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HIV and AIDS
Data Hub for Asia-Pacific
Review in slides
Female Sex Workers
Last updated: December 2014
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
CONTENT
Data availability and population size estimates
HIV prevalence and epidemiology
Risk behaviors
Violence
Vulnerability and HIV knowledge
National response
2
Data availability and population
size estimates
www.aidsdatahub.org
Female sex workers population size estimates, countries
where data is available
Estimated FSW (a)
Year of estimate
Year of reporting
HIV prevalence (b)
1
Afghanistan (2 cities)
4,934
2012
2014
0.3 (2012)
2
Australia
20,500
…
2014
0.03 (2012)
3
Bangladesh
74,300
2010
2014
0.3 (2011)
4
Cambodia
37,000 (female entertainment workers)
2009
2014
4.6* (2010)
5
China
2,470,000
2011
…
0.2 (2013)
6
Hong Kong SAR
20,000 - 100,000
2005
…
0 (2013)
7
Fiji (Suva, Nadi, Lautoka, Labasa,Savsavu)
538
2012
2014
0 (2012)
8
India
868,000
2012
2014
2.8 (2010-11)
9
Indonesia
229,856 (both direct and indirect)
2012
2014
7 (2011)
10
Lao PDR
13,510
2010
2014
0.98 (2011)
11
Malaysia
40,000
2009
2014
4.2 (2012)
12
Maldives
900 - 4,000
2008
…
0 (2008)
13
Mongolia
1,500 - 19,000
2006
…
0 (2012)
14
Myanmar
70,000
2010
2014
8.1 (2013)
15
Nepal
26,504 (24,649 – 28,359)
2010
2014
1.7 (2011)
16
Pakistan
136,300
2007
2014
0.6 (2011)
17
Philippines
80,000 (70,167 - 89,175)
2011
2014
0.3 (2011)
18
Papua New Guinea
40,000
2005
…
19 (Port Moresby, 2010)
19
Sri Lanka
14,132
2013
2014
0.2 (2011)
20
Thailand
123,530
2010
2014
2.2 (2012)
21
Timor Leste
675
2010
…
1.5 (2011)
22
Vanuatu (Port Vila)
1,398
2011
2014
…
23
Viet Nam
71,936
2013
2014
2.6 (2013)
Prepared by www.aidsdatahub.org ; Note: a) Please see next slide for references; b) National HIV Sentinel Surveillance surveys and Integrated
Biological and Behavioral surveys reported in GARPR 2013 and 2014
* Weighted and adjusted
average
HIV and AIDS
Data Hub for Asia-Pacific
References , Female sex workers population size estimates
1. Afghanistan Global AIDS Response Progress Reporting 2014
2. Australia Global AIDS Response Progress Reporting 2014
3. Bangladesh Global AIDS Response Progress Reporting 2014
4.Cambodia Global AIDS Response Progress Reporting 2014 based on female entertainment workers size estimation conducted by NCHADS in 2009
5.Ministry of Health China, WHO, and UNAIDS. (2011). 2011 Estimates for the HIV/AIDS Epidemic in China (Unpublished).
6.Hong Kong Advisory Council on AIDS. (2006). Report of Community Assessment and Evaluation of HIV Prevention for Commercial Sex Workers and their Clients in
Hong Kong 2006.
7. Fiji Global AIDS Response Progress Reporting 2014 based on Mossman, E., Roguski, M., Ravuidi, R., & Devi, R. (2013). Integrated Biological Behavioural
Surveillance Survey and Size Estimation of Sex Workers in Fiji
8.National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report 2010-11.
9. Indonesia Global AIDS Response Progress Reporting 2014 based on Ministry of Health.(2013). Estimasi Populasi Rawan Tertular HIV di Indonesia Tahun 2012
(In Indonesian Language)
10. Lao PDR Global AIDS Response Progress Reporting 2014 National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on
HIV/AIDS/STI 2011-2015.
11. Malaysia Global AIDS Response Progress Reporting 2014 based on Lim HE, Ang CL and Teh YK., Size estimation for Local Responses in Malaysia for HIV
Prevention in Sex Work, 2010 (unpublished)
12.WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.
13.National Committee on HIV/AIDS, UN, & gtz. (2008). Comprehensive Review of the National Response to HIV and STIs in Mongolia.
