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HIV and AIDS

Data Hub for Asia-Pacific

HIV and AIDS

Data Hub for Asia-Pacific

Review in slides India

HIV and AIDS

Data Hub for Asia-Pacific

Content

Basic socio-demographic indicators

HIV prevalence and epidemiological status (2002-2008)

Populations at higher risk

Women and young people

Estimated HIV prevalence and reported HIV/AIDS cases

Risk behaviors (2001-2006)

Populations at higher risk

Young people and general population

Vulnerability and HIV knowledge (2001-2006)

Economics of AIDS (2003)

National Response (2001-2009)

Archives

2

HIV and AIDS

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Basic socio-demographic indicators

Total population (in thousands) Annual population growth rate Population aged 15-49 (thousands) Percentage of population in urban areas Crude birth rate (births per 1,000 population) Under-5 mortality rate (per 1,000 live births) Human development index (HDI) - Rank/Value Life expectancy at birth (years) Adult literacy rate Ratio of girls to boys in primary and secondary education (%) GDP per capita (PPP, $US) Per capita total health expenditure (Int.$) 1,214,464 (2010) 1.3 (2010-2015) 647,003 (2008) 30 % (2010) 22.8 (2008) 69 (2008) 4 92 (2007) 3 109 (2007) 4 3 64.4 (2010) 5 1 3,270 (2009) 3 2 6 2 119/0.519 (2010) 5 62.8% (2005-2008) 5

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

3

6. UN Population Division - Population Prospects: The 2008 Revision, Population Database

HIV and AIDS

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HIV prevalence and epidemiological status

HIV and AIDS

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Populations at Higher Risk

5

HIV and AIDS

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Up to 2008

6

HIV and AIDS

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HIV prevalence among different population groups, 2007-2008

8

%

7 6 5 4 1 0 3 2

7,4 7,2 5,1 3,6

MSM IDU FSW STD patients

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008 3,6 2,5 0,5

Migrants Truckers ANC attendees 7

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20 18 16

%

14 12 10 8 6 4 2 0

HIV prevalence among FSWs in selected states, 2007-2008

17,9 5,1 13,1 9,7 8,9 7,2 6,5 5,9 5,3 Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

8

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HIV prevalence among IDUs in selected states, 2007-2008

30 % 25

24,4

20

17,9 16,8

15 10

13,8 10,1 8,6 7,9 7,8 7,2 7,5 7,3

5 0

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

9

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HIV prevalence among MSMs in selected states, 2007-2008

20 18 16

%

14 12 10 8 2 0 6 4

7,4 17,6 17 16,4 11,8 11,7 8,4 7,9 7,4 6,6 5,6 Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

10

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Districts with HIV prevalence higher than 15% among most at risk populations, 2007-2008

East Godavari West Godavari Khammam Pune Thane Kolhapur Churachandpur Mumbai Delhi North Churachandpur Churachandpur Aizawl Mumbai Suburban Amritsar Chennai Krishna Hyderabad Warangal Cuddapah Delhi Northeast Rajkot Bangalore Pune Imphal West 0 15,5 20 28 30 32,4 42,4 41,2 59,2 10 15,6 16,5 15,6 18 19,6 18 16,1 17,5 17,2 15,6 15,2 17,6 16,4 20 24,4 27,2 30,4 30 40 50 60 % 70 Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

11

HIV and AIDS

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Up to 2007

12

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State-wise estimated adult HIV prevalence, 2006 & 2007

Manipur Nagaland Andhra Pradesh Karnataka Maharashtra Tamil Nadu West Bengal Gujarat Delhi Chhattisgarh Kerala Haryana Orissa Bihar Rajasthan Jharkhand Madhya Pradesh Punjab Uttar Pradesh

0 0,2 0,4 0,6

Note: The estimated figures derived from Spectrum Package

0,8 1 1,2 1,4 1,6

2007 2006

1,8 Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

13

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Trends of HIV prevalence among most at risk populations, 2003-2007*

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

* 3 years moving average based on consistent sites: IDU 13, MSM- 7, FSW-22 14

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Trends of HIV prevalence among FSWs in groups of states, 2003-2007*

* 3 yr moving average based on consistent sites : South 4 (AP, TN, Kar, Mah): 7 sites, NE 2 (Mani, Naga): 2 sites, North 4 (Guj, Rak, Ori, WB): 7 sites

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

15

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Trends of HIV prevalence among IDUs, selected states, 2003-2007*

* 3 years moving average based on consistent sites: Manipur: 3 sites, Meghalaya: 1site, Mizoram: 1 site, Mumbai : 1 site, Nagaland: 5 sites, West Bengal: 1 site

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

16

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Trends of HIV prevalence among MSMs in selected states, 2003-2007*

* 3 years moving average based on consistent sites: AP+TN : 3sites, Goa: 1 site, Bangalore: 1site, Delhi: 1site, Manipur: 1 site

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

17

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Trends of HIV prevalence among STD clinic attendees, 2003-2007*

* 3 years moving average based on consistent sites: All India: 157 sites, South 4 (AP, TN, Kar, Mah): 36 sites, NE 2 ( Mani, Naga) : 3 sites, Mizoram: 1site, Gujarat : 8 sites, Chhattisgarh: 3 sites

.

