and 11 defaults, Well Baby Clinic in

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Port Moresby had 21 deaths and 9 defaults and Siroga Higaturu Oil Palm Clinic in Oro had 6
defaults. Other reporting ART sites also had deaths and defaults. Proper monitoring of deaths
and defaults and bringing those lost to and dropped out of the care and treatment program will
result in a highly successful ART program.
Table.21. Deaths & Defaults in 2012 by Region, Province, Site & Sex
Death Default
M F Total M F Total
Highlands
Simbu
Mingende District/Rural Hospital 4 2 6 0 1 1
Prapra HIV/Other STIs Clinic – Kundiawa Provincial
Hospital 1 0 1 0 0 0
EHP Paediatrics Ward – Goroka Base Hospital 0 0 0 0 0 0
Michael Alper’s HIV/Otrhers STIs Clinic 5 0 5 0 0 0
Enga
Yampu Health Centre 0 0 0 1 1 2
Pogera Day Care Centre 2 0 2 0 1 1
Endakalipin Clinic – Wabag Provincial Hospital 2 0 2 1 7 8
Mambisanda District/Rural Hospital 5 1 6 1 0 1
Wapnemanda Primary Health Services 0 0 0 0 0 0
SHP
Kumin Epeanda Care Centre 0 1 1 0 0 0
Nina Clinic – Mendi Provincial Hospital 0 0 0 0 0 0
Oil Search Moro Clinic 2 0 2 0 0 0
Innanaka Clinic 1 4 5 1 1 2
WHP
Kudjip Nazarene District/Rural Hospital 4 3 7 5 6 11
Hillary Hart Paediatrics Clinic – Mt. Hagen Provincial
Hospital 2 4 6 1 1 2
Rebiamul Care & Counselling Centre 4 5 9 8 7 15
Tininga Clinic – Mt. Hagen Provincial Hospital 3 5 8 0 0 0
Highlands Region Total 35 25 60 18 25 43
Momase
ESP Wasaie Clinic 0 0 0 0 0 0
Madang
ID-INAD Clinic – Modilon Provincial Hospital 4 5 9 3 3 6
Madang Family Clinic 0 0 0 0 0 0
Ramu Agri Industry Sugar (RAI) Clinic 1 0 1 0 0 0
Gaubin District/Rural Hospital 0 0 0 0 0 0
Morobe
Anua Moriri Day Care Centre – Angau Memorial
Hospital 8 8 16 18 28 46
Buimo Urban Health Centre 0 0 0 0 0 0
Family Support Centre 0 0 0 0 0 0
Mutzing Health Centre 0 0 0 0 0 0
WSP
Raihu District/Rural Hospital 0 0 0 0 0 0
ODI Clinic – Vanimo Provincial Hospital 1 0 1 1 0 1
Vanimo Catholic Diocese 0 0 0 0 0 0
Momase Regional Total 14 13 27 22 31 53
NGI
ENBP Peter Torot’s VCT Centre – Vunapope Hospital 2 0 2 0 0 0
Nonga Maravut Hospital 1 1 2 1 1 2
NIPS HIV/Other STIs Clinic – Kavieng Provincial Hospital 0 0 0 2 2 4
Lihir Private Clinic 1 0 1 0 0 0
ARoB Hahela Care Centre 0 0 0 0 1 1
WNBP
Valoka Divine Mercy Centre 0 0 0 1 0 1
Leguava HIV/Other STIs – Kimbe Provincial Hospital 2 2 4 0 1 1
Mosa/New Britain Palm Oil Ltd Health Centre 0 0 0 0 0 0
NGI Region Total 6 3 9 4 5 9
Southern
Central
Moreguina Health Centre 0 0 0 0 0 0
Tapini OLSH Health Centre 0 0 0 0 0 0
Inauaia Health Centre 0 1 1 0 0 0
Louis Vangeke Viefa’a Health Centre 1 2 3 0 2 2
Gulf
Provincial Hospital 1 0 1 0 0 0
Hagu Disease Clinic – Alotau Provincial Hospital 2 1 3 0 2 2
District/Rural Hospital 0 0 0 0 0 0
Budoiya Lema Clinic 1 0 1 0 2 2

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Milne Bay
St. Geralds Care Centre 0 0 0 0 0 0
NCD
9 Mile Clinic 0 1 1 4 1 5
Heduru HIV/Other STIs Clinic 27 21 48 50 94 144
POM Private Specialist 0 0 0 0 0 0
Port Moresby General Hospital ANC 1 0 1 0 0 0
St. Joseph Freindemtz 1 0 1 0 0 0
St. Mary’s Medical Centre 0 1 1 2 1 3
Well Baby Clinic 14 7 21 6 3 9
Anglicare STOP AIDS VCT Clinic 2 2 4 0 0 0
Lawes Road Clinic 0 0 0 0 0 0
Oro Siroga Higaturu Oil Palm Clinic 0 0 0 1 7 8
Western
Tabubil Hospital 0 3 3 4 2 6
Himara Kigiro Clinic – Daru Provincial Hospital 1 0 1 1 0 1
Kiunga Good Samaritan 1 1 2 0 0 0
Southern Region Total 52 40 92 68 114 182
Country Total 107 81 188 112 175 287
5.1.5. Prevention of Parent to Child Transmission of HIV in 2012
In 2012, 636 individuals enrolled into PPTCT program. Of this, 302 were infants and 334 were
mothers. By site, Port Moresby General hospital ANC enrolled highest number at 289 (159
infants, 130 mothers) followed by Paediatrics Ward–Goroka Base hospital at 89 (58 infants, 31
mothers)
Buimo Urban Health Centre enrolled 50 (all mothers), Kudjip Nazarene District/Rural hospital
enrolled 30 (15 infants, 15 mothers), Kumin Epeanda Care Centre and Leguava HIV/Other STIs
clinic–Kimbe Provincial hospital enrolled 24 each (all mothers) at Kumin Epeanda and (10
infants, 14 mothers) at Leguava HIV/Other STIs clinic–Kimbe Provincial hospital).
For effective PPTCT program and to end new HIV infections among infants and peadrictics, it is
very important that all pregnant mothers attending antenatal care services to be tested for HIV
and syphilis and mothers testing positive to HIV to be followed through to delivery and infants
born to them to also be followed. Those mothers not attending antenatal care but ended up at
the labour ward to also be captured and tested at the labour ward.
Table.22. ARVs Prescribed to Infants & Mothers by Region, Province & Site
Region Province Facility Infant Mother Total
Southern
Western
Tabubil Hospital 4 2 6
Kiunga Good Samaritan 4 0 4
Central Louis Vangeke Viefa’a Health Centre 3 5 8
NCD
9 Mile Clinic 0 4 4
Port Moresby General Hospital ANC 159 130 289
St. Mary’s Boroko Medical Centre 5 3 8
Milne Bay
Hagu Disease Control Clinic – Alotau Provincial Hospital 6 4 10
Lema Budoiya Clinic 0 1 1
Oro Siroga Higaturu Oil Palm Clinic 2 0 2
Total Southern Region 183 149 332
Highlands
SHP
Kumi Epeanda Care Centre 0 24 24
Nina Clinic – Mendi Provincial Hospital 0 1 1
Oil Search Moro Clinic 3 4 7
Innanaka Clinic 4 4 8
Enga
Yampu Health Centre 3 2 5
Endakalipin Clinic – Wabag Provincial Hospital 18 0 18
WHP
Kudjip Nazarene District/Rural Hospital 15 15 30
Rebiamul Care & Counselling Centre 0 4 4
Simbu
Mingende District/Rural Hospital 0 15 15
Prapra HIV/Other STIs Clinic – Kundiawa Provincial Hospital 0 1 1

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EHP
Paediatrics Ward – Goroka Base Hospital 58 31 89
Michael Alper’s HIV/Other STIs Clinic 0 3 3
Total Highlands Region 101 104 205
Momase
Morobe
Anua Moriri Day Care Centre – Angau Memorial Hospital 3 7 10
Buimo Urban Health Centre 0 50 50
Madang ID-INAD Clinic – Modilon Provincial Hospital 0 1 1
WSP ODI Clinic – Vanimo Provincial Hospital 2 1 3
Total Momase Region 5 59 64
NGI
NIPs
HIV/Other STIs Clinic – Kavieng Provincial Hospital 0 2 2
Lihir Private Clinic 0 1 1
ENBP Peter Torot’s VCT Centre – Vunapope Provincial Hospital 3 3 6
WNBP
Valoka Divine Mercy Centre 0 2 2
Leguava HIV/Other STIs Clinic – Kimbe Provincial Hospital 10 14 24
Total NGI Region 13 22 35
Country Total 302 334 636
5.2. ART Cumulative Summary from 2004 to 2012
At the end of 2012, a cumulative total of 19,037 PLHIVs (18,112 adults, 736 paediatrics) have
registered into the HIV care and treatment program since the establishment of the program in
2004. Among those registered, a cumulative total of 13,401 (12,568 adults, 833 paediatrics)
actually took treatment. Of the cumulative 13,401, 1,209 (1,162 adults, 47 paediatrics) took
both ART and TB treatments i.e. a cumulative 1,209 took both ART and TB treatments.
With PPTCT, a cumulative, 2,867 (590 infants, 555 mothers) have enrolled into the program
since establishment of the program in 2005. A cumulative total of 1,776 individuals have taken
PEP since PEP became available in the country in 2005. For deaths, a cumulative of 734 deaths
have occurred among those who took ART since 2004 to the end of 2012 while a cumulative
total of 903 defaults have taken place among those on treatment since 2004. Thirthy-three
PLHIVS were on second line by December 2012 while 17 switched regiments.
Section 6: Routine Other STIs Surveillance (NHIS)
6.1. Proportions of Reported Other STIs by Regions
Of the 103,227 syndromiclly managed Other STIs reported cases in 2012, 3.0% was Genital
Ulcers males and 2.7% females, 16.2% were Urethral Discharges and 24.9% Vaginal Discharges,
25.1% female Pelvic Inflame Discharges, 0.7% Genital Warts males and 1.2% female and
Unclassified Other STIs amounting to 12.7% males and 13.6% females.
By regions, Highlands region reported highest proportion of Other STIs cases at 66.1% followed
by Momase region reporting 12.9%, Southern region reporting 12.1% and NGI region reporting
Table.23. Cumulative HIV Care & Treatment Summary by Years, HIV Care & Treatment Registration, Started & On ART Treatment,
Started & On ART-TB Treatments, PPTCT, PEP, Deaths & Defaults
Year
Registered ART Treatment TB-ART Treatment PPTCT
PEP Death Default
Adult Peads Total Adult Peads Total Adult Peads Total Infant Mother Total
2004 211 19 230 78 2 80 0 0 10 48
2005 819 63 882 389 11 400 79 50 71 65
2006 1,895 126 2,021 1,452 46 1,498 281 162 101 78
2007 3,912 295 4,207 3,517 231 3,748 107 1 108 396 217 140 104
2008 6,079 348 6,427 4,866 329 5,195 271 4 275 618 423 226 128
2009 8,776 476 9,252 6,323 427 6,750 458 12 470 1,132 656 336 217
2010 11,183 610 11,793 7,984 538 8,522 645 21 666 1,722 1,004 472 495
2011 14,464 736 15,200 9,916 639 10,555 856 28 884 288 221 2,231 1,388 546 616
2012 18,112 736 19,037 12,568 833 13,401 1,162 47 1,209 590 555 2,867 1,776 734 903

