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) Ratio of girls to boys in primary and secondary education (%) Adult literacy rate GDP per capita Per capita total health expenditure (Int.$) 15,053 (2010) 1 1.7% (2010-2015) 1 8,273 (2008) 2 20% (2010) 3 24.7 (2008) 4 89 (2008) 5 124/0.494 (2010) 6 62.2 (2010) 6 89.7 (2007) 4 77% (2005 –2008) 6 1,914 (2009) 4 108 (2007) 5

Source: 1. UN Statistics Division 2010: http://unstats.un.org/unsd/demographic/products/socind/population.htm

2. UN Population Division - Population Prospects: The 2008 Revision, Population Database 3. UNFPA The State of World Population 2010 5. WHO World Health Statistics 2010 6. UNDP Human Development Report 2010

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence and epidemiological status

HIV and AIDS

Data Hub for Asia-Pacific

Percent distribution of clients who tested positive for HIV in VCCT sites by gender and age group, 2009 51,9 48,1 male female % 100 80 60 40 20 0 9,9 <15 84,2 15-49 5,9 50+

Source: Prepared by www.aidsdatahub.org

STD, Annual Report 2009 based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and

HIV and AIDS

Data Hub for Asia-Pacific

Trend of HIV prevalence among VCT clients and people tested for HIV, 2006-2009 Number 400000 350000 300000 250000 200000 150000 100000 50000 0 8,1 5,7 3,9 212789 2006 259883 2007 People tested for HIV 299368 2008 Prevalence 363799 2009 3 % 10 8 6 4 2 0

Source: Prepared by www.aidsdatahub.org

STD, Annual Report 2009 based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among female sex workers and IDU, 2006-2007 FSW 13 IDU 24 0 10 20 30 40 50 Percent

Source: Prepared by www.aidsdatahub.org

based on HSS 2006 (FSW) and Drug User HIV prevalence and Behavioral Survey 2007 reported in Country Health Sector Progress Report_Towards Universal Access, Scaling Up Priority HIV/AIDS Interventions in the Health Sector, 2009

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among female sex workers and number tested for HIV by province, 2006 % 50 40 153 30 30,7 20 10 0 149 20,6 126 11,1 112 25,8 130 3,1 119 142 12,6 11,3 135 4,4 115 10,4 149 Number 200 160 26,7 120 80 40 0 HIV prevalence number tested for HIV

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trend of HIV prevalence among direct female sex workers and number tested for HIV, 1996-2006 Number 5000 44,7 % 50 42,6 39,9 4000 40 36,8 33,6 3000 30 26,8 23,4 number tested for HIV HIV prevalence 2000 20 14,7 1000 10 0 1996 1997 1998 1999 2000 2002 2003 2006 0

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trend of HIV prevalence among indirect female sex workers and number tested for HIV, 1998-2003 Number 5000 % 50 4000 3000 2000 18,4 1000 0 1358 1998 19,3 1488 1999 15,6 1799 2000 14,3 1232 2002 40 30 20 number tested for HIV HIV prevalence 11,7 1633 10 0 2003

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trends of HIV prevalence among direct and indirect female sex workers and number tested for HIV, Phnom Penh, 1996-2006 Number 250 % 100 200 150 173 100 50 0 210 80 1996 42 162 44,4 150 59,1 154 49,8 152 153 100 27,6 162 145 8,1 8,4 10,7 19,2 13,5 147 136 23,8 14 142 11,3 60 40 20 0 1997 1998 1999 2000 2002 2003 2006 number of direct FSWs tested for HIV prevalence of direct FSWs (%) number of indirect FSWs tested for HIV prevalence of indirect FSWs (%)

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trends of HIV prevalence among direct and indirect female sex workers and number tested for HIV, Banteay Meanchey, 1996-2006 % Number 250 100 202 198 200 156 150 53,1 100 56,2 52,7 150 150 37,8 171 35,4 153 80 60 40 94 148 52,5 126 150 150 30,7 26,7 21,1 50 11,4 13,2 18,9 45 20 0 1996 1997 1998 1999 2000 2002 5,3 2003 2006 0 number of direct FSWs tested for HIV prevalence of direct FSWs (%) number of indirect FSWs tested for HIV prevalence of indirect FSWs (%)

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trends of HIV prevalence among direct and indirect female sex workers and number tested for HIV, Battambang, 1996-2006 % Number 250 100 200 150 56,5 156 100 50 0 1996 46,7 102 1997 80 150 52,1 103 161 40 101 147 150 31 159 130 149 150 29,5 19,5 1998 20,5 1999 23,1 2000 11,9 11,5 2002 9,3 2003 149 14,2 2006 60 40 20 0 number of direct FSWs tested for HIV prevalence of direct FSWs (%) number of indirect FSWs tested for HIV prevalence of indirect FSWs (%)

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among drug users in 4 provinces, 2007

Cross sectional study of 528 IDU and non IDU in 4 provinces, 2007

% 50 40 30 20 10 0 19,1 25,1 24,4 1,3 Rehab 0,7 Community Non IDU IDU 1,1 Total

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among ANC attendees and number tested for HIV by provincial capital, 2006 % 10 Number 500 8 6 300 300 300 296 294 300 299 274 249 297 300 301 275 299 300 300 300 301 400 300 4 2 1,3 1,7 0,7 1,4 0 1 0,7 1,7 0,7 1,6 1 0 150 164 2,3 0,8 0,4 0,7 1 0,3 0,3 1,7 1,2 1 200 100 0 HIV prevalence number tested for HIV

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trend of HIV prevalence among ANC attendees and number tested for HIV, 1996-2006 Number 15000 % 10 12370 12000 8 10867 9166 9000 6 6562 6000 3000 3429 1,5 5003 1,9 5397 2,1 0 1996 1997 1999 4 2000 2,1 2002 1,8 2003 1,6 2006 1,1 2 0 number tested for HIV HIV prevalence

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trends of HIV prevalence among ANC attendees (15-24 yr) by province, 1996-2006 % 5 4 3 2 1 0 Phnom Penh Banteay Meanchey Battambang Koh Kong Pailin Sihanoukville 1996 2,4 2 0,9 4,4 1,3 2,2 1997 2,7 2,1 1,5 4,6 2,4 3,1 1998 2,6 2,1 1,9 4,4 2,9 3,4 1999 2,4 2 2 4,1 3 3,4 2000 2,2 1,9 2 3,7 2,9 3,3 2001 1,9 1,8 1,9 3,3 2,8 3,1 2002 1,7 1,8 1,8 2,8 2,7 2,9 2003 1,4 1,7 1,6 2,4 2,5 2,6 2006 0,7 0,6 1,2 0,9 0,8 0,7

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trends of HIV prevalence among ANC attendees (25+ yr) by province, 1996-2006 6 % 5 4 3 2 1 0 Phnom Penh Banteay Meanchey Battambang Koh Kong Pailin Sihanoukville 1996 3,3 2,4 1,3 5 2,2 2,4 1997 3,6 3,1 2 5 3,2 3,6 1998 3,5 3,3 2,2 4,8 3,6 4,1 1999 3,3 3,3 2,2 4,5 3,6 4,1 2000 3 3,1 2,2 4,1 3,5 3,9 2001 2,7 2,9 2,1 3,6 3,3 3,6 2002 2,4 2,6 2,1 3,1 3,1 3,2 2003 2 2,3 2 2,6 2,8 2,8 2006 0,9 2,1 1,8 2,2 3,5 2,8

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among antenatal clinics, 1995-2006

(%)

3 2.5

2 1.5

1 0.5

0 1995 1997 Urban Rural Total 1999 2001 2003 2005

Note: Figures are adjusted for HIV testing errors % smoothed by Estimation Projection Package.

