www.aidsdatahub.org
HIV and AIDS
Data Hub for Asia-Pacific
Review in slides
Regional overview
slides
www.aidsdatahub.org
Data availability and population
size estimates
People who inject drugs population size
estimates, countries where data is available
Prepared by www.aidsdatahub.org ; Not...
HIV and AIDS Data Hub for Asia-Pacific
References: People who inject drugs population size
estimates
4
1. UNODC, & Ministr...
HIV and AIDS Data Hub for Asia-Pacific
Data availability of PWID in HIV sentinel surveillance
surveys conducted between 20...
HIV and AIDS Data Hub for Asia-Pacific
Data availability of PWID in behavioral surveys
conducted between 2009 and 2012
6
1...
HIV and AIDS Data Hub for Asia-Pacific
7
Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys; Bio-Behavi...
HIV and AIDS Data Hub for Asia-Pacific
MSM size estimates, countries where data is available
Prepared by www.aidsdatahub.o...
HIV and AIDS Data Hub for Asia-Pacific
References , MSM population estimation
9
1. UNAIDS. (2013). Global Report: UNAIDS R...
HIV and AIDS Data Hub for Asia-Pacific
10
1
1 1.0 1.0 1.0
2.2
3
1.7
3.3
0.6
3.0
4.3
1.1
0.3
0
5 %
Regional median 1.4%; Ra...
HIV and AIDS Data Hub for Asia-Pacific
Percentage of men who ever had sex with men, countries
where data is available, 200...
HIV and AIDS Data Hub for Asia-Pacific
Population size estimates of transgender people, countries
where data is available
...
HIV and AIDS Data Hub for Asia-Pacific
Inclusion of transgender in sentinel and bio-behavioural
surveys
13
Country
Sentine...
HIV and AIDS Data Hub for Asia-Pacific
Male sex workers (MSW) size estimates, countries where
data is available, 2007-2011...
HIV and AIDS Data Hub for Asia-Pacific
Inclusion of MSW in sentinel and bio-behavioural surveys
15
Country
Sentinel and/or...
Female sex workers population size estimates,
countries where data is available
Prepared by www.aidsdatahub.org ; Note: a)...
HIV and AIDS Data Hub for Asia-Pacific
References , Female sex workers population size estimates
17
1.Chase R, Foran J, Ra...
HIV and AIDS Data Hub for Asia-Pacific
0.9 0.7
0.3 0.3
0.8
0.5
0.3 0.3
0.3
2.3
0.8 0.7
0.3 0.30.2
0
5
%
Size estimates of ...
HIV and AIDS Data Hub for Asia-Pacific
19
9
6
5
2
0 26
Conducted between 2009-2012
Survey report available
Age disaggregat...
HIV and AIDS Data Hub for Asia-Pacific
20
Data availability of FSW in behavioral surveys
conducted between 2009 and 2012
S...
www.aidsdatahub.org
HIV prevalence and
epidemiology
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV and AIDS statistics in the Asia and the Pacific, 1990-
2012
22
4,900,00...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Estimated number of adults and children living with HIV
by sub-region, 1990...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Estimated number of adults and children newly infected
with HIV by sub-regi...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Estimated AIDS-related deaths in adults and children by
sub-region, 1990-20...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Estimated number of children living with HIV and new HIV
infections among c...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Estimated number of young people (15-24) living with
HIV, Asia and the Paci...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV infection estimates in high HIV burden countries, 2012
28
Country
Peopl...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
New HIV infections in Asia and the Pacific region
29
0
100,000
200,000
300,...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of people living with HIV and eligible people
who are receiving ...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence among people who inject drugs, 2007-2012
0.03 1.1
4.4
6.3 6....
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence among PWID in geographical locations
that are higher than na...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence among PWID in geographical locations where
rising HIV preval...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends in HIV prevalence among PWID in ASEAN
states/cities, where data is a...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends in HIV prevalence among PWID in SAARC
states/cities, where data is a...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of HIV transmission through injecting drug
use among reported HI...
HIV and AIDS Data Hub for Asia-Pacific
Countries with >5% HIV prevalence among MSM in
national estimates from surveys, 200...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among MSM in selected geographical
locations, 2009-2012
38Source: Pr...
HIV and AIDS Data Hub for Asia-Pacific
Countries/cities with rising HIV prevalence trend among
MSM, 2000-2012
39
0
5
10
15...