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8.8%. By sex, highest cases are seen amongst males across all Other STIs cases except Genital
Warts where males reported the highest.
Table.24. Proportions of Reported Other STIs by Regions
Ge nita l
Ulc e r
M a le
Ge nita l
Ulc e r
F e m a le
Ure tra l
D is c ha r
g e M a le
Va g ina l
D is c ha r
g e
F e m a le
P e lv ic
Infla m e
D is c ha r
g e
F e m a le
Ge nita l
Wa rts
M a le
Ge nita l
Wa rts
F e m a le
Unc la s s i
fie d
Othe r
S TIs
M a le
Unc la s s i
fie d
Othe r
S TIs
F e m a le
To ta l o f
a ll Othe r
S TIs
S o uthe rn
R e g io n 13.9% 10.8% 13.2% 9.4% 10.4% 9.7% 14.8% 17.6% 13.4% 12.1%
Hig hla nds
R e g io n 62.8% 63.2% 66.6% 68.0% 67.5% 73.9% 69.2% 63.6% 62.6% 66.1%
M o m a s e
R e g io n 11.3% 13.0% 14.2% 12.4% 13.7% 12.8% 9.8% 10.8% 13.6% 12.9%
N GI R e g io n 12.0% 13.0% 6.0% 10.1% 8.4% 3.5% 6.2% 8.1% 10.4% 8.8%
To ta l by S e x 52.9% 47.1% 100.0% 100.0% 100.0% 35.9% 64.1% 48.2% 51.8% 100.0%
To ta l by
e a c h
c la s s ifie d
Othe r S TIs 3.0% 2.7% 16.2% 24.9% 25.1% 0.7% 1.2% 12.7% 13.6% 100.0%
6.2. Reported Number of Other STIs by Province, Regions & Sex
Table.25. Number of Other STIs Reported by Province, Region, Sex & Types of Cases
Province/
Region
Genital
Ulcer Male
Genital
Ulcer
Female
Uretral
Discharge
Male
Vaginal
Discharge
Female
Pelvic
Inflame
Discharge
Female
Genital
Warts
Male
Genital
Warts
Female
Unclassifie
d Other
STIs Male
Unclassifie
d Other
STIs
Female
Total of all
Other STIs
Western 67 12 275 200 410 8 38 431 261 1,702
Gulf 33 29 28 54 43 4 2 54 65 312
Central 44 67 83 111 150 2 4 94 136 691
NCD 150 122 1,338 1,732 1,830 48 136 1,293 1,013 7,662
Milne Bay 54 42 350 222 69 4 2 171 162 1,076
Oro (Northern) 82 25 125 112 190 3 6 254 238 1,035
Southern
Region
430 297 2,199 2,431 2,692 69 188 2,297 1,875 12,478
SHP 93 109 612 959 2,219 9 47 931 887 5,866
Hela 130 83 585 671 579 54 51 503 460 3,116
Enga 517 499 1,460 1,813 2,169 239 311 1,716 1,550 10,274
WHP 229 127 2,296 3,974 4,940 86 216 2,527 3,058 17,453
Jiwaka 327 238 1,763 2,515 2,260 40 35 724 712 8,614
Simbu 238 239 1,576 2,677 1,661 54 152 778 931 8,306
EHP 409 447 2,822 4,899 3,636 43 64 1,137 1,186 14,643
Highlands
Region
1,943 1,742 11,114 17,508 17,464 525 876 8,316 8,784 68,272
Morobe 131 130 1,228 1,403 1,463 18 32 568 708 5,681
Madang 103 120 671 934 1,184 13 18 476 664 4,183
ESP 71 70 318 668 654 53 59 232 385 2,510
Sandaun (WSP) 43 39 143 196 243 7 15 133 149 968
Momase
Region
348 359 2,360 3,201 3,544 91 124 1,409 1,906 13,342
ENBP 49 121 658 2,024 868 1 13 439 593 4,766
WNBP 287 211 146 317 756 21 39 333 491 2,601
ARoB (North
Solomons)
19 7 36 100 209 3 10 133 227 744
Manus 8 3 80 93 109 0 4 55 58 410
NIP 8 16 85 80 220 0 12 96 97 614
NGI Region 371 358 1,005 2,614 2,162 25 78 1,056 1,466 9,135
Total by Sex 3,092 2,756 16,678 25,754 25,862 710 1,266 13,078 14,031 103,227
Country Total 16,678 25,754 25,862 103,2275,848 1,976 27,109
In 2012, 103,227 Other STIs syndromiclly diagnosed cases were reported to NHIS. By province,
WHP reported the highest number at 17,453 among which the highest reported syndrome was
Pelvic Inflame Discharge at 4,940 cases among females. Following WHP is EHP with 14,643

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cases among which the highest was Vaginal Discharge among females. Enga followed EHP
reporting 10,274 cases of which Pelvic Inflame Discharge was the highest at 2,169.
Jiwaka reported a total of 8,614 cases of which Vaginal Discharge was the highest followed by
Simbu reporting 8,306 cases of which Vaginal Discharge was reported the highest. NCD
reported 7,662 cases among which Pelvic Inflame Discharge was the highest followed by SHP
reporting a total of 5,866 cases with Pelvic Inflame Discharge having the highest cases.
So far, highest number of reported Other STIs cases is from the Highlands region with most
cases reported as Pelvic Inflame Discharge or Vaginal Discharges. It is timely that other sexually
transmitted infections be screened properly instead of being syndromiclly screened. This is
because just diagnosing someone who complains of seeing discharges does not mean that
person has discharges relating to Gonorrhea. It could be normal Vaginal or Urethral Discharges.
6.3. Number of Health Facilities Reporting Other STIs by Province
Over 700 health facilities reported Other STIs cases to NDoH NHIS in 2012. By province, Morobe
had the highest number of health facilities reporting Other STIs cases followed by Madang, WSP,
ESP, Milne Bay, Central, Western and ENBP. Provinces in the Highlands region had almost same
number of health facilities reporting to NHIS except Jiwaka.
Fig.9. Number of Health Facilities Reporting Other STIs cases by Province
0
100
200
300
400
500
600
700
800
# of Reporting Other STIs facilities 2012
Section 7: HIV/TB Collaboration
7.1. HIV Positive Patients who are TB Positive & who are
Receiving Treatment for Both HIV & TB
Table.26. Annual & Cumulative Number of TB & HIV Positive Patients taking both TB & HIV Treatments by
Years
Annual Cumulative
Year Adult Peads Total Year Adult Peads Total
2004 2004
2005 2005
2006 2006
2007 107 1 108 2007 107 1 108
2008 164 3 167 2008 271 4 275
2009 187 8 195 2009 458 12 470

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2010 187 9 196 2010 645 21 666
2011 211 7 218 2011 856 28 884
2012 306 19 325 2012 1,162 47 1,209
Region Province Facilty
Pead Adult
Total
M F Total M F Total
Highlands
Simbu
Prapra HIV/Other STIs Clinic –
Kundiawa Provincial Hospital 1 1 2 4 3 7 9
EHP
Peadatrics Ward – Goroka Base
Hospital 0 2 2 0 0 0 2
Michael Alper’s HIV/Other STIs
Clinic 0 0 0 7 7 14 14
Enga
Endakalipin Clinic – Wabag
Wapnemanda Primary Health
Services 0 0 0 0 0 0 0
SHP
Nina Clinic – Mendi Provincial
Hospital 0 0 0 4 6 10 10
WHP
Kudjip Nazarene District/Rural
Hospital 0 0 0 1 3 4 4
Hillary Hart Peadatric Clinic – Mt.
Hagen Provincial 2 0 2 0 0 0 2
Rebiamul Care & Counseling Centre 0 0 0 3 3 6 6
Hospital 0 0 0 8 10 18 18
Total Highlands Region 5 4 9 57 63 120 129
Momase
Madang
Hospital 0 0 0 2 7 9 9
Ramu Agri Industry Sugar (RAI)
Clinic 0 0 0 0 1 1 1
Morobe
Anua Moriri Day Care Centre –
Angau Memorial Hospital 0 0 0 3 7 10 10
WSP
ODI Clinic – Vanimo Provincial
Hospital 0 0 0 3 2 5 5
Total Momase Region 0 0 0 8 27 35 35
NGI
ENBP
Peter Torot’s VCT Centre –
Vunapope Hospital 0 0 0 0 0 0 0
Nonga Maravut Hospital 0 0 0 0 0 0 0
NIPS
HIV/Other STIs Clinic – Kavieng
WNBP
Leguava HIV/Other STIs – Kimbe 1 0 1 2 1 3 4
Monitoring of HIV and TB patients taking both HIV and TB treatments began in 2007 and so
data on this program is available from 2007 onwards. At the end of 2012, a cumulative total of
1,209 (1,162 adults, 47 pediatrics) HIV-TB patients have been received both HIV and TB
treatments. Each year, the number of PLHIVs enrolling for both HIV and TB treatments keeps
increasing with 2012 the year that saw highest enrollment. Other previous years 2009, 2010
and 2011 also saw good number enrolling for both HIV and TB treatments.
By site, Tininga HIV /Other STIs clinic enrolled highest number at 18 (all adults) followed by
Pogera Day Care Centre at 17 (all adults), Kumin Epeanda Care Centre at 16 (14 adults, 2

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pediatrics), Michael Alper’s HIV/Other STIs clinic with 14 (all adults), Yampu Health Centre and
Endakalipin clinic at 11 each.
Section 8: Data Quality Assurances & Control Issues
In 2009, CDC regional office for Asia-Pacific in Thailand assisted NDoH HIV Surveillance unit
develop data tracking, quality control and assurance tools to manage HIV surveillance data.
However, the unit still faces many challenges in data quality, accuracy, completeness and
reporting timeliness.
8.1. HIV Monthly Testing Summary (Surv1) data issues
Data issues discussed here are those that are associated with Surv1 forms and Surv1 reporting
system. Surv1 forms are filled in by the HCT counsellors at the health facilities or sites providing
HCT services. Completed Surv1 forms are required to be submitted to NDoH HIV Surveillance
unit at the end of each month either through hand delivery, air mail, courier, fax or email.
8.1.1. Data Quality
• A major data quality issue faced by Surv1 reporting system in 2012 was more HIV
positive tests (4,723) were reported through Surv1 reporting system from HIV testing
sites than the actual HIV positive cases (2,857) reported through Surv4 reporting
system from hospital laboratories and 2-test algorithm sites. Ideally, total number of
positive HIV tests reported through Surv1 reporting system should equal up to number
of actual cases reported through Surv4 reporting system, cases reported from hospital
laboratories and 2-test algorithm sites
• Secondly, at times writings on Surv1 forms are not clear and data entry officers find it
hard to read writings especially statistics that are written on them. In addition, Surv1
forms that are faxed are usually received with smudges of fax ink on them which often
blacked out the original writings
8.1.2. Data Completeness & Accuracy
• A lot of times, Surv1 forms are not filled completely. Variables such as name of the
reporting officer, date of completing the forms, reporting month, name of province and
district, name of facility or sites are left out
• Sometimes statistics are not filled accurately such as Total Tests, Total Initial Reactive
and Total Confirmed Positive where at the end of each column, all number do not add up
to the sum of the cells and columns
8.1.3. Data Reporting Timeliness
• Data reporting timeliness has gone from bad to worse since 2010. Almost 80.0% of
health facilities and sites providing HCT services do not report on time as stipulated in
the Routine HIV Surveillance Data Recording, Collection & Reporting Protocol (SOP).
This has greatly delayed production of Annual STIs, HIV/AIDS Surveillance reports,
Health Sector report on the UA and GAR
8.2. HIV Confidential Case Notifications (Surv4) data issues
Data issues discussed here are those that are associated with Surv4 forms and Surv4 reporting
system. Surv4 forms are filled out by HCT counsellors at health facilities and sites providing HCT
services. Surv4 forms are filled out only when or upon an Initial HIV Rapid test is Reactive.
Upon filling out Surv4 forms, HCT counsellors send completed Surv4 forms with all details of
the persons confirmed HIV positive straight to NDoH. That’s if the testing site is a STAT PACK
site. If the testing site is not a STAT PACK site, HCT counsellors send completed Surv4 form with

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blood specimen of a person whose Initial HIV Rapid test was Reactive to a hospital laboratory
for final test. Final completed Surv4 forms with final HIV test result on it is sent to NDoH HIV
Surveillance unit either through hand delivery, air mail, courier, fax or email.
8.2.1. Data Quality
• A major data quality issue faced by Surv4 reporting system in 2012 was less HIV
positive cases (2,857) were reported through Surv4 reporting system from hospital
laboratories and STAT PACK sites than HIV positive tests (4,723) reported from HIV
testing sites through Surv1 reporting system. Ideally, total number of HIV positive cases
reported should equal up to total number of HIV positive tests. Surv1 and Surv4
reporting systems act as “Check and Balances” to each other
• Secondly, at times writings specifying variables on Surv4 forms are not always clear and
data entry officers find it difficult to read the writings. In addition, Surv4 forms that are
faxed are usually received with smudges of fax ink on them which often blacked out
original writings
• A lot of times, Surv4 forms are not filled out completely. Variables such as “date at which
Surv4 form was filled”, “date of birth of client”, “interviewer’s name”, “sex of client”, “age
of client”, “province of origin and district of client”, “province and district of detection of
client” “ID code of client” and especially sexual behaviour history of the person are not
always filled out
• Check boxes specifying optional variables to be ticked are sometimes left out or ticked
wrongly. Variables that have their check boxes un-ticked or unmarked may mean
questions relating to them were not asked by HCT counsellors during the time diagnosis
history of the person was taken
• Data reporting timeliness has gone from bad to worse since 2010. About 70.0% of
hospital laboratories and STAT PACK sites do not send in completed Surv4 forms to
NDoH HIV Surveillance unit. The protocol states that HIV is a notifyable disease and
when detected it has to be reported. This has thus greatly delayed production of Annual
STIs, HIV/AIDS Surveillance reports including the UA and GAR
8.3. HIV/ART Monthly Data Collection (Surv2) issues
8.3.1. Data Quality
• At times, writings on Surv2 forms are not clear and the ART Data Manager finds it
difficult to read writings especially statistics that are written on the forms. In addition,
Surv2 forms that are faxed usually have smudges of fax ink on them which often blacked
out the original writings
• Sometimes, Surv2 forms are not filled out completely. Variables such as “names of
reporting officers”, “date of which reporting is done”, ‘name of province and district the
facility is located in”, “name of facility or sites” are left out
• Sometimes statistics are not filled out accurately e.g. Alive, Sub Total and Total at the
end of the columns after subtracting Deaths and Defaulters do not add up during data
analysis

