Transcript dfsdfsdf - AIDS Data Hub

HIV and AIDS
Data Hub for Asia-Pacific
Review in slides
Key Affected Populations
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
CONTENT
HIV Prevalence and Epidemiological Status (1990-2009)
- IDU
- MSM
- Sex Worker
Risk Behaviors (2004-2009)
Vulnerability and HIV Knowledge (2005-2009)
HIV Expenditure (2006-2009)
National Response (2005-2009)
- Coverage and Prevention
- HIV Testing
- Care and Treatment
- Monitoring and Evaluation
Archives
2
HIV prevalence and
epidemiology
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Global and regional HIV and AIDS statistics, 2009
HIV and AIDS statistics
Global
Asia Pacific
Adults and children
living with HIV
33.3 million (31.4 million35.3 million)
4.9 million (4.3 million- 5.6
million)
Adults and children
newly infected with
HIV
2.6 million (2.3 million-2.8
million)
334,700 (269,600-445,300)
Adults and children
deaths due to AIDS
1.8 million (1.6 million- 2.1
million)
297,400 (255,000-352,400)
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
4
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HIV and AIDS
Data Hub for Asia-Pacific
Estimated number adults and children living with HIV vs
new HIV infections, Asia Pacific, 1990-2009
6,000
Thousands
5,000
4,000
3,000
2,000
1,000
0
Adults and children living with HIV
New HIV infections
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
5
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated number of women and adults (15+) living with
HIV, Asia Pacific, 1990-2009
6,000
Thousands
5,000
4,000
3,000
2,000
1,000
0
HIV Adults 15+
HIV Female Adults (15+)
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
6
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated proportion of adults (15-49) living with HIV by
gender, Asia Pacifc, 1990-2009
% 100
90
80
70
60
50
40
30
20
10
0
64 64 65
71 70 69 69 69 68 67 66 64 66 64 65 65
73
76
76
79
36 36 35
29 30 31 31 31 32 33 34 36 34 36 35 35
27
24
24
21
female
male
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
7
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated proportion of female (15+) living with HIV
among adults, 1990-2009, ASEAN countries and Papua
New Guinea
ASEAN = Association of Southeast Asian Nations
% 100
80
60
63
58
40
40
35
30
29
11
20
0
Cambodia
Indonesia
Malaysia
Myanmar
Philippines
Papua New Guinea
Thailand
Vietnam
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
8
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated proportion of female (15+) living with HIV
among adults, 1990-2009, SAARC countries
SAARC = South Asian Association for Regional Cooperation
% 100
80
60
40
38
33
29
20
0
Bangladesh
India
Nepal
Pakistan
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
9
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated proportion of female (15+) living with HIV
among adults, 1990-2009, high-income countries (Asia)
% 100
80
60
33
40
31
20
0
Japan
Republic of Korea
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
10
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HIV and AIDS
Data Hub for Asia-Pacific
Estimated HIV prevalence among adults (15-49), 19902009, SAARC countries SAARC = South Asian Association for Regional Cooperation
% 0.6
0.5
0.5
0.4
0.4
0.3
0.2
0.3
0.2
0.4
0.3
0.3
0.2
0.1
0.2
0.1
0.1
0.1
0.0
Bhutan
India
Nepal
Pakistan
Asia Pacifc
* Estimated HIV prevalence among adults in Bangladesh, Maldives and Sri Lanka is < 0.1 % ( 1990-2009)
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
11
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated HIV prevalence among adults (15-49), 1990-2009,
ASEAN countries
%
2.2
2.0
1.8
1.6
1.4
1.2
1.0
0.8
0.6
0.4
0.2
0.0
*Estimated HIV prevalence among
2.1
adults in Philippines is < 0.1 %
( 1990-2009)
2.0
1.4
1.5
1.3
1.3
1.0
0.7
0.5
0.4
0.2
< 0.1
0.1
0.3
0.8
0.8
0.7
0.5
0.4
0.3
0.2
Malaysia
0.6
0.5
0.4
0.2
0.1
Cambodia
Indonesia
Lao PDR
Myanmar
Singapore
Thailand
Vietnam
Asia Pacifc
ASEAN = Association of Southeast Asian Nations 12
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated HIV prevalence among adults (15-49), 1990-2009,
Pacific countries (where data is available)
% 1.0
0.9
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.2
