Transcript philippines_all_indicators
HIV and AIDS
Data Hub for Asia-Pacific
Review in slides Philippines
HIV and AIDS Data Hub for Asia-Pacific
Content
Basic socio-demographic indicators
HIV prevalence and epidemiological status (1984-2009)
Vulnerability and HIV knowledge (1997-2007)
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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, $US) Per capita total health expenditure (Int.$) 93,617 (2010) 2 1.7% (2010-2015) 2 49,150 (2008) 6 49% (2010) 1 24.7 (2008) 3 32 (2008) 4 97/0.638 (2010) 5 72.3 (2010) 5 93.6% (2005-2008) 5 102 (2008) 3 3,541 (2009) 3 130 (2007) 4
Source:1. UNFPA The State of World Population 2010 2. UN Statistics Division 2010: http://unstats.un.org/unsd/demographic/products/socind/population.htm
3. World Bank World Development Indicators & Global Development Finance ;http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2 4. WHO World Health Statistics 2010 5. UNDP Human Development Report 2010 6. UN Population Division - Population Prospects: The 2008 Revision, Population Database
HIV prevalence and epidemiological status
HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among MARPs, 2009 % 1,2 1,0 0,8 0,6 0,4 0,2 0,1 0,0 0,2 0 0 0,4 0,5 0,2 0 1 1,1 0,9 1 0,2 0,6 Registered FSW Freelance FSW MSM R5 sites= Global Fund Round 5 sites, R6 sites = Global Fund Round 6 sites
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
IDU 5
HIV and AIDS Data Hub for Asia-Pacific HIV prevalence per 100,000 most at risk population, 2009 1200 1052 1000 800 600
Most at risk population IDU Registered FSW Freelance FSW MSM Population Size Estimates 6,890 156,127 10,194 162,592 2009 prevalence per 100,000 209 234 542 1052
542 400 283 200 0 133 209 IDU 234 68 44 Registered FSW 2007 2009 Freelance FSW MSM
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
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HIV prevalence among populations at higher risk, 2007 (%) 0.5
0.4
0.3
0.2
0.1
0 0.1
IDUs 0.1
FSWs 0.3
MSM
Source: UNAIDS, Report on the Global AIDS Epidemic, 2008
HIV and AIDS Data Hub for Asia-Pacific Number of reported new HIV cases per month, 2007-2009 100 80 60 40 20 0 2007 2008 2009 Jan 24 40 65 Feb 23 52 47 Mar 29 38 59 Apr 27 47 66 May 35 35 85 Jun 28 32 40 Jul 31 53 70 Aug 24 41 61 Sep 25 57 56 Oct 32 59 80 Nov 39 36 80 Dec 25 38 126
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, December 2009
2007 2008 2009
HIV and AIDS Data Hub for Asia-Pacific Average number of new cases per month, 2000-2009 70 Number 63 60 50 44 40 29 30 20 15 15 16 17 18 26 10 10 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, December 2009
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HIV and AIDS Data Hub for Asia-Pacific Number of reported HIV/AIDS cases and deaths, 1984-2009 900 800 700 600 500 400 300 200 100 0 Death AIDS Asymptomatic 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 2 4 10 12 9 8 15 13 13 11 19 24 27 10 16 17 9 20 11 10 5 16 18 8 9 1 2 4 11 13 11 10 18 17 21 38 57 51 50 23 45 78 40 56 44 53 37 39 36 28 20 29 0 6 18 25 21 29 48 68 51 64 61 65 104 94 144 80 83 118 140 140 162 171 273 314 508 806 Asymptomatic AIDS Death
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, December 2009
HIV and AIDS Data Hub for Asia-Pacific Number of reported HIV/AIDS cases by age, 1984-2009 1984-2005 2006 2007 2008 2009 Age Female 50> 45-49 40-44 35-39 30-34 25-29 20-24 15-19 < 15 Male 800 600 400 200 0 0 200 400 600 800
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, December2009
HIV and AIDS Data Hub for Asia-Pacific Percent distribution of reported HIV/AIDS cases by mode of transmission, 1984- October 2009 25% 13% 8% 2% 1% 1% 0.002% Heterosexual Homosexual Bisexual Unknown Mother-to-child Blood/ Blood Products Injecting Drug Use 52%