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• About 15.0% of health facilities and sites providing ART do not report on time by
submitting completed Surv2 forms to NDoH HIV Surveillance unit on time as stipulated
by the protocol. This has greatly delayed productions of Annual STIs, HIV/AIDS
Surveillance reports including UA and GAR
8.3.4. Data Management issues at HIV Surveillance unit
• Hard copies of Surv1, Surv2 and Surv4 forms including Surv5.1, Surv5.2 and Surv5.3
forms sometimes are misplaced or go missing at the national data centre at NDoH HIV
Surveillance unit
• It has been an on-going issue that electronic databases and data files go corrupted or go
missing when a computer or laptop crashes
• Data is entered with a lot of errors and missing variables which make data collation and
analysis difficult
• Very limited capacity of staff to collate, analyse and interpret data and write report
• Continuous crashing of computers and laptops
• No internet access including an ineffective server to support data backups and
databases life spans
8.4. Reporting Mechanism
PNG has a national reporting mechanism for HIV/AIDS framed by the National M&E Framework
of the National HIV Strategy 2011–2015. The framework is based on the “Three Ones Principles”
which calls for “One National Strategic Plan, “One HIV Coordinating Agency” and “One National
M&E Framework.
The National HIV Strategy 2011–2015 recognizes the National M&E Framework as an integral
part of the national response. The diagram below outlines the national reporting mechanism for
HIV. It can be understood from the diagram that PNG’s national reporting mechanism for HIV is
made up of four vertical and isolated data collection and reporting systems namely; the HIV
Surveillance system, the NHIS system, the NACS M&E system and the NACS RCU system.
The diagram also describes the structures within the national reporting mechanism. The
relationship of the structures is also vertical. One needs to study this diagram in depth in order
to fully understand the mechanics of the national reporting mechanism for HIV in PNG.
Fig.10. Diagram Showing National HIV Data Reporting Mechanisms/Systems

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Section 9: Recommendations
Recommendations are categorise into two main categories. The first category of
recommendations is intended for the management level officers to consider. The second
category of recommendations is intended for the technical level officers.
9.1. Management perspectives
Recommendations here are intended for Senior Executive Managers (Dr. Bieb, Dr. Lucy Johns,
Mr. Philip Tapo, Dr. Kariko etc) and Middle Management officers (Dr. Mawe Nick Dala, Dr. Boas,
Mr. Danny Beiyo, Ms. Elizabeth Gandhi, Mrs. Julie Airie etc) at both NDoH and NACS to consider.
Table.28. National Perspectives Recommendations for Management
No Recommendation Action to take Responsible Time Frame
1 Ensure enough and
consistent funding and
resources for STIs,
HIV/AIDS Surveillance
Annual planning on funding and
resources allocation and
mobilization
SEM & Middle
Management at
NDoH and NACS
Annual
2 Institute organizational
capacity for STIs, HIV/AIDS
Surveillance and keep it
consistent
TNA on human resource and
organizational capacity of STIs,
HIV/AIDS Surveillance and M&E
of HIV programs
SEM and Middle
Management
officers at NDoH
and NACS
Annual
3 Refocus STIs, HIV/AIDS
Surveillance systems
basing it on current status
of HIV epidemic
Discuss during SITWG meetings
and other meetings with
partners (WHO, AusAID,
UNAIDS, UNDP, PNGIMR, NSO,
PNGNRI)etc
SITWG members
and Middle
Management
officers at NDoH
and NACS
Frequency of
SITWG
meetings
4 Reclassify HIV information
system at NDoH by
separating M&E of HIV
programs away from
Surveillance of STIs and
HIV/AIDS systems
Discuss during SITWG meetings
and other meetings with
partners (WHO, AusAID,
UNAIDS, UNDP, PNGIMR, NSO,
PNGNRI) etc
SITWG members
and Middle
Management
officers at NDoH
and NACS
Frequency of
SITWG
meetings
5 Multi-unit data hub
coordination in the
provinces is effective and
functional
NACS and NDoH to invest in
ProMEST and build ProMEST
capacities
SEM & Middle
Management at
NDoH and NACS
Annual
6 Capacity building for Senior
Technical and Technical
officers at NDoH and NACS
in Databases, Data
Management and Analysis,
Bio-Statistics and M&E of
programs. Upgrade
Information Management
and ICT at NDoH and NACS
(servers and computers for
backing up electronic files
and databases
NACS and NDoH to invest in their
organisational capacities
SEM & Middle
Management at
NDoH and NACS
Annual
9.2. Technical perspective
Recommendations here are intended for the Senior Technical officers (Mrs. Agnes Gege, Mr.
Namarola Lote, Mr. Marcel Burro, Ms. Patricia Kepui and Mr. Peter Gandhi) and Technical
officers (Mr. Willie Warie, Ms. Agnes Daniel, Ms. Pauline Pandea, Mr. Luke Kumuno and Mr.
Henry Wou) at both NDoH and NACS to consider.
Table.29. National Perspective Recommendations for Technical Officers
No Recommendation Action to take Responsible Time

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Frame
1 Reduce errors in
interpretation of Initial HIV
Rapid test on sites and
increase probability that a
person with a +ve test is a
true +ve (predictive value
of a +ve test) as well as
predictive value of a –ve
test
Refresher trainings for
laboratory technicians and 2-test
algorithm site staff
Senior Technical
officers and
Technical officers at
NDoH and NACS
Annual
2 Return confirmed HIV test
results from hospital
laboratories and 2-test
algorithm sites back to
requesting HIV testing sites
in a timely manner
ProMEST validation of data and
follow-ups to hospital
laboratories and 2-test algorithm
sites
ProMEST members Quarterly
3 Related data collection and
reporting tools are
understood well to improve
data collection quality and
reporting practice
Refresher trainings on data
collection and reporting tools to
points of HCT, ART sites, 2-test
algorithm sites and hospital
laboratories staff
Senior Technical
officers and
NDoH and NACS
Annual
4 Track reporting
performance of all points of
HCT on monthly basis to
check for (1) timeliness of
reporting, (2) completeness
of forms and missing data,
(3) inconsistency,
discrepancy and
miscalculations
Senior Technical officers and
Technical officers at NDoH and
NACS to run data tracking,
validate and clean data after data
is entered
Senior Technical
officers and
NDoH and NACS
Monthly
5 ProMEST members are well
vested in data entry, data
reporting, verification,
collation, analysis,
interpretation and report
writing
TNA and refresher trainings for
ProMEST members
Senior Technical
officers and
NDoH and NACS
Annual
6 Ensuring SOPs and
Protocols for data
collection and reporting are
systematically followed to
verify data, filling out forms
correctly and completely
and reporting on time
Senior Technical officers and
Technical officers at NDoH and
NACS to analyse data and
compare with what the SOPs and
Protocols stipulated
Senior Technical
officers and
NDoH and NACS
Quarterly

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List of Appendix
Table.1. HIV Testing & Counselling at ANC
Province Facility
Tested for HIV Positive Prevalence
(%)M F Total M F Total
Western
Tepmin Ambip HIV/Other STIs Clinic –
Kiunga Hospital 0 247 247 0 4 4 1.62
Tabubil Hospital 3 1,080 1,083 0 3 3 0.28
Kiunga Hospital Laboratory 3 46 49 0 0 0 0.00
Rumginae District/Rural Hospital 3 86 89 0 0 0 0.00
Kiunga Good Samaritan 1 218 219 0 1 1 0.46
Himara Kigiro HIV/Other STIs Clinic –
Daru Provincial Hospital 0 203 203 0 0 0 0.00
Tabubil Urban Clinic GOPD 0 0 0 0 0 0 0.00
Total 10 1,880 1,890 0 8 8 0.42
Gulf
Ereitave Uvi HIV/Other STIs Clinic –
Kerema Provincial Hospital 1 68 69 0 0 0 0.00
Kerema Urban Clinic 1 54 55 0 0 0 0.00
Kanabea Health Centre 0 194 194 0 0 0 0.00
Kikori District/Rural Hospital 1 368 369 0 1 1 0.27
Kopi Occupational Clinic 0 0 0 0 0 0 0.00
Kapuna Hospital VCT 0 148 148 0 0 0 0.00
Total 3 832 835 0 1 1 0.12
Central
Moreguina Health Centre 23 314 337 0 1 1 0.30
Kupiano Health Centre 0 141 141 0 0 0 0.00
Upulima Health Sub Centre 0 78 78 0 0 0 0.00
Tapini OLSH Casmir Duffy Health Centre 10 105 115 0 1 1 0.87
Louis Vangeke Viefa’a Health Centre 6 406 412 0 0 0 0.00
Sogeri Health Sub Centre 0 82 82 0 0 0 0.00
Porebada Health Centre 0 22 22 0 0 0 0.00
Bereina Health Centre 3 3 6 0 0 0 0.00
Inauaia Health Centre 0 340 340 0 0 0 0.00
Yule Island Health Centre 1 95 96 0 0 0 0.00
Papa Lealea LNG Camp Clinic 0 58 58 0 0 0 0.00
International SOS Clinic – LNG Plant Site 0 0 0 0 0 0 0.00
Konedobu Clinic 0 229 229 0 1 1 0.44
Pacific Adventist University Clinic 1 95 96 0 0 0 0.00
Akufa Health Sub Centre 2 50 52 0 0 0 0.00
Manari Community Health AID Post 0 4 4 0 0 0 0.00
Kwikilla Health Centre 0 149 149 0 0 0 0.00
Hula Health Centre 0 99 99 0 0 0 0.00
Kubuna AID Post 0 27 27 0 0 0 0.00
Total 46 2,297 2,343 0 3 3 0.13
NCD
Port Moresby General Hospital ANC 5 6,279 6,284 3 68 71 1.13
PNGDF Taurama Hospital 0 121 121 0 0 0 0.00
St. Mary’s Boroko Medical Centre 0 280 280 0 2 2 0.71
Gerehu Hospital 0 1,478 1,478 1 17 18 1.22
Lawes Road ANC 0 1 1 0 0 0 0.00
Gordons Clinic 0 902 902 0 11 11 1.22
Kila Kila Four Square Living Light
Health Services Clinic 0 169 169 0 0 0 0.00
6 Mile Clinic 0 524 524 0 5 5 0.95
St. Therese Clinic Hohola 0 972 972 0 11 11 1.13
9 Mile Clinic 0 765 765 1 4 5 0.65
PNGDF Murray Barracks Clinic 0 50 50 0 0 0 0.00
Kaugere Four Square Clinic Living Light
Health Services Clinic 0 173 173 0 0 0 0.00
St. Joseph Freindemetz 0 1 1 0 0 0 0.00
Susu Mamas NCD 0 1 1 0 0 0 0.00
Amateur Boroko Transit House 0 0 0 0 0 0 0.00
Tokarara Clinic 0 99 99 0 0 0 0.00
Total 5 11,815 11,820 5 118 123 1.04