Source: Prepared by www.aidsdatahub.org

based on Consensus workshop on HIV estimation for Cambodia, presented on June 28, 2007. Data were from HIV Sentinel Surveillance, 1995-2006

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among pregnant women (15-24) who attended antenatal clinics, 2006

(%) 0.5

0.4

0.3

0.2

0.1

0 0.4

15-19 0.41

0.41

20-24 Total Source: Prepared by www.aidsdatahub.org

based on Preliminary data from the HIV Sentinel Surveillance (HSS) 2006, provided by the National Center for HIV/AIDS, Dermatology and STDs. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

HIV and AIDS

Data Hub for Asia-Pacific

Trend of HIV prevalence among policemen and number tested for HIV, 1996-2003 Number 10000 % 10 8000 8 6000 4000 4,9 2000 1775 3,9 1325 4,8 2650 3,7 4141 3,7 4711 2,5 4375 2,5 5796 6 4 2 0 1996 1997 1998 1999 2000 2002 2003 0 number tested for HIV HIV prevalence

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

Trend of HIV prevalence among TB patients and number tested for HIV, 1996-2002 Number 5000 4000 7,9 % 10 8,4 8 3000 2000 1826 3,9 1000 1035 5 0 1996 1997 2166 1999 2739 6 2000 6 2356 4 number tested for HIV HIV prevalence 2 2002 0

Source: Prepared by www.aidsdatahub.org

based on Cambodia_HIV Sentinel Surveillance, 2006

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among STI and TB patients, 2005

(%)

2 0 6 4 12 10 8 1.9

STI patient 10 TB patient (major urban areas)

Source: Prepared by www.aidsdatahub.org

Infections, 2008 based on WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among population (15-24), 2007

(%)

1.5

1 High estimate: 0.6

0.5

0.3

0 Low estimate: 0.1

Female

Source: Prepared by www.aidsdatahub.org

2008

High estimate: 1.2

0.8

Low estimate: 0.3

Male

(%)

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among population (15-49) by residence, 1995-2006

3 2.5

2.5

2.6

2.4

Urban Rural Total 2.3

2 1.5

1.8

1.7

1.5

1.9

1.7

2 1.9

1.9

1.7

2.1

1.6

1.5

2 1.8

1.6

1.4

1.3

1.4

1 1.2

1 0.9

1.1

0.9

0.8

0.5

Note: According to DHS 2005, HIV prevalence for 15-49 age group is 0.6%.

0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Source: Prepared by www.aidsdatahub.org

based on National Center for HIV/AIDS, Dermatology and Sexually Transmitted Infection (NCHADS), National Institute of Public Health, FHI/USAID, CDC, WHO, UNAIDS, East-West Center. Consensus workshop on HIV estimation for Cambodia, June 28, 2006 Year

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among population (15-49), 2005

(%) 1.5

Female Male 1.3

1.3

1.2

0.5

1 Total HIV prevalence =0.6%.

0.6

0.2

0 0.1

0 15-19 20-24 0.6

0.8

0.7

25-29 30-34 35-39 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 0.3

0.7

40-44 1 1.3

45-49 Age

HIV and AIDS

Data Hub for Asia-Pacific

Estimated number of adult and children living with HIV, 2001-2007

Source: Prepared by www.aidsdatahub.org

Infections, 2008 based on WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted

HIV and AIDS

Data Hub for Asia-Pacific

Projected prevalence of HIV among the general population (15-49), 2006-2012 (with ART available)

(%) 1 0.9

0.8

0.7

0.6

0.5

0 Year 2006 2007 2008 2009 2010 2011 2012 Source: Prepared by www.aidsdatahub.org

based on Reported on Consensus Workshop on HIV Estimates and Projections for Cambodia 2006-2012: Ministry of Health, National Centre for HIV/AIDS, Dermatology and STDs: 25-29 June, 2007. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

HIV and AIDS

Data Hub for Asia-Pacific

Projected number of population (15-49) who are HIV infected, 2006 - 2012

Female Male Total 80000 70000 60000 50000 40000 30000 20000 10000 0 67200 35000 61400 32200 58700 30800 57900 30300 32200 29200 27900 27600 56200 29500 53100 27800 51200 26800 26700 25300 24400 2006 2007 2008 2009 2010 2011 Year 2012 Source: Prepared by www.aidsdatahub.org

based on Reported on Consensus Workshop on HIV Estimates and Projections for Cambodia 2006 2012: Ministry of Health, National Centre for HIV/AIDS, Dermatology and STDs: 25-29 June, 2007. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

HIV and AIDS

Data Hub for Asia-Pacific

Projected no. of new HIV infections annually among population (15-49), 2006-2012

800 700 600 500 400 300 200 100 0 700 630 550 540 480 420 Female 410 330 360 270 Male 300 230 260 200 2006 2007 2008 2009 2010 2011 Year 2012 Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific

Projected no. of AIDS related deaths annually among population (15-49), 2006-2012

14000 12000 10000 8000 6000 4000 2000 12040 9950 10800 6890 9500 3590 With ART 8310 1210 7200 1450 Without ART 6170 2400 5260 1740 0 2006 2007 2008 2009 2010 2011 2012 Year Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among population (15-24), 2005

(%) 1 0.9

Female Male 0.6

0.5

Total Female: 0.3

0.4

0 0.1

0 15-19

Total Male:0.1

0.1

0 15-17 0 0 18-19 0.2

20-24 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 0.1

20-22 0.3

23-24 Age

HIV and AIDS

Data Hub for Asia-Pacific

Risk behaviours

HIV and AIDS

Data Hub for Asia-Pacific

% of condom use at last commercial sex among direct and indirect female sex workers, 2007 % 100 80 60 40 99 88 96 95 20 0 Direct sex workers Beer garden workers Beer promoters Karaoke workers Indirect sex workers

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of female sex workers who had unprotected sex with sweethearts in the past 3 months, 2007 Karaoke girls 6 Beer promoters 5 Beer garden workers 2 Brothel-based 0 6 10 18 20 20 19 24 30 40 50 % Sweetheart Client