HIV and AIDS Data Hub for Asia-Pacific
Cities with stabilizing/ declining HIV prevalence trend
among MSM, 2000-2012
40
0
1...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among MSM by region, latest available
year, 2008-2012
41
0 0 0.5 0.9...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of newly reported and cumulative HIV cases
attributable to homosexual tr...
HIV and AIDS Data Hub for Asia-Pacific
National versus city-specific HIV prevalence among
transgender, countries where dat...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among transgender, 2009-2012
44
1 3.2 1.8 2.9 3.6 3.1
9.3 10.4
14.9
...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among MSW, countries where data is
available, 2009-2012
Source: Prep...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence data on MSW is scarce but it indicates
higher HIV prevalence than FS...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
47
HIV prevalence among female sex workers, 2008-2012
Source: Prepared by w...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence among FSW in geographical locations
that are higher than nat...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence trends among FSW - ASEAN countries,
where data is available,...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence trends among FSW - SAARC countries,
where data is available,...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of heterosexual transmission among reported
HIV cases, 2009-2013...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among prisoners, countries where data
is available, 2011-12
52
0.5
0...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among military personnel and truck
drivers, countries where data is ...
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among men at higher risk by occupation,
countries where data is avai...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence among migrants and wives of migrants,
2010-11
55Source: Prep...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV prevalence among migrant workers who are working
in Thailand, 2010
56
2...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of migrants among reported HIV cases, 2011-
2012
57
10
31
5
18
0...
www.aidsdatahub.org
Risk behaviours
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends of regional median on condom use at last sex among
key populations, ...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trend of regional median on safe injecting practices
among PWID for countri...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Average number of injections among people who inject
drugs, 2006-12
61
2
2 ...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Duration of injecting drugs among PWID, 2006-2012
62
4
3
5
6
8
3
5
7
9
7
6
...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of PWID who reported safe injection practice
at last injection, ...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of PWID reported condom use at last sex,
2006-2012
64
Source: Pr...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of PWID reported consistent condom use,
2006-2011
65
0
20
40
60
...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM who sold sex to men, 2008-2012
66
58
49
4
41
34
8
23
60
52
64 63
...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM who reported buying sex from male
and female, 2006-2012
67
8
8
19...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM who had vaginal sex with female in
the last year, 2006- 2012
68
*...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM reported condom use at last anal sex
with male partners, 2009-201...
HIV and AIDS Data Hub for Asia-Pacific
Source: Prepared by www.aidsdatahub.org based on Country Global AIDS Response Progr...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM reported consistent condom with
male commercial partners in the l...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM reported consistent condom use
with non-commercial/casual partner...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM reported consistent condom use
with male partners, 2009-2012
73
4...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM who inject drugs, 2006-2012
74
0.5
1.5
3 3.7
6.4
12
6
16
0
2
4
6
...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of transgender who sell sex, countries where
data is available, 2009- 20...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of transgender reported condom use at last
sex with male clients, 2006-2...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of transgender reported consistent condom
use with male clients, 2006-20...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of key populations reported condom use at
last sex with transgender (200...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of transgender reported injecting drug use,
countries where data is avai...
HIV and AIDS Data Hub for Asia-Pacific
Average duration in the profession of selling sex among
MSW, countries where data i...
HIV and AIDS Data Hub for Asia-Pacific
Average number of clients among MSW in the last month,
2007-2011
81
4
10
5 6
11
56
...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSW reported condom use at last sex,
2009-2011
Source: Prepared by ww...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSW reported consistent condom use
with male clients, 2007-2011
83
16...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSW who reported transactional sex with
female, 2008-2011
5
9
40
18
2...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSW with overlapping risk behaviours,
countries where data is availab...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Average duration in the profession of selling sex among
FSW, countries wher...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Average number of clients among FSW, 2006-2011
87
42
25
15 15 14 12 11 10 8...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of FSW reported condom use at last sex with
a client, 2006-2012
...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of FSW who reported consistent condom use with
their clients, 20...
HIV and AIDS Data Hub for Asia-Pacific
Sources: www.aidsdatahub.org based on 1. FHI, ICDDR, B., & USAID. (2006). Assessmen...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of truckers reported having commercial sex
in the last year, 2006-2012
9...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of military personnel and police reported
having commercial sex in the l...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of taxi drivers and rickshaw pullers reported
having commercial sex in t...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of men at higher risk reported having
commercial sex in the last year by...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of men at higher risk reported injecting
drugs in the last year, countri...