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Milne Bay
Goilanai Alotau Urban Clinic 0 770 770 0 0 0 0.00
Star of Hope Centre 0 7 7 0 0 0 0.00
Garuahi Health Centre 18 129 147 0 0 0 0.00
Alotau Provincial Hospital 0 399 399 0 1 1 0.25
Dogura Health Centre 0 110 110 0 0 0 0.00
Kurada Health Centre 1 20 21 0 0 0 0.00
Nimowa St. Gerald Care Centre 15 95 110 0 0 0 0.00
Hagita Clinic 2 18 20 0 0 0 0.00
Gurney VCT 0 155 155 0 0 0 0.00
Lema Budoiya Clinic 0 209 209 0 0 0 0.00
Salamo Health Centre 0 19 19 0 0 0 0.00
Watuluma Health Centre 1 203 204 0 0 0 0.00
Gusaweta St. Anthony 0 445 445 0 0 0 0.00
Daio Health Centre 4 94 98 0 0 0 0.00
East Cape Health Centre 8 83 91 0 0 0 0.00
Toloba Disease Control Clinic – Misima
District/Rural Hospital 8 2 10 0 1 1 10.00
Sideia Nazareth Health Centre 12 57 69 0 0 0 0.00
Basima Health Centre 6 39 45 0 0 0 0.00
Total 75 2,854 2,929 0 2 2 0.07
Oro
Oro Bay St. Margarette Health Centre 0 130 130 0 0 0 0.00
Kokoda Health Centre 0 219 219 0 0 0 0.00
Siroga Higaturu Oil Palm Clinic 0 62 62 0 0 0 0.00
Popondetta Urban Clinic ANC 0 273 273 0 0 0 0.00
Total 0 684 684 0 0 0 0.00
SHP
Pangia Health Centre HIV/Other STIs
Clinic 0 51 51 0 0 0 0.00
Nanga Clinic – Ialibu District/Rural
Hospital 0 363 363 0 0 0 0.00
Kaupena Health Centre 0 221 221 0 0 0 0.00
Bui Yebi Health Sub Centre 0 86 86 0 1 1 1.16
Pimaga District/Rural Hospital 0 112 112 0 0 0 0.00
St. Faustina Health Sub centre 0 36 36 0 0 0 0.00
Para Hides 4 Health Centre 0 161 161 0 2 2 1.24
Juni Health Sub Centre 0 134 134 0 0 0 0.00
Idawi Health Sub Centre 0 130 130 0 0 0 0.00
St. Conrad Purani Health Centre 0 289 289 0 1 1 0.35
Homa AID Post 0 11 11 0 0 0 0.00
Ninna Clinic – Mendi Provincial Hospital 33 774 807 1 0 1 0.12
Kumin Epeanda Care Centre 5 1,778 1,783 1 7 8 0.45
Moro Occupational Clinic 0 14 14 0 0 0 0.00
Ridge Occupational Clinic RHC 0 8 8 0 0 0 0.00
Baguale Health Sub Centre 0 39 39 0 0 0 0.00
Tugiri AID Post 0 18 18 0 0 0 0.00
Paua Health Sub Centre 2 34 36 0 2 2 5.56
Kaipu Health Centre 0 1 1 0 0 0 0.00
St. Peter & Paul Health Centre 0 386 386 0 0 0 0.00
St. Pius Williame VCT 0 174 174 0 0 0 0.00
Inu Health Sub Centre 0 73 73 0 0 0 0.00
Sisibia AID Post 0 14 14 0 0 0 0.00
Kantobo AID Post 0 24 24 0 0 0 0.00
Mananda Health Sub Centre 0 448 448 0 2 2 0.45
St. Mary's Kopiago VCT Site 0 74 74 0 0 0 0.00
Waro Health Sub Centre 0 23 23 0 0 0 0.00
AGRP Occupational Clinic 0 0 0 0 0 0 0.00
Nipa Health Centre 0 284 284 0 1 1 0.35
Innanaka Clinic – Tari District/Rural
Hospital 6 991 997 0 3 3 0.30
Hiwanda VCT 0 70 70 0 0 0 0.00
Guala Health Sub Centre 0 60 60 0 0 0 0.00
Pori Health Centre 0 16 16 0 0 0 0.00

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Tamenda Health Centre 0 157 157 0 0 0 0.00
Total 46 7,054 7,100 2 19 21 0.30
Enga
St. Mary's Health Centre 2 175 177 0 1 1 0.56
Yampu VCT Health Centre 22 607 629 3 12 15 2.38
Kompiam District/Rural Hospital 0 49 49 0 0 0 0.00
Ambum Mercy Centre 0 77 77 0 1 1 1.30
Pogera Paiam Hospital 0 214 214 0 3 3 1.40
Pumakos Health Centre 1 112 113 0 1 1 0.88
Laiagam Health Centre 1 110 111 0 0 0 0.00
Sangiurap Urban Clinic 11 66 77 0 2 2 2.60
Mulitaka Health Centre 0 483 483 0 2 2 0.41
Hospital 0 33 33 0 1 1 3.03
Wabag Provincial Hospital ANC 3 869 872 0 7 7 0.80
Sopas District/Rural Hospital 0 0 0 0 0 0 0.00
Nyaimanya Clinic 11 180 191 0 1 1 0.52
Wapnemanda Primary Health Services 0 23 23 0 0 0 0.00
Total 51 2,998 3,049 3 31 34 1.12
WHP
Kudjip Nazarene District/Rural Hospital 0 917 917 0 15 15 1.64
Ketepam Health Sub Centre 0 18 18 0 0 0 0.00
Banz Lutheran 1Day Clinic 0 46 46 0 0 0 0.00
Tinsley District/Rural Hospital 0 169 169 0 0 0 0.00
Mun AID Post Catholic Health Services 4 220 224 0 0 0 0.00
Mt. Hagen Urban ANC 16 2,050 2,066 7 48 55 2.66
Labour Ward – Mt. Hagen Provincial
Hospital 0 912 912 0 14 14 1.54
Norba Health Sub Centre 0 50 50 0 0 0 0.00
Fatima Clinic 0 117 117 0 0 0 0.00
Susu Mamas Mt. Hagen 1 1,093 1,094 0 9 9 0.82
Koibuga Health Centre 0 75 75 0 0 0 0.00
Rebiamul Care & Counselling Centre 0 458 458 0 1 1 0.22
Tininga HIV/Other STIs Clinic – Mt.
Hagen Provincial Hospital 0 0 0 0 0 0 0.00
Kotna Health Centre 2 301 303 0 6 6 1.98
El Rafa Care Centre 0 0 0 0 0 0 0.00
Kuruk Health Centre 2 183 185 0 0 0 0.00
Minj Health Centre 3 227 230 0 2 2 0.87
Tsigmil Health Sub Centre 0 69 69 0 0 0 0.00
Kimil Health Centre 0 111 111 0 0 0 0.00
Kol Himmy VCT Centre 0 40 40 0 0 0 0.00
Kumdi Health Centre 0 347 347 0 1 1 0.29
Ambullua Health Sub Centre 2 54 56 0 0 0 0.00
Banz Health Sub Centre 2 0 250 250 0 0 0 0.00
Togoba Health Centre 2 682 684 1 5 6 0.88
Kiripia VCT Centre 1 204 205 0 0 0 0.00
Tambul VCT Centre 0 258 258 0 3 3 1.16
Pabarabuk Health Centre 0 64 64 0 0 0 0.00
Total 33 8,965 8,998 8 104 112 1.24
Simbu
Dirima St. Martin De Porres 2 73 75 0 1 1 1.33
Kerowagi Maria Helper of Christian 0 0 0 0 0 0 0.00
Mingende District/Rural Hospital 0 770 770 0 8 8 1.04
Neragaima Health Sub Centre 0 145 145 0 0 0 0.00
Kendene Health Sub Centre 0 110 110 0 0 0 0.00
Bogo Health Sub Centre 0 64 64 0 0 0 0.00
Wandi Health Centre ANC 0 227 227 0 0 0 0.00
Goglme Health Centre 9 160 169 0 1 1 0.59
Kundiawa Provincial Hospital
Laboratory 0 1 1 0 1 1 100.00
Kundiawa Provincial Hospital 5 559 564 0 1 1 0.18

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Denglagu Health Sub Centre 0 84 84 0 2 2 2.38
Kundiawa Urban Clinic ANC 0 634 634 0 2 2 0.32
Mai Health Sub Centre 1 62 63 0 0 0 0.00
Total 17 2,889 2,906 0 16 16 0.55
EHP
Henganofi Health Centre 0 45 45 0 0 0 0.00
Tafeto Health Sub Centre 17 230 247 0 1 1 0.40
St. Joseph’s Care Centre 99 125 224 2 5 7 3.13
Michael Alper’s Clinic 18 19 37 2 1 3 8.11
Paediatrics Ward – Goroka Base
Hospital 0 6 6 0 3 3 50.00
Goroka ANC 0 8 8 0 3 3 37.50
Yamiyufa AID Post 0 11 11 0 0 0 0.00
Ukarumpa SIL Clinic 0 0 0 0 0 0 0.00
Kainantu District/Rural Hospital 1 161 162 0 1 1 0.62
Kainantu HIV/Other STIs Clinic 0 54 54 0 0 0 0.00
Gouno Health Sub Centre PPTCT Clinic 0 116 116 0 0 0 0.00
Lopi Urban Clinic 23 40 63 0 2 2 3.17
Onamuga Health Sub Centre 0 105 105 0 1 1 0.95
White House Clinic – Kainantu
Kainatu ANC 1 573 574 0 2 2 0.35
Okapa Health Centre 0 84 84 0 0 0 0.00
Lufa Health Centre 2 5 7 0 0 0 0.00
Kwonggi PPTCT Clinic 0 49 49 0 0 0 0.00
Nupuru PPTCT Clinic 1 138 139 0 0 0 0.00
Obura Health Centre 0 47 47 0 0 0 0.00
Kama Health Centre 0 2,888 2,888 0 19 19 0.66
Asaro Health Centre 0 111 111 0 0 0 0.00
Sigerehi Health Centre 7 261 268 0 0 0 0.00
Honofundo NGO 0 13 13 0 0 0 0.00
Total 170 5,346 5,516 4 39 43 0.78
Morobe
Wau Health Centre 0 0 0 0 0 0 0.00
Bulolo Health Centre 0 523 523 0 1 1 0.19
Braun District/Rural Hospital 0 362 362 0 0 0 0.00
Gagidu Town Clinic 0 32 32 0 0 0 0.00
Wampar Health Centre 0 200 200 0 0 0 0.00
ADRA VCT Centre 0 18 18 0 0 0 0.00
Memorial Hospital 1 33 34 0 1 1 2.94
Lae Centre of Mercy 0 530 530 0 1 1 0.19
Buimo Urban Health Centre 0 1,092 1,092 0 4 4 0.37
Butibum Urban Health Centre 0 524 524 0 0 0 0.00
Malahang Urban Health Centre 0 672 672 0 5 5 0.74
Haikost Urban Health Centre 0 171 171 0 1 1 0.58
Milford Urban Health Centre 0 378 378 0 0 0 0.00
Taraka Urban Clinic 1 90 91 0 0 0 0.00
Igam Barracks PNGDF Clinic 0 35 35 0 0 0 0.00
Unitech Lae Clinic 0 180 180 0 0 0 0.00
Tent City Clinic 0 442 442 0 1 1 0.23
Anglicare Imo Namo VCT Centre 0 0 0 0 0 0 0.00
Muya Health Centre 0 47 47 0 0 0 0.00
Bishop Henry Centre 0 4 4 0 0 0 0.00
Lae International Hospital 5 21 26 0 0 0 0.00
Paediatric Ward – Angau Memorial
Hospital 0 44 44 0 2 2 4.55
Angau Memorial Hospital ANC 0 80 80 0 3 3 3.75
Obstetrics & Gynaecology – Angau
Mutzing Health Centre 0 767 767 0 1 1 0.13
Susu Mamas Clinic 1 697 698 0 0 0 0.00
Bubia Clinic 0 39 39 0 0 0 0.00