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of direct and indirect FSWs who had sex with a non paying partner (sweetheart) in the past year, 2007 % 50 40 30 20 10 0 45 44 39 44 Direct FSW Beer promoters Beer garden workers Indirect FSW Karaoke workers

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

Status of sexual activity and condom use with clients among direct and indirect sex workers in the past week, 2007 20% 80% 0% Direct Female Sex Worker 1 40% 93 60% 100% 6 Karaoke workers Beer promoters 56 39 6 21 5 74 Beer garden workers 84 No sex with client Protected sex Unprotected sex 14 2

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

% indirect FSWs who sold sex in the past year, 2007 Beer promoters 0 10 20 30 27 40 50 % Beer garden workers 20 Karaoke workers 46

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

Specific sexual behaviors among short hair MSM in the last month, 2007 Non paying male Male client Transgender MSW FSW Female client 0 31 20 52 52 75 83 82 40 39 29 9 16 60 32 37 16 6 10 11 80 9 9 100 % Non-penetrative sex Always use condom Unprotected sex

Source: Prepared by www.aidsdatahub.org

based on Behavioral surveillance survey_2007; Power point presentation by National Center for HIV/AIDS, Dermatology and STDs, Sun Way Hotel_28 April 2008

HIV and AIDS

Data Hub for Asia-Pacific

Specific sexual behaviors among long hair MSM in the last month, 2007 Non paying male 10 Male client Transgender MSW FSW Female client 0 46 44 24 46 30 20 71 94 94 40 96 60 11 19 2 5 Non-penetrative sex Always use condom Unprotected sex 2 4 80 4 100 %

Source: Prepared by www.aidsdatahub.org

based on Behavioral surveillance survey_2007; Power point presentation by National Center for HIV/AIDS, Dermatology and STDs, Sun Way Hotel_28 April 2008

HIV and AIDS

Data Hub for Asia-Pacific

Specific sexual behaviors among short hair and long hair MSM in the last month, 2007 Short hair 18 44 38 Non-penetrative sex Always use condom Unprotected sex Long hair 9 42 50 0 20 40 60 80 100 % Long hair MSM-

identified themselves as female and adopt feminine attitude

Short hair MSM-

not identified themselves as female Source: Prepared by www.aidsdatahub.org

based on Behavioral surveillance survey_2007; Power point presentation by National Center for HIV/AIDS, Dermatology and STDs, Sun Way Hotel_28 April 2008

HIV and AIDS

Data Hub for Asia-Pacific

% of condom use at last sex among MSM with different types of sexual partners, 2007 % 100 80 60 40 20 83 94 0 Non paying male 92 96 Paid male 79 90 Male client 96 FSW 64 short hair long hair Long hair MSM-

identified themselves as female and adopt feminine attitude

Short hair MSM-

not identified themselves as female Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

Unprotected sex in the past month by partner type among men who have sex with men, 2007 15 10 5 0 50 45 40 35 30 25 20 45 29 Non-paying male 30 16 Transgender 19 16 Non-transgender Male client Transgender 5 10 Male sex worker 4 11 4 9 Female sex worker Femlae client

Source: Prepared by www.aidsdatahub.org

surveillance , 2007 based on National Center of HIV/AIDS, Dermatology and STD, Behavioral sentinel

HIV and AIDS

Data Hub for Asia-Pacific

% of short and long hair MSM with selected sexual behaviors, 2007 % 90 75 60 45 30 15 0 36 60 Ever sold sex 57 65 38 22 13 5 9-15 yr 16-19 yr Age at first selling sex 20+ yr Short hair MSM Long hair MSM Long hair MSM-

identified themselves as female and adopt feminine attitude

Short hair MSM-

not identified themselves as female Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

% reported sexual behaviors among short and long hair MSM with male partner, 2007 % 100 91 80 77 60 54 40 44 20 0 32 27 18 6 Short hair Long hair Short hair Long hair Short hair Long hair Short hair Long hair Had sex with non commercial partner Had sex with male sex worker (MSW) Sold sex to a client Had sex with transgender Long hair MSM-

identified themselves as female and adopt feminine attitude

Short hair MSM-

not identified themselves as female Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

% reported sexual behaviors among short and long hair MSM with female partner, 2007 % 100 80 66 60 50 40 20 7 0 Short hair Long hair Had sex with a woman 6 Short hair Long hair Had sex with FSW 18 3 Short hair Long hair Sold sex to a woman Long hair MSM-

identified themselves as female and adopt feminine attitude

Short hair MSM-

not identified themselves as female Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

Sources to get clean needles and syringes among IDUs in 4 Provinces, 2007 100 90 80 30 20 10 0 70 60 50 40 89 86 67 14 53 10 42 5 22 0

Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007

8 10 8 0 2 5 2 0 Community Rehab

Source: Prepared by www.aidsdatahub.org

based on Surveillance Unit, National Center of HIV/AIDS, Dermatology and STD

HIV and AIDS

Data Hub for Asia-Pacific

% of IDU who shared needles and syringes at the last injection, 2007 0 10 20 30 40 50 % Total 36 IDU in rehab 46 IDU in community 34

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of IDU who never injected with used needles and syringes at the past month, 2007 % 100 80 60 40 20 0 66 71 66 Total IDU in rehab IDU in community

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

Selected sexual behaviors of IDUs in 4 Provinces, 2007 % 100 86 86 80 68 67 60 51 53 40 20 14 16 0 Had sexual intercourse in the past year Had sex with male partner in the past year (for male only)

Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007

Rehab Had sex after using drug in the past year Community Drug consumption lead to desire to have sex

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs having various types of commercial sexual partners in the last 12 months, 2007 % 100 80 60 40 20 0 43 52 5 16 29 8 14 2 Rehab Community

Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007 Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs using condoms in 4 provinces, 2007 % 100 80 60 40 71 83 77 36 20 0 Condom use at last time sex Always use condom in the past year

Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007

Rehab Community

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs and drug users who used a condom at the last commercial sex, 2007 % 100 80 60 40 20 0 81 88 71 89 83 87 IDU Drug user Total IDU Drug user In rehab IDU Drug user In community

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs and drug users who reported consistent condom use during commercial sex in the past year, 2007 % 100 80 60 40 20 0 69 71 36 70 77 73 IDU Drug user Total IDU Drug user In rehab IDU Drug user In community

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of IDUs using condoms with regular and non regular partners, 2007 % 100 80 60 63 IDU in Rehab IDU in community

Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007

69 67 40 20 33 42 22 32 40 0 Used condom for last time sex ( regular partner) Used condom for last time sex ( non-regular partner) Always use condom during last year ( regular partner) Always use condom during last year ( non regular partner)