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

18

HIV and AIDS

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Up to 2006

19

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HIV prevalence among different population groups, India, 2006

(%) 8 5 4 7 6 3 2 1 0

0.6

3.7

ANC settings STD patients

4.9

FSWs

6.4

MSM

6.9

IDUs Source: National AIDS control Organization (NACO), HIV Sentinel Surveillance and HIV Estimation, 2006

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HIV prevalence among most-at-risk populations in Maharashtra state, 2003-2006

(%) 60 50 40 30 20

22.9

29.2

12.8

20.4

10

18.8

11.2

10.4

0 IDUs

2003 2004

MSM Source: NACO, HIV Sentinel Surveillance and HIV Estimation, 2006.

15.6

2005 54.3

41.7

23.6

FSWs

2006 19.6

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HIV prevalence among most-at-risk populations in Tamil Nadu state, 2003-2006

(%) 70 60

63.8

50

39.9

40 30

18 24.2

20 10

4.2

6.8

6.2

5.6

0 IDUs MSM 2003 2004 Source: NACO, HIV Sentinel Surveillance and HIV Estimation, 2006. 2005

8.8

4 5.5

4.6

2006 FSWs

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HIV prevalence among most-at-risk populations in Manipur state, 2003-2006

(%) 35 30 25 20 15 10 5 0

24.5

21 24.1

19.8

IDUs

2003 29.2

14 15.6

10.4

2004

MSM

2005 12.8

12.4

10 11.6

FSWs

2006

Source: NACO, HIV Sentinel Surveillance and HIV Estimation, 2006.

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HIV prevalence among high-risk populations, Surat, Gujarat 2003-2006

(%) 18 16 14 12 10 8 6 4 2 0

6.3

8.1

2003 STI patients 2004

11.8

13.2

15.6

FSWs 2005

8.8

8

2006 MSM

12.8

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

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HIV prevalence among FSWs, by State, 2006*

Kerala Jammu & Kashmir Arunachal Pradesh Assam Chandigarh Himachal Pradesh Jharkhand Delhi Orissa Bihar Madhya Pradesh Haryana Pondicherry Uttar Pradesh Punjab Chattisgarh Rajasthan Tamil Nadu West Bengal Gujarat Andhra Pradesh Karnataka Mizoram Manipur Nagaland Maharashtra

0 0 0 0.4

0.7

0.7

0.9

1 1 1.1

1.1

1.3

1.4

1.4

1.4

2 2.6

4.6

6.1

6.4

7.3

8.6

10.4

11.6

16.4

19.6

0.0

5.0

10.0

15.0

20.0

25.0

(%) *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

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HIV prevalence among FSWs in Southern states (combined) by age, 2003-2006*

(%) 25 20 15 10 5 0 2003 2004 15-24 yrs 2005 25+ yrs 2006 *Includes only those sites from which there was consistent data available for 2003 to 2006. Total number of sites 9.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

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HIV prevalence among FSWs in West Bengal, 2003-2006*

(%) 12 10 8 6 4 2 0 2003 Kolkata 2004 Bardhman 2005 Jalpaiguri Medinipur 2006 *Includes only those sites from which there was consistent data available for 2003 to 2006.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

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HIV prevalence among IDUs, by State, 2006*

Tripura Haryana Sikkim Bihar Jharkhand Nagaland Kerala Mizoram Karnataka Assam Uttar Pradesh West Bengal Delhi Orissa Punjab Chandigarh Manipur Maharashtra Tamil Nadu

0 0 0.2

0.2

0.4

2.4

3 3.1

3.6

4 4.6

4.6

10 10.4

13.8

17.6

19.8

20.4

24.2

0.0

5.0

10.0

15.0

20.0

25.0

(%) *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

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HIV prevalence among IDUs in selected Northern states, 2002-2006*

(%) 45 40 35 30 25 20 15 10 5 0 2002 2003

Manipur

2004

Nagaland

2005

Mizoram

2006 *Includes only those sites from which there was consistent data available for 2002 to 2006 Number of consistent sites considered in Manipur=3, Nagaland=3 and Mizoram=1.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

20 16 12 8 4 0 HIV and AIDS

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HIV prevalence among MSM and IDUs in Chandigarh, 2004-2006 9.2

4.8

1.4

2004 MSM

1.6

2005 IDU

17.6

4.8

2006 Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

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HIV prevalence among MSM, by State, 2006*

Churu (Rajasthan) Malappuram (Kerala) Ernakulam (Kerala) Patna Kasaragod (Kerala) Kangra (HP) Kamrup (Assam) Kollam (Kerala) Kannur (Kerala) Delhi - West Delhi - North West Pondicherry Chennai Dearjeeling Rupnagar (Punjab) South Goa Chandigarh Villupuram (TN) Vadodara Mumbai Kolkata Krishna (AP) Imphal West Surat Rajkot (Gujarat) Banglore Pune Delhi - North East 0 0 0.4

0.4

0.4

0.4

0.8

0.8

1.6

2 2 2.4

4.4

4.8

4.8

4.8

4.8

6.8

6.8

7.6

8.4

10.2

10.4

12.8

14 0 5 10 15 19.2

20 23.6

25 30 (%) 32.8

35 *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

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HIV prevalence among MSM in selected sentinel sites, 2004-2006 (%) 14 12 10 8 6 4 2 0 10.9

9.5

11.8

2004 2005 2006 Year

Source: National Institute of Health and Family Welfare and National AIDS Control Organization, Annual HIV Sentinel Surveillance Country Report, 2006