0.1
0.0
0.1
< 0.1
Fiji
Papua New Guinea
Asia Pacifc
Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
13
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated HIV burden in South-East Asia Region, 2009
Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
14
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated number of new HIV infections in the SouthEast Asia Region, 1990–2009
Number of new infections estimated by
Spectrum model using surveillance data
reported by national AIDS programmes,
Member countries of WHO South-East Asia
Region
Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
15
HIV and AIDS
Data Hub for Asia-Pacific
Reported HIV cases by modes of transmissions in selected
countries, 2008-2009
* including bisexual
** data not available for homosexual
100%
80%
60%
40%
20%
0%
Heterosexual
Homosexual
Mother-to-child
Injecting drug use
Source: Prepared by www.aidsdatahub.org based on UNGASS country Progress reports 2010
Unknown
Others
16
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Distribution of reported HIV/AIDS cases by mode of
transmission, South-East Asia Region, 2009
Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
17
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HIV and AIDS
Data Hub for Asia-Pacific
HIV- TB burden, South-East Asia Region, 2009
Country
HIV prevalence
Prevalence of all forms of
TB
Estimated
PLHIV
Adult
PLHIV
Number
Rate per
100,000
population
Bangladesh
7 000
< 0.1 %
690 000
426
Bhutan
< 1 000
0.1%
1 300
NA
NA
2 400 000
Indonesia
HIV prevalence
among new TB cases
Incidence of HIV + TB
cases
Number
Rate per
100,000
population
0.2%
580
<1
179
< 0.1%
36
5.1
100 000
423
NA
200
<1
0.3%
3 000 000
249
6.4%
130 000
11
190 000
0.2%
660 000
285
2.8%
12 000
5.4
Maldives
< 100
< 0.1%
150
47
< 0.1%
< 10
<1
Myanmar
240 000
0.6%
300 000
595
9.2%
22 000
44
Nepal
64 000
0.4%
71 000
241
2.4%
1 100
3.8
Sri Lanka
3 000
< 0.1%
20 000
101
0.1%
32
<1
Thailand
610 000
1.3%
130 000
189
17.0%
16 000
23
Timor-Leste
< 1 000
0.1%
8 400
743
1.1%
<10
<1
3.5 million
0.3%
5 million
278
5.7%
180 000
10
DPR Korea
India
Total
Source: Prepared by www.aidsdatahub.org based on WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
18
HIV and AIDS
Data Hub for Asia-Pacific
Prevalence distribution among key affected populations
in Asia, 1990-2020
New infections in year
1,200,000
1,000,000
800,000
600,000
400,000
200,000
0
1990 1995 2000 2005 2007 2009 2010 2015 2020
Client
FSW
IDU
MSM
Lo-risk males
Lo-risk females
Children
Source: Prepared by www.aidsdatahub.org based on UNAIDS_Estimates and projections_P.Rao presentation in ICAPP, Bali, August 2009
19
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HIV and AIDS
Data Hub for Asia-Pacific
% of sex workers. MSM and IDU who are under 25 years
of age, countries where data is available
% 100
• MSM = < 20 years old
** IDUs and MSM = <20-25 years old, calculated median value
*** age range is 19-25 years old
80
60
40
20
82
63
61
50
47
23
42 40
26
25
30
38
0
Lao PDR (2009) *
Yangon
Kathmandu
(Myanmar, 2008) (Nepal, 2008-09)
Sex workers
MSM
India (2006) **
Hanoi (Vietnam,
2006) ***
IDUs
20
Source: Prepared by www.aidsdatahub.org based on Behavior Surveillance Surveys
IDU
www.aidsdatahub.org
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Data Hub for Asia-Pacific
Estimated size and HIV prevalence among IDUs in
Asia-Pacific
22
Source: (a) Please see the next slide; (b) UNGASS country Progress reports 2010 based on HIV sentinel surveillance surveys
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
References , IDU populations estimation
1.Drug use survey in 2005 cited in National AIDS Control Program Afghanistan. (2010). UNGASS Country Progress Report: Afghanistan
2.Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries.
AIDS, Sep;24 Suppl 3:S20-9.
3.Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global overview of injecting drug use and HIV infection among injecting drug users. AIDS, 18(17),
2295-2303
4.Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries.
AIDS, Sep;24 Suppl 3:S20-9.
5. UNAIDS China. China AIDS fact sheet 2009 (Unpublished)
6.Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries.
AIDS, Sep;24 Suppl 3:S20-9.
