Review in slides_Thailand

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HIV and AIDS Data Hub for Asia-Pacific
HIV and AIDS
Data Hub for Asia-Pacific
Review in slides
Thailand
HIV and AIDS Data Hub for Asia-Pacific
Content
Basic socio-demographic indicators
HIV prevalence and epidemiological status (1990-2009)
Risk behaviors (2003-2009)
Vulnerability and HIV knowledge (2004-2009)
Economics of AIDS (2001-2009)
National Response (2004-2009)
Archives
2
HIV and AIDS Data Hub for Asia-Pacific
Basic socio-demographic indicators
Total population (in thousands)
68,139 (2010)2
Annual population growth rate
0.5% (2010-2015)2
Population aged 15-49 (thousands)
37,383 (2008)6
Percentage of population in urban areas
34% (2010)1
Crude birth rate (births per 1,000 population)
14.5 (2008)3
Under-5 mortality rate (per 1,000 live births)
14 (2008)4
Human development index (HDI) - Rank/Value
92/0.654 (2010)5
Life expectancy at birth (years)
69.3 (2010)5
Adult literacy rate
93.5% (2005-2008)5
Ratio of girls to boys in primary and secondary education (%)
103 (2008)3
GDP per capita (PPP, $US)
7,995 (2009)3
Per capita total health expenditure (Int.$)
286 (2007)4
Source: 1. UNFPA The State of World Population 2010
2. UN Statistics Division 2010: http://unstats.un.org/unsd/demographic/products/socind/population.htm
3. World Bank World Development Indicators & Global Development Finance ;http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2
4. WHO World Health Statistics 2010
5. UNDP Human Development Report 2010
6. UN Population Division - Population Prospects: The 2008 Revision, Population Database
3
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence and
epidemiological status
4
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among
populations at higher risk, 2003 - 2009
%
50
46.8
38.7
37.6
40
28.8
30
20.7
24.6
20
14.2
13.5
10
6.7
5.2
4.3
2.8
0
2003
2005
IDU
2007
FSW
MSW
2009
MSM
Sources: HIV Sentinel Surveillance (HSS) of BOE, DDC ; Joint Study of Thai MOPH - US-CDC-collaboration (TUC)
and BOE_cited in UNGASS Country Progress Report, 2008 and 2010
5
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among populations at higher
risk, Bangkok, 2001 - 2009
%
60
52
47.8
40
40.5
39
36
30.7
28.3
24.7
25.6
17.3
20
8.1
7.5
4.5
3.9
4.1
1.7
0
2001
2003
IDU
0.3
1.5
2005
Direct FSW
2006
Indirect FSW
2007
2009
MSM
Sources: HIV Sentinel Surveillance (HSS) of BOE, DDC_Thailand ; BOE, DDC and TUC HSS during 2003-2009
_cited in UNGASS Country Progress Report, 2008 and 2010
6
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among direct and indirect
FSWs, 1993 - 2009
%
30
28.3
27.8
27.6
26.1
21.1
18.5
20
16.6
16.0
12.3
10.6
10
7.4
10.1
7.6
6.8
4.6
8.2
8.0
6.7
2.8
6.6
5.5
5.0
4.1
3.7
4.0
2003
2004
3.4
0
1993
1994
1995
1996
1997
1998
5.3
1999
2000
Direct SW
2001
2002
2005
2.3
2006
3.5
2007
1.7
2008
2009
Indirect SW
Sources: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand ; UNGASS Country Progress Report, 2010
7
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among direct FSWs,
selected provinces, 2001 - 2009
%
30
23.3
22.6
22.4
18.6
20
18.5
17.8
14.6
12.5
13.7
10.2
10.5
10
8.1
7.5
9.8
6.6
4.5
3.9
2.5
3.5
0.9
0
2001
Bangkok
2003
Chon Buri
2006
Phangnga
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