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, October 2009
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HIV and AIDS Data Hub for Asia-Pacific Geo-distribution of reported HIV/AIDS cases
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
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100% HIV and AIDS Data Hub for Asia-Pacific Percent distribution of types of sexual transmission, 1984-2009 80% 60% 40% 20% Year 0% 84 85 86 87 88 89 90 91 92 93 94 95 Heterosexual 96 97 Bisexual 98 99 00 01 Homosexual 02 03 04 05 06 07 08 09
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, December2009
HIV and AIDS Data Hub for Asia-Pacific Percent distribution of types of sexual transmission in 2009, 2008 & 1984-2009 100% 1171 80% 16 81 609 60% 40% 14 Homosexual Bisexual Heterosexual 2214 22 20% 8 0% 16 2009 Dec 1984-2009 2008 Dec
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, December 2009
% 3 2,5 2 1,5 1 0,5 0 HIV and AIDS Data Hub for Asia-Pacific Syphilis prevalence among FSW and MSM, 2009
3 0,4 0,3 1 0,2 2,4 0,8 2 2,1 2,5 2,4 1
Registered FSW Freelance FSW MSM R5 sites= Global Fund Round 5 sites, R6 sites = Global Fund Round 6 sites
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
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HIV and AIDS Data Hub for Asia-Pacific % Syphilis and Hepatitis C prevalence among IDU, 2009 100 95 80 60 40 35,2 20 0 2,3 Syphilis 3,2 Hepatitis C
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
Sentinel sites Site A 17
HIV and AIDS Data Hub for Asia-Pacific Percentage of overseas Filipino workers as part of the total number of HIV cases, 1984 2009 Aug 100 80 60 42 49 45 52 49 44 45 42 40 20 0 28 19 28 26 21 23 23 27 31 23 20 13 15 8 8 0 86 87 88 89 90 91 92 93 94 95 96 97 98 Year 99 00 01 02 03 04 05 06 07 08 09
Source: Philippine HIV and AIDS Registry, Department of Health, National Epidemiology Center, December 2009
Risk behaviours
HIV and AIDS Data Hub for Asia-Pacific Percentage of condom use at last sex among populations at higher risk, 2009 % 80 70
Target 60-80%
60 50 40 30 20 10 0 22 72 61 MSM Registered FSW Freelance FSW
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
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HIV and AIDS Data Hub for Asia-Pacific Percentage of populations at higher risk reporting the use of condom at last sexual intercourse, 2007 100 80 60 40 65 50 32 20 0 FSW (with most recent client) MSW (with most recent client) MSM (last anal sex with male partner)
Source: IHBSS 2007 reported in Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector Progress Report, 2009
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HIV and AIDS Data Hub for Asia-Pacific Selected risk behaviors among IDUs, 2009 0 Sentinel site A Sentinel site B Sentinel site C Sentinel site A Sentinel site B Sentinel site C Sentinel site A 0 Sentinel site B Sentinel site C 6 14 13 13 20 23 Percent 40 34 42 43 44 60 80 74 75 74 81 100 Male Female
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
HIV and AIDS Data Hub for Asia-Pacific IDUs using sterile injecting equipment the last time they injected, 2007 No 52% Yes 48%
Source: IHBSS 2007 reported in Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector Progress Report, 2009
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HIV and AIDS Data Hub for Asia-Pacific Percent distribution of self-identity among MSM in Metro Manila, 2009 Bisexual 23% Homosexual 15% Heterosexual 62% N= 337
Source: IHBSS National Dissemination Forum, 11 December 2009, Heritage Hotel, Manila
HIV and AIDS Data Hub for Asia-Pacific Percentage of women (15-49) who had higher-risk sexual intercourse in the last 12 months, 2008 % 5 4 3 4,6 2 3,1 2 1 1,2 0 15-19 20-24 25-29 Age group 30-39 0,4 40-49 Higher-risk sexual intercourse refers to intercourse with non-marital, non-cohabiting partner
