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HIV and AIDS
Data Hub for Asia-Pacific
Review in slides
People who inject drugs
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
Vulnerability and HIV knowledge
National response
2
Data availability and population
size estimates
www.aidsdatahub.org
People who inject drugs population size
estimates, countries where data is available
Estimated PWID (a)
Year of estimate
Year of reporting
HIV prevalence (b)
1
Afghanistan (6 cities)
17,460
2012
2014
Male - 4.4 (2012)
2
Australia
215,000
2005
2014
Total- 1.2 (2012)
3
Bangladesh
23,800
2009
2014
Total- 1.1 (2011)
4
Brunei
3,000 – 4,000
2004
5
Cambodia
1,300
2012
2014
Total- 24.8 (2012)
6
China
2,170,000
2011
2014
Total- 6.3 (2013)
7
India
177,000
2012
2014
Total- 7.2 (2010-11)
8
Indonesia
74,326
2012
2014
Total- 36.4 (2011)
9
Lao PDR
1,150
2011
2014
Not available
10
Malaysia
170,000
2009
2014
Total- 18.9 (2012)
11
Maldives
400
…
2010
0 (2008)
12
Myanmar
75,000 (60,000 – 90,000)
2010
2014
Male- 18.7 (2013)
13
Nepal
52,174
2012
2014
Male- 6.3 (2011)
14
Pakistan
91,000
2009
2014
Total- 27.2 (2011)
15
Philippines
14,400 (12,304-16,607)
2011
2011*
Total- 46.1 (2013)
16
Papua New Guinea
5,000 – 10,000
2004*
Not available
17
Singapore
10,000 – 20,000
2004*
0.5 (2013)
18
Sri Lanka
423
2013
2014
Not available
19
Thailand
40,300
2009
2014
Total- 25.2 (2012)
20
Timor Leste
90 - 120
2004*
Not available
21
Viet Nam
271,506
2014
Male- 10.3 (2013)
2013
Not available
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
* Year of source reference
HIV and AIDS
Data Hub for Asia-Pacific
References: People who inject drugs population size
estimates
1. Afghanistan Global AIDS Response Progress Reporting 2014 . (In 6 cities; Kabul, Herat, Mazar-i-Sharif, Jalalabad, Farah, and Nimroz)
2. Australia Global AIDS Response Progress Reporting 2014 based on Hepatitis C virus Projections Working Group: Estimates and projections of the hepatitis C virus
epidemic in Australia. (2006).
3. Bangladesh Global AIDS Response Progress Reporting 2014 based on Population Size Estimates for Most at Risk Populations for HIV in Bangladesh 2009.
4. 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
5. Cambodia Global AIDS Response Progress Reporting 2014 based on NACD,NCHADS, and KHANA. (2014). National Population Size Estimation, HIV Related Risk
Behaviours and HIV Prevalence among People Who Use Drugs in Cambodia in 2012.
6. Ministry of Health China, WHO, and UNAIDS. (2011). 2011 Estimates for the HIV/AIDS Epidemic in China (Unpublished).
7. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report 2010-11.
8. 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)
9. Lao Global AIDS Response Progress Reporting 2014 based on National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on
HIV/AIDS/STI 2011-2015
10. Malaysia Global AIDS Response Progress Reporting 2014 based on Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop:
Estimation and Projection of the HIV Epidemic
11.Sharma, M., Oppenheimer, E., Saidel, T., et al. (2009). A Situation Update on HIV Epidemics among People Who Inject Drugs and National Responses in South-East
Asia Region. AIDS, 23, 1405–1413.
12. Myanmar Global AIDS Response Progress Reporting 2014 based on National AIDS Programme Myanmar.(2009). HIV Estimates and Projections, Myanmar 2008-2015
13. Nepal Global AIDS Response Progress Reporting 2014 based on Central Bureau of Statistics, Ministry of Home Affairs. (2013). Survery Report on Current Hard Drug
Users in Nepal -2069
14. Pakistan Global AIDS Response Progress Reporting 2014 based on extrapolation and triangulation from mapping conducted as part of IBBS Round II, 2007.
15. Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV
16. 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
17. Ibid.
18. 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
19. Thailand Global AIDS Response Progress Reporting 2014 based on Aramrattana, A. (2012). Estimated Size of Injecting Drug Users (IDU). Unpublished Power Point
Presentation at Size Estimation Stake-Holder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi.