Phuket
2009
Samut Prakan
8
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among indirect FSW,
selected provinces, 2001 - 2009
%
8
7.0
6
6.7
5.9
6.1
5.7
5.0
5.0
5.3
4.9
4
4.1
2.7
2.4
2
2.4
2.1
1.7
1.5
2.0
1.4
0.3
0
2001
Bangkok
2003
Chon Buri
2006
Phangnga
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
Phuket
2009
Samut Prakan
9
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among FSWs, selected cities,
2009
%
14
12
12.5
10
9.8
8
6
5.3
4
5.3
4.5
3.5
Bangkok
1.8
Chon Buri Samut Prakan Chiang Rai
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
1.4
Chiang Mai
Prachuap
Khiri Khan
Phangnga
Direct
Indirect
Direct
Direct
Indirect
0.8
Direct
Direct
Indirect
Direct
0.8
Indirect
Indirect
Direct
0
2.0
0.9
Direct
0.3
Indirect
2.4
2.9
Indirect
2.9
Indirect
2
Phuket
10
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among direct FSWs by region,
2009
%
6
5.3
4
3.7
2.8
2
1.6
0
Central, including Bangkok
North
South
North East
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand_cited in UNGASS Country Progress Report, 2010
11
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among female sex workers, by
district, 1998 and 2008
1998
2008
Source: Sentinel surveillance data reported by Ministry of Public Health, Thailand_cited in HIV / AIDS in
the South-East Asia Region_WHO, 2009
12
HIV and AIDS Data Hub for Asia-Pacific
Trend of HIV prevalence among IDUs,
Bangkok, 1995 - 2009
%
60
53.7
50
50.7
52
47.8
40
40.9
37.8
30
31.4
31.4
39.6
38
40.5
39
36
33.1
25.6
20
10
0
1995
1996
1997
1998
1999
2000
2001
2002
2003
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 1995 - 2009
2004
2005
2006
2007
2008
2009
13
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among IDUs,
selected sentinel sites, 2001 - 2009
90
81.8
75
75
61.5
57.5
60
61.5
52.4
52
45
47.4
50
47.8
40.9
39.3
40.5
30
22.2
15
0
2001
2003
Bangkok
Yala
2006
Lampang
2009
Samut Prakan
Sample size, 2009 : Bkk= 126, Yala = 20, Lampang= 2, Samut Prakan =21
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2001 - 2009
14
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among IDUs, selected
sentinel sites, 2009
%
80
75
60
52.4
50
40
40.5
20
0
Bangkok
Yala
Lampang
Samut Prakan
Sample size : Bkk= 126, Yala = 20, Lampang= 2, Samut Prakan =21
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand
15
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among MSM,
selected sentinel sites, 2003 - 2009
% 40
30.7
28.3
30
24.7
20
20
17.3
15.3
16.9
10
5.5
0
2003
2005
Bangkok
2007
Chiang Mai
2009
Phuket
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC and TUC, 2003 - 2009
16
HIV and AIDS Data Hub for Asia-Pacific
Trend of HIV prevalence among pregnant
women, 1991 - 2009
%
2.5
2.3
2.0
1.8
1.8
1.7
1.7
1.5
1.4
1.5
1.5
1.4
1.4
1.2
1
1
1
0.9
1.0
0.7
0.8
0.7
0.7
0.5
0.0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 1991 - 2009
17
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among pregnant women by
region, 2009
%
1.2
1
1.01
0.93
0.9
0.8
0.8
0.7
0.6
0.4
0.2
0
Upper North
Central
Bangkok
Northeast
South
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand_cited in UNGASS Country Progress Report, 2010
18
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among pregnant women,
selected sentinel sites, 2009