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Percentage of reported STI symptoms among clients of female sex workers and female sex workers Clients of female sex workers Female sex workers 60 50 60 56 53 40 50 40 44 46 50 34 30 20 10 23 23 26 30 25 30 20 10 30 0 0 Brothel based Non-brothel based 2001 2006 Total Brothel based Non-brothel based 2001 2006

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

Total 33

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70 60 50 % 40 30 20 10 0

Percentage of MSM with self reported STI symptoms in the last 12 months

2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

Symptoms include Genital ulcer/sore, burning pain during urination 34

40 30 % 20 10 0 50 HIV and AIDS

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Percentage of IDU with self reported STI symptoms in the last 12 months

2001 2006 Symptoms include Genital ulcer/sore, burning pain during urination

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

35

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Percentage of adult (15-49) yr with reported STI symptoms in the last 12 months, 2006

2 1 4 3 7 6 5 0 Genital discharge Genital ulcer/sore Discharge or ulcer or both Male Female

Source: Behavioral Surveillance Survey among General Population, 2006

36

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Women and Young People

37

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Selected districts with HIV prevalence higher than 3% among ANC attendees, 2007-2008

Krishna (AP) Chikmagalur (KTK) Gulbarga (KTK) Sangli (MHS) Churachandpur (MNP) Chandel (MNP) Ukhrul (MNP) Tuensang (Nagaland) Coimbatore (TN) Namakkal (TN) Salem (TN) Viluppuram (TN) 0 1 2 3

3 3 3,3 3,5 3,5 % 5

AP= Andhra Pradesh, KTK= Karnataka, MHS= Maharashtra, MNP= Manipur, TN= Tamil Nadu

6 5,6 4,3 3,3 4,3 3,5

4 5 6 7

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

38

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Newly identified districts with HIV prevalence ≥ 1% among ANC attendees, 2007-2008

%

Patna(Bihar) Banka (Bihar) Sitamarhi (Bihar) Jangir-Champa (Chhattisgarh) Amreli (Gujarat) Kasaragod (Kerala) Indore(Madhya Pradesh) Deogarh (Orissa) Darjiling ( West Bengal) 0 0,5 1

1 1 1 1 1,2 1,3 1,3

1,5

2

2

2

2,5

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

39

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Trends of HIV prevalence among ANC attendees in selected high prevalence states, 2003-2007*

* 3 years moving average based on consistent sites: India- 360 sites, South 4 ( AP, TN, Kar, Mah) -219 sites, NE 3 (Mani, Naga, Mizo) – 28 sites

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

40

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HIV prevalence among pregnant women in selected districts of Tamil Nadu compared with state average, 2003-2006* (% )

3.5

3 2.5

2 1.5

1 0.5

0 2003 State average 2004 Namakkal 2005 2006 Tiruchirapalli *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Tamil Nadu 56. District prevalence reflects both rural and urban areas.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

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HIV prevalence among pregnant women in selected districts of Maharashtra compared with state average, 2003-2006*

(%) 4.5

4 3.5

3 2.5

2 1.5

1 0.5

0 2003 State average Kohlapur 2004 Chandrapur Satara 2005 Sangli Hingoli 2006 *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Tamil Nadu 70. District prevalence reflects both rural and urban areas.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

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HIV prevalence among pregnant women in selected districts of Andhra Pradesh compared with state average, 2003-2006*

(%) 3.5

3 2.5

2 1.5

1 0.5

0 2003 2004 2005 2006 State average West Godavari Prakasam East Godavari *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Andhra Pradesh 43. District prevalence reflects both rural and urban areas.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

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HIV prevalence among pregnant women in selected districts of Karnataka compared with state average, 2003-2006*

(%) 5 4.5

4 3.5

3 2.5

2 1.5

1 0.5

0 2003 State average 2004 Bagalkot Belgaum 2005 Koppal 2006 Hassan *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Karnataka 53. District prevalence reflects both rural and urban areas.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

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HIV prevalence among pregnant women in Orissa and Rajasthan (combined) by age, 2003-2006*

(%) 0.90

0.80

0.70

0.60

0.50

0.40

0.30

0.20

0.10

0.00

2003 2004 15-24 yrs 2005 25+ yrs 2006 *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Orissa=5, Rajasthan=6. District prevalence reflects both rural and urban areas.

Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

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HIV prevalence among pregnant women by age group, 2006

0.3

0.2

0.1

0 0.8

0.7

0.6

0.5

0.4

0.5

15-19

0.6

20-29

0.7

30-44

0

45-49 Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among pregnant women in Southern states, 2003-2006*

(%) 1.8

1.6

1.4

1.2

1 0.8

0.6

0.4

0.2

0 2003

Andhra Pradesh

2004

Karnataka

2005

Maharashtra

2006

Tamil Nadu

*Includes only those sites from which there was consistent data available for 2003 to 2006 Number of sites 222 (Andhra Pradesh=43; Karnataka=53; Maharashtra=70; Tamil Nadu=56) Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among pregnant women in Southern states (combined) by age, 2003-2006*

(%) 1.6

1.4

1.2

1 0.8

0.6

0.4

0.2

0 2003 2004 15-24 yrs 2005 25+ yrs 2006 *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of sites 222 (Andhra Pradesh=43; Karnataka=53; Maharashtra=70; Tamil Nadu=56) Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006

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HIV prevalence among young people aged 15-24, by age and residence, 2005-2006 (%)