www.aidsdatahub.org
Vulnerability and
HIV knowledge
HIV and AIDS Data Hub for Asia-Pacific
Proportion of PWID with comprehensive HIV knowledge,
2006-2012
Source: Prepared by ...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM with comprehensive HIV knowledge, by
age group, countries where d...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of transgender with comprehensive HIV
knowledge, 2006-2012
99
32
37
41
5...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSW with comprehensive HIV knowledge,
2007-2009
0
20
40
60
80
100
Pak...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of FSW with comprehensive HIV knowledge,
2006-2012
Source: Prepared by w...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of men at higher risk with comprehensive
HIV knowledge, 2006-2011
8 12
5...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of migrants with comprehensive HIV
knowledge, 2008-2011
103
13
1...
www.aidsdatahub.org
HIV expenditure
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Data availability on AIDS spending data, Asia
Latest available spending dat...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Data availability on AIDS spending data, the Pacific
Latest available spend...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV expenditure from domestic sources, Asia and the
Pacific, latest availab...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
AIDS spending in the Asia and the Pacific by major
spending categories and ...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
AIDS spending category by amount and financing source
in Asia and the Pacif...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Distribution of prevention spending by financing source
in Asia and the Pac...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
300
184
77
42
0
50
100
150
200
250
300
350
400
Total care and treatment
spe...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
HIV...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends in spending on PWID harm reduction programmes
out of total preventio...
HIV and AIDS Data Hub for Asia-Pacific
Prevention spending in Asia and the Pacific – low on HIV
prevention spending among ...
HIV and AIDS Data Hub for Asia-Pacific
Trends in proportion of spending on MSM prevention
programmes out of total preventi...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
HIV...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends in HIV prevention spending on sex workers and
clients out of total p...
www.aidsdatahub.org
National response
www.aidsdatahub.org
Key populations and vulnerable
populations
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends of regional median on prevention coverage among
key populations, cou...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Number of syringes distributed per PWID per year by
Needle and Syringe Prog...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Number of NSP and OST sites by country where data is
available, 2012
122
Nu...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV testing coverage among PWID, countries where data
is available, 2006-20...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM reached with HIV prevention
programmes in the last 12 months, 200...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSM who received an HIV test in the last
12 months and know their res...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of transgender reached with outreach
programmes in the last year, 2006-2...
HIV and AIDS Data Hub for Asia-Pacific
HIV testing coverage among transgender, 2006-2012
* Dhaka; ** Port Moresby
27
33
57...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSW reached with HIV prevention
programmes, 2009-2012
128Source: Prep...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of MSW who received an HIV test in the last
12 months and know their res...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
HIV testing coverage among FSW, countries where data
is available, 2006-201...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
131
83
76
64 63 62 60 56 55 54
46
37
20 18 8 7
55
0
20
40
60
80
100 %
Propo...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of prisoners, clients of FSW, and truckers ever
received an HIV test, 20...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of men at higher risk who received an HIV
test by occupation, 2008-2011
...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of men at higher risk reached with HIV
prevention programmes, 2006-2009
...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Inclusion of migrants in the latest available National
Strategic Plans
135
...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of migrants tested for HIV, 2009-2011
136
2
14 15
26
19
0
10
20
...
www.aidsdatahub.org
Treatment
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Though HIV is concentrated among key populations,
less than half of them kn...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
* MSM 2010; ** Female entertainment workers; ***MSM 2009
HIV testing covera...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
1.25 million people are receiving antiretroviral therapy –
expanding but la...
HIV and AIDS Data Hub for Asia-Pacific
Number of people receiving antiretroviral therapy by
sub-region, 2004-2012
0
200000...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Source: Prepared by www.aidsdatahub.org based on UNAIDS HIV Estimates 2012 ...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Scaling-up antiretroviral treatment coverage in Asia and
the Pacific, but l...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of people living with HIV and eligible people
who are receiving ...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
84 79 76 73
58 51 50 48 43 42
34 33 27 26
17 14 12 8 50%
10%
20%
30%
40%
50...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends in antiretroviral therapy coverage 2010-2012
Source: Prepared by www...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of eligible people receiving ART by age group,
2012
0%
20%
40%
6...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of eligible children (0-14 year) receiving
antiretroviral therap...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of 12 months retention on antiretroviral
therapy, 2012
87
0
20
4...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of 12 months retention on antiretroviral therapy
by age group, c...
HIV and AIDS Data Hub for Asia-Pacific
Proportion of retention on antiretroviral therapy by
treatment coverage, 2011
78
48...
www.aidsdatahub.org
Treatment: PMTCT
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Mother-to-child transmission rates in women with low
CD4 counts, during pre...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
42%
15%
56%
16%
60%
19%
62%
19%
0%
20%
40%
60%
80%
100%
Global Asia and the...