7.National AIDS Programme, Ministry of Health cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
8.United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS in Asia and the Pacific. (2006). Lao PDR – United Nations Regional Task Force on
Injecting Drug Use and HIV/AIDS in Asia and the Pacific Baseline Assessment Dec 2006.
9.Ministry of Health cited in UNODC, & UNAIDS. (2009). United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS for Asia and the Pacific:
Malaysia Country Advocacy Brief- Injecting Drug Use and HIV
10.Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries.
AIDS, Sep;24 Suppl 3:S20-9.
11.National AIDS Programme Myanmar, & WHO. (2008). Report from the Technical Working Group on Estimation and Projection of HIV and AIDS in
Myanmar.
12.HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.
13.National AIDS Control Programme cited in UNODC, & UNAIDS. (2010). United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS for Asia
and the Pacific: Pakistan Country Advocacy Brief- Injecting Drug Use and HIV.
14.Power point presentation of Dr.Samonte G, National Epidemiology Center, Department of Health, Philippines (undated)
15.Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global overview of injecting drug use and HIV infection among injecting drug users. AIDS, 18(17),
2295-2303
16.Ibid.
17.Ibid.
18.Sharma M, Oppenheimer E, Saidel T, Loo V, Garg R. A situation update on HIV epidemics among people who inject drugs and national responses in
South-East Asia Region. AIDS 2009; 23:1405–1413.
19.Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global overview of injecting drug use and HIV infection among injecting drug users. AIDS, 18(17),
2295-2303
20.Estimates and projections of HIV/AIDS 2007-2012, Ministry of Health cited in Vietnam Administration of HIV/AIDS Control. (2010). UNGASS Country 23
Progress Report: Vietnam.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Prevalence of injecting drug use among population
(15-64), 2001-2007
% 1.4
1.33
1.2
1
0.8
0.6
0.4
0.38
0.25
0.2
0.25
0.23
0.15
0.14
0.14
0.06
0.03
0.02
0.02
0
Source: Prepared by www.aidsdatahub.org based on Bergenstorm A, Abdul-Quader A.S. Injection drug use, HIV and the current response in
selected low-income and middle-income countries, AIDS 2010, 24 (suppl 3) : S 20- S29.
24
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
%
HIV prevalence among IDUs, countries where data is
available, 2001-2009
80
70
60
50
40
30
20
10
0
Indonesia (Jakarta)
Pakistan
Vietnam
Myanmar
Thailand
Nepal (Kathmandu valley)
Thailand (Bkk)
Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs
25
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among IDU, countries where data is
available, 2008-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
26
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among IDU who are <25 years old vs
over 25 years old, countries where data is available,
2007-2009
0
20
30
40
60 %
0.2
1.7
8.3
9.4
China (2009)
41.5
Indonesia (2007)
58
27.8
Myanmar (2008)
39.2
7
Nepal(2009)
33.4
22.5
20.4
Pakistan(2008)
Philippines (2009)
50
7.6
7
Afghanistan (2009)
Bangladesh(2007)
10
0.2
0.2
<25 yr
25 + yr
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
27
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among IDUs (15–24)years, India and
Myanmar, 2003–2009
Source: Sentinel surveillance reports, National AIDS Programme, Myanmar; Sentinel surveillance reports, National AIDS Control Organization, India cited in
28
WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among IDU, countries where data is
available, 2006-2008
60
50
Percent
40
Most of the data come from the
surveys whose methods & sample
size can be highly heterogeneous.
In addition, many surveys were
conducted in a few large urban
areas & it might not necessarily
reflect prevailing conditions at the
national level.
52
48
34
35
30
24
21
20
10
9
7
2
0
20
0
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS
Interventions in the Health Sector- Progress Report 2009
29
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among IDUs, 2007-2009
Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
30
HIV and AIDS
Data Hub for Asia-Pacific
Trends of HIV prevalence among injecting drug users in
selected countries, 1994-2007
(%) 60
53
48
48
50
48
41
38
40
33
41
35
30
31
30
25
20
22
16
26
24
23
17
13
10
0
0.1
1994
0
0.7
0
0.6
1995 1996
2
0
3
2
1997 1998 1999
Wuzhou, China
0.4
0.5
2000 2001
Jakarta, Indonesia
2002 2003
Hanoi, Vietnam
2004 2005 2006
2007
Karachi, Pakistan
Source: Prepared by www.aidsdatahub.org based on Commission on AIDS in Asia. (2008). Redefining Aids in Asia: Crafting an Effective Response.
