Transcript Review in slides_Thailand

HIV and AIDS Data Hub for Asia-Pacific
HIV and AIDS
Data Hub for Asia-Pacific
Review in slides
Thailand
HIV and AIDS Data Hub for Asia-Pacific
Content
Basic socio-demographic indicators
HIV prevalence and epidemiological status (1990-2009)
Risk behaviors (2003-2009)
Vulnerability and HIV knowledge (2004-2009)
Economics of AIDS (2001-2009)
National Response (2004-2009)
Archives
2
HIV and AIDS Data Hub for Asia-Pacific
Basic socio-demographic indicators
Total population (in thousands)
68,139 (2010)2
Annual population growth rate
0.5% (2010-2015)2
Population aged 15-49 (thousands)
37,383 (2008)6
Percentage of population in urban areas
34% (2010)1
Crude birth rate (births per 1,000 population)
14.5 (2008)3
Under-5 mortality rate (per 1,000 live births)
14 (2008)4
Human development index (HDI) - Rank/Value
92/0.654 (2010)5
Life expectancy at birth (years)
69.3 (2010)5
Adult literacy rate
93.5% (2005-2008)5
Ratio of girls to boys in primary and secondary education (%)
103 (2008)3
GDP per capita (PPP, $US)
7,995 (2009)3
Per capita total health expenditure (Int.$)
286 (2007)4
Source: 1. UNFPA The State of World Population 2010
2. UN Statistics Division 2010: http://unstats.un.org/unsd/demographic/products/socind/population.htm
3. World Bank World Development Indicators & Global Development Finance ;http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2
4. WHO World Health Statistics 2010
5. UNDP Human Development Report 2010
6. UN Population Division - Population Prospects: The 2008 Revision, Population Database
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence and
epidemiological status
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among
populations at higher risk, 2003 - 2009
%
50
46.8
38.7
37.6
40
28.8
30
20.7
24.6
20
14.2
13.5
10
6.7
5.2
4.3
2.8
0
2003
2005
IDU
2007
FSW
MSW
2009
MSM
Sources: HIV Sentinel Surveillance (HSS) of BOE, DDC ; Joint Study of Thai MOPH - US-CDC-collaboration (TUC)
and BOE_cited in UNGASS Country Progress Report, 2008 and 2010
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among populations at higher
risk, Bangkok, 2001 - 2009
%
60
52
47.8
40
40.5
39
36
30.7
28.3
24.7
25.6
17.3
20
8.1
7.5
4.5
3.9
4.1
1.7
0
2001
2003
IDU
0.3
1.5
2005
Direct FSW
2006
Indirect FSW
2007
2009
MSM
Sources: HIV Sentinel Surveillance (HSS) of BOE, DDC_Thailand ; BOE, DDC and TUC HSS during 2003-2009
_cited in UNGASS Country Progress Report, 2008 and 2010
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among direct and indirect
FSWs, 1993 - 2009
%
30
28.3
27.8
27.6
26.1
21.1
18.5
20
16.6
16.0
12.3
10.6
10
7.4
10.1
7.6
6.8
4.6
8.2
8.0
6.7
2.8
6.6
5.5
5.0
4.1
3.7
4.0
2003
2004
3.4
0
1993
1994
1995
1996
1997
1998
5.3
1999
2000
Direct SW
2001
2002
2005
2.3
2006
3.5
2007
1.7
2008
2009
Indirect SW
Sources: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand ; UNGASS Country Progress Report, 2010
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among direct FSWs,
selected provinces, 2001 - 2009
%
30
23.3
22.6
22.4
18.6
20
18.5
17.8
14.6
12.5
13.7
10.2
10.5
10
8.1
7.5
9.8
6.6
4.5
3.9
2.5
3.5
0.9
0
2001
Bangkok
2003
Chon Buri
2006
Phangnga
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
Phuket
2009
Samut Prakan
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among indirect FSW,
selected provinces, 2001 - 2009
%
8
7.0
6
6.7
5.9
6.1
5.7
5.0
5.0
5.3
4.9
4
4.1
2.7
2.4
2
2.4
2.1
1.7
1.5
2.0
1.4
0.3
0
2001
Bangkok
2003
Chon Buri
2006
Phangnga
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
Phuket
2009
Samut Prakan
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among FSWs, selected cities,
2009
%
14
12
12.5
10
9.8
8
6
5.3
4
5.3
4.5
3.5
Bangkok
1.8
Chon Buri Samut Prakan Chiang Rai
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
1.4
Chiang Mai
Prachuap
Khiri Khan
Phangnga
Direct
Indirect
Direct
Direct
Indirect
0.8
Direct
Direct
Indirect
Direct
0.8
Indirect
Indirect
Direct
0
2.0
0.9
Direct
0.3
Indirect
2.4
2.9
Indirect
2.9
Indirect
2
Phuket
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among direct FSWs by region,
2009
%
6
5.3
4
3.7
2.8
2
1.6
0
Central, including Bangkok
North
South
North East
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand_cited in UNGASS Country Progress Report, 2010
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among female sex workers, by
district, 1998 and 2008
1998
2008
Source: Sentinel surveillance data reported by Ministry of Public Health, Thailand_cited in HIV / AIDS in
the South-East Asia Region_WHO, 2009
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HIV and AIDS Data Hub for Asia-Pacific
Trend of HIV prevalence among IDUs,
Bangkok, 1995 - 2009
%
60
53.7
50
50.7
52
47.8
40
40.9
37.8
30
31.4
31.4
39.6
38
40.5
39
36
33.1
25.6
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 1995 - 2009
2004
2005
2006
2007
2008
2009
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among IDUs,
selected sentinel sites, 2001 - 2009
90
81.8
75
75
61.5
57.5
60
61.5
52.4
52
45
47.4
50