20. 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
21. Viet Nam Global AIDS Response Progress Reporting 2014
5
HIV and AIDS
Data Hub for Asia-Pacific
Size estimates of PWID as proportion of adult
male population (15-49) years
%3
Regional median 0.2%; Range 0.01% - 2.3%
2.3
0.8
0
0.01 0.03 0.1
0.1
0.1
0.1
0.1
0.2
0.2
0.3
0.4
0.5
1
0.6
* Size estimate from 6 cities
Source: Prepared by www.aidsdatahub.org based on size estimates of PWID ( please see the information provided in the previous 2 slides) and adult male population
(15-49) 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 PWID in HIV sentinel surveillance
surveys conducted between 2009 and 2013
HIV sentinel surveillance surveys
Number of countries assessed
0
26
Conducted between 2009-2013
6
Survey report available
5
Age disaggregated data reported in global
AIDS reporting
4
Age disaggregated data available from
survey reports
2
Gender disaggregated data reported in
global AIDS reporting
Gender disaggregated data available from
survey reports
Bangladesh, China, India,
Myanmar, Thailand, and Viet Nam
Bangladesh, India, Myanmar,
Thailand, and Viet Nam
Bangladesh, China, India,
Myanmar
Myanmar and Viet Nam
4
Bangladesh, China, India, and
Viet Nam
0
7
Source: Prepared by www.aidsdatahub.org based on National HIV Sentinel Surveys; Global AIDS Response Progress Reporting; and www.aidsinfoonline.org
HIV and AIDS
Data Hub for Asia-Pacific
Data availability of PWID in behavioral surveys
conducted between 2009 and 2013
Behavioural surveys including IBBS
0
Number of countries assessed
26
Conducted between 2009-2013
11
Survey report available
9
Age disaggregated data available
from survey reports
2
Gender disaggregated data reported
in global AIDS reporting
Gender disaggregated data available
from survey reports
Afghanistan, Cambodia, India, Indonesia,
Nepal, Pakistan, Philippines, Viet Nam
8
Age disaggregated data reported in
global AIDS reporting
Afghanistan, China, Indonesia, Malaysia,
Nepal, Pakistan, Philippines, Thailand, Viet
Nam
Nepal, Philippines
8
1
Afghanistan, Cambodia, China, India,
Indonesia, Malaysia, Nepal, Pakistan,
Philippines, Thailand, Viet Nam
Afghanistan, China, Malaysia, Nepal,
Pakistan, Philippines, Thailand, Viet Nam
Philippines
Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys; Integrated Biological and Behavioral Surveys; Global AIDS Response
Progress Reporting; and www.aidsinfoonline.org
8
HIV prevalence and
epidemiology
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among people who inject drugs, 2010-2013
HIV prevalence (%)
50
46.1
40
36.4
30
24.8
18.7
20
25.2
27.2
18.9
10.3
10
4.4
6.3
6.3
7.2
1.1
0
* Kathmandu; ** Cebu and Mandaue
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 among people who inject drugs by
gender, 2010-2013
HIV prevalence (%)
50
Men who inject drugs
40
Women who inject drugs
30.4
30
27.8
29.7
18
20
13
10
6.3
1.1
0
* Sample of women who inject drugs < 50
11
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; and 3) www.aidsinfoonline.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence (%)
HIV prevalence among people who inject drugs by age group,
2010-2013
60
<25 yr
50
41.2
25+ yr
40
33.9
30
25
20
11.7
10
0.7
2.7
1.1
3.4
5.3
11.6
4.8
0
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 (%)
HIV prevalence among PWID in geographical locations
that are higher than national prevalence, 2010-2013
56.4
60
52.5
Afghanistan
52.4
50
Bangladesh
40
30
24.5
20 15.7
10
0
China
35.5
21
24
India
Indonesia
5.3
Myanmar
Pakistan
Philippines
Viet Nam
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) Zhang L, Chow EPF, Jing
13
J, et al. HIV prevalence in China: Integration of surveillance data and a systematic review. Lancet Infect Dis 2013; published online Oct 7. http://dx.doi.org/10.1016/S14733099(13)70245-7.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
HIV prevalence among PWID in geographical locations where
rising HIV prevalence trends are observed, 2005-2013
56.4
HIV prevalence (%)
60
52.4
46.1
50
42.2
36.4
40
30
27.2
20
10
0
2005
2006
Indonesia
Pakistan
Philippines **
2007
2008
Jakarta
Karachi
Cebu*
2009
2010
2011
2012
2013
* male PWID
** 2013 data for Cebu and Mandaue reported as national
14
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
Trends in HIV prevalence among PWID in ASEAN
states/cities, where data is available, 2003-2013
HIV prevalence (%)
70
56.4
60
52.4
50
40
30
20
18.5
10
24
20
18
12.5
0
2003
2004
2005
2006
2007
2008
2009
2010
2011
Indonesia (Jakarta)
