▁a ▁major ▁boost ▁since ▁ 2 0 0 4 ▁when ▁a ▁World ▁Bank ▁loan / gr ant ▁allowed ▁the ▁Ministry ▁of ▁Health ▁( and ▁the ▁provincial ▁Depart ments ▁of ▁Health ) ▁to ▁start ▁a ▁program ▁which ▁see ks ▁to ▁provide ▁H IV ▁prevent ion ▁services ▁to ▁ID Us , ▁sex ▁workers ▁and ▁tr uck ers ; ▁perform ▁advoc acy ▁and ▁communication ▁for ▁the ▁general ▁public ▁and ▁covers ▁significant ▁proportion ▁of ▁the ▁national ▁blood ▁supply ▁for ▁H IV , ▁H B V ▁and ▁H CV ▁screen ing . ▁This ▁" En hanced ▁H IV / A ID S ▁Control ▁Program " ▁has ▁been ▁able ▁to ▁establish ▁these ▁services ▁using ▁N GO s ▁to ▁perform ▁the ▁inter vent ions ▁in ▁most ▁large ▁cities ▁although ▁the ▁quality ▁of ▁the ▁services ▁as ▁well ▁as ▁the ▁comple ten ess ▁of ▁their ▁" cover age " ▁remains ▁low . ▁Over all ▁the ▁ID U ▁programs ▁in ▁P un j ab ▁are ▁performing ▁the ▁best ▁with ▁over ▁ 7 0 % ▁coverage ▁of ▁target ▁populations ▁with ▁services ▁in ▁ 4 ▁cities . ▁Program s ▁for ▁sex ▁workers ▁lag ▁somewhat ▁but ▁are ▁bol ster ed ▁by ▁the ▁fact ▁that ▁the ▁metropol ises ▁have ▁higher ▁levels ▁of ▁knowledge ▁and ▁sa fer ▁behav iors . ▁However , ▁the ▁overall ▁levels ▁of ▁coverage ▁of ▁services ▁remain ▁low ▁at ▁around ▁ 1 6 % ▁for ▁ID Us ▁and ▁< 1 0 % ▁for ▁sex ▁workers ▁nation wide . ▁The ▁communication ▁project ▁has ▁performed ▁probably ▁the ▁least ▁with ▁only ▁ 4 4 % ▁of ▁Pak ist