14. Myanmar Global AIDS Response Progress Reporting 2014 based on a mapping study conducted by Nataional AIDS Programme and PSI in 2010
15. Nepal Global AIDS Response Progress Reporting 2014
16. Pakistan Global AIDS Response Progress Reporting 2014 based on extrapolation and triangulation from mapping conducted as part of IBBS Round II, 2007
17.Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV.
18.Asian Development Bank. (2005). Socioeconomic Implications of HIV/AIDS in the Pacific.
19. Sri Lanka Global AIDS Response Progress Reporting 2014 based on National STD/AIDS Control Programme and the Family Planning Association of Sri Lanka.
(2013). National Size Estimation of Most at Risk Populations (MARPs) for HIV in Sri Lanka
20. Thailand Global AIDS Response Progress Reporting 2014 based on Sub-Technical Working Group on Projection and Estimation. (2012). Size Estimation for Sex
Workers. Unpublished Power Point Presentation at Size Estimation Stakeholder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi.
21.National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response
22. Vanuatu Global AIDS Response Progress Reporting 2014 based on IBBS and Population Size Estimation in Port Vila in 2011
23. Viet Nam Global AIDS Response Progress Reporting 2014
5
HIV and AIDS
Data Hub for Asia-Pacific
Size estimates of FSW as proportion of adult female
population (15-49) years
5%
4.1
Regional median 0.4%; Range 0.2% - 4.1%
2.3 2.3
0.2
0
1.0
0.7 0.8
0.7
0.5 0.5
0.3 0.3 0.3 0.3 0.3 0.3 0.4 0.4
0.9
0.2
Source: Prepared by www.aidsdatahub.org based on size estimates of FSW ( please see the information provided in the previous 2 slides) and adult female population (1549) years is based on 2012 population based on UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset
HIV and AIDS
Data Hub for Asia-Pacific
Data availability of FSW in HIV sentinel surveillance
surveys conducted between 2009 and 2013
HIV sentinel surveillance surveys
0
Number of countries assessed
Conducted between 2009-2013
9
Survey report available
7
Age disaggregated data reported in
global AIDS reporting
Age disaggregated data available from
survey reports
5
3
26
Bangladesh, Cambodia, China,
India, Indonesia, Myanmar, Sri
Lanka, Thailand, Viet Nam
Bangladesh, Cambodia, India,
Myanmar, Sri Lanka, Thailand, Viet
Nam
Bangladesh, China, India, Myanmar,
Sri Lanka
Cambodia, Myanmar, Viet Nam
7
Source: Prepared by www.aidsdatahub.org based on National HIV Sentinel Surveys and www.aidsinfoonline.org
HIV and AIDS
Data Hub for Asia-Pacific
Data availability of FSW in behavioral surveys
conducted between 2009 and 2013
Behavioural surveys including IBBS
Number of countries assessed
0
26
Conducted between 2009-2013
19
Survey report available
13
Age disaggregated data reported in
global AIDS reporting
Age disaggregated data available
from survey reports
12
5
Afghanistan, Cambodia, China, Fiji, India,
Indonesia, Japan, Lao PDR, Malaysia, Mongolia,
Nepal, Pakistan, PNG, Philippines, RO Korea,
Singapore, Timor Leste, Thailand, Viet Nam
Afghanistan, Cambodia, Fiji, India, Indonesia,
Lao PDR, Mongolia, Nepal, Pakistan, PNG,
Philippines, Timor Leste, Viet Nam
Afghanistan, China, Fiji, Indonesia, Japan, Lao
PDR, Malaysia, Mongolia, Pakistan, PNG,
Philippines, Viet Nam
Cambodia, Fiji, Mongolia, Nepal, Pakistan,
Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys; Integrated Biological and Behavioral Surveys; and www.aidsinfoonline.org
8
HIV prevalence and
epidemiology
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence (%)
HIV prevalence among female sex workers, 2008-2013
19
20
15
10
7.0
5
0
0
0
0
8.1
3.8 4.2
2.8
2.6
2.2
1.5 1.7
0.2 0.2 0.3 0.3 0.3 0.6 1.0
*Female entertainment workers who reported selling sex in the past 12 months
10
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org; Integrated Biological and Behavioural Surveys; and HIV Sentinel Surveillance Surveys
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among FSW in geographical locations
that are higher than national prevalence, 2010-2013
HIV prevalence (%)
30
India
25
25
24.5
22
20
15
10
5
0
16
10
12.1
8.8
5.5
Indonesia (Direct
FSW)
