Transcript Slide 1

HIV and AIDS Data Hub for Asia-Pacific
HIV and AIDS
Data Hub for Asia-Pacific
Review in slides
Women, Children, and
Young People
1
HIV and AIDS Data Hub for Asia-Pacific
Content
HIV prevalence and epidemiology (1995-2009)
Vulnerability and HIV knowledge (2003-2009)
Risk behaviors (2003-2009)
HIV/AIDS finances and Socio-economics (2005)
National Response (2003-2009)
Coverage, prevention, care and treatment (Women and children)
Women
Children
Care and treatment (adults)
HIV testing
Data availability
Archives
2
HIV and AIDS Data Hub for Asia-Pacific
National response
3
HIV and AIDS Data Hub for Asia-Pacific
Coverage, prevention, care and treatment
(Women and children)
4
HIV and AIDS Data Hub for Asia-Pacific
Women
5
HIV and AIDS Data Hub for Asia-Pacific
Antenatal care coverage, 2003-2008
100
%
80
60
40
61 61
20
35
44
97 98 99 99
91 91 91 93 95
88
79 79 81 84
74
74
69
51
16
0
Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009
HIV and AIDS Data Hub for Asia-Pacific
Antenatal care coverage at 4 or more visits, multiple
countries Asia-Pacific (countries where data is available)
%
100
80
60
82
40
70
55
20
37
21
22
27
28
29
0
Source: Prepared by www.aidsdatahub.org based on National Surveys cited in WHO and UNICEF - Countdown to 2015 Decade report (
2000-2010) : taking stock of maternal , newborn and child survival 2009
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of HIV + pregnant women needing and
receiving ART for PMTCT in East, South and South-East
Asia vs total low-and middle-income countries, 2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Number
Estimated number of pregnant women needing and receiving
ARVs for PMTCT, and PMTCT coverage, by region, 2009
47
50,000
46,800
50 %
45,000
45
40,000
40
35,000
35
30,000
26,200
30
24
25,000
25
20,000
20
15,000
12,400
15
11,400
10,000
10
5,000
5
0
0
East Asia and Pacific
Receiving ARVs for PMTCT
South Asia
Needing ARVs for PMTCT
PMTCT coverage
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
PMTCT coverage in East, South and South-East Asia
vs total low-and middle-income countries, 2005-2009
%
60
53
50
45
40
32
30
2005
2008
25
2009
20
15
9
10
0
East, South and South-East Asia
Total low-and middle-income
countries
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
PMTCT coverage among selected ASEAN countries,
2006-2009
%
100
90
80
70
60
50
40
30
20
10
0
2006
2007
2008
2009
Cambodia
Indonesia
Lao PDR
Myanmar
Philippines
* Singapore
Thailand
Vietnam
* Data from PMTCT register and ANC estimates
Source: www.aidsdatahub.org based on UNGASS country Progress reports 2006, 2008 & 2010
HIV and AIDS Data Hub for Asia-Pacific
PMTCT coverage among selected countries in East &
South Asia and the Pacific, 2006-2009
%
100
90
80
70
60
50
40
30
20
10
0
2006
China
2007
India
PNG
2008
Mongolia
Nepal
Source: www.aidsdatahub.org based on UNGASS country Progress reports 2006, 2008 & 2010
2009
Pakistan
Sri Lanka
HIV and AIDS Data Hub for Asia-Pacific
PMTCT coverage, 2006-2009
100
96
9395
90
80
60
55
%
40
32
3332
31
27
22
20
11
7
1617
14
1514
12
14
8 8
4
4
4 2
11
2 1 2 3
0 0
0
2006
2007
16
14
1112
2008
2009
Source: www.aidsdatahub.org based on UNGASS country progress report_2006, 2008 & 2010
4
14
9
HIV and AIDS Data Hub for Asia-Pacific
% distribution of countries by most commonly used
PMTCT ARV regimen, Asia Pacific, 2009
Afghanistan, DPRK, Fiji, Japan,
Mongolia, Maldives, Pakistan, Republic
of Korea, Timor-Leste
India, Nepal, Vietnam
Single dose Nevirapine
3 countries
9 countries
Combination of 2 ARVs
8 countries
3 countries
Lao PDR,
Singapore, Sri
Lanka
ART for HIV + pregnant women eligible
for treatment ( accroding to national
PMTCT guideline)
3 countries
China, Malaysia, PNG
Combination of 3 ARVs
Bangladesh, Bhutan,
Brunei, Cambodia,
Indonesia, Myanmar,
Philippines, Thailand
Data not available
Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from
country response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
Proportion of different ARV regimens for pregnant women
to reduce the risk of mother to child transmission, 2009
0%
20%
40%
60%
80%
100%
Cambodia
China*
Single dose Nevirapine
Lao PDR
Combination of 2 ARVs
Myanmar
Combination of 3 ARVs
PNG
ART for HIV + pregnant women
eligible for treatment
Sri Lanka
Vietnam