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of moto-taxi drivers with selected sexual behaviors during last year, 2007 had multiple sexual partners 0 20 40 47 60 80 100 % had sex with sweetheart 7 had sex with FSW Drunk alcohol before last sex with FSW 40 62

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of moto-taxi drivers who bought sex in the past year by type of partner, 2007 30 40 38 50 % Brothel workers Karaoke workers Beer promoters Bar/ night club women Masseuses Beer garden workers Factory workers 0 3 3 5 6 5 10 13 20

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of moto-taxi drivers who used a condom at last sex by type of partner, 2007 % 100 80 60 40 20 0 16 spouse 72 sweetheart 95 FSW

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of motor-taxi drivers who consistently used condom with sex workers in the last 3 months, 2007 100 80 84 89 86 70 62 60 40 54 20 0 1997 1998 1999 2001 2003 2007

Source: Prepared by www.aidsdatahub.org

based on Behavioral surveillance survey_2007; Power point presentation by National Center for HIV/AIDS, Dermatology and STDs, Sun Way Hotel_28 April 2008

HIV and AIDS

Data Hub for Asia-Pacific

% of FSWs reported the no. of clients in last working day, 2005

(%) 80 58 N=1081 39 40 0 1.3

0 1-3 4-10 Mean=3.5

2 10+ (Number) Source: Prepared by www.aidsdatahub.org

based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal

(%)

HIV and AIDS

Data Hub for Asia-Pacific

% of FSWs reported always used condom, 2005

Sweetheart refers to “romantic” partner who does not live with respondent. A sweetheart does not necessarily involve sexual intercourse (non marital and non commercial).

Causal partner refers to sexual partner who is neither living with, married to, or sweetheart of the respondent.

Source: Prepared by www.aidsdatahub.org

based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal

HIV and AIDS

Data Hub for Asia-Pacific

% of FSWs reported forced or convinced not to use condoms in the past week, 2005

No Yes Source: Prepared by www.aidsdatahub.org

based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal

HIV and AIDS

Data Hub for Asia-Pacific

Number of female sex partners of MSM in the past year, 2005

(%) N=211 (Number) Source: Prepared by www.aidsdatahub.org

based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal. Provinces refer to Battambang and Siem Reap

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reported having sex with women in the past month, 2005

40 (%) Phnom Penh Provinces 24.9

20 15 11.5

16.6

10.4

14.1

4.7

4 0 With FSW With Casual partner With Sweetheart With Female client Sweetheart refers to “romantic” partner who does not live with respondent. A sweetheart does not necessarily involve sexual intercourse (non marital and non commercial).

Causal partner refers to sexual partner who is neither living with, married to, or sweetheart of the respondent.

Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific

No. of male sex partners of MSM in the past year, 2005

(%) 80 53.3

49.6

Phnom Penh Provinces N=518 40 37 25.7

0 1 2-5 13.2

6-10 7.7

7.7

5.7

11+ (Number) Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reported selling sex in past week, 2005

(%) 40 20 26.6

Phnom Penh 28.8

Provinces 18.2

17.1

N=254 0 1 paying partner >1 paying partner Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific (%)

% of MSM reported consistent condom use with female partners in the past month, 2005

Sweetheart refers to “romantic” partner who does not live with respondent. A sweetheart does not necessarily involve sexual intercourse (non marital and non commercial).

Causal partner refers to sexual partner who is neither living with, married to, or sweetheart of the respondent.

Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reported consistent condom use with male partners in the past month, 2005

(%) 100 Phnom Penh Provinces 63.1

65.6

54.6

48.7

50 23.1

18 17.8

18.5

0 With male sweatheart With casual male With male client With MSW Sweetheart refers to “romantic” partner who does not live with respondent. A sweetheart does not necessarily involve sexual intercourse (non marital and non commercial).

Causal partner refers to sexual partner who is neither living with, married to, or sweetheart of the respondent.

Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reported always use condom during anal sex in the past month, 2005

(%) 80 70.8

Phnom Penh Provinces 47.8

40 0 20.1

15.9

Receptive anal sex Insertive anal sex Source: Prepared by www.aidsdatahub.org

HIV and AIDS

Data Hub for Asia-Pacific

% of police reported always using condoms in the past 3 months, 2005

(%) Source: Prepared by www.aidsdatahub.org

based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal.

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) who have had sexual intercourse with more than one partner in the past 12 months reporting the use of a condom, 2005

100 (%) 83.2

73 50 40.4

39.2

22.7

12.3

0 Male Female Gender 15-19 20-24 Age Low level of condom use 25-49 Total Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-24) who had sexual intercourse before age 15, 2000 and 2005

Female, 2000 Female, 2005 Male, 2005 (%) 2 0 1.0

0.7

0.4

0.3

1.2

0.3

15-19 20-24 0.5

15-17 0.6

0.9

18-19 0.0

1.1

20-22 0.0

Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2000 and 2005 1.2

0.8

23-24 Age

HIV and AIDS

Data Hub for Asia-Pacific

% of unmarried population (18-24) who had sexual intercourse before age 18, 2005

(%) 25 20 Female Male 19.0

21.0

17.5

15 12.7

9.6

10 8.0

7.0

5.9

5 0.0

18-19 20-24 20-22 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 23-24

Age 73

HIV and AIDS

Data Hub for Asia-Pacific

Vulnerability and HIV knowledge

HIV and AIDS

Data Hub for Asia-Pacific

% of injecting and other drug users who knew that proper use of condom can prevent HIV transmission, 2007 IDU 0 Drug user IDU Drug user IDU Drug user 20 40 60 71,4 80 79,4 88,6 89,6 86,5 83 100 %

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of injecting and other drug users who knew that used needles and syringes can transmit HIV infection, 2007 20 100 % IDU 0 Drug user IDU Drug user IDU Drug user 40 60 80 71,4 77,2 83,6 62,1 76,5 76,1

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) who have heard about HIV and AIDS, 2000 and 2005

(%) 100

Female, 2000

93.3

98.3

98.7

Female, 2005

94.6

98.3

99.3

Male, 2005

94.2

98.7

99.2

95.9

98.6

99.6

95.7

98.9

99.5

50 0 15-19r 20-24 25-29 30-39 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2000 and 2005 40-49 Age

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) who said HIV/AIDS can be prevented by abstinence, 2000 and 2005

(%) 100 Female, 2000 82.3

90.1

Female, 2005 83.6

92.2

Male, 2005 93.0

83.3

83.1

93.7

83.1

93.5

50 21.6

22.8

23 22.6

24.6

0 15-19 20-24 25-29 30-39 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2000 and 2005 40-49 Age

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) who knew HIV can be prevented by condom, 2000 and 2005

(%) 100 Female, 2000 88.3

91.6

Female, 2005 88.7

92.5

Male, 2005 89.8

91.2

87.3

90.5

84.3

90.0

68.0

64.6

65.6

66.1

66.3

50 0 15-19 20-24 25-29 30-39 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2000 and 2005 40-49 Age