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Menyamya Mobile MCH Clinic 4 4 8 0 0 0 0.00
Situm Health Centre 0 354 354 0 0 0 0.00
Boana Health Centre 9 262 271 0 0 0 0.00
Boac Health Centre 0 13 13 0 0 0 0.00
Total 22 7,667 7,689 1 21 22 0.29
Madang
Malala Mother Josepha Clinic 0 217 217 0 0 0 0.00
Bogia HIV/Other STIs Clinic 0 159 159 0 1 1 0.63
Yagaum Yaeaum District/Rural Hospital 0 98 98 0 0 0 0.00
Modilon Provincial Hospital ANC 0 1,055 1,055 0 7 7 0.66
Mugil Health Centre 0 471 471 0 0 0 0.00
Topo Clinic – Gusap Health Centre 0 121 121 0 1 1 0.83
Kwanga Friends Family Clinic 0 56 56 0 0 0 0.00
Gaubin District/Rural Hospital 1 334 335 0 0 0 0.00
Miak Health Centre 0 51 51 0 0 0 0.00
Gusap Health Centre 0 70 70 0 0 0 0.00
Alexishafen Health Centre 43 970 1,013 0 0 0 0.00
Walium Health Centre 0 84 84 0 0 0 0.00
Brahman Health Centre 0 83 83 0 0 0 0.00
Total 44 3,769 3,813 0 9 9 0.24
ESP
Kunjingini Health Sub Centre 0 129 129 0 0 0 0.00
Timbunke Health Centre 2 59 61 0 0 0 0.00
Maprik District/Rural Hospital 0 4 4 0 0 0 0.00
Sepik Centre of Hope 0 12 12 0 0 0 0.00
Dagua Health Centre 1 91 92 0 0 0 0.00
Wiriu Urban Clinic 0 126 126 0 1 1 0.79
Sassoya Health Sub Centre 20 303 323 0 0 0 0.00
Total 23 724 747 0 1 1 0.13
WSP
Raihu District/Rural Hospital 0 780 780 0 0 0 0.00
Lumi Health Centre 0 21 21 0 0 0 0.00
Nuku District/Rural Hospital 0 50 50 0 0 0 0.00
Telefomin Health Centre 0 60 60 0 0 0 0.00
Vanimo St. Antony of Padua Catholic
Diocese 0 0 0 0 0 0 0.00
ODI Clinic – Vanimo Provincial Hospital 1 461 462 0 2 2 0.43
Vanimo Urban Clinic 2 412 414 0 0 0 0.00
St. Gabriel Lote Health Sub Centre 10 114 124 0 0 0 0.00
Imonda Health Centre 0 16 16 0 0 0 0.00
Wasengla Health Centre 0 12 12 0 0 0 0.00
Leitre Health Sub Centre 5 30 35 0 0 0 0.00
Utai Health Sub Centre 0 3 3 0 0 0 0.00
Ossima Health Sub Centre 0 28 28 0 0 0 0.00
Bewani Health Centre 0 67 67 0 0 0 0.00
Green River Health Centre 0 50 50 0 0 0 0.00
Vanimo Provincial Hospital Blood Bank 0 0 0 0 0 0 0.00
Kembratoro Health Sub Centre 0 20 20 0 0 0 0.00
Total 18 2,124 2,142 0 2 2 0.09
Manus
Disease Control Clinic – Lorengau
Provincial Hospital 0 1 1 0 0 0 0.00
Lombrum Health Centre 0 5 5 0 0 0 0.00
Lorengau West Urban ANC 0 498 498 0 2 2 0.40
Horan AID Post 0 14 14 0 0 0 0.00
Lorengau Provincial Hospital
Laboratory 6 49 55 0 0 0 0.00
Lorengau East Clinic 0 114 114 0 2 2 1.75
Tingou Health Centre 2 79 81 0 0 0 0.00
Total 8 760 768 0 4 4 0.52
Kavieng Provincial Hospital 49 882 931 0 2 2 0.21
Lihir Private Clinic 0 34 34 0 0 0 0.00
Lemakot Health Centre 0 165 165 0 0 0 0.00

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NIPs Mapua Health Centre 0 77 77 0 0 0 0.00
Kimadan Health Centre 0 103 103 0 0 0 0.00
Kavieng Urban Clinic 1 63 64 0 0 0 0.00
Lemakot Health Sub Centre Laboratory 0 75 75 0 0 0 0.00
Palie Health Centre 0 125 125 0 0 0 0.00
Simberi Health Sub Centre 0 16 16 0 0 0 0.00
Total 50 1,540 1,590 0 2 2 0.13
ENBP
Paparatava Health Centre 0 441 441 0 0 0 0.00
Napapar Health Centre 0 956 956 0 1 1 0.10
Raunsepna Health Centre 1 96 97 0 0 0 0.00
Vatnabara Health Centre 0 20 20 0 0 0 0.00
Kerevat Health Centre 0 236 236 0 0 0 0.00
Gaulim Health Centre 2 98 100 0 0 0 0.00
Malasaet AID Post 0 30 30 0 0 0 0.00
Lassul Bay Health Centre 3 105 108 0 0 0 0.00
Hospital 0 1,668 1,668 0 1 1 0.06
Butuwin Health Centre 0 271 271 0 0 0 0.00
Molot Health Centre 0 158 158 0 0 0 0.00
Livuan Health Centre 0 263 263 0 0 0 0.00
Warangoi District/Rural Hospital 0 233 233 0 0 0 0.00
Palmalmal Health Centre 0 1 1 0 0 0 0.00
Maravut Resource Centre 0 305 305 0 1 1 0.33
Rabaul Urban Clinic 0 316 316 0 0 0 0.00
Gelegele Heath Centre 0 152 152 0 0 0 0.00
Nonga Base Hospital Laboratory 0 0 0 0 0 0 0.00
Total 6 5,349 5,355 0 3 3 0.06
WNBP
Kilenge Health Sub Centre 0 40 40 0 0 0 0.00
Sasavoru Health Centre 0 106 106 0 0 0 0.00
Kaliai Health Centre 0 78 78 0 0 0 0.00
Turuk Health Sub Centre 0 255 255 0 0 0 0.00
Bialla Health Centre 13 543 556 0 0 0 0.00
Milimata Health Sub Centre 0 160 160 0 0 0 0.00
Dami NBPOL OPRS Clinic 1 10 11 0 0 0 0.00
Valoka Health Centre 4 924 928 0 1 1 0.11
Silanga Health Centre 8 234 242 0 1 1 0.41
Centre 6 94 100 0 0 0 0.00
Kapiura Health Centre Oil Palm 0 85 85 0 0 0 0.00
Haella Health Centre Oil Palm 0 35 35 0 0 0 0.00
Valupai Health Centre 0 2 2 0 0 0 0.00
Hargy Oil Palm Bialla Health Centre 0 26 26 0 0 0 0.00
Buvussi Health Centre 0 75 75 0 0 0 0.00
Malalia Health Centre 0 49 49 0 0 0 0.00
Kimbe Urban Clinic ANC 0 802 802 0 1 1 0.12
Sacred Heart VCT 6 9 15 0 0 0 0.00
Kumbago AID Post PICT Site 3 48 51 0 0 0 0.00
Total 49 4,063 4,112 0 5 5 0.12
ARoB
Muguai AID Post 0 10 10 0 0 0 0.00
Piano Health Sub Centre 0 36 36 0 0 0 0.00
Arawa Our Lady of Mercy Hospital 0 39 39 0 0 0 0.00
Wakunai Health Centre 0 224 224 0 0 0 0.00
Manetai Health Centre 0 102 102 0 0 0 0.00
Arawa Health Centre 0 147 147 0 0 0 0.00
Tinputz Secred Heart 0 119 119 0 0 0 0.00
Buka Provincial Hospital ANC 0 459 459 0 0 0 0.00
Buka Provincial Hospital 0 86 86 0 0 0 0.00
Tearouki Health Centre 0 383 383 0 0 0 0.00
Tinputz AID Post 0 21 21 0 0 0 0.00

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Gagan Health Centre 0 46 46 0 0 0 0.00
St. John Baptais Taraanko 0 8 8 0 0 0 0.00
Buin Health Centre 0 639 639 0 0 0 0.00
Moratona Health Centre 0 100 100 0 0 0 0.00
Sovele Health Centre 1 248 249 0 0 0 0.00
Tabago Health Centre 0 72 72 0 0 0 0.00
Monoitu Health Sub Centre 0 66 66 0 0 0 0.00
Sipai VCT Centre 3 248 251 0 0 0 0.00
St. Vincent De Paul Buin 0 32 32 0 0 0 0.00
Total 4 3,085 3,089 0 0 0 0.00
Total 680 76,695 77,375 23 388 411 0.53
Table.2. HIV Testing & Counselling at Blood Donors
Province Facility
Tested Positive Prevalence
Western
Tabubil Hospital 337 52 389 0 0 0 0.00
Himara Kigiro – Daru Provincial
Hospital 239 32 271 1 2 3 1.11
Tabubil Urban Clinic GOPD 0 0 0 0 0 0 0.00
Total 607 109 716 1 2 3 0.42
Gulf
Total 30 14 44 0 0 0 0.00
Central Pacific Adventist University 0 0 0 0 0 0 0.00
Total 0 0 0 0 0 0 0.00
Milne Bay
Toloba Disease Control Clinic - Misima
Hagita Clinic 0 0 0 0 0 0 0.00
Total 656 96 752 1 0 1 0.13
SHP
Kumin Epeanda Care Centre 0 0 0 0 0 0 0.00
Hospital 276 56 332 2 1 3 0.90
Mendi Provincial Hospital Laboratory 501 146 647 2 0 2 0.31
Total 777 202 979 4 1 5 0.51
Enga
Wabag Provincial Hospital Laboratory 439 155 594 0 1 1 0.17
Total 859 632 1,491 1 5 6 0.40
WHP
Hospital 610 163 773 0 0 0 0.00
Total 610 166 776 0 0 0 0.00
Simbu
Laboratory 1,468 275 1,743 8 2 10 0.57
Total 1,468 285 1,753 8 2 10 0.57
Morobe
Total 32 19 51 0 0 0 0.00
Madang
Yagaum Yaeaum District/Rural
Hospital 7 5 12 0 0 0 0.00
Total 144 53 197 0 0 0 0.00

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WSP
Vanimo Provincial Hospital Blood Bank 600 33 633 0 0 0 0.00
Total 805 66 871 0 0 0 0.00
Manus
Laboratory 440 54 494 1 0 1 0.20
Total 440 54 494 1 0 1 0.20
NIPs
Kavieng Provincial Hospital 958 208 1,166 0 0 0 0.00
Kavieng Provincial Hospital Blood Bank 45 10 55 0 0 0 0.00
Total 1,120 246 1,366 0 0 0 0.00
ENBP
Hospital 679 148 827 0 0 0 0.00
Total 687 154 841 0 0 0 0.00
WNBP
Total 98 10 108 0 0 0 0.00
ARoB
Buka Provincial Hospital ANC 0 0 0 0 0 0 0.00
Total 185 87 272 0 0 0 0.00
Total 8,518 2,193 10,711 16 10 26 0.24
Table.3. HIV Testing & Counselling at Other STIs
Province Facility Tested Positive
Prevalence
(%)
M M Total M F Total
Western
Kiunga Good Samaritan 3 2 5 0 0 0 0.00
Tepmin Ambip HIV/Other STIs Clinic –
Kiunga Hospital 64 65 129 4 9 13 10.08
Hospital 1 0 1 0 0 0 0.00
Total 205 165 370 9 11 20 5.41
Gulf
Total 13 30 43 0 0 0 0.00
Central
Casmir Duffy OLSH Tapini 41 56 97 0 0 0 0.00

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Konedobu Clinic 1 4 5 0 0 0 0.00
Pacific Adventist University 5 29 34 0 0 0 0.00
Total 93 134 227 0 1 1 0.44
NCD
Anglicare Stop AIDS VCT Clinic 5 11 16 0 0 0 0.00
Port Moresby General Hospital ANC 0 88 88 0 0 0 0.00
Heduru HIV/Other STIs Clinic 30 35 65 4 4 8 12.31
World Vision Drop-In Centre 5 5 10 0 0 0 0.00
Gerehu Hospital 13 20 33 4 3 7 21.21
Lawes Road Clinic 6 14 20 0 2 2 10.00
Kila Kila Clinic 0 1 1 0 0 0 0.00
6 Mile Clinic 24 42 66 0 3 3 4.55
St. Therese Hohola Clinic 10 24 34 1 1 2 5.88
9 Mile Clinic 71 251 322 2 13 15 4.66
Oil Search Port Moresby Clinic 1 2 3 0 0 0 0.00
Kaugere 4 Square Living Light Health
Clinic 5 5 10 0 0 0 0.00
Susu Mamas NCD 0 5 5 0 1 1 20.00
Lawes Road Helpim Bilong Yumi
HIV/Other STIs Clinic 13 42 55 0 3 3 5.45
Amateur Transit House 1 0 1 1 0 1 100.00
Anglicare Stop AIDS HIV/Other STIs
Clinic 32 64 96 0 2 2 2.08
Total 230 619 849 12 32 44 5.18
Milne Bay
Gusaweta St. Anthony Health Centre 2 159 161 0 0 0 0.00
Hagita Clinic 1 1 2 0 0 0 0.00
Gurney VCT 1 1 2 0 0 0 0.00
Total 35 231 266 0 1 1 0.38
Oro
Popondetta Urban Clinic ANC 0 0 0 0 0 0 0.00
Total 17 22 39 0 0 0 0.00
SHP
Ninna Clinic – Mendi Provincial Hospital 165 260 425 7 8 15 3.53
St. Francis Kupari Care Centre VCT Site 28 36 64 0 0 0 0.00
Pangia Health Centre HIV/Other STIs
Clinic 4 4 8 0 0 0 0.00
Para Hides4 Health Centre 46 73 119 0 0 0 0.00
Ridge Occupational Clinic (RHC) 15 4 19 0 0 0 0.00