* In Universal access country response questionnaire, most commonly used ART regimen is reported as combination of 3 ARVs
Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2010; Towards Universal Access Health Sector Response
Country Reports 2010 ( compiled from country response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
Proportion of different ART regimes for pregnant
women to reduce the risk of mother to child
transmission, 2008
0%
20%
40%
60%
80%
100%
India
Nepal
Sri Lanka
Bangladesh
Malaysia
Indonesia
Lao PDR
Fiji
Single-dose Nevirapine only
Prophylactic regimens using a
combination of two ARVs
Prophylactic regimens using a
combination of three ARVs
ART for HIV-infected pregnant
women eligible for treatment
Uncategorized
Papua New Guinea
Cambodia
Myanmar
Brunei Darussalam
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
16
HIV and AIDS Data Hub for Asia-Pacific
% of HIV + pregnant women assessed for ART
eligibility through clinical staging or CD4 testing, 2009
% 80
60
40
67
44
20
22
0
3
5
5
6
8
Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from
country response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
% of HIV positive pregnant women receiving ART for
their own health, 2008
14%
14%
12%
12%
10%
8%
6%
6%
4%
2%
2%
1%
0%
0%
0%
Pakistan
Lao PDR
Papua New
Guinea
Nepal
Philippines
Cambodia
China
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
18
HIV and AIDS Data Hub for Asia-Pacific
% of HIV + pregnant women received ART for PMTCT,
2004-2008
50
45
40
35
Percent
30
24
24
25
Global
East, South and South-East Asia
20
16
15
10
10
9
9
2004
2005
Global = All low and
middle income countries
0
2006
2007
2008
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_
Progress Report, 2009
19
HIV and AIDS Data Hub for Asia-Pacific
Estimated high and low percentage of pregnant women
living with HIV who received ART for preventing
mother-to-child transmission, 2008
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
HIV and AIDS Data Hub for Asia-Pacific
% of HIV+ pregnant women who received ART to prevent
mother-to-child transmission, 2007
Mongolia
China
Afghanistan
Pakistan
Nepal
India
Myanmar
Viet Nam
Thailand
Cambodia
Philippines
Sri Lanka
Malaysia
Singapore
Indonesia
Papua New Guinea
Timor-Leste
Fiji
Note: % refers to the average of the low and high estimation
Source: www.aidsdatahub.org based on UNAIDS, Report on the Global AIDS Epidemic, 2008
21
HIV and AIDS Data Hub for Asia-Pacific
% distribution ANC facilities providing selected services to
pregnant women for HIV prevention and testing, East Asia
and Pacific, 2008
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Ante-natal Care
ANC providing HIV testing and counseling
ANC+ HIV testing+ ART for PMTCT
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
22
HIV and AIDS Data Hub for Asia-Pacific
% distribution of ANC facilities providing selected
services to pregnant women for HIV prevention and
testing, South Asia vs. East Asia and Pacific, 2008
100%
95%
90%
85%
80%
75%
South Asia
East Asia and Pacific
ANC+ HIV testing+ ART for PMTCT
ANC which can provide HIV testing and counseling
Ante-natal care
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
23
HIV and AIDS Data Hub for Asia-Pacific
% distribution of ANC facilities providing selected
services to pregnant women for HIV prevention and
testing, South Asia, 2008
100%
90%
80%
70%
60%
50%
40%
30%
20%
Bangladesh
Bhutan
India
Ante-natal Care
Sri Lanka
Maldives
Nepal
Pakistan
ANC providing HIV testing and counseling
ANC+ HIV testing+ ART for PMTCT
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
24
HIV and AIDS Data Hub for Asia-Pacific
% of women (15-49) who delivered in a health facility, 20042007
98.2 96.7
(%) 100
15-19 yrs.
15-49 yrs.
63.8
Health facility refers to Public sector,
NGO/Trust sector, and Private sector
50
42
38 38.7
32.5 34.2
21.8 21.5
20.7
17.7
8.8 9.3
0
Bangladesh
2004
Cambodia
2005
India
2006
Nepal
Pakistan
2006-2007 2007-2007
Thailand
2005-2006
Vietnam
2006
Source: www.aidsdatahub.org based on Bangladesh DHS 2004; Cambodia DHS 2005; India NFHS 2006; Nepal DHS 2006-2007; Pakistan DHS
2006-2007; Thailand MICS 3; Vietnam MICS 3
25
HIV and AIDS Data Hub for Asia-Pacific
% of women (15-49) assisted by trained health personnel
during delivery
(%) 100
98.1 97.3
87.7
15-19 yrs.