Indonesia (Indirect
FSW)
Myanmar
Philippines
(Freelance FSW)
Thailand (Direct
FSW)
Thailand (Indirect
FSW)
Viet Nam
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys
11
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence trends among FSW - ASEAN countries,
where data is available, 2000-2013
HIV prevalence (%)
40
Cambodia *
Indonesia (Direct FSW)
30
Lao PDR
Myanmar
20
Philippines
Thailand** (Direct FSW)
10
0
Thailand** (Indirect
FSW)
Viet Nam
* Cambodia 2010 data is a weighted and adjusted average
** HIV sentinel surveillance data
12
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence trends among FSW - SAARC countries,
where data is available, 2000-2012
HIV prevalence (%)
12
10
8
6
Bangladesh
(Street-based FSW,
Dhaka)
India
Nepal
(Kathmandu Valley)
Pakistan
4
2
0
Sri Lanka
(Colombo)
Afghanistan
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) UNAIDS Report on The
13
Global AIDS Epidemic, 2010 ; and 4) www.aidsinfoonline.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of heterosexual transmission among reported
HIV cases, 2009-2014
100%
80%
60%
40%
91
91
91
88
87
77
69
58
20%
51
51
50
40
31
28
23
0%
* New HIV cases
** Cumulative HIV cases
Heterosexual transmission
Others
Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010; 2. Country Global AIDS Response Progress Reports 2012 and 2014; 3. Directorate General of
Disease Control and Environmental Health, Ministry of Health, Indonesia (Feb 2014). Situation Progress Report of HIV and AIDS in Indonesia in 2013 (Laporan Situasi Perkembangan HIV & AIDS
di Indonesia tahun 2013, Kementerian Kesehatan RI 2013); 4. National Epidemiology Center Philippines. (2014). Philippines HIV/AIDS Registry: August 2014; 5. National AIDS Control
Organisation India, Department of AIDS Control, & Ministry of Health and Family Welfare. (2012). Annual Report 2011-12.; 6. Ministry of Health Malaysia (2014). HIV and AIDS Reporting System
(1986-2013).; 7. Centre for Health Protection, Department of Health Hong Kong. (2014). Hong Kong STD/AIDS Update, Vol. 19, No.1, Quarter 1 2013; 8. Ministry of Health and Population Nepal,
National Center for AIDS and STD control. Factsheet Number 2: Cumulative cases in Nepal, As of Mangsir 2070 (Nov 2013)
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among FSW in geographical locations where
rising HIV prevalence trends are observed, 2003-2013
15
12.5
10.4
10
5
6.1
0
Indonesia (Direct FSW)
Myanmar (Myitkyina)
Indonesia (Bali)
4
HIV prevalence (%)
HIV prevalence (%)
20
HIV prevalence trends among FSW,
Indonesia and Myanmar, 2005-13
State wise trends* in HIV Prevalence
among FSW, India, 2003-10
3.1
3
2
1.2
1
1.1
0
Bihar
Assam
Madhya Pradesh
* 3 years moving average based on consistent sites
Source: Prepared by www.aidsdatahub.org based on Directorate General of Disease Control and Environmental Health Ministry of Health Indonesia (2011). Progress
Report HIV & AIDS Situation in Indonesia up to January 2011, Ministry of Health Republic of Indonesia (2011). IBBS 2011 - Integrated Biological and Behavioral Survey;
15
National AIDS Control Organization, India (2012) HIV Sentinel Surveillance 2010-11: A Technical Brief; and National AIDS Programme, Myanmar (2014). HIV Sentinel
Sero-surveillance Survey Report, 2013.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Sexually transmitted infections (STI) prevalence among
FSW, countries where data is available, 2009-2013
STI prevalence (%)
60
50
Syphilis
40
Chlamydia
30
Gonorrhoea
20
10
0
*Street-based FSW
**Freelance FSW
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys;
3) www.aidsinfoonline.org; 4) Global AIDS Response Progress Reporting 2014
16
Risk behaviours
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Average duration of sex work
(months)
Average duration in the profession of selling sex among
FSW, countries where data is available, 2006-2013
108
96
84
72
60
48
36
24
12
0
95
FSW
Street-based FSW
Brothel-based FSW
Hotel-based FSW
Venue-based FSW
Female entertainment worker
89
80
73
68
65
64
60
56
30
25
23
*Median duration of sex work
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
22
17
7
18
Latest!