Source: Demographic and Health Survey, 2008
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HIV and AIDS Data Hub for Asia-Pacific Percentage of young women (15-24) who had sex before the age of 15, 2008 % 3 2,5 2,4 2,2 2 1,8 1,5 1,5 1 0,5 0 15-17 18-19 Age Group 20-22 23-24
Source: Demographic and Health Survey, 2008
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HIV and AIDS Data Hub for Asia-Pacific Percentage of condom use at first sex among young women (15-24), 2008 Age group 15-17 18-19 20-22 23-24 0 1 2 2,7 3 Percent 3,9 4 4,4 5 5,4 6
Source: Demographic and Health Survey, 2008
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HIV and AIDS Data Hub for Asia-Pacific Percentage of condom use at last sex among young women (15-24), 2008 Young women 15-19 years Yes No Young women 20-24 years Yes No 9%
17% 83%
91%
Source: Demographic and Health Survey, 2008
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% of sex workers who reported consistent condom use during last month, 2005 2005-2010 National Objectives for Health Indicators (%) 100 90 80 70 60 50 40 30 20 10 0 57 27 Female sex workers Male sex workers
Source: Philippine National AIDS Council. UNGASS Country Report of the Philippines, January 2003 to November 2005. Manila, Philippines, December 2005
% of FSWs who reported consistent condom use with their clients, 2005 2005-2010 National Objectives for Health Indicators N =6371 90 80 70 60 50 40 30 20 10 0 67 32 38 81 78 40 65 70 43 49 57
Source: National Epidemiology Center, Department of Health, Philippines. 2005 Integrated HIV Behavioural and Serologic Surveillance Findings Summary Report
% of MSM who reported unprotected sex during the last 12 months, 2005 N =1673 (%) 100 With man With woman 88 74 75 67 60 60 50 38 29 21 16 12 6 0 Angeles Cebu Davao Gen San IIoIIo Zamboanga
Source: National Epidemiology Center, Department of Health, Philippines. 2005 Integrated HIV Behavioural and Serologic Surveillance Findings Summary Report
Vulnerability and HIV knowledge
HIV and AIDS Data Hub for Asia-Pacific Percentage of women (15-49) with comprehensive HIV knowledge by age group and place of residence, 2008 30 % 25 20 15 10 18,7 5 0 15-19 23 20-24 23 25-29 Age 23 30-39 22 40-49 26 17 Urban Rural Residence
Source: Demographic and Health Survey, 2008
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HIV and AIDS Data Hub for Asia-Pacific Percentage of populations at higher risk with comprehensive HIV knowledge, 2007 30 26 25 19 20 15 10 10 5 0 2 FSW MSM
Source: IHBSS 2007 reported in UNGASS Country Progress Report, 2008
IDU Clients of FSW 34
Economics of AIDS
Profile of HIV and AIDS health care spending in the Philippines, 2000-2004 (%) 100 21.4
19 33.5
61.4
50 77.7
79.8
65.5
38.2
0 2000 2001 Prevention related activities Orphan and vulnerable children Human resources receiving wage benefit 2002 2003 Treatment and care AIDS program costs 35.3
62.3
2004
Source: National Epidemiology Center, Department of Health, Philippines. Country report on National AIDS spending assessment (NASA) year 2000-2004 in the Philippines, 2005
National response
HIV and AIDS Data Hub for Asia-Pacific Percentage of MARPs reached with HIV prevention program, received HIV test in the last year and knew the result, 2007 0 Percent 2 4 6 8 10 12 14 16 18 20 14 FSW 12 19 MSM 16 14 IDU 4 Clients of FSW 6 6 Reached with HIV prevention program Tested for HIV and knew the result
Source: IHBSS 2007 reported in Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector Progress Report, 2009