15-49 yrs.
71
Health personnel refers to Doctor,
Nurse, Midwife, and other health
personnel
50
44.2 43.8
47.2 46.6
38.8 38.8
22.1
18.7
12.7 13.4
0
Bangladesh
2004
Cambodia
2005
India
2006
Nepal
2006-2007
Pakistan
2006-2007
Thailand
2005
Vietnam
2006
Source: www.aidsdatahub.org based on Bangladesh DHS 2004; Cambodia DHS 2005; India NFHS 2006; Nepal DHS 2006-2007; Pakistan
DHS 2006-2007; Thailand MICS 3; Vietnam MICS 3.
26
HIV and AIDS Data Hub for Asia-Pacific
Children
27
HIV and AIDS Data Hub for Asia-Pacific
% of infants born to HIV + mother received ART for PMTCT
in East, South and South-East Asia vs total low-and
middle-income countries, 2005-2009
35
%
32
35
32
30
25
25
20
12
15
10
7
5
0
East, South and South-East Asia
2005
Total low-and middle-income
countries
2008
2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Coverage of ART prophylaxis among infants born to
HIV+ mother, 2007-2008
40
Percent
30
Global
20
32
25
East, South and South-East Asia
20
16
10
Global = Low and middle
income countries
0
2007
2008
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
29
HIV and AIDS Data Hub for Asia-Pacific
% of infants born to HIV + mother receive ART to
reduce the risk of mother-to-child transmission, 2009
%
100
97
>95
80
60
54
48
46
45
40
28
27
17
20
15
13
12
10
7
7
6
1
1
0
* 2008 data
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
% of infants born to HIV + mother receive ART to reduce
the risk of mother-to-child transmission and those who
receive HIV test within 12 months, 2009
% 100
88
80
63
59
60
54 54
48
46
45
40
31
20
14
13 13
7
4
1
2
0
Thailand
Malaysia
Vietnam
Myanmar
Cambodia
PNG
Nepal
Philippines
Infants born to HIV + mother receive ART to reduce the risk of MTCT
Infants born to HIV + mother receive HIV test within 12 months
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
% of infants born to HIV + mother receive Cotrimoxazole
propylaxis within 2 months of birth, 2009
%
100
80
60
58
54
40
32
30
23
20
20
17
16
15
12
7
6
2
1
1
0
0
0
* 2008 data ; ** 2007 data
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated % of infants born to women living with HIV
who have received ART for PMTCT and Co-trimoxazole
prophylaxis, 2008
100
90
80
Percent
70
60
50
40
30
20
10
0
Received ART for PMTCT
Received co-tri prophylaxis within 2 months of birth
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
33
HIV and AIDS Data Hub for Asia-Pacific
Proportion of different ART regimens for infants born to
HIV + mother to reduce the risk of mother-to-child
transmission, 2009
100%
80%
60%
combination of 2 ARVs
40%
single-drug ARV
20%
0%
Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country
response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
Distribution of feeding practices among infants born to
HIV + mother at DPT 3 (vaccination) visit, 2009
0%
20%
40%
60%
80%
100%
Brunei
China
Myanmar
Exclusive Breastfeeding
Replacement Breastfeeding
Nepal
Mixed feeding/others
PNG
Thailand
Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from
country response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of children (0-14) needing and
receiving ART in East, South and South-East Asia vs total
low-and middle-income countries, 2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated ART coverage among children (0-14) in East,
South and South-East Asia vs total low-and middle-income
countries, 2005-2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Number
Estimated number of children receiving and needing ART ,
and ART coverage by region, 2009
65
60,000
55,100
70
%
60
50,000
50
40,000
33
40
27,500
30,000
30
20,000
18,200
18,200
20
10,000
10
0
0
East Asia and Pacific
Receiving ART
South Asia
Needing ART
ART coverage
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated ART coverage among children (0-14) vs
adults, 2009
%
50
45
44
40
37
35
30
30
28
25
20
15
10
5
0
East, South and South-East Asia
ART coverage (children) *
Total low-and middle-income countries
ART coverage (adults) **
* Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350)
** Based on unrounded number of people receiving and needing ART
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
High and low estimates of the percentage of HIV