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Tugiri AID Post 2 4 6 0 0 0 0.00
Gobe Occupational Clinic 0 3 3 0 0 0 0.00
Sisibia AID Post 22 8 30 0 0 0 0.00
Hospital 122 193 315 1 2 3 0.95
Hiwanda VCT 23 31 54 0 0 0 0.00
Hospital 27 79 106 1 3 4 3.77
St. Faustina Health Sub Centre 8 8 16 0 0 0 0.00
Total 602 973 1,575 13 17 30 1.90
Enga
Hospital 29 68 97 0 7 7 7.22
Wapnemanda Primary Health Services 17 15 32 0 0 0 0.00
Total 240 398 638 21 46 67 10.50
WHP
Rebiamul Care & Counselling Centre 35 38 73 5 6 11 15.07
Tininga HIV/Other STIs Clinic, Mt.
Hagen Provincial Hospital 126 141 267 12 27 39 14.61
Fatima Clinic 79 81 160 1 2 3 1.88
Mun AID Post Catholic Health Services 4 6 10 0 0 0 0.00
Susu Mamas 5 31 36 1 1 2 5.56
Total 508 897 1,405 28 53 81 5.77
Simbu Kerowagi Maria Helper of Christian 4 5 9 0 0 0 0.00

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Total 127 163 290 7 12 19 6.55
EHP
Michael Alper’s HIV/Other STIs Clinic 216 276 492 20 9 29 5.89
Gouno PPTCT Clinic Health Sub Centre 1 4 5 0 0 0 0.00
Kainantu District/Rural Hospital 71 105 176 0 0 0 0.00
Pundibasa 7 2 9 0 0 0 0.00
White House HIV/Other STIs Clinic –
Kainantu District/Rural hospital 148 287 435 5 12 17 3.91
Honofundo NGO 6 7 13 0 0 0 0.00
Total 812 1,359 2,171 41 49 90 4.15
Morobe
Anua Moriri Day Care Centre - Angau
Friends HIV/Other STIs Clinic 76 157 233 4 10 14 6.01
Centre of Mercy 39 30 69 2 2 4 5.80
Buimo Urban Health Centre 296 378 674 2 7 9 1.34
Unitech Clinic 6 2 8 0 0 0 0.00
Tent City Clinic 27 64 91 0 2 2 2.20
Susu Mamas Clinic Lae 5 8 13 0 1 1 7.69
Wampar 6 11 17 0 0 0 0.00
Paediatric Ward – Angau Memorial
Hospital 16 26 42 0 0 0 0.00
Total 644 1,013 1,657 9 25 34 2.05
Madang
ID-INAD HIV/Other STIs Clinic –
Modilon Provincial Hospital 159 214 373 8 22 30 8.04
Ramu Agri Industry (RAI) Clinic 1 3 4 0 0 0 0.00
Alexishafen Health Centre 35 34 69 0 0 0 0.00
Malala Mother Josepha 1 3 4 0 0 0 0.00

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Total 226 308 534 8 22 30 5.62
ESP
Wewak Wasaie Clinic/Nanna Clinic 22 42 64 4 8 12 18.75
Total 59 302 361 5 9 14 3.88
WSP
TB Ward – Vanimo Provincial Hospital 0 0 0 0 0 0 0.00
Telefomin 6 26 32 0 0 0 0.00
St. Gabrial Lote Health Sub Centre 3 0 3 0 0 0 0.00
Ossima Sub Health Centre 0 0 0 0 0 0 0.00
Total 28 86 114 1 1 2 1.75
Manus
Horan AID Post 0 10 10 0 0 0 0.00
Laboratory 1 0 1 0 0 0 0.00
Total 21 56 77 0 2 2 2.60
NIPs
Total 227 323 550 1 3 4 0.73
ENBP
Hospital 177 176 353 0 0 0 0.00
Raunsepna Health Centre 8 7 15 0 0 0 0.00
Total 414 902 1,316 0 0 0 0.00
WNBP

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Centre 0 2 2 0 0 0 0.00
Haella Oil Palm Health Centre 0 5 5 0 0 0 0.00
Hargy Oil Palm Bialla Health Centre 1 0 1 0 0 0 0.00
Sacred Heart VCT 93 153 246 0 0 0 0.00
Total 250 479 729 1 2 3 0.41
ARoB
Hahela Mary Mother of Hope 1 1 2 0 0 0 0.00
Arawa Hospital Our Lady of Mercy 0 40 40 0 0 0 0.00
Taraanko St. John Baptise 34 116 150 0 0 0 0.00
Sipai VCT Centre 11 10 21 0 0 0 0.00
Tinputz Sacred Heart 2 5 7 0 0 0 0.00
Total 66 453 519 0 0 0 0.00
Total 4,817 8,913 13,730 156 286 442 3.22
Table.4. HIV Counselling & Testing at TB
Province Facility
Western
Tepmin Ambip HIV/Other STIs Clinic - Kiunga
Hospital 2 2 4 0 1 1 25.00
Himara Kigiro Clinic – Daru Provincial Hospital 91 157 248 3 3 6 2.42
Total 206 257 463 3 5 8 1.73
Gulf
Total 163 147 310 1 1 2 0.65
Central
Casmir Duffy OLSH Tapini 31 37 68 0 2 2 2.94
Yule Island Health Centre 0 1 1 0 0 0 0.00
Kubuna AID Post 0 1 1 0 0 0 0.00
Papa LNG Camp 0 0 0 0 0 0 0.00
Total 195 138 333 0 2 2 0.60
NCD

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Kila Kila Clinic 5 5 10 1 0 1 10.00
6 Mile Clinic 80 65 145 3 12 15 10.34
St. Theresa Hohola Clinic 86 111 197 4 6 10 5.08
9 Mile Clinic 120 102 222 1 5 6 2.70
PNGDF Murray Barracks Clinic 3 2 5 0 0 0 0.00
Kaugere 4 Square Living Light Health Clinic 0 0 0 0 0 0 0.00
4B Medical Ward – Port Moresby General Hospital 72 101 173 32 39 71 41.04
Lawes Road Helpim Bilong Yumi HIV/Other STIs
Clinic 10 5 15 3 1 4 26.67
Tokarara Hospital 7 11 18 0 0 0 0.00
Total 415 491 906 47 67 114 12.58
Milne Bay
Kurada Health Centre 0 2 2 0 0 0 0.00
Gurney VCT 4 10 14 0 0 0 0.00
Total 55 80 135 0 3 3 2.22
Oro
Total 0 4 4 0 1 1 25.00
SHP
Ninna Clinic - Mendi Provincial Hospital 26 31 57 2 1 3 5.26
Innanaka Clinic - Tari District/Rural Hospital 48 39 87 4 5 9 10.34
Nanga Clinic – Ialibu District/Rural Hospital 14 3 17 1 0 1 5.88
Total 92 76 168 7 6 13 7.74
Enga
Yampu Health Centre VCT 23 18 41 5 6 11 26.83
Endakalipin Clinic - Wabag Provincial Hospital 2 5 7 1 1 2 28.57
Total 30 28 58 7 7 14 24.14
WHP
Tininga HIV/Other STIs Clinic – Mt. Hagen
Total 210 164 374 9 6 15 4.01
Simbu
Kundiawa Provincial Hospital Laboratory 1 0 1 1 0 1 100.00
Prapra HIV/Other STIs Clinic – Kundiawa
Kundiawa Urban ANC 0 0 0 0 0 0 0.00
Total 40 27 67 6 4 10 14.93
EHP Henganofi Health Centre 1 1 2 0 0 0 0.00

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TB Clinic – Goroka Base Hospital 218 164 382 7 9 16 4.19
Goroka ANC 1 1 2 1 1 2 100.00
Total 246 178 424 9 10 19 4.48
Morobe
Anua Moriri Day Care Centre – Angau Memorial
Hospital 2 5 7 2 0 2 28.57
PNGDF Igam Barracks 1 1 2 0 0 0 0.00
Unitech Clinic 19 28 47 0 1 1 2.13
Tent City Clinic 45 80 125 1 1 2 1.60
Anglicare Imo Namo VCT Centre 0 0 0 0 0 0 0.00
Medical Ward – Angau Memorial Hospital 10 4 14 0 0 0 0.00
TB Clinic – Angau Memorial Hospital 54 54 108 3 2 5 4.63
Total 680 708 1,388 18 21 39 2.81
Madang
Malala Mother Josepha 9 7 16 0 0 0 0.00
Total 110 132 242 1 2 3 1.24
ESP
Total 14 10 24 0 2 2 8.33
WSP
TB Ward – Vanimo Provincial Hospital 52 58 110 7 0 7 6.36
Total 71 70 141 9 0 9 6.38
Manus
Disease Control Clinic – Lorengau Provincial
Hospital 9 11 20 0 0 0 0.00
Total 9 13 22 0 0 0 0.00
NIPs
Total 38 32 70 0 2 2 2.86
ENBP Peter Torot’s VCT Centre - Vunapope Hospital 29 15 44 3 0 3 6.82

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Total 120 116 236 3 0 3 1.27
WNBP
Leguava HIV/Other STIs Clinic – Kimbe Provincial
Hospital 54 55 109 0 0 0 0.00
Kapiura Oil Palm Health Centre 0 1 1 0 0 0 0.00
Haella Oil Palm Health Centre 0 1 1 0 1 1 100.00
Hargy Bialla Health Centre 1 0 1 0 0 0 0.00
Total 78 91 169 0 1 1 0.59
ARoB
Sipai VCT Centre 22 24 46 0 0 0 0.00
Total 71 103 174 0 0 0 0.00
Total 2,843 2,865 5,708 120 140 260 4.56
Table.5. HIV Testing & Counselling at VCT
Province Facility
Western
Kiunga Good Samaritan 531 732 1,263 2 5 7 0.55
Tepmin Ambip HIV/Other STIs Clinic
– Kiunga Hospital 38 38 76 0 0 0 0.00
Hospital 12 23 35 1 3 4 11.43
Tabubil GOPD Urban Clinic 0 0 0 0 0 0 0.00
Matkomani Health Sub Centre 0 10 10 0 1 1 10.00
Total 930 1,090 2,020 6 12 18 0.89
Gulf
Consolata Care Centre 86 63 149 0 0 0 0.00
Kaiam AID Post 12 3 15 0 0 0 0.00
Total 314 384 698 0 1 1 0.14
Louis Vangeke Viefa’a Health Centre 126 91 217 0 2 2 0.92

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Central
Tapini Casmir Duffy OLSH 35 76 111 2 0 2 1.80
Bereina Health Centre 4 12 16 1 2 3 18.75
Kubuna AID Post 5 1 6 0 0 0 0.00
International SOS Clinic – LNG Plant
Site 7 3 10 0 0 0 0.00
Pacific Adventist University 47 12 59 0 0 0 0.00
Manari Community Health Post 12 7 19 0 0 0 0.00
Total 544 434 978 7 12 19 1.94
NCD
Anglicare STOP AIDS VCT Clinic 1,877 1,465 3,342 83 101 184 5.51
Taurama PNGDF Hospital 6 8 14 0 0 0 0.00
Poro Sapot Project HIV/Other STIs
Clinic 368 756 1,124 7 29 36 3.20
Ela Beach VCT Centre 218 120 338 2 5 7 2.07
Heduru HIV/Other STIs Clinic 164 142 306 32 36 68 22.22
World Vision Drop-In Centre 86 38 124 1 2 3 2.42
Gerehu Hospital 172 217 389 40 60 100 25.71
Gordons Clinic 79 136 215 3 5 8 3.72
Kila Kila Clinic 17 15 32 1 1 2 6.25
6 Mile Clinic 88 128 216 16 6 22 10.19
St. Theresa Hohola Clinic 68 66 134 4 4 8 5.97
9 Mile Clinic 224 210 434 7 9 16 3.69
POM Oil Search Clinic 66 19 85 0 0 0 0.00
Living Light Kaugere 4 Square Health
Clinic 4 14 18 0 0 0 0.00
4B Medical Ward – Port Moresby
General Hospital 10 18 28 5 1 6 21.43
Susu Mamas NCD 11 30 41 0 0 0 0.00
Lawes Road HBYP HIV/Other STIs
Clinic 154 146 300 19 15 34 11.33
PNG Power Hohola VCT Clinic 6 7 13 0 0 0 0.00
Tokarara Hospital 22 37 59 3 4 7 11.86
Total 4,278 4,116 8,394 263 334 597 7.11
Milne Bay
Tolaba Disease Control Clinic –
Misima District/Rural Hospital 2 7 9 1 3 4 44.44
Goilanai Alotau Urban Clinic 2 1 3 0 0 0 0.00
Gusaweta St. Anthony Health Centre 79 198 277 0 1 1 0.36
Daio Health Centre 170 141 311 0 0 0 0.00
Hagita Clinic 61 13 74 0 0 0 0.00
Gurney VCT 1 2 3 0 0 0 0.00