%
3
2.8
2.7
2
1.6
1.4
1.3
1
1.4
1.1
0.9
0.9
0
Bangkok
Chanthaburi Chon Buri
Chiang Rai Chiang Mai
Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand, 2009
Phayao
Phuket
Phranakhon Prachin Buri
Si Ayutthaya
19
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among pregnant
women, selected sentinel sites, 2001 - 2009
%
3.5
3
3.0
2.9
2.5
2.5
2.4
2.4
2
1.6
1.6
1.6
1.6
1.4
1
1.5
1.4
1.3
1.5
0.9
2009
1.1
0.9
2006
1.1
1.4
1.4
1.4
2009
1.5
2006
2.0
1.1
0.9
0.5
Bangkok
Chon Buri
Chiang Rai
Chiang Mai
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2001 - 2009
Phuket
2003
2001
2009
2006
2003
2001
2009
2006
2003
2001
2009
2006
2003
2001
2009
2006
2003
2001
2003
2001
0
Phranakhon Si
Ayutthaya
20
HIV and AIDS Data Hub for Asia-Pacific
Trends in HIV prevalence among young people
(15 -24) and pregnant women, 2003 - 2009
%
1.5
1.2
1
1.0
0.8
1.0
0.7
0.6
0.5
0.6
0.5
0.0
2003
2005
Young People (15 - 24)
2007
2009
Pregnant Women
Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2003 – 2009_cited in UNGASS
Country Progress Report, 2010
21
HIV and AIDS Data Hub for Asia-Pacific
% distribution of reported HIV/AIDS cases, by
gender, 1990 Vs 2008
%
100
80
86
60
61
40
39
20
14
0
1990
2008
Male
Source: WHO_HIV / AIDS in the South-East Asia Region, 2009
1990
2008
Female
22
HIV and AIDS Data Hub for Asia-Pacific
Percent distribution of new HIV infections by
population group, 2008
%
0
FSWs
10
30
40
4
28
MSMs
8
IDUs
10
Clients of FSW
33
Low risk women from husband/ partner
10
Low risk men from wife/ partner
People engaged in casual sex
20
7
Source: Bureau of AIDS, TB and STI, DDC, MOPH_cited in WHO_HIV / AIDS in the South-East Asia Region, 2009
23
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of HIV + pregnant women,
2008-2010
12000
10000
Number
8000
6000
4000
93.8 % of HIV + pregnant women received ARV for PMTCT &
100% of ANC clinics provide PMTCT
2000
0
2008
2009
2010
Source: Thailand country presentation _East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialists’ Meeting,
17-20 th November 2009, Bangkok
24
HIV and AIDS Data Hub for Asia-Pacific
Estimated new HIV infections by mode of transmission, 1990–2010
Source: Asia Epidemic Model, HIV/AIDS projections; Ministry of Public Health, Thailand, 2008_cited in HIV /
AIDS in the South-East Asia Region_WHO, 2009
25
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of people living with HIV, 2001-2007
700,000
660,000
590,000
600,000
610,000
580,000
500,000
400,000
300,000
240,000
220,000
220,000
250,000
200,000
100,000
10,000
16,000
17,000
14,000
0
2001
Adults (15+) and children
2003
2005
Women (aged 15+)
2007
Children (aged 0-14)
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008
26
HIV and AIDS Data Hub for Asia-Pacific
Changing routes of transmission over the course of
Thai epidemic, 1985-2009
Year
Source: The Thai Working Group on HIV/AIDS Projection. Projections for HIV/AIDS in Thailand: 2000-2020. Ministry of Public Health,
27
Bangkok. 2001
HIV and AIDS Data Hub for Asia-Pacific
Estimated number of HIV infections, 1985-2025
Source: Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection 2005-2025. Presentation at the Integrated
Analysis and Advocacy-HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, 2006