positive children in need receiving ART, 2008
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
HIV and AIDS Data Hub for Asia-Pacific
% distribution of HIV positive male and female children
(0-14 years) who received ART, 2008
100%
80%
60%
40%
Female
Male
20%
0%
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
41
HIV and AIDS Data Hub for Asia-Pacific
Number
Estimated number of infant infections at current level
of antiretroviral prophylaxis and without antiretroviral
prophylaxis in Asia, 1996-2008
Source: www.aidsdatahub.org based on UNAIDS_AIDS Epidemic Update, December 2009
HIV and AIDS Data Hub for Asia-Pacific
% of national health facilities providing ART which also
provide paediatric ART, South Asia vs. East Asia and
Pacific, 2008
100
80
Percent
60
90
40
48
20
0
South Asia
East Asia and Pacific
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
43
HIV and AIDS Data Hub for Asia-Pacific
% of national health facilities providing ART which also
provide paediatric ART, East Asia and Pacific, 2008
100
100
100
94
100
81
80
60
50
49
47
40
20
0
31
33
19
14
11
0
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
44
HIV and AIDS Data Hub for Asia-Pacific
% of national health facilities providing ART which also
provide paediatric ART, South Asia, 2008
100
100
100
80
65
Percent
60
50
40
33
17
20
0
0
Bangladesh
Bhutan
India
Sri Lanka
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
Maldives
Nepal
Pakistan
45
HIV and AIDS Data Hub for Asia-Pacific
% of schools that provided life skills-based HIV education
within the last academic year, countries, where data is
available, 2007-2009
Country
Year of survey
Total
Primary
Secondary
Afghanistan
2008-09
1
-
-
Bangladesh
2008
-
-
0.1
2008-09
34
41
5
2009
31
-
-
2007
-
-
79
Lao PDR
2008-09
74
-
74
Malaysia
2007-08
0.2
-
-
2009
8
-
-
2007
6
7
4
PNG
2009
100
100
100
Pakistan
2007
6
-
-
2008-09
100
-
-
Timor-Leste
2009
0.3
-
-
Vietnam
2008
34
-
-
Cambodia
India
Nepal
Singapore
* Life skills through personal
Source: www.aidsdatahub.org based on UNGASS country Progress reports 2008 & 2010 development curriculum is compulsory
46
HIV and AIDS Data Hub for Asia-Pacific
Current school attendance among orphans and among
non-orphans aged 0-14
Country
Year of
survey
Orphans
Both parents
Total
Male
Female
Total
Male
Female
Cambodia
2005
76
75
77
92
93
91
Indonesia
2007
87
84
91
93
92
94
PNG
2006-07
75
70
81
87
86
89
Thailand
2005-06
96
-
-
96
-
-
Source: www.aidsdatahub.org based on Demographic and Health Surveys & Multiple Indicators Cluster Surveys reported in UNGASS country
Progress reports 2008 & 2010
HIV and AIDS Data Hub for Asia-Pacific
Care and treatment (adults)
48
HIV and AIDS Data Hub for Asia-Pacific
ART scale up in East, South and South-East Asia,
2003-2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2006-2010
HIV and AIDS Data Hub for Asia-Pacific
ART scale up in East, South and South-East Asia vs total
low-and middle-income countries, 2003-2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2006-2010
HIV and AIDS Data Hub for Asia-Pacific
Trends in ART coverage among adults and children,
East Asia Pacific countries, 2005-2009 ( based on
Universal Access reports)
% 100
80
60
40
20
0
2005
2006
2007
2009 *
Cambodia
**China
Fiji
Indonesia
Lao PDR
Malaysia
Mongoila
Myanmar
PNG
Philippines
***Thailand
Vietnam
*Coverage based on WHO 2006 ART initiation guideline
** only the range is available for 2009, which is 31-67
*** sudden decline in 2007 might be due to denominator issue (2006 denominator = 130,000 ; 2007 denominator = 250,000
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2006-2010
HIV and AIDS Data Hub for Asia-Pacific
Trends in ART coverage among adults and children,
South Asian countries, 2006-2009 ( based on Universal
Access reports)
% 100
*Coverage based on WHO 2006
80
ART initiation guideline
** only the range is available for
2009, which is 36-55
60
40
20
0
2005
Bangladesh
2006
*India
Maldives
2007
Nepal
2009 *
Pakistan
Sri Lanka
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2006-2010
HIV and AIDS Data Hub for Asia-Pacific
ART coverage by gender, countries where data is
available, 2009
%
100
90
80
70
60