31
MSM
www.aidsdatahub.org
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Data Hub for Asia-Pacific
Estimated size and HIV prevalence among MSM in
Asia-Pacific
Source: (a) Please see the next slide; (b) UNGASS country Progress reports 2010 based on HIV sentinel surveillance surveys
33
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
References , MSM population estimation
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
WHO. (2010). HIV/AIDS among Men Who Have Sex with Men and Transgender Populations in South-East Asia 2010:The Current
Situation and National Responses
FHI, USAID, & PRASIT. (2008). Population Size Estimation of MSM in Cambodia, 2008.
UNAIDS China. China AIDS fact sheet 2009 (unpublished)
Hong Kong Advisory Council on AIDS. (2006). Report of Community Assessment and Evaluation of HIV Effort on Men who have Sex with
Men in Hong Kong 2006.
National AIDS Control Organization India. (2006). National AIDS Control Programme Phase III (2006-2011) Strategy and Implementation
Plan.
National AIDS Programme, Ministry of Health cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
Ministry of Health and World Health Organization (2009). National consensus workshop on estimation and projection of the Malaysian
HIV epidemic. Revised version 20th March 2010 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS
Country Progress Report: Malaysia 2010.
WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.
National AIDS Programme Myanmar, & WHO. (2008). Report from the Technical Working Group on Estimation and Projection of HIV and
AIDS in Myanmar.
HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.
Power point presentation of Dr.Samonte G, National Epidemiology Center, Department of Health , Philippines (undated)
WHO. (2010). HIV/AIDS among Men Who Have Sex with Men and Transgender Populations in South-East Asia 2010.
a) FHI, Analysis and Advocacy Project, & Bureau of AIDS TB and STIs Department of Disease Control Ministry of Public Health Thailand.
(2008). The Asian Epidemic Model (AEM) Projections for HIV/AIDS in Thailand: 2005-2025 ; b). Winter, S. (2006). Of Transgender and
Sin in Asia. Bangkok. Proceedings of the First International Conference of Queer Studies in Asia “Sexualities, Genders and Rights in
Asia” Bangkok, July 2005.
Lee, J., Rawstorne, P., & Worth, H. (2008). Behavioural surveillance survey and capacity development in Timor-Leste mapping exercise,
National Centre in HIV Social Research, University of New South Wales cited in International HIV Research Group School of Public
Health and Community Medicine The University of New South Wales. (2008). Behavioral Surveillance Survey in Timor-Leste, 2008 First
Round Results for Men Who Have Sex with Men (MSM).
Estimates and projections of HIV/AIDS 2007-2012, Ministry of Health cited in Vietnam Administration of HIV/AIDS Control. (2010).
UNGASS Country Progress Report: Vietnam.
34
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Prevalence of MSM among adult male population, their
heterosexual behavior and marital status, 2003-2007
% 100
98
98
80
70
60
52
42
East Asia
South-East Asia
Proprtion of married MSM
Heterosexual sex (last
year)
Prevalence of MSM
Proprtion of married MSM
Prevalence of MSM
Heterosexual sex (last
year)
South Asia
4
11
3
Proprtion of married MSM
13
3
8
7
Proprtion of married MSM
Prevalence of MSM
0
11
Heterosexual sex (last
year)
4
21
20
19
34
Heterosexual sex (last
year)
29
20
42
40
34
Prevalence of MSM
40
Asia
35 and
Source: Prepared by www.aidsdatahub.org based on Cáceres, C. F., Konda, K., Segura, E. R., et al. (2008). Epidemiology of Male Same-Sex Behaviour
Associated Sexual Health Indicators in Low- and Middle-Income Countries: 2003–2007 Estimates
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
% of man who ever had sex with a man, countries where
data is available, 2000-2006
%
20
18
16
14
12
10
8
6
4
2
0
18
3
0.8
4
4.9
5.4
1
* % of man who had sex with a man in the last 12 months
Sources: Prepared by www.aidsdatahub.org based on 1. FHI, ICDDR, B., & USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological
Experiment, 2. National AIDS Programme Myanmar. (2005). Behavioral Surveillance Survey 2003: General Population and Youth, 3. National Institute of Medical
Statistics, & National AIDS Control Organisation. (2008). National Behavioural Surveillance Survey (BSS) 2006: Youth (15-24 Years), 4. Hong Kong,and Lao PDR_
power point presentation by Frits van Grensven, Thai MOPH-US CDC Collaboration, Recognizing and confronting the epidemic of HIV among MSM in South-East
36
Asia, September 2006, and 5. National Statistics Office Philippines, & ORC Macro. (2004). Philippines National Demographic and Health Survey 2003.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
%
HIV prevalence among MSM, countries where data is
available, 2001-2009
35
30
25
20
15
10
5
0
China (Chengdu & Sichuan)
Myanmar
Nepal (Kathmandu valley)
Thailand
Thailand (Bkk)
Vietnam
Sources: Prepared by www.aidsdatahub.org based on 1. Sentinel Surveillance data Reported by National AIDS programs , and 2.
UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.
37
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Trends in HIV prevalence among MSM, countries where
data is available, 2005-2009
% 30
29.328.8
Country data are not strictly
comparable because methods and
sampling varied. In addition, many
surveys were conducted in a few
large urban areas & it might not
necessarily reflect prevailing
conditions at the national level.
25
20
24.6
15
13.5
15
8.7
10
6.4
7.3
7.1
5
3.9
5
3.9
3.3 3.8
0.4 0.2
0
Bangladesh
China
India
2005
Malaysia
2007
Myanmar
Nepal
Thailand
2008-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010
38
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among MSM, countries where data is
available, 2008-2009
Country data are not strictly
comparable because methods and
sampling varied. In addition, many
surveys were conducted in a few
large urban areas & it might not
necessarily reflect prevailing
conditions at the national level.
35
28.8
30
25
20
16.7
13.5
15
10
7.3
5
5
4
3.9
4.4
3.8
0
1.8
1
2.6
0.5
0
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
39
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among MSM who are <25 years old vs over
25 years old, countries where data is available, 2005-2009
% 50
43.3
<25 yr
25 + yr
40
30.4
30
20
12.6
8.6
10
2.3
4.1
5.7
4.2
6
5.2
6.8
6.6
1.3
6.4
0.6 0.3
1.9
3
0.8 0.4
0
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010
40
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among MSM and transgender population,
2007-2009
Source: Sentinel surveillance data reported by National AIDS programs cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009. 41
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among MSM and transgender, selected
cities, 2007-2008
%
40
35
30
25
MSM
20
Transgender
34
15
10
16
5
0
7.7
8.1
9.2
1
Dhaka 2007
Jakarta 2007
Mumbai 2008
Source: Prepared by www.aidsdatahub.org based on WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
42
HIV and AIDS
Data Hub for Asia-Pacific
Trends in HIV prevalence among MSM and transgender
persons in selected cities, 2002-2007
TG = Transgender
Source: Sentinel surveillance data reported by National AIDS programs cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.
43
Sex Worker
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Estimated size and HIV prevalence among female sex
workers in Asia-Pacific
Source: (a) Please see the next slide; (b) UNGASS country progress report 2010 based on HIV sentinel surveillance surveys
45
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
References , FSW population estimation
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
National AIDS Committee Bangladesh. (2006). UNGASS Indicators Country Progress Report: Bangladesh
HIV estimates and projections 2006 cited in The National AIDS Authority Cambodia. (2010). UNGASS Country Progress Report:
Cambodia.
UNAIDS China. China AIDS fact sheet 2009 (unpublished)
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.
National AIDS Control Organization India. (2010). UNGASS Country Progress Report: India.
Indonesia_National AIDS Programme, Ministry of Health cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report
2010.
WHO and MOH, Estimation and projection of the HIV epidemic in Malaysia, in Report of the National Consensus Workshop, May 2009
( unpublished)
National Committee on HIV/AIDS, UN, & gtz. (2008). Comprehensive Review of the National Response to HIV and STIs in Mongolia.
National AIDS Programme Myanmar, & WHO. (2008). Report from the Technical Working Group on Estimation and Projection of HIV and
AIDS in Myanmar.
HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.
National AIDS Control Program Pakistan. (2010). UNGASS Country Progress Report: Pakistan.
Power point presentation of Dr.Samonte G, National Epidemiology Center, Department of Health , Philippines (undated)
Kaldor, J., Worth, H., Henderson, K., et al. (2006). Impacts of HIV/AIDS 2005–2025 in Papua New Guinea, Indonesia and East Timor:
Final Report of HIV Epidemiological Modelling and Impact Study
National STD/AIDS Control Programme Ministry of Healthcare and Nutrition Sri Lanka. (2010). Mapping Key Populations for HIV
Prevention in Sri Lanka.