0.30

Female Male

0.20

0.1

0.10

0.1

0.0

0.00

15-19

0.0

0.0

15-17

0.0

18-19

0.2

0.2

20-24

0.2

0.2

20-22

0.1

0.2

23-24

0.1

0.1

0.1

0.1

0.2

0.1

15-24 Rural Urban

Age / Residence

Source: IIPS, National Family Health Survey round III, 2005-2006

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Data Hub for Asia-Pacific

HIV prevalence among young people aged 15-24 in selected states, 2005-2006 (%)

0.6

0.4

0.5

0.3

0.3

0.2

0.1

0 Andhra Pradesh Karnataka

0.2

0.3

Maharashtra

0.4

Female 0.4

Manipur

0.2

Male 0.0

Tamil Nadu

State

Source: IIPS, National Family Health Survey round III, 2005-2006

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Estimated HIV prevalence and reported HIV/AIDS cases

51

HIV and AIDS

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Trend of adult HIV prevalence and number of PLHIV ( Total & female), 2002-2007

3 2,5 2 1,5 1 0,5 0 0,5 0,45 0,4 0,35 0,3 0,25 0,2 0,15 0,1 0,05 0 2002 2003 Total PLHA 2004 Female PLHA 2005 2006 Adult HIV prevalence 2007

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

52

HIV and AIDS

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Estimated adult HIV prevalence, 2007

0,6

%

0,5 0,4 0,3 0,2 0,1 0,0 0,3 0,4 Adult (Male &Female) Adult Male

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

0,3 Adult Female 53

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Distribution of PLHIV among high HIV burden states, 2007

20% 20% 6% 4% 8% 10% 11% 21%

Maharashtra Andhra Pradesh Karnataka West Bengal Tamil Nadu Gujarat Uttar Pradesh Rest of states

Source: HIV sentinel surveillance and HIV estimation in India, 2007-2008

54

1.8

1.6

1.4

1.2

1.0

0.8

0.6

0.4

0.2

0.0

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among adult (15-49) yr in various states, 2006

Source: Technical Report, India HIV Estimates 2006, NACO, National Institute of Medical Statistics, 2006

HIV and AIDS

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Estimated HIV prevalence by sex, 2002-2006

Female Male 0.3

0.2

0.1

0 0.6

0.5

0.4

0.4

0.5

2002

0.4

0.5

0.3

0.5

0.3

0.5

0.3

0.4

2003 2004 2005 2006 Source: Technical Report, India HIV Estimates 2006, NACO, National Institute of Medical Statistics, 2006

HIV and AIDS

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% distribution of reported HIV cases by age, 2002-2006

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

5.8

91.2

2.7

90.4

2.6

89.8

2.5

89.2

2.5

88.7

2002

3

2003

3.2

2004

3.4

2005

3.6

2006

3.8

>=50 15-49 <15

Source: Technical Report, India HIV Estimates 2006, NACO and National Institute of Medical Statistics

HIV and AIDS

Data Hub for Asia-Pacific

Reported cumulative HIV/AIDS cases, 2003-2006 124995

140000 120000 100000 80000 60000 40000 20000 0

61201

2003

78229

2004 2006

Year

Source: National AIDS Control Organization at www.nacoonline.org

HIV and AIDS

Data Hub for Asia-Pacific

Estimated HIV prevalence in selected states, 2005

0.8

0.7

0.6

0.5

0.4

0.3

0.2

0.1

0

0.5

0.7

Andhra

0.3

0.4

Kanataka

0.6

0.7

Maharashtra

0.1

Low estimate High estimate

0.2

Tamil Nadu Source: Dandona L., Lakshmi V., Kumar G. A. and Dandona R. Is the HIV burden in India being overestimated? BMC Public Health 2006;

6:

308

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Risk behaviours

HIV and AIDS

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Populations at Higher Risk

61

HIV and AIDS

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Percentage of condom use at last sex among female sex workers by States, 2006

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

62

HIV and AIDS

Data Hub for Asia-Pacific

Status of sexual partnership among clients of female sex workers and female sex workers, 2006 Clients of female sex workers Female sex workers 33 3 5 2 55 29,1 7,5 13,6 1,7 9,9 38,2 Currently married and living with spouse Currently married and living with other sexual partner Currently married and not living with spouse or other sexual partner Not currently married and living with sexual partner Not currently married and not living with sexual partner Currently married and living with spouse Currently married and living with other sexual partner Currently married and not living with spouse or other sexual partner Not currently married and living with/having sexual partner Not currently married and not living with/having sexual partner Unspecified

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

63

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Status of sexual partnership and condom use with male partners among clients of female sex workers 0 10 % 20 30 40 *Ever had sex with male partner 11 12 **Sex with any male partner in last 12 months 29 32 2001 2006 24 ***Used condom during last sex with male partner 36 15 *** Used condom consistently in the last 12 months 29 * All respondents ** Ever reporting sex with any male partner *** Reporting sex with any male partner in last 12 months

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

64

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Data Hub for Asia-Pacific

Percentage of condom use among clients of female sex workers

Condom use at last sex Consistent condom use in last 3 months Regular female partner 18 29 Regular female partner 7 13 Non-regular female partner 33 50 Non-regular female partner 22 40 Commercial female partner 2001 2006 0 50 % 75 85 100 Commercial female partner 2001 2006 0

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

50 % 57 74 100 65

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Data Hub for Asia-Pacific

Percent distribution of age at first sex work among female sex workers by age group, 2001 & 2006 2001 2006