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HIV and AIDS Data Hub for Asia-Pacific Percentage of HIV testing among women (15-49), 2008 % 3,5 3 2,5 2 1,5 1 0,5 0 Ever tested and received the results Tested in the last 12 months and received the results 15-24 25-29 Age group 30-39 40-49
Source: Demographic and Health Survey, 2008
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HIV and AIDS Data Hub for Asia-Pacific Percentage of young women (15-24) who were tested for HIV in the last 12 months and knew the result, 2008 % 2 1,6 1,2 0,8 0,4 0 15-17 0 1,2 0,3 18-19 Age group 20-22 1,7 23-24
Source: Demographic and Health Survey, 2008
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% of populations at higher risk who ever received an HIV test, 2005 IDU, N=243 FSW, N=6371 MSM, N=1673 (%) 50 40 30 20 10 0 23 IDU 8 MSM 22 FSW
Source: National Epidemiology Center, Department of Health, Philippines. 2005 Integrated HIV Behavioural and Serologic Surveillance Findings Summary Report
HIV and AIDS Data Hub for Asia-Pacific 42
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence and epidemiological status
Reported number of HIV cases, 1996-2005 180 171 160 Male Female 144 Total 162 140 139 140 120 119 110 111 104 100 94 91 96 88 80 80 80 73 76 60 60 60 40 31 34 53 50 30 48 32 43 44 51 52 20 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year
Source: WHO, UNICEF, UNAIDS. Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 December
Mode of HIV transmission in the Philippines – distribution of HIV cases , 2005 Bisexual 6% Perinatal 2% Blood transfusion 1% Injecting drug use 0% Homosexual 20% Heterosexual 71%
Source: United Nations General Assembly Special Session on HIV/AIDS. Monitoring the Declaration of Commitment on HIV/AIDS. Country Report-Philippines. December 2005
Reported modes of transmission among infected OFW, January 1984 –March 2005, 5 1 0 0 6 OFW: Overseas Filipino Workers 15 Heterosexual contact Homosexual contact Bisexual contact Blood/blood product Injecting drug use Needle prick injury Not reported 72
Source: Eugenio M. CACCAM, Jr. Current State and Future Projections of the Spread of HIV/AIDS. Access on 10 September 2008 from http ://www.jcie.org/researchpdfs/RisingTide/philippines.pdf
Risk behaviours
% of IDUs who used a condom at last sex, 2003 Yes 20% Note: Respondents were IDUs who had sex during the last three months. n=120.
No 80%
Source: Philippine National AIDS Council. UNGASS Country Report of the Philippines, January 2003 to November 2005. Manila, Philippines, December 2005
% of IDUs who have adopted behaviors that reduce transmission of HIV in the last 12 months, 2003 7% Yes Note: n=120 No 93%
Source: Philippine National AIDS Council. UNGASS Country Report of the Philippines, January 2003 to November 2005. Manila, Philippines, December 2005
% of men (15-49) who ever had sexual relations with a man, 2003 (%) 20 14.6
10 8.7
6.4
5.2
2.8
0 15-19 20-24 25-29 30-39
Source: Philippines_Demographic and Health Survey (DHS), National Statistics Office, 2003
40-49 2.6
50-54 Age
% of men (15-49) who ever had sexual relations with a man, 2003 (%) 10 6.1
6.4
6.3
5 4.6
3.3
0 lowest second middle fourth
Source: Philippines Demographic and Health Survey (DHS), National Statistics Office, 2003
highest Wealth quintile
% of men (15-49) who had sexual relations with a man in the last 12 months, 2003 (%) 4 3 2.9
2 1.1
1 0 15-19 20-24 0.2
25-29 0.2
30-39 0.1
40-49 0 50-54 Age
Source: Philippines_Demographic and Health Survey (DHS), National Statistics Office, 2003
% of never-married population(15-19) who had sex in the 12 months preceding the survey, 2003 (%) 100 56.5
50 0 Male 0.7
Female
Source: Philippines_Demographic and Health Survey (DHS), National Statistics Office, 2003
% of men (15-24) who used a condom during the first sex, 2003 30 26.8
(%) 20 18.5
18.6
15.0
15.6
16.3
10.4
10 6.0