47.8
40.9
39.3
40.5
30
22.2
15
0
2001
2003
Bangkok
Yala
2006
Lampang
2009
Samut Prakan
Sample size, 2009 : Bkk= 126, Yala = 20, Lampang= 2, Samut Prakan =21
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2001 - 2009
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among IDUs, selected
sentinel sites, 2009
%
80
75
60
52.4
50
40
40.5
20
0
Bangkok
Yala
Lampang
Samut Prakan
Sample size : Bkk= 126, Yala = 20, Lampang= 2, Samut Prakan =21
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among MSM,
selected sentinel sites, 2003 - 2009
% 40
30.7
28.3
30
24.7
20
20
17.3
15.3
16.9
10
5.5
0
2003
2005
Bangkok
2007
Chiang Mai
2009
Phuket
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC and TUC, 2003 - 2009
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HIV and AIDS Data Hub for Asia-Pacific
Trend of HIV prevalence among pregnant
women, 1991 - 2009
%
2.5
2.3
2.0
1.8
1.8
1.7
1.7
1.5
1.4
1.5
1.5
1.4
1.4
1.2
1
1
1
0.9
1.0
0.7
0.8
0.7
0.7
0.5
0.0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 1991 - 2009
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among pregnant women by
region, 2009
%
1.2
1
1.01
0.93
0.9
0.8
0.8
0.7
0.6
0.4
0.2
0
Upper North
Central
Bangkok
Northeast
South
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand_cited in UNGASS Country Progress Report, 2010
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among pregnant women,
selected sentinel sites, 2009
%
3
2.8
2.7
2
1.6
1.4
1.3
1
1.4
1.1
0.9
0.9
0
Bangkok
Chanthaburi Chon Buri
Chiang Rai Chiang Mai
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand, 2009
Phayao
Phuket
Phranakhon Prachin Buri
Si Ayutthaya
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among pregnant
women, selected sentinel sites, 2001 - 2009
%
3.5
3
3.0
2.9
2.5
2.5
2.4
2.4
2
1.6
1.6
1.6
1.6
1.4
1
1.5
1.4
1.3
1.5
0.9
2009
1.1
0.9
2006
1.1
1.4
1.4
1.4
2009
1.5
2006
2.0
1.1
0.9
0.5
Bangkok
Chon Buri
Chiang Rai
Chiang Mai
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2001 - 2009
Phuket
2003
2001
2009
2006
2003
2001
2009
2006
2003
2001
2009
2006
2003
2001
2009
2006
2003
2001
2003
2001
0
Phranakhon Si
Ayutthaya
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HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among young people
(15 -24) and pregnant women, 2003 - 2009
%
1.5
1.2
1
1.0
0.8
1.0
0.7
0.6
0.5
0.6
0.5
0.0
2003
2005
Young People (15 - 24)
2007
2009
Pregnant Women
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2003 – 2009_cited in UNGASS
Country Progress Report, 2010
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HIV and AIDS Data Hub for Asia-Pacific
% distribution of reported HIV/AIDS cases, by
gender, 1990 Vs 2008
%
100
80
86
60
61
40
39
20
14
0
1990
2008
Male
Source: WHO_HIV / AIDS in the South-East Asia Region, 2009
1990
2008
Female
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HIV and AIDS Data Hub for Asia-Pacific
Percent distribution of new HIV infections by
population group, 2008
%
0
FSWs
10
30
40
4
28
MSMs
8
IDUs
10
Clients of FSW
33
Low risk women from husband/ partner
10
Low risk men from wife/ partner
People engaged in casual sex
20
7
Source: Bureau of AIDS, TB and STI, DDC, MOPH_cited in WHO_HIV / AIDS in the South-East Asia Region, 2009
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HIV and AIDS Data Hub for Asia-Pacific
Estimated number of HIV + pregnant women,
2008-2010
12000
10000
Number
8000
6000
4000
93.8 % of HIV + pregnant women received ARV for PMTCT &
100% of ANC clinics provide PMTCT
2000
0
2008
2009
2010
Source: Thailand country presentation _East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialists’ Meeting,
17-20 th November 2009, Bangkok
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HIV and AIDS Data Hub for Asia-Pacific
Estimated new HIV infections by mode of transmission, 1990–2010
Source: Asia Epidemic Model, HIV/AIDS projections; Ministry of Public Health, Thailand, 2008_cited in HIV /
AIDS in the South-East Asia Region_WHO, 2009
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HIV and AIDS Data Hub for Asia-Pacific
Estimated number of people living with HIV, 2001-2007
700,000
660,000
590,000
600,000
610,000
580,000
500,000
400,000
300,000
240,000
220,000
220,000
250,000
200,000
100,000
10,000
16,000
17,000
14,000
0
2001
Adults (15+) and children
2003
2005
Women (aged 15+)
2007
Children (aged 0-14)
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008
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HIV and AIDS Data Hub for Asia-Pacific
Changing routes of transmission over the course of
Thai epidemic, 1985-2009
Year
Source: The Thai Working Group on HIV/AIDS Projection. Projections for HIV/AIDS in Thailand: 2000-2020. Ministry of Public Health,
27
Bangkok. 2001
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of HIV infections, 1985-2025
Source: Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection 2005-2025. Presentation at the Integrated
Analysis and Advocacy-HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, 2006