15% 10% 15% 8% 24% 25% 25% 26% 28%

<15 yr 19-21 yr >25 yr 16-18 yr 22-25 yr <15 yr 19-21 yr >25 yr 16-18 yr 22-25 yr

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006 24%

66

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Percentage of condom use among female sex workers with different type of sexual partners, 2001 and 2006 21 consistent condom use in last month condom use at last sex consistent condom use in last month condom use at last sex 0 37 39 50 54 73 76 88 80 100 2001 2006 20 40 % 60

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

67

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use among female sex workers with different types of sexual partners, brothel based and non-brothel based, 2006 consistent condom use in last month condom use at last sex consistent condom use in last month condom use at last sex 0 10 20 Non-brothel based 30 40 Brothel based 50 60 70 80 90 100

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

68

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of MSM who are currently married or living with female sexual partner, 2001 & 2006 50 % 40 30 20 10 0 80 70 60 32 39 33 14 37 21 20 10 28 23 55 70 20 28 35 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

69

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of MSM who had sexual intercourse with female partner in last 6 months and mean number of female partners 80 4 70 60 50 % 40 30 20 10 0 17 13 70 19 26 55 43 31 30 52 3 2 1 0 sexual intercourse with female partner in last 6 months mean number of female partners

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

70

30 20 10 0 80 70 60 50 40 HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use among MSM with female partners

Condom use at last sex 50 20 40 15 30 10 20 5 10 0 0 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

2001 2001 2006 2006 71

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of MSM reported first sex with male partner before the age of 15,2006

Uttar Pradesh Kerala Goa Gujarat Andra Pradesh Mumbai Kolkata Delhi Chennai Bangalore 0 0 9 11 5 11 15 21 10 26 25 29 28 25 30 35 15 % 20

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

72

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of MSMs who reported sex with commercial male partners in last month

100 80 60 % 40 20 0 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

73

HIV and AIDS

Data Hub for Asia-Pacific

Mean number of male sexual partners among MSM in last week, 2006

20 16 12 8 4 0 commercial non-commercial

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

74

100 80 60 40 20 0 HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use at last sex among MSM with different type of sexual partners

Commercial male partner 100 Non-commercial male partner 80 60 40 20 0 2001 2006 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

75

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of consistent condom use among MSM with different type of sexual partners in the last 6 months 100 Commercial male partner 100 Non-commercial male partner 80 60 40 20 0 80 60 40 20 0 2001 2006 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

76

60 % 40 20 0 HIV and AIDS

Data Hub for Asia-Pacific

Percentage of IDU who used sterile injecting equipment the last time they injected drugs

80 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

77

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use among IDU with commercial partners

100 Condom use at last sex 100 Consistent condom use in the last 12 months 80 80 60 60 40 40 20 20 0 0 2001 2006 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

78

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use at last sex among IDU with different type of sexual partners

100 80 60 % 40 20 0 Commercial partner Regular partner Non-regular partner

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

79

HIV and AIDS

Data Hub for Asia-Pacific

Young People and General Population

80

% 3 2 5 4 1 0 6 HIV and AIDS

Data Hub for Asia-Pacific

Percentage of youth (15-24) who had sex before the age of 15, 2006

2 1 Male Urban Female 3 5 Male Rural Female 2 4 Male Total Female

Source: Behavioral Surveillance Survey among Youth, 2006

81

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of youth (15-24) who reported sex with non-regular partners in the last 12 months

14 12 10 8 % 6 4 2 0 11 13 2 4 Male Urban Female 13 13 2 3 Male Rural Female 12 13 2 3 Male Total Female 2001 2006

Source: Behavioral Surveillance Survey among Youth, 2006

82

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use among youth (15-24) with non-regular partners

Condom use at last sex Consistent condom use in the last 12 months Female Male Female Male Female Male 0 20 40 % 2001 2006 60 80 Female Male Female Male Female Male 0 20 40 % 2001 2006 60 80

Source: Behavioral Surveillance Survey among Youth, 2006

83

HIV and AIDS

Data Hub for Asia-Pacific

% of young people aged 15-24 who had sex before the age of 15, 2005-2006 Female Male 10 2 98 90

Source: IIPS, National Family Health Survey round III (NFHS III), 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of young people aged 15-24 who had sex before the age of 15, by wealth quintile, 2005-2006 (%)

30 Female Male 20

19.8

10 0

15.9

10.3

4.9

3.3

2.3

Lowest Second lowest Middle

5.3

1.5

Fourth

1.5

0.7

Highest Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of young people aged 15-24 reporting the use of a condom at first sex, by wealth quintile, 2005-2006 (%)

40 30 20 10 0 Female Male

1.5

7

Lowest

13.8

1.6

9.6

Second lowest

2.3

Middle

20.2

3.8

Fourth

6.3

33

Highest Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of young people aged 15-24 who had higher-risk sex during the last 12 months by level of education and residence, 2005-2006

20 15 10 5 0 45 40 35 30 25

15.7

0.2

No educaiton

Male 21 24.2

Female 28.4

0.5

0.4

0.7

<5 yrs 5-7 yrs 8-9 yrs

Education years completed 39.5

32.5

34.5

23.2

0.1

10-11 yrs

0.5

0.4

12 or more Urban

Residence 0.4

Rural Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of adult (15-49) yr who reported sex with non-regular partners in the last 12 months