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Data Hub for Asia-Pacific
Average number of clients among FSW, 2006-2011
Number of clients
60
50
in last week
42
in last month
40
30
20
10
48
31
25
15 15 14 12
11 10
14
8
7
6
6
5
4
4
5
0
*Venue-based/Hotel-based FSW ; ** Street-based FSW
*** Median number of clients; ++ Freelance FSW
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
19
HIV and AIDS
Data Hub for Asia-Pacific
Condom use at last sex (%)
Proportion of FSW who reported condom use at last
sex, 2006-2013
100
80
96 94 92 92
90 90 89
84 83 81 80 80
60
40
80
67 64
60
52
42
38 36
20
0
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
8
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of consistent condom use among FSW with their clients
100%
Cambodia, 1999-2011
89
100 %
80
80
60
60
40
40
20
20
0
0
100%
80
Andhra Pradesh, India, 2006-2010
100%
75
Thailand, 2004-2008
Mumbai, India, 2004-2009
94
95
80
60
60
40
40
20
20
0
0
Source: Prepared by www.aidsdatahub.org based on 1) Chhorvann, C. (2011). Behavioral Sentinel Surveillance 2010. Power Point Presentation. National Center for HIV/AIDS
Dermatology and STD; 2) Thailand UNGASS Report 2010; 3) Erausquin, J. T., Biradavolu, M., et al. (2012). Trends in Condom Use among Female Sex workers in Andhra
Pradesh, India: The Impact of a Community Mobilisation Intervention. J Epidemiol Community Health, 66(2), 2011-200511; 4) Mishra, R. M., Dube, M., et al. (2012). Changing
Epidemiology of HIV in Mumbai: An Application of the Asian Epidemic Model. Glob J Health Sci, 4(5), 100-112; 5) National Centre for HIV/AIDS Dermatology and STD
Cambodia (2013). 2011 Cambodia STI Survey: Female Entertainment Workers
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Consistent condom use (%)
Proportion of FSW who reported consistent condom use with
their clients, 2006-2013
100
in the last week
80
in the last month
60
40
20
0
12
26 31
38
59 61 63 64 65 66
56
45 45 48 49
73
94 95 97
81 82 83 87
in the last 6 months
in last year
No defined period
* Street-based FSW with regular client
** with regular client
*** Female entertainment workers
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys; 3) Li, D., Wang, L., Lin, W., Li,
22
P., Guo, W., et al. (2014). HIV and syphilis infections among street-based female sex workers in China, 2010-2012. Chin Med J, 127(4), 707-711.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of FSW who inject drugs, 2006-2012
0
China (Yunnan, 2006)
Maldives (Male', 2008)
Viet Nam (Can Tho, 2012)
India (Manipur, 2009)
Viet Nam (Hanoi,2012)
Malaysia (2012)
India (2009)
Pakistan*** (Multan, 2011)
Malaysia (Klang valley, 2009)
Nepal (Pokhara, 2011)
Pakistan***(2011)
Bangladesh* (Dhaka, 2006-07)
Philippines (Freelance FSW, 2011)
Nepal (Kathmandu, 2011)
Cambodia** (2011)
Lao PDR (Vientiane, 2009)
Indonesia (Direct FSW, 2011)
Indonesia (Indirect FSW, 2011)
Viet Nam (Can Tho, 2012)
Viet Nam (Hanoi,2012)
20
40
60
39
32
10
9
9
Injected drugs in the last 12
months
4
1
17
6
5
5
3
3
1.5
1
1
0.4
0.3
Ever injected drugs
Injected drugs in last month
*Street-based FSW
** Female entertainment worker
***Injected drugs in last 6 months
8
4.5
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys; 3) Wang, H., Chen, R. Y., et al.
(2009). Prevalence and Predictors of HIV Infection among Female Sex Workers in Kaiyuan City, Yunnan Province, China. International Journal of Infectious Diseases, 23
13,
162—169.