HIV and AIDS

Data Hub for Asia-Pacific

% of comprehensive HIV knowledge among population (15-49) 2005

(%) 100 Female Male 50 50.1

45.2

50.2

41.4

49.8

50.4

47.2

43.5

40.4

39.1

35.9

34.9

0 15-24 15-19 20-24 25-29 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 30-39 40-49 Age

HIV and AIDS

Data Hub for Asia-Pacific

% of comprehensive HIV knowledge among population (15-49) with by wealth quintile, 2005

(%) 100 Female Male 66.6

62.2

52.1

48.4

50 38.8

36.8

31.1

26.5

23.7

23.4

0 lowest second middle fourth Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 highest Wealth quintile

(%) 100

HIV and AIDS

Data Hub for Asia-Pacific

% of comprehensive HIV knowledge among young people (15-24) by age, 2005

Female Male 50 50.2

41.4

48.1

40.0

54.0

44.2

49.8

50.4

48.7

48.1

51.3

53.7

0 15-19 15-17 18-19 20-24 Source: Prepared by www.aidsdatahub.org

based on Population Services International 2005 (PSI 2005) 20-22 23-24 Age

(%) 100

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-24) who know a condom source, 2005

Female Male 50 50.2

37.5

48.0

33.7

53.9

45.0

55.2

59.3

52.8

59.3

58.5

59.2

0 15-19 15-17 18-19 20-24 20-22 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey , 2000 and 2005 23-24 Age

HIV and AIDS

Data Hub for Asia-Pacific

Economics of AIDS

HIV and AIDS

Data Hub for Asia-Pacific

Amount of domestic and international AIDS spending and % of government sharing in AIDS funds, 2006-2008 Million USD 50 40 13,7 38,1 30 20 10 0 6,1 2006 11 47,5 5,8 2007 10,2 5,3 46,6 2008 Domestic sources International sources Government funding shared in total AIDS Funds (%) 12 8 4 0 20 % 16

Source: Prepared by www.aidsdatahub.org

based on UNAIDS_Report on the Global AIDS Epidemic 2008, annex II: country progress indicators and Cambodia_UNGASS Country Progress Report, 2010

HIV and AIDS

Data Hub for Asia-Pacific

Amount of national funds spent by government from domestic sources for AIDS, 2001-2008 Million USD 8 6 6,1 5,8 5,3 4 2 0 2001 0,4 2002 1,4 2003 0,8 2004 1,0 2005 2006 2007 2008

Source: Prepared by www.aidsdatahub.org

based on UNAIDS_Reports on the Global AIDS Epidemic , 2006 and 2008 and Cambodia_UNGASS Country Progress Report, 2010

HIV and AIDS

Data Hub for Asia-Pacific

Amount of AIDS expenditure in US$ by financing source and spending category, 2006-2008 AIDS expenditure by financing source AIDS expenditure by spending category

Source: Prepared by www.aidsdatahub.org

based on National AIDS Spending Assessments I (2006) and II (2007-08) cited in Cambodia_UNGASS Country Progress Report, 2010

HIV and AIDS

Data Hub for Asia-Pacific

Sources of HIV/AIDS funds, 2006 Other 3% Global Fund 20% Bilateral 42% UN Agencies 18% NGOs 4% National Budget 13%

Source: Prepared by www.aidsdatahub.org

based on UNGASS Country Progress Report, Cambodia, 2008

HIV and AIDS

Data Hub for Asia-Pacific

AIDS expenditures by AIDS spending categories, 2006

Enabling Environment & community development 5% Incentive for Human Resources 2% Program management & administration 20% Prevention 45% Related research 2% Orphan & vulnerable children 5% Care and treatment 21%

Source: Prepared by www.aidsdatahub.org

based on UNGASS Country Progress Report, Cambodia, 2008

HIV and AIDS

Data Hub for Asia-Pacific

National response

HIV and AIDS

Data Hub for Asia-Pacific

% of key populations at higher risk reached with HIV prevention program in the past year 2007 % 100 80 60 40 20 0 94 56 SW IDU

Source: Prepared by www.aidsdatahub.org

based on BSS 2007 and Drug User HIV Prevalence and Behavioral Survey 2007 reported in Country Health Sector Progress Report_Towards Universal Access, Scaling Up Priority HIV/AIDS interventions in the Health Sector, 2009

HIV and AIDS

Data Hub for Asia-Pacific

% of MARPs who reached by prevention, outreach, or harm reduction programs, 2004-2005

97.0

(%) 100 92.2

87.0

82.0

60.0

50 17.0

0 IDU: harm reduction Programs (2005) MSM: outreach Programs (2005) Transgender (2004) FSW (2005) DFSW (2004) IDFSW (2004) MSM-Men who have sex with men IDU-Injecting drug user FSW-Female sex worker DFSW-Direct female sex worker IDFSW-Indirect female sex worker Source: Prepared by www.aidsdatahub.org

Phnom Penh, Cambodia" based on Coverage Survey 2006; USAID "Violence and Exposure to HIV Among Sex workers in

HIV and AIDS

Data Hub for Asia-Pacific

% of key populations at higher risk who tested for HIV in the past 12 months and knew the results, 2007 Direct SW 0 Indirect SW MSM IDU 20 40 60 68,1 80 51,8 58 35,3 100 %

Source: Prepared by www.aidsdatahub.org

based on BSS 2007 and Drug User HIV Prevalence and Behavioral Survey 2007_cited in Cambodia_UNGASS Country Progress Report, 2010

HIV and AIDS

Data Hub for Asia-Pacific

% of direct and indirect FSWs who had an HIV test in the past 12 months, 2007 % 100 80 60 40 20 0 74,2 Direct FSW 67,1 41,1 50,4 Beer promoters Beer garden workers Indirect FSW Karaoke workers

Source: Prepared by www.aidsdatahub.org

based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007

HIV and AIDS

Data Hub for Asia-Pacific

Number of VCCT sites and people tested for HIV, 2006-2009 Number 400000 350000 300000 250000 200000 150000 100000 50000 0 140 212789 2006 197 259883 212 299368 2007 People tested for HIV 2008 VCCT sites 233 363799 Number 250 200 150 100 50 0 2009

Source: Prepared by www.aidsdatahub.org

STD, Annual Report 2009 based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and

HIV and AIDS

Data Hub for Asia-Pacific

Status of VCCT services and estimated number of people (15+) tested for HIV per 1000 adult population, 2008-2009 Number 1200 1000 800 600 400 200 0 984 38 212 77 233 Number 100 75 50 25 0 2009 Total 2008 providing VCCT services 2009 Health facilities Estimated number of people (15+) tested for HIV per 1000 adult population

Source: Prepared by www.aidsdatahub.org

based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Reports, 2009 and 2010

HIV and AIDS

Data Hub for Asia-Pacific

Partner testing in 2008 Number 400000 350000 300000 250000 200000 150000 100000 50000 0 Estimated number of pregnant women 0.5% of pregnant women were tested positive 0.5% male partners were tested positive