12 10 8 % 6 4 2 0 2001 2006 Male Urban Female Male Rural Female Male Total Female

Source: Behavioral Surveillance Survey among General Population, 2006

88

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of sexually active male (15-49) year reporting sex with commercial partner in the last 12 months, 2006 4 % 3 2 6 5 1 0

5 3

Urban Rural

Source: Behavioral Surveillance Survey among General Population, 2006

Total

3

89

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use at last sex among adult (15-49) yr with different type of sexual partners, 2006 100 80 60 % 40 20 0 Urban Rural Commercial partner Non-regular partner Total

Source: Behavioral Surveillance Survey among General Population, 2006

90

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of consistent condom use among adult (15-49) yr with non-regular partners in last 12 months % 30 20 10 0 60 50 40 Urban Rural

Source: Behavioral Surveillance Survey among General Population, 2006

Total 2001 2006 91

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of consistent condom use among adult (15-49) yr with spouse/regular partners in last 12 months 25 20 15 % 10 5 0 2001 2006 Male Urban Female Male Rural Female Male Total Female

Source: Behavioral Surveillance Survey among General Population, 2006

92

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of condom use at last sex among adult male (15-49) yr with a male partner in selected states, 2006 West Bengal + A & N Islands 0 Tamil Nadu+ Puducherry Manipur Maharashtra Madhya Pradesh Karnataka Delhi Ahdhra Pradesh 0 5 10 12 10 15 22 20 20 % 25 30 31 35 35 40 43 45

Source: Behavioral Surveillance Survey among General Population, 2006

93

HIV and AIDS

Data Hub for Asia-Pacific

% of men aged 15-49 who had commercial sex in the last year, by profession, 2005-2006 Unemployed Professional Agriculture worker Other worker Service worker Employed Sales worker Production worker 0 0.2

0.2

0.3

0.6

0.7

0.7

0.9

1.1

1

Source: IIPS, National Family Health Survey round III, 2005-2006

(%) 2

HIV and AIDS

Data Hub for Asia-Pacific

% of men and women aged 15-49 who had multiple partners in the last 12 months, by education and residence, 2005-2006

3 2.5

2 1.5

1

1.6

2.4

2.5

2.4

1.9

1.7

1.8

Men Women

2.1

0.5

0 0.1

No education 0.1

0.1

0.1

< 5 yr 5-7 yr 8-9 yr

Education years completed

0 0 10-11 yr 12 ormore 0.1

0.1

Urban Rural

Residence

Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of men and women aged 15-49 using condom during high-risk sex in the last 12 months, 2005-2006 (%)

60 40 20

22.2

Female 36.5

Male 20 31.3

25.1

40.7

25.4

46.4

35 30 15.4

37.8

5.3

0 15-24 15-19 20-24 25-29 30-39

0

40-49

Age

15-49

Higher risk sex defined as “ sex with non-marital, non-cohabitating partner in the last 12 months”

Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of women and men aged 15-49 who have had sexual intercourse with more than one partner in the last 12 months, 2001 and 2006

(%) 12 10 8 2 0 6 4

10 9 2 3

Men Women 2001 2006 Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of women and men aged 15-49 who had sex with more than one partner in the last 12 months reporting condom use at last sex, 2001 and 2006

(%) 70 60 50 40 30 20 10 0

40 58

2001 2006 Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

HIV and AIDS

Data Hub for Asia-Pacific

Vulnerability and HIV knowledge

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of female sex workers with comprehensive HIV knowledge, 2001 & 2006

90 80 70 60 50 % 40 30 20 10 66 84 29 46 0 Correct knowledge on methods of HIV prevention Correct knowledge about HIV transmission 22 38 Comprehensive HIV knowledge 2001 2006

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

100

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of clients of female sex workers with comprehensive HIV knowledge, 2001 & 2006 80 70 60 50 % 40 30 20 10 68 71 39 51 0 Correct knowledge on methods of HIV prevention Correct knowledge about HIV transmission 2001 2006 29 38 Comprehensive HIV knowledge

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

101

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of MSM with comprehensive HIV knowledge, 2001 & 2006

80 70 60 50 % 40 30 20 10 0 26 27 56 54 34 23 37 44 58 43 51 31 75 42 16 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

102

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of IDU with comprehensive HIV knowledge, 2001 & 2006

80 30 20 10 0 70 60 50 40 2001 2006

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

103

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of youth (15-24) yr with comprehensive HIV knowledge, 2001 & 2006

Female Male Female Male Female Male 0 5 10 15 20 25 % 30 35 40 45 50

Source: Behavioral Surveillance Survey among Youth, 2006

2001 2006 104

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of youth (15-24) with comprehensive HIV knowledge by state, 2006

Source: Behavioral Surveillance Survey among Youth, 2006

105

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of adult (15-49) yr with comprehensive HIV knowledge

50 40 % 30 20 10 0 Male Urban Female Male Rural Female Male Total Female

Source: Behavioral Surveillance Survey among General Population, 2006

2001 2006 106

HIV and AIDS

Data Hub for Asia-Pacific

% of women and men with comprehensive HIV knowledge by age groups, 2005-2006

Female

(%) 40 30 20

19.9

36.1

18.6

34.5

21.4

37.8

19.4

37.4

15.6

31.3

12.5

26.7

10

17.3

Male 33

0 15-24 15-19 20-24 25-29 30-39 40-49 15-49 Comprehensive knowledge of HIV&AIDS

: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of men and women aged 15-49 by sex according to knowledge of HIV prevention, 2005-2006 (%) 100 80 72.8