0 lowest second middle Wealth quintile fourth highest 15-19
Source: Philippines Demographic and Health Survey (DHS), National Statistics Office, 2003
20-24 Age 15-24
Vulnerability and HIV knowledge
% of women (15-49) who knew at least 2 ways to prevent HIV transmission, 1999 (%) 60 50.1
51.8
51.4
50.6
50.6
47.9
54.0
41.7
40.2
30 0 15-19 20-24 25-29 30-34 Age 35-39 40-44 45-49
Source: Multiple Indicator Cluster Survey (MICS), National Statistics Office and UNICEF, 2000
urban rural
% of women (15-49) who knew where to get an HIV test, 1999 (%) 100 50 42.9
53.2
55.7
54.3
52.3
56.4
55.8
52.2
0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 15-49 Age
Source: Multiple Indicator Cluster Survey (MICS), National Statistics Office and UNICEF, 2000
% of women (15-49) who knew where to get an HIV test, 1999 (Cont.) (%) 100 50 35.3
49.5
54.9
56.8
66.3
56.5
46.7
0 lowest second middle Wealth quintile fourth highest urban
Source: Multiple Indicator Cluster Survey (MICS), National Statistics Office and UNICEF, 2000
rural
% of population (15-49) who were willing to buy fresh vegetables from a person with HIV/AIDS, 1999 (%) 40 30.8
29.5
29.8
25.8
26.8
25.9
26.1
28.3
20 0 15-19 20-24 25-29 30-34 35-39 40-44 45-49 15-49 Age
Source: Multiple Indicator Cluster Survey (MICS), National Statistics Office and UNICEF, 2000
% of population (15-49) who were willing to buy fresh vegetables from a person with HIV/AIDS, 1999 (Cont.) (%) 40 33.7
29.5
27.3
26.4
26.8
25.6
24.1
20 0 lowest second middle fourth highest Wealth quintile urban
Source: Multiple Indicator Cluster Survey (MICS), National Statistics Office and UNICEF, 2000
rural
% of FSWs and MSM who know three ways to prevent HIV, 1997-2003 (%) 100 50 71 67 56 53 65 59 62 54 74 78 66 60 71 64 59 44 71 65 67 61 74 64 61 54 61 66 55 49 Registered FSW Freelance FSW MSM IDU 0 1997 1998 1999 2000
Source: 2003 National Epidemiology Center, HIV/AIDS Technical Report
2001 2002 2003 Year
% of population (15-24) who knew at least one source of condoms, 2003 (%) 100 Female Male 65.9
71.1
70.8
76.7
63.4
63.7
59.8
55.2
52.9
50 33.6
0 lowest second middle fourth
Source: Philippines Demographic and Health Survey (DHS), National Statistics Office, 2003
highest Wealth quintile
% of population (15-49) who say that a person with AIDS should be allowed to continue working, 2003 (%) 20 Female 15.4
14.9
Male 16.5
14 15.5
10.8
12.6
9.7
12.3
10 6.3
0 15-19 20-24 25-29 30-39 40-49 Age
Source: Philippines Demographic and Health Survey (DHS), National Statistics Office, 2003
% of population (15-49) who would care for a family member who was sick with AIDS, 2003 (%) 50 Female Male 38.4
36.2
36.8
31.6
32.0
29.2
31.1
27.0
31.2
25 24.1
0 15-19 20-24 25-29 30-39
Source: Philippines_Demographic and Health Survey (DHS), National Statistics Office, 2003
40-49 Age
National response
% of men (15-49) who have never received an HIV test, 2003 (%) 100 92.9
94.2
93.5
95.2
95.6
93.2
92.3
90.9
90.6
84.1
50 0 15-19 20-24 25-29 Age 30-39 40-49 lowest second middle Wealth quintile fourth highest
Source: Philippines_Demographic and Health Survey (DHS), National Statistics Office, 2003
% of people with STIs at health care facilities who are appropriately diagnosed, treated and counseled, 2003 9.0
Yes Note: n=229148 which means 20983 patients were appropriately diagnosed, treated and counseled.
No 91.0
Source: United Nations General Assembly Special Session on HIV/AIDS. Monitoring the Declaration of Commitment on HIV/AIDS. Country Report-Philippines. December 2005
% of HIV+ pregnant women who received ART to reduce the risk of mother-to-child transmission, 2003, 2005 (%) 1.0
0.5
0.5
0.4
0.0
2003
Source: UNAIDS Report on the Global AIDS Epidemic 2006 and 2008
2005 Year
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