28
HIV and AIDS Data Hub for Asia-Pacific
Number of IDUs decrease, however, HIV prevalence
is still high
Year
Source: 1. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health
2. Brown T. and Thailand A2 Team. Updating Thai Projections: Inputs and Assumptions. Thai Ministry of Public Health.
Presentation on December 9, 2006
29
HIV and AIDS Data Hub for Asia-Pacific
Risk behaviours
30
HIV and AIDS Data Hub for Asia-Pacific
% of populations at higher risk who used a condom at
their last sexual encounter, 2007 -2009
%
100
96
89
97
88
80
60
96
92
40
88
20
42
35
0
2007
2009
FSW
2007
2007
MSM
<25
Sources: Thailand_UNGASS Country Progress Report, 2008 and 2010
2008
IDU
25+
31
HIV and AIDS Data Hub for Asia-Pacific
% of MSM who reported always using a condom
in the past three months, 2007 and 2008
0
10
20
30
40
50
60
2007
Bangkok
44
36
56
2008
Udorn
%
66
Phuket
Chiang Mai
70
Patalung
Source: Thailand UNGASS Country Progress Report, 2010
57
32
HIV and AIDS Data Hub for Asia-Pacific
% of adults (15-49) who had more than 1 partner in the past 12
months and reported condom use at last sex, by age group, 2006
%
70
60
53
50
40
63
30
51
49
50
20-24
25-49
20
14
10
0
Total
15-19
Female
Male
Source: IPSR, National Sexual Behavioural Survey, 2006_cited in Thailand UNGASS Country Progress Report, 2008
33
HIV and AIDS Data Hub for Asia-Pacific
% of young people (15-24) who reported sex
before the age of 15, 2003-05 Vs 2006
0
2
4
6
8
2003-05
10
12
%
Total
8.7
Female
2006
5
2003-05
2006
6.6
1
2003-05
Male
10.9
2006
8
Source: IPSR, National Sexual Behavioural Survey, 2006_cited in Thailand UNGASS Country Progress Report, 2008 ;
UNAIDS_Report on the Global AIDS Epidemic, 2006
34
HIV and AIDS Data Hub for Asia-Pacific
% of population (18-59) who reported the use of a
condom in the last causal sex, 2006
(%) 100
63.2
65.6
50
40.0
45.3
41.5
46.9
34.6
16.2
6.3
0
Total
Male
Female
Total
18-24
Source: National Sexual Behavior Survey of Thailand 2006
Male
25-59
Female
Total
Male
18-59
Female
Age
35
HIV and AIDS Data Hub for Asia-Pacific
% of population (15-24) who have had sexual
intercourse before the age of 15, 2003-2005
(%)
15
10.9
10
8.7
6.6
5
0
Male
Female
Total
36
Source: UNAIDS Report on the Global AIDS epidemic, 2006
HIV and AIDS Data Hub for Asia-Pacific
Vulnerability and
HIV knowledge
37
HIV and AIDS Data Hub for Asia-Pacific
% of populations at higher risk with
comprehensive HIV knowledge, 2007 and 2009
%
60
41.3
40
29.2
29.3
49.1
22.9
20
38.3
28.4
25.3
25.5
2007
2009
NA
0
2007
2009
2007
IDU
2009
SW
FSW
Sources: Thailand UNGASS Country Progress Report, 2008 and 2010
MSM
MSW
38
HIV and AIDS Data Hub for Asia-Pacific
% of SW and MSM with comprehensive HIV knowledge
by age group, 2007
30.4
MSM
25+
20.6
<25
33.2
SW
25+
21.1
<25
0
5
10
Source: Thailand UNGASS Country Progress Report, 2008
15
20
25
30
35
%
39
HIV and AIDS Data Hub for Asia-Pacific
Young people (15-24) with comprehensive HIV
knowledge by age group and gender, 2006
%
50
44.4
40
40.5
30
30.5
29.4
20
10
0
15 - 19
20 - 24
Age group
Female
Male
Gender
Source: IPSR, National Sexual Behavioural Survey, 2006_cited in Thailand UNGASS Country Progress Report, 2008
40
HIV and AIDS Data Hub for Asia-Pacific
% of women (15-49) with comprehensive HIV
knowledge, 2005
(%) 100
50
46.0
46.1
46.1
47.0
48.0
48.3
15-19
20-24
15-24
25-29
30-34
35-39
44.8
45.9
40-44
45-49
0
Age
41
Source: National Statistical Office, Ministry of Information and Communication Technology and UNICEF. Monitoring the Situation
of Children and Women, Thailand Multiple Indicator Cluster Survey, December 2005-February 2006, Final Report
HIV and AIDS Data Hub for Asia-Pacific
% of women (15-49) with comprehensive HIV
knowledge, 2005 (Cont.)