15%

# of pregnant women who receive test results # of male partners who receive results

Source: Prepared by www.aidsdatahub.org

Meeting, 17-20 th November 2009, Bangkok based on Penelope Campbell_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialists’

HIV and AIDS

Data Hub for Asia-Pacific

% of women and men (15-49) who received an HIV test in the past 12 months and who know their result, 2005

(%) 10 6.4

5 5.1

4.3

4.1

3.3

1.8

0 Male Female

Gender

15-19 20-24

Age

25-49

Total

Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

HIV and AIDS

Data Hub for Asia-Pacific % of pregnant women with access to ANC, Cambodia, 2005

Banteay Meanchey 66.6

Oddar Meanchey 56.1

Siem Reap 69.3

Preah Vihear 38.3

Stoeung Treng 38.3

Battambang Krong Pailin 81.6

Kampong Thom 59.2

Kratie 51.9

Pursat 88.8

Koh Kong 57.6

Kampong Chhnang 84.6

Kampong Cham 57.7

Kampong Speu 59.4

Phnom Penh 85.1

Kandal 77.9

Prey Veng 61 Svay Rieng 91.7

Takeo 84.5

Kampot Krong Preah Sihanou 57.6

69 Krong Kep 69 Ratanak Kiri 28.2

Mondul Kiri 28.2

Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey (DHS), 2005

HIV and AIDS

Data Hub for Asia-Pacific

Status of ANC, VCCT, PMTCT services and uptakes, 2008 and 2009 Number 1600 1200 800 400 0 903 2008 providing ANC services 179 164 2008 providing ANC and VCCT services 2008 providing ANC services, VCCT services and ARVs for PMTCT Health facilities 103768 922 777 2008 Pregnant women 153884 1128 798 Number 160000 120000 80000 40000 0 2009 Health facilities # received ARVs to reduce the risk of MTCT # tested HIV (+) # tested for HIV

Source: Prepared by www.aidsdatahub.org

based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Reports, 2009 and 2010

100

HIV and AIDS

Data Hub for Asia-Pacific

Status of ANC, VCCT, PMTCT services and uptakes, 2008 and 2009 Number 1200 1000 903 800 600 400 200 179 164 0 2008 providing ANC services 2008 Health facilities 2008 providing ANC and VCCT services providing ANC services, VCCT services and ARVs for PMTCT 922 777 2008 1128 2009 Pregnant women 798 Health facilities Pregnant women tested HIV (+) Pregnant women received ARVs to reduce the risk of MTCT

Source: Prepared by www.aidsdatahub.org

based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Reports, 2009 and 2010

101

HIV and AIDS

Data Hub for Asia-Pacific

% HIV infected pregnant women and their infants received ARVs to reduce MTCT and infants received co-trimoxazole prophylaxis, 2009 % 100 > 95 80 60 40 20 0 26 45 12 low estimate high estimate HIV infected pregnant women received ARVs to reduce MTCT Infants born to HIV infected mother received ARVs to reduce MTCT Infants born to HIV infected mother received co-trimoxazole prophylaxis (within 2 months of birth)

Source: Prepared by www.aidsdatahub.org

the Health Sector, Progress Report, 2010 based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in

102

HIV and AIDS

Data Hub for Asia-Pacific

% of HIV infected pregnant women who received ARVs to reduce the risk of mother to child transmission, 2004-2009 % 50 40 30 20 10 0 2,7 2004 3,8 2005 27 32,3 11,2 7 2006 2007 2008 2009

Source: Prepared by www.aidsdatahub.org

based on Cambodia_UNGASS Country Progress Reports, 2005 and 2010

103

HIV and AIDS

Data Hub for Asia-Pacific

Number of ART sites and cumulative number of adults and children on ART, 2001-2009 Number of people on ART 50000 Number of sites 60 40000 50 40 30000 20000 30 20 10000 10 0 Adults and children on ART ART sites 2001 71 1 2002 392 2 2003 2230 4 2004 5974 11 2005 12355 32 2006 20131 44 2007 26664 49 2008 31999 51 2009 37315 52 0

Source: Prepared by www.aidsdatahub.org

STD, Annual Report 2009 based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and

104

HIV and AIDS

Data Hub for Asia-Pacific

Status of health facilities providing ART and number of people on ART, 2008-2009 984 1000 50000 37315 800 40000 31999 600 30000 400 20000 200 0 Total 51 52 2008 providing ART 2009 10000 5 3 2008 2009 providing ART and experienced one or more stock-outs of required ARVs in last 12 months 0 Health facilities Adults and children received ART

Source: Prepared by www.aidsdatahub.org

based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Reports, 2009 and 2010

105

HIV and AIDS

Data Hub for Asia-Pacific

Number of adults and children who are in need of ART and % of ART coverage, 2009 Number 80000 95 94 95 95 86 % 100 80 60000 68 60 40000 20000 0 40 40000 28000 55000 33000 24000 44000 20 Estimate Low estimate People needing ART High estimate Estimate Low estimate People needing ART High estimate (based on WHO 2010 guidelines, ART initiation at CD4 count < 350/mm3 ) (based on WHO 2006 guidelines, ART initiation at CD4 count < 200/mm3) 0 People needing ART % ART coverage (low estimate) % ART coverage (estimate) % ART coverage (high estimate)

Source: Prepared by www.aidsdatahub.org

the Health Sector, Progress Report, 2010 based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in

106

HIV and AIDS

Data Hub for Asia-Pacific

Number of children (<15 years) who are in need of ART and % of ART coverage, 2009 Number 10000 8000 > 95 % 100 80 % ART coverage (low estimate) 6000 60 60 6100 4000 40 % ART coverage (high estimate) 3638 2800 2000 20 0 Low estimate High estimate Children needing ART Children receiving ART 0

Source: Prepared by www.aidsdatahub.org

the Health Sector, Progress Report, 2010 based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in

107

HIV and AIDS

Data Hub for Asia-Pacific

% of adults and children with advanced HIV infection who received ART, 2004-2009 % 100 80 60 40 20 0 3 2004 26 2005 57 2006 82,6 94,9 100 2007 2008 2009

Source: Prepared by www.aidsdatahub.org

based on UNAIDS_Report on the Global AIDS Epidemic, 2006 and Cambodia_UNGASS Country Progress Report, 2010

108

HIV and AIDS

Data Hub for Asia-Pacific

Cumulative number of adults and children with advanced HIV infection who are on ART, 2004-2009 Number 40000 35000 30000 25000 20000 15000 10000 5000 0 5522 452 2004 24123 18344 11284 1071 2005 1787 2006 Adult 2541 2007 Children 28932 3076 2008 33677 3638 2009