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Total 1,205 1,602 2,807 7 17 24 0.86
Oro
Ururu VCT Centre 88 51 139 0 1 1 0.72
Kokoda Health Centre 14 10 24 0 0 0 0.00
Popondetta Urban ANC 0 0 0 0 0 0 0.00
Total 216 194 410 0 1 1 0.24
SHP
Ninna Clinic – Mendi Provincial
Hospital 206 160 366 8 13 21 5.74
Kumin Epeanda Care Centre 616 595 1,211 24 36 60 4.95
St. Francis Kupari VCT Site Care
Centre 864 775 1,639 20 21 41 2.50
HIV/Other STIs Clinic – Pangia Health
Centre 15 30 45 1 2 3 6.67
Ridge Occupational Clinic (RHC) 15 1 16 0 0 0 0.00
Hides Occupational Clinic 100 27 127 0 0 0 0.00
Tugiri AID Post 7 16 23 0 0 0 0.00
Rig 104 Occupational Clinic 25 0 25 0 0 0 0.00
Gobe Occupational Clinic 24 9 33 1 1 2 6.06
Sisibia AID Post 17 16 33 0 0 0 0.00
Hospital 352 528 880 17 19 36 4.09
Homa AID Post 14 14 28 0 0 0 0.00
Hiwanda VCT 34 32 66 0 1 1 1.52
Hospital 38 63 101 1 3 4 3.96
St. Faustina Health Sub Centre 121 102 223 2 1 3 1.35
Guala Health Sub Centre 6 14 20 1 0 1 5.00
Kelabo Health Sub Centre 2 2 4 0 0 0 0.00
Pori Health Centre 28 36 64 1 1 2 3.13
Total 3,992 4,442 8,434 95 136 231 2.74
Hospital 256 314 570 31 38 69 12.11

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Enga Wabag Provincial Hospital
Laboratory 0 1 1 0 0 0 0.00
Pogera Urban Drop-in Centre & VCT 561 611 1,172 31 39 70 5.97
Wapnemanda Primary Health
Services 83 50 133 0 2 2 1.50
Sopas District/Rural Hospital 6 5 11 0 0 0 0.00
Total 1,787 2,243 4,030 147 178 325 8.06
WHP
Shalom Banz Care Centre/St. Anzalem
AID Post 269 246 515 3 3 6 1.17
Rebiamul Care & Counselling Centre 1,534 1,356 2,890 150 183 333 11.52
Anglicare Hagen Newtown VCT
Centre 527 605 1,132 16 23 39 3.45
Tininga HIV/Other STIs Clinic –
Mt. Hagen Provincial Hospital 359 374 733 57 73 130 17.74
Hospital 331 380 711 38 41 79 11.11
Kotna Health Centre 0 1 1 0 0 0 0.00
Tambul VCT Centre 148 256 404 4 1 5 1.24
Bukapena Health Centre 175 186 361 0 3 3 0.83
Tsigmil Health Sub Centre 4 1 5 0 0 0 0.00
Fatima Clinic 56 66 122 0 1 1 0.82
Medical Ward 2 – Mt. Hagen
Mun AID Post Catholic Health
Services 107 118 225 0 0 0 0.00
Susu Mamas Mt. Hagen 35 72 107 1 7 8 7.48
Banz Lutheran 1 Day Clinic 6 2 8 1 2 3 37.50
Total 4,345 4,772 9,117 286 373 659 7.23
Simbu
Kerowagi Maria Helper of Christian 20 17 37 0 0 0 0.00
Goglme Health Centre 575 716 1,291 1 6 7 0.54
Laboratory 18 17 35 17 16 33 94.29
Bogo Health Sub Centre 2 8 10 0 0 0 0.00
Prapra HIV/Other STIs Clinic -

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Kundiawa Urban Clinic ANC 6 25 31 0 0 0 0.00
Wandi Health Centre ANC 0 43 43 0 1 1 2.33
Total 1,669 2,038 3,707 67 82 149 4.02
EHP
St. Joseph’s Care Centre 985 840 1,825 21 35 56 3.07
University of Goroka Clinic 102 96 198 2 0 2 1.01
Ukarumpa SIL Clinic 1 26 27 0 0 0 0.00
Henganofi Health Centre 74 128 202 0 4 4 1.98
Nupuru PPTCT Clinic 1 0 1 0 0 0 0.00
Stone Famo 0 3 3 0 0 0 0.00
Pundibasa Health Centre 34 33 67 0 1 1 1.49
Kainantu House of Hope 270 319 589 26 34 60 10.19
Paediatrics Ward – Goroka Provincial
Hospital 2 0 2 0 0 0 0.00
Goroka ANC 11 23 34 1 6 7 20.59
Honofundo NGO 264 286 550 1 2 3 0.55
Total 2,682 3,057 5,739 94 149 243 4.23
Morobe
ADRA VCT Centre 778 578 1,356 4 5 9 0.66
Angau Memorial Hospital 149 107 256 19 23 42 16.41
Centre of Mercy 712 548 1,260 13 13 26 2.06
PNGDF Igam Barracks Clinic 59 57 116 0 0 0 0.00
Unitech Clinic 43 27 70 0 0 0 0.00
Tent City Clinic 3 4 7 0 0 0 0.00
Anglicare VCT Centre Imo Namo
Centre 81 58 139 1 0 1 0.72
Susu Mamas Lae Clinic 10 27 37 1 2 3 8.11
Bubia Clinic 0 0 0 0 0 0 0.00
Family Support Centre 7 117 124 0 0 0 0.00
Bishop Henry Centre 500 383 883 2 2 4 0.45
Lae International Hospital 1,254 171 1,425 7 2 9 0.63
Medical Ward – Angau Memorial
Hospital 0 0 0 0 0 0 0.00

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Buang Health Sub Centre 0 0 0 0 0 0 0.00
Menyamya Mobile MCH Clinic 0 0 0 0 0 0 0.00
ANG 11 PICT 5 128 133 0 0 0 0.00
Total 3,889 2,464 6,353 57 53 110 1.73
Madang
Bethany Care & Counselling 558 314 872 9 15 24 2.75
ID-INAD Clinic HIV/Other STIs Clinic
– Modilon Hospital 212 156 368 29 32 61 16.58
Hospital 18 8 26 1 0 1 3.85
Gusap Health Centre 4 8 12 1 1 2 16.67
Ramu Agri Industry (RAI) Clinic 211 114 325 10 7 17 5.23
Modilon Provincial Hospital ANC 0 0 0 0 0 0 0.00
Malala Mother Josepha Clinic 177 148 325 0 0 0 0.00
Total 1,594 1,142 2,736 54 64 118 4.31
ESP
Sepik Centre of Hope 634 590 1,224 2 2 4 0.33
Total 661 630 1,291 2 4 6 0.46
WSP
St Antony of Padua Vanimo Catholic
Diocese 267 231 498 0 1 1 0.20
Raihu District /Rural Hospital 89 81 170 0 2 2 1.18
Hospital 117 129 246 8 2 10 4.07
Telefomin 22 59 81 0 0 0 0.00
St. Gabrial Lote Health Sub Centre 2 5 7 0 0 0 0.00
Imonda Health Centre 3 1 4 0 0 0 0.00
Ossima Health Sub Centre 31 16 47 0 0 0 0.00
Green River Health Centre 9 11 20 0 0 0 0.00
Vanimo Provincial Hospital Blood
Bank 1 1 2 1 1 2 100.00
Nuku District/Rural Hospital 2 0 2 0 0 0 0.00
Kembratoro Health Sub Centre 20 23 43 0 0 0 0.00
Total 645 658 1,303 9 6 15 1.15
Manus
Lombrum Health Centre 0 0 0 0 0 0 0.00
Lorengau West Urban ANC 24 12 36 0 0 0 0.00
Horan AID Post 8 14 22 0 0 0 0.00
Laboratory 29 16 45 1 0 1 2.22
CIS Manus 22 22 44 0 0 0 0.00
Total 164 244 408 1 0 1 0.25
NIPs
Kavieng General Hospital 96 100 196 0 1 1 0.51
HIV/Other STIs Clinic – Kavieng 79 137 216 1 1 2 0.93

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Provincial Hospital
Stella Maris VCT Centre 519 585 1,104 0 0 0 0.00
Mapua Health Centre 23 40 63 0 0 0 0.00
Simberi Health Sub Centre 39 21 60 0 0 0 0.00
Wanbel na Luksave 661 788 1,449 1 1 2 0.14
Lemakot Health Sub Centre
Laborotary 2 0 2 0 0 0 0.00
Konos Health Sub Centre 141 223 364 0 0 0 0.00
Total 1,981 2,278 4,259 3 5 8 0.19
ENBP
Hospital 391 434 825 2 4 6 0.73
Raunsepna 9 23 32 0 0 0 0.00
Palmalmal Health Centre 1 0 1 0 0 0 0.00
Vatnabara Health Centre 3 1 4 0 0 0 0.00
Kerevat Correctional Institution Day
Clinic 17 5 22 0 0 0 0.00
Nonga Base Hospital Laboratory 6 21 27 1 5 6 22.22
Total 1,197 1,643 2,840 3 9 12 0.42
WNBP
Valoka Health Centre 981 1,021 2,002 0 0 0 0.00
Leguava HIV/Other STIs Clinic –
Kimbe Provincial Hospital 160 126 286 2 3 5 1.75
Ulamona Health Centre 88 138 226 0 0 0 0.00
Sasavoru Health Centre 114 205 319 0 0 0 0.00
Silanga Health Centre 791 712 1,503 0 0 0 0.00
Mosa/New Britain Palm Oil Ltd
Health Centre 12 10 22 1 2 3 13.64
Kapiura Health Centre – Oil Palm 0 2 2 0 1 1 50.00
Valupai Health Centre 349 328 677 0 0 0 0.00
Hargy Health Centre – Bialla 12 21 33 0 0 0 0.00
Malalia Health Centre 35 70 105 0 0 0 0.00
Kimbe Urban Clinic ANC 0 0 0 0 0 0 0.00
Sacred Heart VCT 355 477 832 1 1 2 0.24
Kumbago AID Post Pict Site 23 30 53 0 0 0 0.00
Total 3,701 3,985 7,686 4 7 11 0.14
ARoB Hahela Mary Mother of Hope 754 974 1,728 1 0 1 0.06
Arawa Hospital Our Lady of Mercy 344 360 704 0 1 1 0.14

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Sovele Health Centre 1 1 2 0 0 0 0.00
Tabago Health Centre 27 11 38 0 0 0 0.00
St. John Baptais Taraanko 349 309 658 0 0 0 0.00
Sipai VCT Centre 503 410 913 0 0 0 0.00
Tinputz Secred Heart 169 170 339 0 0 0 0.00
St. Vincent De Paul Buin 327 421 748 0 0 0 0.00
Muguai AID Post 20 27 47 0 0 0 0.00
Total 2,644 2,878 5,522 2 2 4 0.07
Total 38,438 40,294 78,732 1,107 1,445 2,552 3.24
Table.6. HIV Counselling & Testing at Other Health
Province Facility
Western
Tepmin Ambip HIV/Other STIs Clinic
– Kiunga Hospital
2 7 9 1 2 3 33.33
Hospital
10 13 23 3 1 4 17.39
Tabubil GOPD Urban Clinic 1 2 3 0 0 0 0
Total 103 129 232 12 7 19 8.19
Gulf
Kikori District/Rural Hospital 26 55 81 0 0 0 0
Kaiam AID Post 1 2 3 0 0 0 0
Kerema Provincial Hospital
7 6 13 3 1 4 30.77
Kapuna District/Rural Hospital VCT 4 12 16 0 0 0 0
Total 38 75 113 3 1 4 3.54
Central
Sogeri Health Sub Centre 1 1 2 0 0 0 0
Porebada 2 0 2 0 0 0 0
Upulima Health Sub Centre 1 1 2 0 0 0 0
Bereina Health Centre 0 0 0 0 0 0 0
Hula Health Centre 0 1 1 0 0 0 0
Yule Island Health Centre 0 4 4 1 8 9 225
International SOS Clinic – LNG Plant
Site
2 1 3 0 0 0 0
Konedobu Clinic 0 1 1 0 0 0 0
Total 8 13 21 3 8 11 52.38
NCD
Ela Beach VCT Centre 14 9 23 0 0 0 0
6 Mile Clnic 6 4 10 0 0 0 0
9 Mile Clinic 0 1 1 0 0 0 0
Oil Search Port Moresby Clinic 0 1 1 0 0 0 0
PNGDF Murray Barracks Clinic 2 0 2 0 0 0 0