70 Female aged 15-49 Male aged 15-49 67 64.9

60 40 20 44.5

36.3

40.2

32.3

0 One faithful partner Using condom Abstinence from sex Both faithful partner & condom use Ways of HIV prevention

Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of men and women aged 15-24 and 15-49 with knowledge of PMTCT, 2005-2006 (% ) 100

Female 15-24 Male 15-24 Female 15-49 Male 15-49

75 50.4

65.3

46.7

63.3

50 25 20.6

20.8

18.6

20.3

0 HIV can transmit from mother to child HIV can transmit from mother to child and prevention through special medicine

Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

% of young people aged 15-24 with comprehensive HIV knowledge by sex in selected states, 2005-2006 (%) 80 Female Male 60 40 36.6

32.6

19.6

20 12.3

0 Andhra Pradesh Karnataka 32.9

55.7

Maharashtra 43.8

56.1

Manipur 14.1

41.2

Tamil Nadu

Source: IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

Economics of AIDS

111

HIV and AIDS

Data Hub for Asia-Pacific

Amount of national funds spent by government from domestic sources for AIDS, 2005 2004-2005 2003-2004 2002-2003 2001-2002 2000-2001 1999-2000

0

73.3

10 20

41.1

44.4

41.7

36.2

28.8

30 40

(Million US$)

50 60 70 80 Source: UNAIDS, UNGASS Country Report India, 2005

HIV and AIDS

Data Hub for Asia-Pacific

Average monthly expenditure before and after advent of HIV, 2003

Source: Delhi Network of Positive People, Manipur Network of People Living With HIV/AIDS. Network of Maharashtra by People Living With HIV/AIDS and Positive Women’s Network of South India. Socio-Economic impact of HIV/AIDS on people living with HIV/AIDS and their families. ILO 2003

HIV and AIDS

Data Hub for Asia-Pacific

National response

HIV and AIDS

Data Hub for Asia-Pacific

Scale up of HIV testing, 2001-2008

120 100 80 60 40 20 0 1 0,4 2001 74 40 28 21 6 1 11 4 2002 2003 Total tested for HIV 18 9 2004 14 2005 2006 Pregnant women tested for HIV 32 2007 101 2008 42

Source: NACO Annual report, 2008-2009

115

HIV and AIDS

Data Hub for Asia-Pacific

Scale up of ART, 2007-2009

250 200 150 218 100 86 50 0 6 2007 (Jun) Total number of patient on ART 2009 (Mar) Children on ART 14

Source: NACO Annual report, 2008-2009

116

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of clients of female sex workers ever tested for HIV and knew the results, 2001 & 2006 14 12 10 % 8 6 4 2 0 10 13 2001 2006

Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

117

80 70 60 50 % 40 30 20 10 0 HIV and AIDS

Data Hub for Asia-Pacific

Percentage of MSM ever tested for HIV and knew the results, 2006

41 37 18 53 66 30 16 67 20 3

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

118

60 % 40 20 0 HIV and AIDS

Data Hub for Asia-Pacific

Percentage of IDU ever tested for HIV and knew the results, 2006

100 80

Source: Behavioral Surveillance Survey among MSM and IDUs, 2006

119

HIV and AIDS

Data Hub for Asia-Pacific

% of schools that provided life skills-based HIV education in the last academic year, 2006-2007 No 21% Yes 79%

114,345 schools (79%) have been covered out of total 144,409 government secondary schools Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of most-at-populations who have been tested for HIV and who knew their results during the last 12 months, 2001 and 2006 2001

 FSWs = 25.2%  MSM = 3.7 to 57 %  IDUs = 11 to 28 %

2006

 FSWs = 34.2%  MSM = 3 to 67 %  IDUs = 3 to 70 % Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of most-at-risk populations reached by HIV prevention programs, 2001 and 2006 2006

 FSWs = 56 %   MSM = 17-97 % IDUs = 10 to 83 %

2001

 FSWs = 47 %   MSM = 12 to 85 % IDUs = 22 to 75 % Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of most-at-risk population reached by prevention programs, 2005 52

Percent

45 48 Sex workers MSM IDU

40 42 44 46 48 50 52 54 Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare, UNGASS India Report, New Delhi 2005

HIV and AIDS

Data Hub for Asia-Pacific

% of pregnant women who received ART to reduce the risk of mother to child transmission of HIV, 2005-2007

(%)

10 8 6 4 2 0 4.9

7.5

2005 2006

Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

8.3

2007

HIV and AIDS

Data Hub for Asia-Pacific

% of pregnant women 15-49 yr with access to antenatal care, by religion and level of education, 2005-2006 Religion Other religion Jain Buddhist/Neo-Buddhist Sikh Christian Muslim Hindu 12 or more 10-11 years 8-9 years Education (in years) 5-7 years <5 years No education 0 20 40 46.6

58 60 (%) 99.3

71.7

74.5

82.2

85.1

80.8

97.3

93.7

78.6

84.6

89.5

80 100

Source: IIPS, National Family Health Survey round III, 2005-2006

120

HIV and AIDS

Data Hub for Asia-Pacific

% of adults and children with advanced HIV infection receiving ART, 2005 and 2007

(%) 40 32 24 16 8 0

6 19.6

35.1

Adults (2005) Adults (2007) Children (2007) Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of adults and children with HIV known to be on treatment 12 months after the initiation of ART, 2006 After 12 months (n=3414) After 24 months (n=911) Died, 19.5