(%) 100
50
46.5
48.1
primary
secondary+
45.1
47.0
48.0
47.1
45.7
lowest
second
middle
fourth
highest
23.1
0
no
education
Education
Wealth quintile
42
Source: National Statistical Office, Ministry of Information and Communication Technology and UNICEF. Monitoring the Situation
of Children and Women, Thailand Multiple Indicator Cluster Survey, December 2005-February 2006, Final Report
HIV and AIDS Data Hub for Asia-Pacific
% of young people (15-24) with comprehensive
HIV knowledge, 2004-2006
(%) 100
39.5
50
31.15
18.67
0
2004
Source: Thailand UNGASS Country Report, 2008
2005
2006
43
HIV and AIDS Data Hub for Asia-Pacific
% of women (15-49) who are willing to buy fresh
vegetables from a person with HIV/AIDS, 2005
(%) 100
50
32.3
32.7
no education
primary
36.5
29.1
30.6
lowest
second
34.7
37.5
39.3
fourth
highest
0
Education
secondary+
middle
Wealth quintile
Source: National Statistical Office, Ministry of Information and Communication Technology and UNICEF. Monitoring the Situation
44
of Children and Women, Thailand Multiple Indicator Cluster Survey, December 2005-February 2006, Final Report
HIV and AIDS Data Hub for Asia-Pacific
% of women (15-49) who say that a person with AIDS
should be allowed to continue working, 2005
(%) 100
71.3
72.6
72.5
69.8
70.1
70.2
73.2
69
68.4
60.4
50
0
15-19
20-24
25-29
30-34
Age
35-39
40-44
45-49
no
primary secondary+
education
Education
Source: National Statistical Office, Ministry of Information and Communication Technology and UNICEF. Monitoring the Situation
45
of Children and Women, Thailand Multiple Indicator Cluster Survey, December 2005-February 2006, Final Report
HIV and AIDS Data Hub for Asia-Pacific
% of women (15-49) who would not like to keep the HIV
status of an infected family member a secret, 2005
(%) 100
50
37.1
40.0
42.2
41.6
36.9
34.5
32.9
35-39
40-44
33.4
33.3
45-49r
no
education
31.0
0
15-19
20-24
25-29
30-34
Age
primary secondary+
Education
Source: National Statistical Office, Ministry of Information and Communication Technology and UNICEF. Monitoring the Situation
46
of Children and Women, Thailand Multiple Indicator Cluster Survey, December 2005-February 2006, Final Report
HIV and AIDS Data Hub for Asia-Pacific
Economics of AIDS
47
HIV and AIDS Data Hub for Asia-Pacific
Amount of national funds spent by government
from domestic sources for AIDS, 2001 - 2009
Millions USD
0
2001
2002
2003
2004
2007
2008
2009
50
100
150
200
250
50
62.7
70.2
92.8
165.1
178.6
194
Sources: UNAIDS_Report on the Global AIDS Epidemic, 2006 ; UNGASS Country Progress Report, 2008 and 2010
48
HIV and AIDS Data Hub for Asia-Pacific
% of AIDS spending by category, 2008 and 2009
%
80
76.1
65.8
60
40
21.7
20
13.7
5.7
0.7
0.7
2008
2009
3.5
0.6
2.9
3.2
2.4
2009
2008
2009
0
0.1
2.3
0.7
2008
2009
0
2008
2009
Prevention
2008
2009
Care &
Treatment
2008
2009
Orphans and
Program
Vulnerable
Management
Children
affected by
AIDS
Source: Thailand_UNGASS Country Progress Report, 2010
2008
Human
Resource
Rights
Protections
and Social
Services
2008
2009
Enabling
Environment
Research
49
HIV and AIDS Data Hub for Asia-Pacific
% of HIV care and treatment expenditures, 2008 and 2009
%
60
57
45
40
21
20
19
15
9
9
7
4
4
3
3
1
1
1
0
1
0
0
2008
2009
ARV drugs
2008
2009
In-patient
2008
2009
Out-patient
2008
2009
Laboratory
tests
Source: Thailand_UNGASS Country Progress Report, 2010
2008
2009
OI
prophylaxis
2008
2009
Nutrition
2008
2009
2008
2009
Maintenance Home-based
Care
care
2008
2009
Other
50
HIV and AIDS Data Hub for Asia-Pacific
Household consumption expenditure in household
with PLWHA in Thailand
ARV = antiretroviral
Note: Consumption expenditure in households with PLWHA decrease
by between 34 per cent and 38 per cent if antiretrovirals (ARVs) are
used .
PLWHA = people living with HIV/AIDS,
Q = consumption quintile.