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4B Medical Ward – Port Moresby
General Hospital
52 64 116 12 20 32 27.59
Susu Mamas NCD 0 1 1 0 0 0 0
PNG Power Hohola Clinic VCT 0 0 0 0 0 0 0
Total 293 277 570 25 31 56 9.82
Milne Bay
Watuluma Health Centre 5 11 16 0 0 0 0
Sideia Nazareth Health Centre 2 9 11 0 0 0 0
Salamo Health Centre 0 0 0 0 1 1 0
Dogura Health Centre 1 0 1 0 0 0 0
Kurada Health Centre 0 1 1 0 0 0 0
Hagita Clinic 0 0 0 0 0 0 0
Basima Health Centre 0 22 22 0 0 0 0
East Cape Health Centre 0 1 1 0 0 0 0
Total 69 123 192 9 9 18 9.38
Oro
Siroga Higaturu Oil Palm Clinic 13 12 25 2 0 2 8
Oro Bay St. Margarette Health Centre 0 2 2 0 0 0 0
Total 13 14 27 2 0 2 7.41
SHP
Ninna Clinic – Mendi Provincial
Hospital
118 221 339 9 11 20 5.9
Pangia Health Centre STIs Clinic 17 20 37 4 8 12 32.43
Kaupena Health Centre 0 2 2 0 0 0 0
Juni Health Sub Centre 0 0 0 0 1 1 0
Idawi Health Sub Centre 3 6 9 0 0 0 0
Pimaga District/Rural Hospital 5 11 16 0 0 0 0
Ridge Occupational Clinic (RHC) 254 31 285 0 0 0 0
Hides Occupational Clinic 3 0 3 0 0 0 0
Baguale Health Sub Centre 5 11 16 0 0 0 0
Paua Health Sub Centre 12 8 20 1 0 1 5
Kaipu Health Centre 2 2 4 0 0 0 0
Gobe Occupational Clinic 49 6 55 0 0 0 0
Inu Health Sub Centre 0 1 1 0 0 0 0
Sisibia AID Post 3 1 4 0 0 0 0
Mananda Health Sub Centre 8 16 24 0 0 0 0
Hospital
186 261 447 8 10 18 4.03
Homa AID Post 7 2 9 0 0 0 0
Waro Health Sub Centre 1 0 1 0 0 0 0
Hospital
7 79 86 0 1 1 1.16
Tamenda Health Centre 3 5 8 0 0 0 0
Mendi Provincial Hospital Laboratory 4 14 18 0 0 0 0
Nipa Health Centre 7 25 32 0 0 0 0
Pori Health Centre 1 1 2 0 0 0 0
Total 796 844 1,640 25 37 62 3.78
Enga
Hospital
31 148 179 4 11 15 8.38
Pumakos Health Centre 0 2 2 0 0 0 0
Laiagam Health Centre 1 0 1 1 0 1 100
Wabag Provincial Hospital
Laboratory
398 449 847 44 47 91 10.74

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Sopas District/Rural Hospital 0 0 0 0 0 0 0
St. Mary's Health Centre 2 3 5 0 0 0 0
Sangiurap Urban Clinic 2 1 3 0 0 0 0
Total 672 1,005 1,677 93 131 224 13.36
WHP
Shalom Banz Care Centre/St. Anzalem
AID Post
0 0 0 0 0 0 0
Hospital
38 103 141 9 9 18 12.77
Hospital
526 1126 1652 64 74 138 8.35
El Rafa Care Centre 0 0 0 0 0 0 0
Mt. Hagen Urban ANC 0 75 75 0 1 1 1.33
Mt. Hagen Provincial Hospital Labour
Ward
0 101 101 0 3 3 2.97
Minj Health Centre 0 4 4 0 0 0 0
Paedriatric Ward – Mt. Hagen
Provincial Hospital
51 122 173 6 11 17 9.83
Hillary Clinic 187 397 584 16 36 52 8.9
Medical Ward 2 – Mt. Hagen
Provincial Hospital
57 33 90 12 15 27 30
Mun AID Post Catholic Health
Services
1 4 5 0 0 0 0
Susu Mamas Mt. Hagen 20 64 84 1 5 6 7.14
Koibuga 0 0 0 1 0 1 0
Banz Health Sub Centre 2 8 4 12 0 0 0 0
Kumdi Health Centre 6 2 8 0 0 0 0
Well Women Clinic – Family Support
Centre
0 52 52 0 0 0 0
Total 894 2,093 2,987 109 155 264 8.84
Simbu
Laboratory
16 36 52 12 34 46 88.46
Neragaima Health Sub Centre 0 0 0 0 0 0 0
Kendene Health Sub Centre 2 1 3 0 0 0 0
Bogo Health Sub Centre 0 3 3 0 0 0 0
11 27 38 0 8 8 21.05
Denglagu Health Sub Centre 2 3 5 0 1 1 20
Mai Health Sub Centre 0 0 0 0 0 0 0
Total 135 295 430 25 69 94 21.86
EHP
Kainantu HIV/Other STIs Clinic 2 10 12 3 9 12 100
Tafeto Health Sub Centre 1 0 1 0 0 0 0
Okapa Health Centre 0 0 0 0 0 0 0
Lufa Health Centre 1 1 2 0 0 0 0
Kwonggi PPTCT Clinic 0 0 0 0 0 0 0
Gouno Health Sub Centre PPTCT
Clinic
4 5 9 0 0 0 0
Obura Health Centre 10 3 13 0 0 0 0
Onamuga Health Sub Centre 7 5 12 0 0 0 0
Paediactrics Ward – Goroka Base
Hospital
34 32 66 4 0 4 6.06
Medical Ward – Goroka Base Hospital 132 122 254 18 30 48 18.9
District/Rural Hospital
28 47 75 6 7 13 17.33
Goroka ANC 27 35 62 13 10 23 37.1

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Yamiyufa AID Post 0 0 0 0 0 0 0
Total 287 312 599 45 59 104 17.36
Morobe
Angau Memorial Hospital
84 128 212 20 29 49 23.11
Haikost Urban Health Centre 1 0 1 1 0 1 100
Milford Urban Health Centre 0 0 0 0 0 0 0
Unitech Clinic 0 0 0 0 0 0 0
Tent City Clinic 2 0 2 0 0 0 0
Susu Mamas Clinic 0 4 4 0 0 0 0
Situm Health Centre 1 1 2 1 1 2 100
Medical Ward – Angau Memorial
Hospital
78 69 147 4 7 11 7.48
Paediatrics Ward – Angau Memorial
Hospital
48 72 120 3 4 7 5.83
TB Clinic – Angau Memorial Hospital 4 6 10 0 0 0 0
Children OutPatients COPD – Angau
Memorial Hospital
13 24 37 2 2 4 10.81
Total 512 455 967 34 49 83 8.58
Madang
Hospital
0 1 1 0 0 0 0
Hospital
3 3 6 0 2 2 33.33
Alexishafen Health Centre 10 27 37 0 0 0 0
Walium Health Centre 0 0 0 0 0 0 0
Brahman Health Centre 0 1 1 0 0 0 0
Kwanga Friends Family Clinic 5 1 6 0 0 0 0
Bogia Other STIs Clinic 7 58 65 0 0 0 0
Modilon Provincial Hospital
Laboratory
145 134 279 14 24 38 13.62
Miak Health Centre 0 1 1 0 0 0 0
Total 198 290 488 14 26 40 8.2
ESP
Sepik Centre of Hope 355 339 694 0 0 0 0
Maprik District/Rural Hospital 0 17 17 0 0 0 0
Timbunke Health Centre 8 14 22 0 0 0 0
Wiriu Urban Clinic 0 1 1 0 1 1 100
Kunjingini Health Sub Centre 1 3 4 0 0 0 0
Total 364 374 738 0 1 1 0.14
WSP
Hospital
14 30 44 1 0 1 2.27
St. Gabrial Lote Health Sub Centre 27 44 71 0 0 0 0
Imonda Health Centre 1 1 2 0 0 0 0
Wasengla Health Centre 0 0 0 0 0 0 0
Leitre Health Sub Centre 0 0 0 0 0 0 0
Utai Health Sub Centre 0 0 0 0 0 0 0
Ossima Health Sub Centre 2 2 4 0 0 0 0
Bewani Health Centre 1 2 3 0 0 0 0
Green River Health Centre 2 0 2 0 0 0 0
Kembratoro Health Sub Centre 0 0 0 0 0 0 0
Total 47 108 155 1 0 1 0.65
Manus Lombrum Health Centre 15 0 15 0 0 0 0

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Lorengau West Urban ANC 0 0 0 0 0 0 0
Horan AID Post 0 0 0 0 0 0 0
Laboratory
31 10 41 7 4 11 26.83
Total 56 31 87 15 4 19 21.84
NIPs
Provincial Hospital
16 4 20 0 0 0 0
Lihir Private Clinic 2,056 446 2,502 2 0 2 0.08
Palie Health Centre 0 0 0 0 0 0 0
Kimadan Health Centre 1 0 1 0 0 0 0
Kavieng Urban Clinic 0 2 2 0 0 0 0
Total 2,093 545 2,638 3 7 10 0.38
ENBP
Hospital
33 81 114 2 6 8 7.02
Napapar Health Centre 3 4 7 0 0 0 0
Rabaul Urban Clinic 0 0 0 0 0 0 0
Butuwin Health Centre 7 12 19 0 0 0 0
Gelegele Heath Centre 0 3 3 0 0 0 0
Nonga Base Hospital Laboratory 0 0 0 0 0 0 0
Total 58 143 201 2 9 11 5.47
WNBP
Valoka Health Centre 2 3 5 0 0 0 0
Leguava HIV/Other STIs Clinic –
Kimbe Provincial Hospital
44 216 260 3 4 7 2.69
Mosa/New Britain Palm Oil Ltd
Health Centre
1 0 1 0 0 0 0
Kapiura Health Centre – Oil Palm 0 0 0 0 0 0 0
Haella Health Centre – Oil Palm 0 1 1 0 0 0 0
Hargy Health Centre – Bialla 0 1 1 0 0 0 0
Buvussi Health Centre 27 68 95 0 0 0 0
Bialla Health Centre 1 4 5 0 0 0 0
Milimata Health Sub Centre 1 0 1 0 0 0 0
Total 118 376 494 3 5 8 1.62
ARoB
Buin Health Centre 51 83 134 0 0 0 0
Arawa Hospital Our Lady of Mercy 0 0 0 0 0 0 0
Moratona Health Centre 6 5 11 0 0 0 0
Monoitu Health Sub Centre 0 1 1 0 0 0 0
Sipai VCT Centre 20 18 38 0 0 0 0
Muguai AID Post 3 5 8 0 0 0 0
Total 83 116 199 1 0 1 0.5
Total 6,837 7,618 14,455 424 608 1032 7.14
Table.7. Annual & Cumulative HIV Positive Cases Reported in PNG, 1987 – 2012 by Years & Sex
Year of
detection
Data Previously Reported & Obtained from Case
Reporting Forms and Data Collector’s Workshop
Data In Current NDoH Database Obtained only from
Case Reporting Forms
M F
Sex
Not
Stated
# of
Annual
HIV+
Cases
Cumulative
# of HIV+
Cases
M F
Sex
Not
Stated
# of
Annual
HIV+
Cases
Cumulative
# of HIV+
Cases
1987 2 4 0 6 6 2 4 0 6 6
1988 8 5 0 13 19 8 5 0 13 19
1989 11 7 0 18 37 11 7 0 18 37
1990 24 12 0 36 73 24 12 0 36 73
1991 17 16 2 35 108 17 16 2 35 108

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1992 12 18 0 30 138 12 18 0 30 138
1993 19 21 0 40 178 19 21 0 40 178
1994 42 31 1 74 252 42 31 1 74 252
1995 68 57 1 126 378 68 57 1 126 378
1996 94 96 2 192 570 94 96 2 192 570
1997 173 174 1 348 918 173 174 1 348 918
1998 331 307 23 661 1,579 331 307 23 661 1,579
1999 421 336 34 791 2,370 421 336 34 791 2,370
2000 601 448 25 1,074 3,444 602 449 25 1,076 3,446
2001 649 618 46 1,313 4,757 650 618 46 1,314 4,760
2002 841 797 76 1,714 6,471 841 797 76 1,714 6,474
2003 1,058 1,142 117 2,317 8,788 1,058 1,142 117 2,317 8,791
2004 1,157 1,197 282 2,636 11,424 1,158 1,197 283 2,638 11,429
2005 1,321 1,607 147 3,075 14,499 1,321 1,610 147 3,078 14,507
2006 1,553 1,824 296 3,673 18,172 1,556 1,830 296 3,682 18,189
2007 2,027 2,868 143 5,038 23,210 832 1,162 49 2,043 20,232
2008 2,003 3,013 68 5,084 28,294 1,149 1,840 70 3,059 23,291
2009 1,383 2,280 48 3,711 32,005 1,383 2,280 48 3,711 27,002
2010 1,568 2,566 74 4,208 36,612 1,568 2,566 74 4,208 31,210
2011 1,390 2,231 43 3,664 34,874
2012 1,096 1,724 37 2,857 37,731
Year Not
Stated
163 210 26 399 37,011 163 210 26 399
Year not
stated 4 6 1
Cumulative
Total 15,993 20,746 1,402 38,130

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