Violence
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of female sex workers who were physically
assaulted, 2006-2012
%
last 3 months
last 12 months
60
50
45
40
32
30
20
53
51
17
21
11
10
0
Luangnamtha
16 Terai
Highway
Districts
Kathmandu
Lao PDR
(2008)*
Nepal (2012)
Nepal (2011)*
Chittagong
Fiji (2012)
Dhaka
Khulna
Bangladesh (2006-2007)*
* Street-based FSW
25
Source: Prepared by www.aidsdatahub.org based on Behavioural Surveys and Integrated Biological and Behavioural Surveys
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of female sex workers who were physically
assaulted or harassed by police or security personnel,
2010-2012
%
30
25
25
18
20
harassed in the last 12
months
13
15
10
5
4
physically assaulted in
the last 6 months
0
6 Terai
Highway
Districts
22 Terai
Highway
Districts
Nepal (2012)
16 Terai
Highway
Districts
Papua New
Guinea (2010)
Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral26
Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal 2012 and Kelly, A., Kupul, M., Man, W. Y. N., Nosi, S., et al. (2011). Askim Na Save (Ask and Understand):
People Who Sell and Exchange Sex in Port Moresby
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of female sex workers who have been forced
to have sex, 2008-2012
6 months
%
12 months
Ever
80
64
60
40
20
18
21
24
26
21
22
21
29
7
13
Pakistan (2011)
Nepal (2011)
Nepal (2012)
TimorLeste
(2008)
Herat
Kabul
16 Terai Highway
22 Terai Highway
Kathmandu
Pokhara
Cell phone-based
Street-based
Brothel-based
Home-based
0
Afghanistan (2012)
27
Source: Prepared by www.aidsdatahub.org based on Behavioural Surveys and Integrated Biological and Behavioural Surveys
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of FSW who were forced by clients for
unprotected sex in the last 3 months, 2005-2008
Lao PDR (2008)
52
Luang Prabang, Lao PDR (2008)
67
Cambodia (2005) *
67
* Last week
0
20
Source: Prepared by www.aidsdatahub.org based on IBBS 2008 (Lao PDR) and STI Sentinel Survey 2005 (Cambodia)
40
60
%
80
Vulnerability and
HIV knowledge
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
Comprehensive
HIV knowledge (%)
Proportion of FSW with comprehensive HIV knowledge,
2006-2012
100
80
60
40
20
72
54
52
41
41
37
35
32
31
30
30
24
24
15
10
0
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
3) UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
2
1
HIV expenditure
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Millions
HIV prevention spending in Asia and the Pacific – low on
HIV prevention spending among sex workers and clients,
latest available year reported by countries, 2009-2012
200
180
160
140
Prevention spending breakdown is
not available for China and India
120
100
189
80
60
40
67
20
23
0
Total prevention spending
Prevention spending on key
populations
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Prevention spending on SW
and clients
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Trends in HIV prevention spending on sex workers and
clients out of total prevention spending, countries where HIV
prevalence among FSW is more than 5%, 2007-2011
Spending on sex workers and
clients out of total prevention
spending (%)
100
Myanmar
Indonesia
50
31
Papua New Guinea
5
0
2007
2008
2009
0.1
2010
2011
33
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
7,000
6,000
5,000
2,000
1,977
1,045
12
39
30
-
60%
3,214
2,707
2,209
3,000
260
100%
80%
Amount spent on SW and their clients
4,000
1,000
6,291
Spending on SW and clients out of total
prevention spending
908
617 666
496
2,484
HIV prevention spending on
SW and clients (%)
Amount spent on SW and clients HIV
prevention (USD ,000)
Spending on HIV prevention programmes focused on sex
workers and clients, 2009-2012
40%
20%
0%
Note: Data from latest available year. China and India
do not report prevention spending breakdown.
34
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Latest!
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Data Hub for Asia-Pacific
Prevention spending on sex workers and clients is heavily
dependent on international financing sources
Percent distribution of prevention spending on sex workers and
clients by financing source, 2009-2012
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
International
75
100 100 100
100
93
89
74
100
77
99
100 100 100
99
94
Domestic
public
25
7
11
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
26
23
6
35
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11%
18%
47%
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
76%
Program Management
Others
AIDS spending breakdown is not available for
China and India
Regional
Sri Lanka (2010)
Bangladesh (2012)
Nepal (2009)
Lao PDR (2011)
Afghanistan (2012)
Philippines (2011)
Myanmar (2011)
24%
Pakistan (2010)
Micronesia (2012)
Mongolia (2011)
Viet Nam (2010)
Nauru (2009)
Indonesia (2010)
44% 44% 44%
69%
Marshall Islands (2012)
Care and Treatment
Timor Leste (2009)
Fiji (2012)
Cambodia (2012)
PNG (2010)
Malaysia (2012)
Thailand (2011)
Samoa (2011)
36% 36%
29% 30% 31% 34%
21% 25% 26%
58%
51% 52% 53% 56%
Solomon Islands (2011)
Prevention
Tuvalu (2011)
DPR Korea (2011)
Tonga (2009)
9% 9% 10% 11% 12%
2% 3% 7%
Vanuatu (2012)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Kiribati (2012)
Percent spending (%)
Proportion of AIDS spending by major spending category,
Asia and the Pacific, 2009-2012
36
Latest!