Source: Martin G. Impact of HIV/AIDS on poverty in Cambodia, India, Thailand and Vietnam. ADB-UNAIDS Study Series,
December 2006 (This document is remaining a draft. There may have more updated data for this graph)
51
HIV and AIDS Data Hub for Asia-Pacific
Change in life expectancy with and without AIDS,
1985-2010
Source: McLeod R. Socio-economic impact of HIV/AIDS in Asia and the Pacific – Current and future scenarios. Asian Development
52
Bank and UNAIDS, 2005
HIV and AIDS Data Hub for Asia-Pacific
National response
53
HIV and AIDS Data Hub for Asia-Pacific
% of populations at higher risk who received HIV testing in the
last 12 months and knew the results, 2007 - 2009
%
75
60
59.7
45
30
34.9
36
35.2
FSW
MSW
15
0
MSM
IDU
2007
2008
Sources: UNGASS Country Progress Report, 2008 and 2010
2009
54
HIV and AIDS Data Hub for Asia-Pacific
% of sex workers who received HIV testing in the last 12
months and knew the results, 2007 and 2009
0
10
20
30
40
2007
50
60
%
Total
52.6
2009
35.8
2007
FSW
43.1
2009
36
2007
MSW
54.2
2009
Sources: UNGASS Country Progress Report, 2008 and 2010
35.2
55
HIV and AIDS Data Hub for Asia-Pacific
% HIV infected pregnant women received ARVs to
reduce the risk of mother-child transmission, 2005 - 2009
0
20
40
60
80
100
2005
89.8
2006
90.1
2007
2008
2009
Sources: UNGASS Country Progress Report, 2008 and 2010
%
95.9
93.3
94.7
56
HIV and AIDS Data Hub for Asia-Pacific
Decline in reported HIV cases among children (0 -4 years) in
response to PMTCT programme, 1994 - 2007
Source: WHO_HIV / AIDS in the South-East Asia Region, 2009
57
HIV and AIDS Data Hub for Asia-Pacific
% of adults and children with advanced HIV infection
received antiretroviral therapy, 2006 - 2009
%
100
86.1
85.5
80
75.4
66.5
60
40
77.8
67.1
52.9
20
41
0
2006
2007
2008
<15
Sources: UNGASS Country Progress Report, 2008 and 2010
2009
15 - 49
58
HIV and AIDS Data Hub for Asia-Pacific
% of adults and children with HIV who are on treatment
12 months after the initiation of ART, 2005-06 Vs 2008
%
100
85.4
84.6
80
60
40
84.9
85.1
84.8
2005-06
2008
2005-06
90
87.7
84.9
2008
2005-06
2008
20
0
Total
<15
Female
Sources: UNGASS Country Progress Report, 2008 and 2010
15 - 49
Male
59
HIV and AIDS Data Hub for Asia-Pacific
Pediatric HIV/AIDS, 2008
% of infants born to HIV + mothers
who receive ARV prophylaxis
99.5%
Number of children living with HIV
15,000
Number of children 0-14 years on
ART
6,368
Source: Thailand country presentation _East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialists’ Meeting,
17-20 th November 2009, Bangkok
HIV and AIDS Data Hub for Asia-Pacific
Percentage of MSM reached by minimum package of services in
Bangkok and Chiang Mai, 2005–2007
Source: MOH, Thailand_cited in HIV / AIDS in the South-East Asia Region_WHO, 2009
61
HIV and AIDS Data Hub for Asia-Pacific
Current HIV infections (million)
The importance of prior prevention efforts
10.00
No prevention
8.00
Line represents what
might have been if
behaviour had not
changed
6.00
Infection
prevented
4.00
2.00
Baseline
0.00
1985
1990
1995
2000
2005
2010
Source: Brown T. Peerapatanapokin W. The future of HIV in Asia: An application of AEM. Presentation at the Training Workshop on
62
Policy Analysis using Asian Epidemic Model. Hawaii, Summer 2005
HIV and AIDS Data Hub for Asia-Pacific
Estimated % of HIV+ pregnant women received ART to
preventing mother-to-child transmission, 2004-2007
(%) 100
92
50
48
49
42
0
2004
2005
Source: Thailand Epidemiological Fact Sheet on HIV and AIDS, 2008
2006
2007
Year
63
HIV and AIDS Data Hub for Asia-Pacific
% of adults and children with advanced HIV infection
receiving antiretroviral therapy, 2006-2007
(%) 100
52.9
50
41.0
0
2006
2007
Source: National AIDS Prevention and Alleviation Committee (2008). UNGASS Country Progress Report, Thailand, Reporting period:
64
January 2006-December 2007
HIV and AIDS Data Hub for Asia-Pacific
65