Died, 12.5

Lost, 5.3

Stopped, 2.1

Lost, 9.1

Alive on ART, 69 Stopped, 2.4

Alive on ART, 80.2

A cohort study of 11 centers done by WHO using tracking system Source: UNAIDS, UNGASS Country Report India January 2006 to December 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of men and women aged 15-49 who have been tested for HIV and who knew their results in the last 12 months by age groups, 2005-2006 (%) 8 6 4 2 2.6

1.3

0 15-24 0.9

0.5

15-19 4.4

2.2

20-24 5.7

4.8

25-29 3 5 30-39 Female 1.3

3.1

Male 3 3.3

40-49 Age 15-49

Source:1. IIPS, National Family Health Survey round III, 2005-2006

HIV and AIDS

Data Hub for Asia-Pacific

129

HIV and AIDS

Data Hub for Asia-Pacific

Risk behaviours

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs reporting consistent condom use by types of sexual partner and by cities/state, 2002

60 52.4

50 40 40 37.5

34.3

30 20 20 17.4

14.3

10 11.5

8 8.3

4.8

6.8

11.1

8.3

1.8

0 Chennai Delhi commercial partners Kolkota non-regular partners Manipur regular partners Mumbai Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs reporting condom use the last time they had sex, by types of sexual partner and by cities/state, 2002 (%) 100.0

India Chennai 75.0

57.5

50.0

25.0

34.0

28.0

23.8

37.5

20.8

Delhi

34.1

26.9

14.6

Kolkata

70.0

50.0

44.4

Manipur

60.4

56.3

Mumbai

80.0

64.0

57.1

42.0

0.0

Regular partner Non-regular partner Commercial partner

Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

HIV and AIDS

Data Hub for Asia-Pacific

Mean number of sexual partners of IDUs in the last 12 months by types of sexual partner and by cities/state, 2002

8 2 1 0 7 6 5 4 3

4.1

2.3

7 2.8

4.7

1.7

3.1

1.2

2.3

1.7

Chennai Delhi Mean no. of commercial partner Kolkata Manipur Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002 Mumbai Mean no. of non-regular sex partner

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs who have shared injecting equipment, by cities/state, 2002

40 30 20 10 0 80 70 60 50

72.2

14.4

Chennai

55.5

55.9

66.3

27 8.7

2.2

3.2

Delhi Ever shared Kolkata Manipur Share every time

2.6

Mumbai Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs reporting the use of sterile equipment at last injection by cities/state, 2002 (% )

100 75 50 25 0

77

Kolkata

70.4

Mumbai

69

Delhi

44.7

Manipur

38.5

Chennai Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

HIV and AIDS

Data Hub for Asia-Pacific

Mean number of clients of female sex workers brothel and non-brothel based. Maharashtra, 2001

16 14 12 10 2 0 8 6 4

13.4

2.4

9.6

1.8

FSW-brothel based last week FSW-non-brothel based last day Source: Behavioral Surveillance Survey in Maharashtra, 2001

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reporting condom use at last sex with female partner and consistent condom use in last 6 months by cities, 2002

30 20 10 0 70 60 50 40

61.9

14.9

48.9

14.2

26.5

10.3

23.5

0

Bangalore Chennai Last six month Delhi Last sex Kolkata Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

25.6

42.2

Mumbai

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reporting commercial and non-commercial male partners during the last month, by cities, 2002

100 90 80 70 60 50 40 30 20 10 0

36.3

89.6

50.7

72.8

65.2

74.2

17.8

84.8

7.6

73.2

Bangalore Chennai Commercial male partners Delhi Kolkata Mumbai Non-commercial male partners Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reporting consistent condom use by type of sexual partners during the last month, by cities, 2002

60 50 40 30 20 10 0 8.9

43.7

15.6

19.2

13.9

11.3

7.5

20.6

33.3

56.4

Bangalore Chennai Commercial male partners Delhi Kolkata Mumbai Non-commercial male partners Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM who injected drugs by cities, 2002

40 35 30 25 20 15 10 5 0

36.4

Bangalore

22.2

Chennai

4.6

Delhi

3.7

Kolkata Source: National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare.

National Baseline High Risk and Bridge Population Behavioral Surveillance Survey, 2002

HIV and AIDS

Data Hub for Asia-Pacific

% of factory workers and truckers reporting condom use during last commercial sex. Tamil Nadu, 1996-2001 (%)

100 75 50 25 0 1996

55 Factory workers 55 66 67 Truckers 75 80 67 41 52 83 63 77

1997 1998 1999 2000 2001 Source: FHI, Behavioral Surveillance Survey in Tamil Nadu, 1996, 1997, 1998,1999, 2000 and 2001

Years

HIV and AIDS

Data Hub for Asia-Pacific

Vulnerability and HIV knowledge

HIV and AIDS

Data Hub for Asia-Pacific

% of most-at-risk populations who have correct beliefs* about HIV transmission. Six cities, 2002

60 50 40

53.6

42.5

29 30

30 20 10 0 MSM IDUs Direct FSWs Indirect FSWs * HIV can not transmit through sharing meals, Healthy looking person can have HIV, HIV can not transmit through sharing clothes, HIV can not transmit through kissing/hugging Source: National Baseline High-Risk and Bridge Population BSS among MSM and IDUs, 2002

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.

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144