Annual survey of commercial sex establishments (CSE) and sex workers cited in National AIDS Prevention and Alleviation Committee
Thailand. (2010). UNGASS Country Progress Report: Thailand.
Lee, J., Rawstorne, P., & Worth, H. (2008). Behavioural surveillance survey and capacity development in Timor-Leste mapping exercise,
National Centre in HIV Social Research,University of New South Wales cited in International HIV Research Group School of Public Health
and Community Medicine The University of New South Wales. (2008). Behavioral Surveillance Survey in Timor-Leste, 2008 First Round
Results for Female Sex Workers (FSW).
Estimates and projections of HIV/AIDS 2007-2012, Ministry of Health cited in Vietnam Administration of HIV/AIDS Control. (2010).
46
UNGASS Country Progress Report: Vietnam.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among female sex workers, countries
where data is available, 2001-2009
Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs
47
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among female sex workers, countries
where data is available, 2005-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010
48
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among female sex workers, countries
where data is available, 2007-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010
49
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among male and female sex workers,
countries where data is available, 2007-2009
* Kathmandu valley
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
50
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among sex workers who are <25 years old
vs over 25 years old, countries where data is available,
2007-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
51
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among female sex worker (15–24)years,
India and Myanmar, 2003–2009
Source: Sentinel surveillance reports, National AIDS Programme, Myanmar; Sentinel surveillance reports, National AIDS
Control Organization, India cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
52
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
% of sex workers who are under 25 years of age, countries
where data is available
100
80
60
%
40
82
61
20
23
25
30
0
Source: Prepared by www.aidsdatahub.org based on Behavior Surveillance Surveys
53
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among sex workers in South-East Asia,
2007-2010
Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.
54
HIV and AIDS
Data Hub for Asia-Pacific
Projected effect of increase in condom use in commercial
sex on HIV prevalence in the region, 1985-2030
Percent HIV+
4
3
2
1
30%
40%
60%
20
30
20
25
20
20
20
15
20
10
20
05
20
00
19
95
19
90
19
85
0
80% condom use in sex work
Source: UNAIDS (2008). Technical Annex to the Report of the Commission on AIDS in Asia.
55
Archives
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
Percentage of countries with data on HIV testing among
general population (15-49) in 2006-2008
11 countries
Cambodia, India,
Philippines, TimorLeste
4 countries
Bangladesh, China, Fiji, Indonesia, Lao PDR,
Mongolia, Myanmar, Nepal , Pakistan, Thailand,
Vietnam
Have data
Do not have data
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS
Interventions in the Health Sector- Progress Report 2009
57
HIV and AIDS
Data Hub for Asia-Pacific
Reported HIV/AIDS cases by mode of transmissions in
* Unsafe sex includes MSM
selected countries, 2008
transmission
Source: HIV/AIDS case reports by National AIDS programs cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.
58
HIV and AIDS
Data Hub for Asia-Pacific
% of most-at-risk populations covered by targeted
prevention programs in South-east Asia, 2003
1%
MSM covered by
prevention
programs
5.4%
IDUs reached by
harm reduction
programs
8%
Risky acts protected
by publically
distributing condoms
19%
Sex workers covered
by outreach
prevention prorams
Source: Prepared by www.aidsdatahub.org based on USAID, UNAIDS, WHO, et al. (2004). Coverage of Selected Services for HIV/AIDS Prevention,59
Care and Support in Low and Middle Income Countries in 2003.
HIV and AIDS
Data Hub for Asia-Pacific
% of men who have sex with men reporting the use of a
condom the last time they had sex in India (2002) , Indonesia
(2002-2003) and Vietnam (2006)
(%) 100
78
80
40
54
53
60
45
39
49
54
47
33
20
0
India 2002 (5 cities)
With MSWs
Indonesia 2002-2003
(3 cities)
With non-MSWs
Vietnam 2006
(Ho Chi Minh City)
With FSWs
Sources: Prepared by www.aidsdatahub.org based on 1. India National AIDS Control Organization (NACO) .National Baseline High Risk and Bridge
Population Behavioural Surveillance Survey, 2002, 2. Indonesia Ministry of Health and Central Bureau of Statistics. Behavioural Surveillance in 13
Provinces, 2002-2003. 2004, and 3. National Institute of Hygiene and Epidemiology Vietnam, FHI, Vietnam Administration of HIV/AIDS Control, et al.
(2006). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam 2005 – 2006.
60
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
61