50
40
30
20
10
0
Mongolia
Myanmar
Nepal
Male
Pakistan
Female
Total
Source: www.aidsdatahub.org based on UNGASS country Progress reports 2010
Philippines
PNG
Sri Lanka
HIV and AIDS Data Hub for Asia-Pacific
ART coverage among adults (>15 years) vs children
(<15 years), countries where data is available, 2009
%100
92
92
80
76
75
60
57
96
93
81
40
80
79
41
86
75
68
29
20
54
41
19
44 40
27
19 19
2
10
12
0
Cambodia
Lao PDR
Myanmar
Nepal
<15 yr
Pakistan
15+ yr
Source: www.aidsdatahub.org based on UNGASS country Progress reports 2010
Total
PNG
Sri Lanka
Thailand
Viet Nam
HIV and AIDS Data Hub for Asia-Pacific
Trends in ART coverage among adults (>15 years) vs
children (<15 years), countries where data is available
2006-2009
100
%
80
60
40
20
0
<15
15+
Cambodia
<15
15+
India
<15
15+
Lao PDR
<15
15+
<15
Myanmar
2006
2007
15+
Nepal
2008
<15
15+
Pakistan
2009
Source: www.aidsdatahub.org based on UNGASS country Progress reports 2006 -2010
<15
15+
PNG
<15
15+
Sri Lanka
<15
15+
Thailand
HIV and AIDS Data Hub for Asia-Pacific
Estimated ART coverage among adults and children, 2009
%
100
94
90
80
70
67
61
60
52
50
40
37
30
20
23
21
23
20
18
17
10
0
34
30
8
11
4
0
High estimate
Low estimate
Estimate
* Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350)
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated ART coverage among adults and children, based
on 2010 WHO guidelines vs 2006 WHO guidelines, 2009
% 100
95
95
80
77
60
76
60
52
94
40
45
40
67
38
33
28
28
20
23
0
30
23
8
37
17
15
17
52
18
11
6
4
61
34
20
Estimated ART coverage based on WHO 2010 guidelines
Estimated ART coverage based on WHO 2006 guidelines
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of adults and children receiving and needing
ART in East, South and South-East Asia vs total low-and middleincome countries, 2008-2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated ART coverage among adults and children in
East, South and South-East Asia vs total low-and
middle-income countries, 2008-2009
100
100
60
60
%
%
80
80
40
40
20
20
38
38
25
25
42
42
28
28
52
52
47
47
31
31
36
36
0
0 East, South and SouthTotal low-and middleEast, South and SouthTotal low-and middleEast,East
South
and SouthTotal
low-and
middleEast,East
South
and SouthTotal low-and
middleAsia
income
countries
Asia
income
countries
East Asia
income countries
East Asia
income countries
2008
2009
2008
2009
WHO guidelines 2010 (CD4 <350)
WHO guidelines 2010 (CD4 <350)
WHO guidelines 2006 (CD4 <200)
WHO guidelines 2006 (CD4 <200)
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of adults and children receiving and
needing ART by gender in in East, South and South-East
Asia vs total low-and middle-income countries, 2009
8000
6900
7000
6200
Thousands
6000
5000
4000
2690
3000
1940
2000
1000
1300
690
284.3
191.4
0
Men
Women
East, South and South-East Asia
Number receiving ART
Men
Women
Total low-and middle-income countries
Number in need of ART
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated ART coverage by gender in East, South and
South-East Asia vs total low-and middle-income
countries, 2009
50
40
39
30
Men
28
20
Women
31
22
10
0
East, South and South-East Asia
Total low-and middle-income
countries
Coverage estimate is based on unrounded number of people receiving and needing ART
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated ART coverage among adult and children,
2006-2008
50
42
40
37
33
29
Percent
30
Global
22
20
East, South and South-East Asia
18
Global = All low and
middle income countries
10
0
2006
2007
2008
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
62
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of adults and children receiving and
needing ART, and ART coverage by region, 2009
1,400,000
1,300,000
40
40
1,200,000
35
1,000,000
1,000,000
Number
45 %
25
30
800,000
25
600,000
20
412,000
15
400,000
325,000
10
200,000
5
0
0
East Asia and Pacific
Receiving ART
South Asia
Needing ART
ART coverage
63
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated % distribution of PLHIV who are in need of
ART in the Asia Pacific Region (21 countries), 2009
Estimated in need of ART is based on WHO 2010 ART initiation guideline except China and India .