Myanmar (Lashio)
Myanmar (Mandalay)
Thailand (Bangkok)
Viet Nam (HCMC)
Viet Nam (Hanoi)
2012
2013
Philippines (Cebu)*
* male PWID
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys
15
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Trends in HIV prevalence among PWID in SAARC
states/cities, where data is available, 2002-2012
HIV prevalence (%)
70
60
50
40
42.2
30
30.8
20
18.3
10
15.7
6.3
5.3
0
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Afghanistan (Herat)
Bangladesh (Dhaka)
India (Delhi)
Nepal (Kathmandu)
Pakistan (Karachi)
Pakistan (Lahore)
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys
16
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Hepatitis C and syphilis prevalence among PWID,
countries where data is available, 2009-2013
94
Prevalence (%)
100
80
Hepatitis C
71
64
Syphilis
60
52
40
40
28
20
3
0
51
6
4
6
8
6
4
3
0
0.3
4
0
5
2
2
* Cebu and Mandaue
17
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
Proportion of HIV transmission through injecting drug
use among reported HIV cases, 2011-2014
100%
80%
60%
Others
40%
20%
Injecting drug use
0%
* New HIV cases
** Cumulative HIV cases
Source: Prepared by www.aidsdatahub.org based on 1. Country Global AIDS Response Progress Reports 2012; 2. 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) ; 3. National Epidemiology Center Philippines. (2014). Philippines HIV/AIDS Registry: August 2014; 4. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of
Health and Family Welfare. (2012). Annual Report 2011-12.; 5. Ministry of Health Malaysia (2014). HIV and AIDS Reporting (1986-2013); 6. Ministry of Health Singapore. (2013). Retrieved
August 2013, from http://www.moh.gov.sg/content/moh_web/home/statistics/infectiousDiseasesStatistics/HIV_Stats.html ; 7. National AIDS Control Programme Sri Lanka. (2013). Retrieved 10
October 2014, from http://www.aidscontrol.gov.lk/web/index.php/en/statistics/hiv ; and 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); 9. Centre for Health Protection, Department of Health Hong Kong. (2014). Hong Kong STD/AIDS Update, Vol. 19, No.1, Quarter 1
2013
Risk behaviours
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Number of injections
Average number of injections among people who inject
drugs, 2006-13
10
8
7
7
6
4
3
3
2
3
4
2
2
4
2
0
average injections per day (or) in the last day
* Cebu and Mandaue
average injections per week (or) in the last week
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys;
20
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Duration of injecting drugs (year)
Duration of injecting drugs among PWID, 2006-2012
10
8
9
8
7
7
6
4
6
6
5
5
4
2
3
3
2
0
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
21
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Trend of regional median on safe injecting practices
among PWID for countries that reported consistently in
the Global AIDS Reporting between 2010 to 2013
Safe injection (%)
100
80
83
81
80
UNGASS 2010
Global AIDS Response
Progress Report 2012
Global AIDS Response
Progress Report 2013
60
40
20
0
11 countries (Afghanistan, Bangladesh, China, Indonesia, Malaysia, Myanmar, Nepal, Pakistan, Philippines, Thailand, and Viet Nam)
reported in all three rounds of Global AIDS Reporting between 2010 to 2013
22
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of PWID who reported safe injection practice
at last injection, 2006-2013
Safe injection (%)
100
98
80
97
95
87
81
60
80
78
72
78
70
66
40
36
20
34
31
0
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
23
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of PWID who reported safe injection practice
at last injection by gender, 2006-2013
Safe injection (%)
100
85
85
74
80
90
97
74
60
40
27
20
0
Men who inject drugs
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Women who inject drugs
24
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Safe injection (%)
Proportion of PWID who reported safe injection practice
at last injection by age group, 2006-2013
94
100
82
83
98
97
85
73
80
58
60
63
64
50
41
40
28
20
< 25 yr
25 + yr
0
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
25
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
80
68
78
88
93
97
60
40
54
6.3
20
0
Pakistan, Lahore (2005-2011)
100
80
60
40
20
0
45
3.8
Consistent use of sterile injecting equipment *
100 %
80
60
40
20
0
35
30
25
20
15
10
5
0
30.8
43
28
HIV prevalence
97
36
31
28
38
Pakistan (Lahore, Indonesia (2011)
2011)
45
5
Bangladesh
(Dhaka, 2011)**
47
14
58
16