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence and
epidemiological status
66
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among IDUs,1990-2004
(%) 60
60
50.3
46.9
30
46
45.0
41.4
44
44
39
42
42 41.0
42
35.8
39
34.6 34 37.5
36.7
31.6 36
31.5
33.1
29.7
31.4 31.4
40 40.9
37.8
32.2
53.7
52.0
47.4
47.8
43.9
42.2
41.7
50
40
39.6
(Number of sites)
52
38.0
28
30
29
27
23.1
20
18
1
Major urban area
N-site major urban area
Outside major urban area
N-site outside major urban area
1
1
1
1
1
1
1
1
1
1
1
10
8
1
1
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
67
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among MSM, 1990-2003
16
15.2
14
17.3
12
11.1
(Number of sites)
(%) 20
10
Major urban area
N-site major urban area
Outside major urban area
N-site outside major urban area
10
5
3
8
6
4
4.4
3
2
1
1
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
68
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among sex workers, 1990-2004
Major urban area
Outside major urban area
72
71
75
73
71
75
75
75
73
75
80
73
70
17.867
68
70
60
52
13.0
10
9.7
50
(Number of sites)
(%) 20
N-site major urban area
N-site outside major urban area
40
9.6
8.6
7.5
6.9
15.6
18.5
20
18.1 18.8
6.6
15.9
10
5
1
1
1
1
1
1
1
1
7.4
6.1
12.6
1
6.7
30
5.9
3.6
10.8
1
10.5 9.7
1
1
2.6
7.8
1
4.3
20
10
6.3
1
5.7
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
69
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among STI patients, 1990-2004
Outside major urban area
N-site outside major urban area
Major urban area
N-site Major urban area
12
65
62
80
70
11.6
67
63
64
60
10
57
9.9
8.7
8.8
8.2
45
8
55
9.6
49
49
6.8
6.1
6
50
49
44
6.9
(Number of sites)
(%) 14
42
7
40
6.4
5.6
32
32
5.1
30
4
20
2.6
2
5
2.6 1
1
5.7
1
7.8
1
8.9
1
8.7
1
8.3
1
6.7
7.7
1
1
9.1
1
2.5
6.3
5.9
1
1
4.9
1
4.2
1
4
10
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
70
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among pregnant women, 1990-2004
75
70
75
75
75
72
70
75
73
75
75
75
80
75
2.3
69
70
2.1
2
1.9
1.9
60
1.7
1.6
1.6
50
1.5
1.3
1.2
1
1
40
1.2
1
1
1
1
1
1
1
1
1
(Number of sites)
(%) 2.5
1
1.1
1
1.1
1
1
30
22
0.6
Major urban area
0.5
0.2
0
0.7
1
Outside major urban area
2.3
1.8
1.8
1.7
1.4
20
N-site major urban area
N-site outside major urban area
1.8
1.5
1.5
1.4
1.4
1.2
10
1
0
0
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Year
71
Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2006 Update.
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among young people (15-24),
2002-2007
(%)
1
0.95
0.64
0.45
0.5
0
2002-2003
2004-2005
2006-2007
Source: National AIDS Prevention and Alleviation Committee (2008). UNGASS Country Progress Report, Thailand, Reporting period:
72
January 2006-December 2007
HIV and AIDS Data Hub for Asia-Pacific
HIV transmission pattern over time, 1990-2010
Source: Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection 2005-2025. Presentation at the Integrated
Analysis and Advocacy-HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, 2006
73
HIV and AIDS Data Hub for Asia-Pacific
Vulnerability and
HIV knowledge
74
HIV and AIDS Data Hub for Asia-Pacific
Population (15-49) who think HIV can be transmitted by
various methods, 2004
Living with PLWH
6.6
Using the same swimming pool as PLWH
7
Having a meal with PLWH
7.5
11.4
Sharing eating utensils with PLWH
Being bitten by a mosquito that has bitten PLWH
17.8
Hugging and kissing PLWH
19.5
Receiving dental work along with PLWH
43.7
Receiving blood transfusion
29.5
57.2
Tattoo, ear-piercing using non-pasteurized equipment
Sharing needles with infecting drug users
84.9
Having casual sex without condom
82.6
Having sex with a CSW without condom
93.5
Having sex with an HIV-positive person without condom
93.7
0
Source: UNDP,2004. Thailand’s response to HIV/AIDS progress and challenges.
20
40
60
80
100 (%)
75
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
76