* Estimated in need of ART based on WHO 2010 guideline is not available and it is based on estimated number
in need reported by countries
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated % distribution of PLHIV who are in need of
ART in the Asia Pacific Region (21 countries), 2008
15 others, 7%
Vietnam, 4%
China, 10%
Thailand, 12%
Myanmar, 7%
India, 58%
Indonesia, 2%
China
India
Indonesia
Myanmar
Thailand
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
Vietnam
15 others
HIV and AIDS Data Hub for Asia-Pacific
% distribution of PLHIV who are in need of ART in the
Asia Pacific Region (21 countries), 2008
7%
93%
China, India, Indonesia, Myanmar, Thailand, Vietnam
Source: www.aidsdatahub.org based on Universal access health sector response, 2008
15 other countries
HIV and AIDS Data Hub for Asia-Pacific
Reported number of adults and children receiving ART,
2005-2009
Country
2005
2006
2007
2008
2009
Afghanistan
0
0
0
0
12
Bangladesh
5
53
178
283
353
Bhutan
5
13
18
30
Cambodia
12 396
18 256
26 664
31 999
37 315
China
15 500
30 640
35 112
48 254
65 481
28
39
52
158 020
234 581
320 074
10 616
15 442
Fiji
India
12 000
55 473
Indonesia
3 301
5 136
Lao PDR
104
370
700
1 009
1345
Malaysia
2 700
2 700
6 590
8 197
9 962
Maldives
0
1
2
3
Mongolia
1
3
5
9
3 500
4 845
11 100
15 191
21 138
Nepal
75
472
1 240
2 536
3 226
Pakistan
132
164
550
907
1 320
Papua New Guinea
320
701
2 250
5 195
6 751
Philippines
71
140
336
532
750
Sri Lanka
25
56
107
146
207
Thailand
61 000
89 496
143 539
179 557
216 118
0
0
29
31
6 564
14 969
27 059
37 995
Myanmar
Timor - Leste
Vietnam
3 000
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2006-2010
HIV and AIDS Data Hub for Asia-Pacific
Number
Estimated number of AIDS related deaths with and
without antiretroviral therapy in Asia, 1996-2008
Source: UNAIDS_AIDS Epidemic Update, December 2009
HIV and AIDS Data Hub for Asia-Pacific
% of estimated HIV-positive incident TB cases that received
treatment for TB and HIV, countries where data is available,
2007-2009
0
20
40
60
80
100
%
Afghanistan(2009) 1
Indonesia (2008)
3
India (2008)
4
Cambodia (2009)
5
Sri Lanka (2008)
10
Myanmar (2007)
11
PNG (2008)
Thailand (2008-09)
Vietnam (2009)
Malaysia (2009)
Philippines (2009)
Japan (2008-9)
20
26
28
30
80
94
Source: www.aidsdatahub.org based on UNGASS country progress reports 2010; Countries collected the data using ART patient registers and
estimates from WHO STOP TB data base except Afghanistan_ ART data base, Indonesia _ART monitor and reports, Japan_ Nagoya
Medical Center & International Medical Center of Japan (ACC) Database, PNG_ National Department of Health Program Monitoring
HIV and AIDS Data Hub for Asia-Pacific
% distribution of HIV positive males and females
receiving ART, 2008
100%
80%
60%
40%
Female
Male
20%
0%
Source : www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
HIV and AIDS Data Hub for Asia-Pacific
% of retention on ART at 12,24,36 and 48 months, 2008
100
Percent
80
60
40
20
0
12 months
24 months
East, South and South-East Asia
36 months
48 months
Global
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
71
HIV and AIDS Data Hub for Asia-Pacific
% of adults and children with HIV known to be on treatment
12 months after the initiation of antiretroviral therapy, 20062007
Lao PDR
90
Cambodia
88
Pakistan
87
Malaysia
87
Thailand
85
Nepal
85
India
80
Fiji
78
Sri Lanka
64
PNG
61
Mongolia
50
(%)
0
50
Source: www.aidsdatahub.org based on UNAIDS, UNGASS Country Reports, 2008
100
72
HIV and AIDS Data Hub for Asia-Pacific
HIV testing
73
HIV and AIDS Data Hub for Asia-Pacific
% of adults (15-49) who received HIV test in the last 12
months and knew the result, countries where data is
available, 2005-2009
%
100
80
60
Total
Male
Female
+ VCT registration data 11722(knew the result) / 43598 (tested)
++ data from voluntary screening
40
20
0
Denominator = # of surveyed respondents aged 15-49
Source: www.aidsdatahub.org based on UNGASS country Progress reports 2006, 2008 & 2010
* Manipur only;