6
India (Maharastra, Myanmar (Yangon,
Nepal
2009-10)
2013)***
(Kathmandu, 2011)
* Duration of consistent use of sterile injecting equipment varies from last week to last 6 months;
** Behavioral data for 2006-07, Never used used-needles and syringes;
*** Behavioral data for 2008
Source: Prepared by www.aidsdatahub.org based on National HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports
HIV prevalence (%)
100
80
60
40
20
0
Safe injection in the
past month(%)
Nepal, Kathmandu (2002-2011)
HIV prevalence (%)
Safe injection in the
past week(%)
Correlation between safe injection practice and HIV
prevalence among PWID
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of PWID engaged in commercial sex in the past
12 months, 2006-2012
Had sex with female sex workers
100 %
80
73
Sold sex
66
55
60
47
45
40
20
1
45
38
38
34
30
27
20
2
23
22
1415 13
10
0
* ever had sex with FSW; **had sex with FSW in the past 6 months
27
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
HIV and AIDS
Data Hub for Asia-Pacific
Condom use at last sex (%)
Proportion of PWID who reported condom use at last
sex, 2006-2013
100
80
78
60
65
63
54
40
52
49
20
0
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
47
45
45
46
41
27
23
23
13
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Condom use at last sex (%)
Proportion of PWID reported condom use at last sex by
gender, 2006-2013
100
80
60
40
20
48
45
55
30
11
0
* Manipur
Men who inject drugs
Women who inject drugs
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org and India UNGASS Country Progress Report 2010
40
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Proportion of PWID reported condom use at last sex by
age group, 2006-2013
Condom use at last sex (%)
100
79 77
80
60
40
40
20
56
52
13
17
22 23
43 45
47 45
49 47
47
50
40
25 + yr
25 27
15 13
0
* Manipur
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org and India UNGASS Country Progress Report 2010
< 25 yr
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Consistent condom use (%)
Proportion of PWID reported consistent condom use,
2006-2011
in the past 12 months
in the past 6 months
in the past month
100
80
60
40
20
0
* PWID in community
**PWID in rehabilitation centres
Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
31
Vulnerability and
HIV knowledge
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
Comprehensive HIV Knowledge (%)
Proportion of PWID with comprehensive HIV knowledge,
2006-2012
100
76
80
60
44
40
20
20
23
27
45
49
49
54
57
64
29
0
*Kathmandu
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.
HIV expenditure
www.aidsdatahub.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
US$ in Millions
HIV prevention spending in Asia and the Pacific – low on
HIV prevention among people who inject drugs, latest
available year reported by countries, 2009-2012
200
180
160
140
120
100
189
80
60
40
67
20
39
Total prevention spending Prevention spending on key
populations
Note: China and India do not report prevention spending breakdown
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Prevention spending on
PWID
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Trends in spending on PWID harm reduction programmes
out of total prevention spending, countries where HIV
prevalence among PWID is more than 10%, 2006-2012
Spending on PWID out of total
prevention spending (%)
100%
Cambodia
Indonesia
67%
57%
Malaysia
Myanmar
50%
Pakistan
Philippines
20%
10%
0%
2006
2007
2008
2009
2010
22%
7%
1%
2011
5%
Thailand
Viet Nam
2012
36
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Regionally, less than one-fifth of PWID prevention
spending comes from domestic public sources
Percent distribution of prevention spending on PWID by financing
source, 2009-2012
100%
24
80%
60%
100
40%
100
99
97
100
39
100
76
100
International
100
100
100
98
82
61
Domestic
20%
0%
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
18
37
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
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
38
Latest!
HIV and AIDS
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.
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
10,000
8,000
Share of harm reduction spending for PWID
in the total prevention spending (%)
100%
8,249
PWID harm reduction spending (US$)
80%
6,000
60%
4,405
4,000
2,295
2,000
21
32
627
2,060 1,661
509
3,813 3,771
40%
2,407
789
-
0%
Note: Data from latest available year. China and India do
not report prevention spending breakdown.