Source: Prepared by www.aidsdatahub.org

STD, Annual Report 2009 based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and

109

HIV and AIDS

Data Hub for Asia-Pacific

Number of new patients on opportunistic infection care and on ART, 2006-2009 2006 0 2007 2008 2009 5000 10000 8888 7850 9878 6781 6686 9058 12698 15000 Number 13945 New patients on OI care New patients on ART

Source: Prepared by www.aidsdatahub.org

STD, Annual Report 2009 based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and

110

HIV and AIDS

Data Hub for Asia-Pacific

Number and % of adults and children with HIV known to be on treatment 12, 24, 36 and 48 months after initiation of ART Number 4000 % 100 87 80 78 3000 72 70 2000 60 Number Percent 40 1000 20 0 3179 12 months (n=3638) 2571 24 months (n=3310) 2923 36 months (n=4062) 1349 48 months (n=1919) 0

Source: Prepared by www.aidsdatahub.org

the Health Sector, Progress Report, 2010 based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in

111

60 50 40 30 20 10 0

HIV and AIDS

Data Hub for Asia-Pacific

Coverage of antiretroviral therapy, 2005-2007

Facilities with ART ODs covered 30 22 16 11 2005 44 Provinces covered Facilities with paediatric ART 48 38 30 19 22 19 20 Year 2006 2007 Source: Prepared by www.aidsdatahub.org

based on Annual Reports 2005 and 2006 & Third Comprehensive Quarterly Report 2007, National Centre for HIV/AIDS, Dermatology and STDs. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

112

HIV and AIDS

Data Hub for Asia-Pacific

% of children below 18 yr who are orphans, 2005

Source: Prepared by www.aidsdatahub.org

combination with more than one area.

based on Cambodia Demographic and Health Survey, 2005. Some figures refer to the

113

HIV and AIDS

Data Hub for Asia-Pacific

% of schools which provided life skill based HIV education, 2004-2009 % Primary and Secondary Schools 50 40 30 20 10 0 % Total 50 40,6 40 29 26,4 21,4 13,8 13,5 11,8 25,6 1 1 0,6 2004-05 Total 2005-06 2006-07 Primary School 24,8 4,5 2007-08 Secondary School 34,1 5,2 2008-09 30 20 10 0

Source: Prepared by www.aidsdatahub.org

based on data provided by School Health Department of Ministry of Education, Youth and Sports_cited in Cambodia_UNGASS Country Progress Reports, 2010

114

HIV and AIDS

Data Hub for Asia-Pacific

School attendance among children (10-14), 2000 & 2005

(%) 100 Female 2000 Female 2005 50 52.7

82.3

67.6

85.1

61.4

80.4

74.9

83.8

Male 2000 71.2

65.4

77 Male 2005 74 87.9

84 89.9

45 0 Maternal orphans Paternal orphans Double orphans Non-orphans Source: Prepared by www.aidsdatahub.org

based on Quantitative Secondary Data Analysis of DHS 2000 and DHS 2005 for Cambodia OVC Situational Analysis; UNICEF, September 6/7, 2007. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

115

HIV and AIDS

Data Hub for Asia-Pacific

116

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence and epidemiological status

117

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among FSWs, outside urban areas, 2002-2003

Banteay Meanchey 30.2

Preah Vihear 30 Stoeung Treng 29.2

Siem Reap 36.9

Krong Pailin 30.3

Battambang 10.1

Kampong Thom Cambodia 29.9

20.2

Kratie 24.4

Pursat 63.4

Kampong Chhnang 36.8

Kampong Cham 23.3

Koh Kong 29.7

Kampong Speu 32.8

Krong Preah Sihanou 26.4

Kampot 34 Phnom Penh Kandal 23 Prey Veng 17.2

Svay Rieng 35.6

Takeo 11.5

Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008 Note: Data presented are the most recent data in 2002 and 2003

118

(%)

HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among FSWs and MSM, Phnom Penh, 1995-2002

Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008 Year

119

HIV and AIDS

Data Hub for Asia-Pacific

Risk behaviours

120

HIV and AIDS

Data Hub for Asia-Pacific

% of men in high risk occupational groups who reported the consistent condom use with sex workers in the last 3 months, 1997-2003

(%) 100 50 Military 70 54 54 Moto-taxi drivers 62 59 53 Police 81 70 70 87 87 79 94.6

89 87 0 1997 1998 1999 2001 2003 Source: Cambodia 2003 Behavioral Surveillance Survey, HIV/AIDS Related Sexual Behavior among Urban Sentinel Groups Year

121

HIV and AIDS

Data Hub for Asia-Pacific

Socio-demographic characteristics of IDUs in 4 Provinces, 2007 Mean age (years) Mean year of schooling 5 7 Percent of no schooling 14 Not married 25 23 40 Male 0 20 40

Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007

60 67 82 80 88 100 100 Community Rehab

Source: Prepared by www.aidsdatahub.org

based on Surveillance Unit, National Center of HIV/AIDS, Dermatology and STD

122

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of IDUs seeking specific places for treatment of STI symptoms in the last year

Pharmacy 43 Private clinics Public clinics NGO clinics Traditional healer Didn't get care 0 5 5 7 10 10 15 Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007 26 21 20 25 Percent 30 35 40 45 50 Source: Prepared by www.aidsdatahub.org

based on Surveillance Unit, National Center of HIV/AIDS, Dermatology and STD

123

HIV and AIDS

Data Hub for Asia-Pacific

Percentage of IDUs using specific sources to get condoms, 2007

Pharmacy Health facilities Bar/Hotel/Guest house NGO peer Outreach worker Friends Don't know Others 0 14 17 7 10 12 20 29 38 Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007 30 40 Percent 50 60 67 70 72 80 Source: Prepared by www.aidsdatahub.org

based on Surveillance Unit, National Center of HIV/AIDS, Dermatology and STD

124

HIV and AIDS

Data Hub for Asia-Pacific

Place of living among IDUs in 4 Provinces, 2007 90 80 20 10 0 70 60 50 40 30 76 71

Cross

10 On street 8 5 9 Relative/parents Own house

–sectional study of 528 IDU and non-IDU in 4 Provinces, 2007

13 7 Others Rehab Community

Source: Prepared by www.aidsdatahub.org

based on Surveillance Unit, National Center of HIV/AIDS, Dermatology and STD

125

HIV and AIDS

Data Hub for Asia-Pacific

Average of no. of sexual partners in the lifetime of population (15-49), 2005

6 Female Male 4.9

5 4.5

4.5

4.3

4.4

4 3.7

3 2 1 1.2

1.2

1.1

0 15-24 15-19 20-24 25-29 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 30-39 1.1

40-49 Age

126

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) who reported more than one partner in the last 12 months, 2005

(%) 35 Female Male 30.8

30 25 For 15-19 yr male, n = 91 20 19.3

17.6

15 10.9

10 8.1

5 0 0.1

15-24 yr 0.1

15-19 yr 0.1

20-24 yr 0.2

25-29 yr 0.5

30-39 yr Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 5.2

0.2

40-49 yr Age

127

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) reporting more than one partner in the last 12 months, 2005 (Cont.)