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Data Hub for Asia-Pacific
Proportion of prevention spending by category, 2009-2012
Papua New Guinea (2010)
Philippines (2011)
Indonesia (2010)
Sri Lanka (2010)
Fiji (2012)
Viet Nam (2010)
Lao PDR (2011)
Nepal (2009)
Thailand (2011)
Afghanistan (2012)
Cambodia (2012)
Bangladesh (2012)
Malaysia (2012)
Pakistan (2010)
Myanmar (2011)
General prevention
and others
Youth
Prevention
mother-to-child
People who
inject drugs
Sex workers and
their clients
Men who have
sex with men
0%
20%
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
40%
60%
80%
100%
Note: Data from
latest available year.
China and India do
not report prevention
spending breakdown.
National response
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of FSW reached with HIV prevention
programmes in the last 12 months, 2006-2013
Prevention coverage (%)
100
80
60
86
85
76
64
63
62
60
40
55
54
20
51
46
54
37
20
0
Definition of reach : Know where to go to receive an HIV test and
had been given condoms in the last 12 months
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
* Programme data
** Data for Kathmandu
18
11
8
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Testing coverage (%)
Proportion of FSW who received an HIV test in the last
12 months and know their results, 2006-2013
100
90
80
70
60
50
40
30
20
10
0
71
* Programme data
68
66
66
57
56
55
55
47
44
38
35
32
25
22
16
14
6
6
Data is not strictly comparable across countries since methods and sampling
varied. In addition, many surveys were conducted in a few urban areas and it
might not necessarily reflect prevailing conditions at the national level.
Source: Prepared by www.aidsdatahub.org based on 1. Ministry of Health Indonesia.(2014). Recalculated HIV Testing Coverage presented at the Regional Management
Meeting (RMM) 2014 using IBBS 2011 Data; and 2. www.aidsinfoonline.org
4
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Prevention coverage
(%)
100
80
74
81
77
83
86
60
40
20
0
100
Thailand
60
Indonesia
100
80
60
40
24
54
40
20
0
20
20
0
Viet Nam
100
80
57
Prevention coverage
(%)
China
Prevention coverage
(%)
Prevention coverage
(%)
Trends in prevention coverage among FSW, 2009-2013
80
60
47
56
51
40
20
0
41
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among sex
workers in South Asia
Criminalize sex work
in private
Criminalize soliciting
Afghanistan
YES
YES
Bangladesh
NO
YES
Bhutan
YES
YES
India
NO
YES
Maldives
YES
YES
Nepal
NO
YES
Pakistan
YES
YES
Sri Lanka
NO
YES
Sources: Prepared by www.aidsdatahub.org based on UNAIDS, Data Hub, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in
Asia and the Pacific in October 2014
42
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among sex
workers in South-East Asia
Criminalize sex work
Criminalize soliciting
in private
Brunei
NOT ILLEGAL
YES
Cambodia
NO
YES
Indonesia
NOT ILLEGAL
NOT ILLEGAL
Lao PDR
YES
YES
Malaysia
NOT ILLEGAL
YES
Myanmar
YES
YES
Philippines
YES
YES
Singapore
NO
YES
Thailand
YES
YES
Timor-Leste
NO
NO
Viet Nam
YES
YES
Not illegal- Generally not
prohibited but exceptions
apply
Sources: Prepared by www.aidsdatahub.org based on UNAIDS, Data Hub, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in
Asia and the Pacific in October 2014
43
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among sex
workers in East Asia
Criminalize sex work
Criminalize soliciting
in private
China
YES
YES
Japan
YES
YES
Mongolia
YES
YES
DRP Korea
YES
YES
Republic of Korea
YES
YES
Sources: Prepared by www.aidsdatahub.org based on UNAIDS, Data Hub, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in
Asia and the Pacific in October 2014
44
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among sex
workers in Pacific
Criminalize sex work
Criminalize soliciting
in private
Fiji
Kiribati
Marshall Islands
FSM*
Nauru
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
NO
YES
NO
YES
YES
YES
YES
YES
NO
NO INFO
YES
YES
YES
NOT ILLEGAL
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
Not illegal- Generally not
prohibited but exceptions
apply
*Federated States of Micronesia
Sources: Prepared by www.aidsdatahub.org based on UNAIDS, Data Hub, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in
Asia and the Pacific in October 2014
45
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
46