** data from 3 cities .
HIV and AIDS Data Hub for Asia-Pacific
% of pregnant women who received an HIV test in East,
South and South-East Asia vs total low-and middle-income
countries, 2005-2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
% of pregnant women who received HIV test, 2004-2008
12
2008
21
8
2007
15
7
2006
13
East, South and South-East Asia
Global
2
2005
7
Global = All low and
middle income countries
3
2004
7
0
5
10
15
20
25
Percent
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
76
HIV and AIDS Data Hub for Asia-Pacific
Number and % of pregnant women tested for HIV in the
last 12 months and received the results, 2009
5,717,819
100
797,047
403,287
10,000,000
3,741,337
480,814
80
1,000,000
182,760
153,884
65,791
43,942
13,475
9,041
60
40
100,000
3,911
10,026
10,277
10,000
3,094
1,000
82
73
67
91
71
52
20
42
32
21
21
10
20
18
9
0
100
4
4
2
<1
<1
<1
<1
1
Log scale
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
Number
%
HIV and AIDS Data Hub for Asia-Pacific
% of pregnant women tested for HIV in the last 12
months and received the results, 2009
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
% distribution of pregnant women tested for HIV in the
last 12 months and received the results- during ANC vs
during labour and delivery, 2009
Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from
country response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
Estimated % of pregnant women tested for HIV, 2008
100
90
80
82
75
Percent
70
60
57
51
50
40
30
20
10
29
24
22
18
16
15
6
3
1
<1
<1
<1
<1
0
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
80
HIV and AIDS Data Hub for Asia-Pacific
% of infants born to HIV + mother receive HIV test within
12 months, 2009
% 100
80
60
40
63
59
54
20
31
14
13
4
2
Nepal
Philippines
0
Thailand
Malaysia
Vietnam
Myanmar
Cambodia
PNG
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
% of infants born to HIV infected women who received
HIV test within 12 months, 2008
7%
6
6
6%
5%
4%
3%
3
2
2%
1
1%
0
0%
Nepal
Pakistan
Lao PDR
Philippines
Papua New
Guinea
Myanmar
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
82
HIV and AIDS Data Hub for Asia-Pacific
% distribution of countries with Dried Blood Spot
(DBS) technology available for PMTCT and Paediatric
HIV care, Asia Pacific, 2009
Availability
unknown
31%
(8 countries)
DBS
technology
available
27%
( 7 countries)
DBS
technology
not available
42%
(11 countries )
7 countries = Brunei, China, Cambodia, India,
PNG, Thailand, Vietnam
11 countries = Afghanistan, Bangladesh,
Bhutan, Fiji, Indonesia,LaoPDR, Myanmar,
Nepal, Philippines,
Singapore, Sri Lanka
8 countries = DPR Korea, Japan, Malaysia,
Maldives, Mongolia, Pakistan, Republic of
Korea, Timor Leste
Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from
country response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
% distribution of countries providing HIV virological
testing services on site or through Dried Blood Spot,
South Asia, 2007 & 2008
2008
2007
13
25
75
Yes (Pakistan & Afghanistan)
No (Bangladesh, Bhutan, India, Maldives, Nepal,
Sri Lanka)
88
Yes (Pakistan)
No (Afghanistan,Bangladesh, Bhutan, India,
Maldives, Nepal, Sri Lanka)
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
84
HIV and AIDS Data Hub for Asia-Pacific
% distribution of countries providing virological testing
services on site or through Dried Blood Spot, East Asia
and Pacific, 2007 & 2008
2007
2008
Yes (Indonesia, Cambodia, Mongolia, Malaysia,
Philippines, Thailand, Vietnam)
No (China, Fiji, Lao PDR, Myanmar, PNG,
Singapore, Timor Leste)
50%
50%
Yes (Indonesia, Cambodia, Lao PDR,
PNG,Mongolia, Malaysia, Philippines, Thailand,
Vietnam)
No (China, Fiji,Myanmar,Singapore, Timor Leste)
44%
56%
Source: www.aidsdatahub.org based on Universal access health sector response, 2009
85
HIV and AIDS Data Hub for Asia-Pacific
Total number of health facilities vs availability of HIV
testing and ART services
100000
10000
Number
1000
100
10
1
Log scale
Total number of health facilities
Number of health facilities that provide HIV testing and counselling services
Number of helath facilities that offer ART
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of per 1000 adult population who
received HIV testing and counseling in the last 12
months, 2009
80
Number per 1000 adult popoulation
70
77.2
63.3
60
50
46.9
44.6
40
29.3
30
20
22.9
21.2
15.5
12.7
9.6
10
8.3
5.5
1.3
0.6
0.3
0.2
0.1
0
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of HIV testing and counseling
facilities per 100 000 adult population, 2009