28
HIV and AIDS Data Hub for Asia-Pacific
Number of IDUs decrease, however, HIV prevalence
is still high
Year
Source: 1. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health
2. Brown T. and Thailand A2 Team. Updating Thai Projections: Inputs and Assumptions. Thai Ministry of Public Health.
Presentation on December 9, 2006
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HIV and AIDS Data Hub for Asia-Pacific
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence and
epidemiological status
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among IDUs,1990-2004
(%) 60
60
50.3
46.9
30
46
45.0
41.4
44
44
39
42
42 41.0
42
35.8
39
34.6 34 37.5
36.7
31.6 36
31.5
33.1
29.7
31.4 31.4
40 40.9
37.8
32.2
53.7
52.0
47.4
47.8
43.9
42.2
41.7
50
40
39.6
(Number of sites)
52
38.0
28
30
29
27
23.1
20
18
1
Major urban area
N-site major urban area
Outside major urban area
N-site outside major urban area
1
1
1
1
1
1
1
1
1
1
1
10
8
1
1
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
32
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among MSM, 1990-2003
16
15.2
14
17.3
12
11.1
(Number of sites)
(%) 20
10
Major urban area
N-site major urban area
Outside major urban area
N-site outside major urban area
10
5
3
8
6
4
4.4
3
2
1
1
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
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HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among sex workers, 1990-2004
Major urban area
Outside major urban area
72
71
75
73
71
75
75
75
73
75
80
73
70
17.867
68
70
60
52
13.0
10
9.7
50
(Number of sites)
(%) 20
N-site major urban area
N-site outside major urban area
40
9.6
8.6
7.5
6.9
15.6
18.5
20
18.1 18.8
6.6
15.9
10
5
1
1
1
1
1
1
1
1
7.4
6.1
12.6
1
6.7
30
5.9
3.6
10.8
1
10.5 9.7
1
1
2.6
7.8
1
4.3
20
10
6.3
1
5.7
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
34
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among STI patients, 1990-2004
Outside major urban area
N-site outside major urban area
Major urban area
N-site Major urban area
12
65
62
80
70
11.6
67
63
64
60
10
57
9.9
8.7
8.8
8.2
45
8
55
9.6
49
49
6.8
6.1
6
50
49
44
6.9
(Number of sites)
(%) 14
42
7
40
6.4
5.6
32
32
5.1
30
4
20
2.6
2
5
2.6 1
1
5.7
1
7.8
1
8.9
1
8.7
1
8.3
1
6.7
7.7
1
1
9.1
1
2.5
6.3
5.9
1
1
4.9
1
4.2
1
4
10
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
35
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among pregnant women, 1990-2004
75
70
75
75
75
72
70
75
73
75
75
75
80
75
2.3
69
70
2.1
2
1.9
1.9
60
1.7
1.6
1.6
50
1.5
1.3
1.2
1
1
40
1.2
1
1
1
1
1
1
1
1
1
(Number of sites)
(%) 2.5
1
1.1
1
1.1
1
1
30
22
0.6
Major urban area
0.5
0.2
0
0.7
1
Outside major urban area
2.3
1.8
1.8
1.7
1.4
20
N-site major urban area
N-site outside major urban area
1.8
1.5
1.5
1.4
1.4
1.2
10
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
36
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among young people (15-24),
2002-2007
(%)
1
0.95
0.64
0.45
0.5
0
2002-2003
2004-2005
2006-2007
Source: National AIDS Prevention and Alleviation Committee (2008). UNGASS Country Progress Report, Thailand, Reporting period:
37
January 2006-December 2007
HIV and AIDS Data Hub for Asia-Pacific
HIV transmission pattern over time, 1990-2010
Source: Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection 2005-2025. Presentation at the Integrated
Analysis and Advocacy-HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, 2006
38
HIV and AIDS Data Hub for Asia-Pacific
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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
39