(%) 20 18.7

Female Male 13.3

10 9.6

8.0

6.0

5.5

4.5

3.4

0.5

0.3

0.0

0.2

0.4

0 no education primary secondary and higher lowest second middle Education Wealth quintile Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 0.3

fourth 0.4

highest

128

HIV and AIDS

Data Hub for Asia-Pacific

% of men (15-49) who paid for sexual intercourse in last 12 months, 2005

(%) 15 12.7

11.2

10.7

10 6.0

5.4

5 4.4

2.5

0 15-24 15-19 20-24 25-29 30-39 40-49

Age

Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 urban rural

Residence 129

HIV and AIDS

Data Hub for Asia-Pacific

% of men (15-49) who paid for sexual intercourse in last 12 months, 2005 (Cont.)

(%) 15 12.7

10 7.8

6.4

5 4.7

2.1

1.3

0 no education primary Education secondary and higher lowest 3.0

2.9

second middle Wealth quintile fourth highest 5.8

Male Total Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005

130

HIV and AIDS

Data Hub for Asia-Pacific

% of MSM reported having sex with men in the past month, 2005

(%) 100 85.5

Phnom Penh Provinces 66 66.1

63.1

50 44 17.8

14.4

11.7

Causal partner refers to sexual partner who is neither living with, married to, or sweetheart of the respondent.

Source: Prepared by www.aidsdatahub.org

131

HIV and AIDS

Data Hub for Asia-Pacific

% MSM reported male-to-male sex in the past month, 2005

(%) 80 Phnom Penh 58.6

Provinces 53.5

55.4

60.54

40.73

40 32.6

0 Insertive anal sex Receptive anal sex Gave oral sex Source: Prepared by www.aidsdatahub.org

132

HIV and AIDS

Data Hub for Asia-Pacific

Vulnerability and HIV knowledge

133

HIV and AIDS

Data Hub for Asia-Pacific

% of MARPs willing to buy fresh vegetables from a shopkeeper with AIDS, 2003

(%)100 69.5

69.1

69.7

50 0 DFSW IDFSW: Beer promoters IDFSW: Karaoke Workers MARPs – Most-at-Risk Populations DFSW – Direct Female Sex Workers IDFSW - Indirect Female Sex Workers Source: Cambodia 2003 Behavioral Surveillance Survey, HIV/AIDS Related Sexual Behavior among Urban Sentinel Groups

134

HIV and AIDS

Data Hub for Asia-Pacific

% of MARPs who would like to keep the HIV status of an infected family member a secret, 2003

(%) 100 51.3

49.9

48.0

135

(%)

HIV and AIDS

Data Hub for Asia-Pacific

% of women (15-49) saying a person with AIDS should be allowed to work, 2000 and 2005

100 86.6

86.8

Female 82.8

Male 73.6

69.6

50 36.2

37.5

36.1

34.2

33.4

0 15-19 20-24 25-29 30-39 Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey , 2000 and 2005 40-49 Age

136

HIV and AIDS

Data Hub for Asia-Pacific

National response

137

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) who know where to get an HIV test, 2005

(%) 100 Female Male 50 46.2

42.1

41.6

34.7

51.6

52.1

49.1

52.3

45.1

50.9

40.7

47.8

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

Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005

40-49 Age 138

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-49) who know where to get an HIV test, 2005 (Cont.)

(%) 100 Female Male 50 29.9

22.3

42.2

38.4

63.1

61.2

28.5

29.5

35.7

35.6

40.3

40.0

51.0

49.8

63.3

69.3

0 no education primary Secondary+

Education

lowest second middle

Wealth quintile

fourth Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005 highest

139

HIV and AIDS

Data Hub for Asia-Pacific

% of population (15-24) who received an HIV test in the last 12 months and who know their results, 2005

(%) 14 Female Male 12 11.6

12 11.4

11 10.7

10.4

10 7.8

8 7.6

7.4

6 5.2

3.9

4 2 0 15-19 15-17 18-19 20-24 20-22 23-24 Age Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2005

140

HIV and AIDS

Data Hub for Asia-Pacific

% of MARPs who received HIV testing in the last 12 months, 2003

(%) 100 68.0

61.0

63.0

50 48.0

38.0

22.0

0 DFSW karaoke workers Sex workers beer promoters moto-taxi drivers military Clients of sex workers police Source: Cambodia 2003 Behavioral Surveillance Survey, HIV/AIDS Related Sexual Behavior among Urban Sentinel Groups

141

HIV and AIDS

Data Hub for Asia-Pacific

% of pregnant women who had access to antenatal care, 2000 and 2005

(%) 100 2000 2005 90.2

90.3

79.2

77.6

72.1

68.8

70.6

69.7

68.5

67.7

63.6

59.8

62.3

55.2

49.9

50 45.5

38.9

36.8

33.8

31.1

24.8

0 <20 20-34 Age 35-49 urban rural no primary Secondary+ lowest second middle Education fourth Wealth quintile highest Source: Prepared by www.aidsdatahub.org

based on Cambodia Demographic and Health Survey, 2000 and 2005

142

HIV and AIDS

Data Hub for Asia-Pacific

ART coverage in Cambodia, by end of 2005

Year 5 2005 57 3.8

2004 26 2003 0 1.2

3 10 20 30 40 ARV/PMTCT ARV coverage (overall) 50 60 (%) Source: Prepared by www.aidsdatahub.org

based on National AIDS Authority. UNGASS Report-Monitoring the Declaration of Commitment, January 2004-December 2005. March 2006

143

HIV and AIDS

Data Hub for Asia-Pacific

When do MARPs and Police receive last HIV test result, 2005

(%) Source: Prepared by www.aidsdatahub.org

based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevlence, September 12, 2006, Hotel Le Royal

144

HIV and AIDS

Data Hub for Asia-Pacific

% of pregnant women with access to ANC, Cambodia, 2000 Banteay Meanchey 37.1

Oddar Meanchey 20.8

Siem Reap 20.8

Preah Vihear 40 Stoeung Treng 40 Krong Pailin 48.2

Battambang 48.2

Kampong Thom 28.9

Kratie 40 Pursat 42.3

Koh Kong 26.1

Kampong Chhnang 46 Kampong Cham 33.7

Kampong Speu 28.3

Phnom Penh 84 Kandal 46.2

Prey Veng 18.3

Svay Rieng 46.5

Takeo 35.2

Krong Preah Sihanou 34.3

Kampot 34.3

Krong Kep 34.3

Source: Cambodia Demographic and Health Survey (DHS), 2000

Ratanak Kiri 15.7

Mondul Kiri 15.7

145

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

146