60
Number per 100 000 adult population
51.3
50
40
30
20
10
8.8
7
5.2
4.3
3.5
3.4
2.9
2.7
1.2
1.2
1
1
0.8
0.4
0.4
0.2
0.2
0.1
0
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Total population ≥ 15 years per testing and counseling
facility, 2007-2008
1000
2007
2008
Per thousand population
900
800
700
600
500
400
300
200
100
0
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
HIV and AIDS Data Hub for Asia-Pacific
Number of HIV tests per 1000 people ≥ 15 years, 2007-2008
50
46
45
38
40
33
Number
35
30
30
28
25
20
14
15
9
10
5 5
5
0
9
6
0 0
3
0 1
2007
6
8
2
4
2008
Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report,
2009
HIV and AIDS Data Hub for Asia-Pacific
Data availability
91
HIV and AIDS Data Hub for Asia-Pacific
Asia Pacific countries with HIV surveillance among
ANC attendees, 2009
Annually
Every 3 years
No surveillance
Brunei
Cambodia
Afghanistan
China
Fiji
Bangladesh
India
Bhutan
*Japan
DPR Korea
*Malaysia
Indonesia
*Mongolia
Lao PDR
Myanmar
Maldives
PNG
Nepal
Philippines
Pakistan
Singapore
Republic of Korea
Sri Lanka
Timor- Leste
Thailand
Vietnam
* Routine testing
Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country
response questionnaires which is not yet included in the published report)
HIV and AIDS Data Hub for Asia-Pacific
Data availability of selected indicators on PMTCT and
Paediatric HIV, 2009
%
0
20
40
Infants receiving ART to reduce the
risk of MTCT
73 (19 countries)
PMTCT coverage
73 (19 countries)
HIV testing among pregnant women
Infants receiving HIV test within 12
months
69 (18 countries)
35 ( 9 countries)
60
80
100
Bangladesh, Bhutan, Cambodia, China,
Fiji, India, Indonesia, Lao, Malaysia,
Maldives, Mongolia, Myanmar, Nepal,
Pakistan, PNG, Philippines, Sri Lanka,
Thailand, Vietnam
Bangladesh, Bhutan, Cambodia, China,
Fiji, India, Indonesia, Lao, Malaysia,
Maldives, Mongolia, Myanmar, Nepal,
Pakistan, PNG, Philippines, Sri Lanka,
Thailand, Vietnam
Bangladesh, China, Cambodia, Fiji, India,
Indonesia, Lao PDR, Malaysia, Maldives,
Myanmar,
Nepal, Pakistan, PNG,
Philippines, Sri Lanka, Timor-Leste,
Thailand, Vietnam
Brunei, Cambodia, Malaysia, Myanmar,
Nepal, PNG, Philippines, Thailand,
Vietnam
Denominator = 26 countries in Asia -Pacific
Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of pregnant women living with HIV needing and
receiving ARVs for prevention of mother-to-child transmission, 2009
Country
Bangladesh
Estimated Number ( needing)
Reported Number ( receiving)
<100-<200
7
<100
19
Cambodia
<1000-3,000
798
China
2,600-11,000
1,554
<100
5
23,000-65,000
11,319
Indonesia
1,100-4,600
196
Lao PDR
<200-<500
24
Malaysia
<100 - <1,000
300
Maldives
<100
0
Mongolia
<100
1
Myanmar
1,800-5,600
2,398
Nepal
<1,000-2,100
56
Pakistan
1,000-3,700
25
Philippines
<100-<500
3
<1,000-3,000
263
Sri Lanka
<100
4
Thailand
4,900-8,300
5,457
-
1
1,700-4,700
1,372
Bhutan
Fiji
India
Papua New Guinea
Timor Leste
Viet Nam
* Based
on
UNAIDS/
WHO
methods
Source: Complied by www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health
sector, 2010
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of HIV + children needing and receiving ART,
2009
Country
Estimated number
(needing) *
Bangladesh
<100-<200
Bhutan
Reported number (receiving) Reported number (receiving)
2009
2008
6
-
1
-
Cambodia
2,800-6,100
3,638
3,067
China
2,100-7,600
1,594
1,120
Fiji
<100
1
1
India
30,000-76,000
17,952
-
Indonesia
<1,000-2,600
-
356
Lao PDR
<100-<500
95
72
Malaysia
<1000
-
501
Maldives
<100
0
-
Mongolia
<100
0
0
Myanmar
1,900-4,900
1,535
966
Nepal
<1,000-2,600
178
-
Pakistan
<1,000-2,300
57
-
Philippines
<100-<200
-
11
PNG
<1,000-2,600
427
329
Thailand
7,900-11,000
8076
8,736
Timor-Leste
-
Vietnam
1,700-3,700
Prepared by www.aidsdatahub.org
3
1,987
* Based on UNAIDS/WHO methods
1,462
HIV and AIDS Data Hub for Asia-Pacific
Assessment of behaviors and interventions being
planned/underway/conducted for prevention of HIV
MARA= Most at risk adolescents, MARYP= Most at risk young people
CAM
CHI
DPRK
FIJI
INDO
LAO
Among MARA
MAL
MON
Among MARYP
MYA
PHLP
PNG
THA
TL
VIE
Young People
Source: Prepared by www.aidsdatahub.org based on UNICEF data inputs for HIV & AIDS Chiefs and Specialists Meeting for Scaling up 4 Ps, 17-20th
November, 2009
HIV and AIDS Data Hub for Asia-Pacific
THANK YOU
slides compiled by www.aidsdatahub.org
Data shown in this slide set are comprehensive to the extent they are available from country reports.
Please inform us if you know of sources where more recent data can be used.
Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site
97