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
20%
40
Percent Spending (%)
Amount Spent on PWID HIV prevention
( USD,000)
Spending on HIV prevention programmes focused on PWID,
2009-2012
National response
www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
Number syringes distributed per PWID
per year
Number of syringes distributed per PWID per year by
Needle and Syringe Programmes (NSP), 2013
400
326
300
287
246
200
High coverage: >200 syringes
per PWID per year
194 193
147
100
139
131
98
Medium coverage: >100–<200
syringes per PWID per year
92
31
26
Low coverage: <100 syringes
12
0
Source: Prepared by www.aidsdatahub.org based on 1) www.aidsinfoonline.org; and 2) Global AIDS Response Progress Reporting 2014
per PWID per year
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Number of syringes distributed per PWID per
year
Number of syringes distributed per PWID per year, 2011-2013
400
2011
2012
2013
300
High coverage: >200 syringes
per PWID per year
200
139 Medium coverage: >100–<200
syringes per PWID per year
100
Low coverage: <100 syringes
per PWID per year
0
43
Source: Prepared by www.aidsdatahub.org based on 1) www.aidsinfoonline.org; and 2) Global AIDS Response Progress Reporting 2014
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Number of needle and syringe programme (NSP) sites,
2011-2013
Number of NSP sites
5,000
2011
2012
2013
3755
4,000
3,000
2,000
898
1,000
35
0
88
20
728
286
215
1
22
39
35
38
44
Source: Prepared by www.aidsdatahub.org based on Global AIDS Response Progress Report 2014 – Online Country Reports
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Number of people on OST
Reported number of people who use drugs received
opioid substitution therapy, 2012-2013
250,000
2012
201,730
200,000
2013
150,000
100,000
65,249
50,000
15,542 15,000
0
5,329
4,397
4,068
494
411
252
109
71
45
Source: Prepared by www.aidsdatahub.org based on Global AIDS Response Progress Report 2014 – Online Country Reports
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Number of opioid substitution therapy (OST) sites, 20112013
Number of OST sites
1000
763
800
2011
811
2012
2013
600
400
200
0
147
147
87
1
3
1
80
1
22
6
1
46
Source: Prepared by www.aidsdatahub.org based on Global AIDS Response Progress Report 2014 – Online Country Reports
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Number of NSP and OST sites by country where data is
available, 2013
Afghanistan
Bangladesh
Cambodia
China
India
Indonesia
Lao PDR*
Malaysia
Maldives
Mongolia
Myanmar
Nepal
Pakistan
Thailand
Viet Nam
Number of needles/syringes
programme sites
Number of opioid substitution
therapy sites
35
88
20
898
286
215
5
728
0
1
22
39
35
38
3755
1
3
1
763
147
87
8
811
1
0
22
6
1
147
80
*2012 data
Source: Prepared by www.aidsdatahub.org based on Global AIDS Response Progress Report 2014 – Online Country Reports
47
Latest!
HIV and AIDS
Data Hub for Asia-Pacific
Testing coverage (%)
HIV testing coverage among PWID, countries where data
is available, 2006-2013
100
90
80
70
60
50
40
30
20
10
0
78
63
* Programme data
63
44
38
35
27
24
23
21
17
9
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.
48
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
5
Latest!
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Data Hub for Asia-Pacific
Stalled progress in HIV testing coverage among key
populations
100
HIV testing coverage among PWID (regional median trend*)
HIV testing coverage (%)
90
80
70
60
50
PWID
40
30
28
28
2012
2013
22
24
20
10
0
2010
2014
* latest available data from UNGASS/ Global AIDS Response Progress
49
Reporting (GARPR) 2010 to 2014
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among PWID
in South Asia
Compulsory detention
centres for people who use
drugs
Death penalty for drugrelated offences
Afghanistan
NO
NO INFO
Bangladesh
NO
YES
Bhutan
NO
NO
India
NO
YES
Maldives
NO
NO INFO
Nepal
NO
NO
Pakistan
NO
YES
Sri Lanka
YES
YES
Source: Prepared by www.aidsdatahub.org based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific
in October 2014
50
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among PWID
in South-East Asia
Compulsory detention
centres for people who use
drugs
Brunei
Cambodia
Indonesia
Lao PDR
Malaysia
Myanmar
Philippines
Singapore
Thailand
Timor-Leste
Viet Nam
YES
YES
YES
YES
YES
YES
NO
YES
YES
NO
YES
Death penalty for drugrelated offences
YES
NO
YES
YES
YES
YES
NO
YES
YES
NO
YES
Source: Prepared by www.aidsdatahub.org based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific
in October 2014
51
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among PWID
in East Asia
Compulsory detention
centres for people who use
drugs
Death penalty for drugrelated offences
China
YES
YES
Japan
NO
NO
Mongolia
NO
NO
DRP Korea
NO
YES
Rep of Korea
NO
YES
Source: Prepared by www.aidsdatahub.org based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific
in October 2014
52
HIV and AIDS
Data Hub for Asia-Pacific
Punitive laws hindering the HIV response among PWID
in the Pacific
Compulsory detention centres Death penalty for drug-related
for people who use drugs
offences
Fiji
Kiribati
Marshall Islands
FSM*
Nauru
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO INFO
NO
NO
NO
NO
NO
NO INFO
NO
NO
NO
NO
NO
*Federated States of Micronesia
Source: Prepared by www.aidsdatahub.org based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific
in October 2014
53
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
54