HIV and AIDS Data Hub for Asia-Pacific
Prevention of mother-to-child transmission coverage by
region, 2012
18
26
49
0
20
4...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
PMTCT coverage with effective ARV regimen, Asia and
the Pacific, 2011
5
8 9...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of infants born to HIV positive pregnant
women received virologi...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Decline in new HIV infections among children (0-14 yr),
Asia and the Pacifi...
www.aidsdatahub.org
TB HIV Co-treatment
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Estimated number of people acquiring TB who are living
with HIV in Asia and...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Trends in number of TB patient tested for HIV in Asia
and the Pacific, 2006...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Scaling-up HIV and TB co-infection screening in Asia
and the Pacific, 2006-...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
0% 50% 100%
PLHIV
screened for TB
0% 50% 100%
TB patients
tested for HIV
20...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonli...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Proportion of people living with HIV and TB starting
antiretroviral therapy...
HIV and AIDS Data Hub for Asia-Pacific
Latest!
Estimated HIV+ incident TB cases that received treatment
for TB and HIV, 20...
Regional slides-jun-2014
Regional slides-jun-2014
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  • Updated
  • Updated
  • Note: Rate of HIV transmission is slowing and AIDS-related deaths remain stable
  • Update and removed Malaysia invalidated data points.
  • Bkk revised
  • China trend updated
  • Lao PDR revised
  • Updated
  • Checked
  • Number of countries consistently reporting MSM(14), FSW(17), MSW(5), PWID(11).
  • updated
  • Median condom use 66%; Max 85% THL; Min 26% BGD; Count 18
  • Updated with 2013 data
  • updated
  • FSW: maximum Myanmar 71%; minimum Bangladesh 4%; total 16 countries
    MSW: maximum Nepal 65%; minimum Pakistan 9%; total 6 countries
    MSM: maximum Malaysia 79%; minimum Philippines 5%; total 15 countries
    PWID: maximum Malaysia 78%; minimum Bangladesh 5%; total 12 countries
  • FSW: maximum Myanmar 71%; minimum Bangladesh 4%; total 16 countries
    MSW: maximum Nepal 65%; minimum Pakistan 9%; total 6 countries
    MSM: maximum Malaysia 79%; minimum Philippines 5%; total 15 countries
    PWID: maximum Malaysia 78%; minimum Bangladesh 5%; total 12 countries
  • Note: 1.25 million people are receiving antiretroviral therapy – expanding but lagging behind global trend
  • Data not available for Fiji, India and China because – Fiji and India reported the use of SD NVP for PMTCT; China could not get consensus figure on estimated number of HIV (+) pregnant women (denominator)
  • Regional slides-jun-2014

    1. 1. www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific Review in slides Regional overview slides
    2. 2. www.aidsdatahub.org Data availability and population size estimates
    3. 3. People who inject drugs population size estimates, countries where data is available Prepared by www.aidsdatahub.org ; Note: a) Please see next slide for references; b) b) National HIV Sentinel Surveillance surveys and Integrated Biological and Behavioral surveys reported in Global AIDS Response Progress Report 2012 and 2013 * Year of source reference
    4. 4. HIV and AIDS Data Hub for Asia-Pacific References: People who inject drugs population size estimates 4 1. UNODC, & Ministry of Counter Narcotics Afghanistan. (2009). Drug Use Survey 2009 cited in Afghanistan Global AIDS Response Progress Report, 2012 2. Population Size Estimates for Most at Risk Populations for HIV in Bangladesh, 2009 3. Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global Overview of Injecting Drug Use and HIV Infection among Injecting Drug Users. AIDS, 18(17), 2295-2303 4. Drug User Population Size Estimates 2007 cited in Cambodia Global AIDS Response Progress Report, 2012 5. UNAIDS China. China AIDS Fact Sheet 2009 (Unpublished) 6. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report 2010-11. 7. Ministry of Health . (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009 ( In Indonesian Language) 8. National Committee for the Control of AIDS. (2012).Lao PDR Global AIDS Response Progress Report 2012 9. Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic (Unpublished). 10. Sharma, M., Oppenheimer, E., Saidel, T., et al. (2009). A Situation Update on HIV Epidemics among People Who Inject Drugs and National Responses in South-East Asia Region. AIDS, 23, 1405–1413. 11. National AIDS Programme Myanmar (2009). HIV Estimates and Projections, Myanmar 2008-2015 12. Nepal HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation of Most-At-Risk- Population in Nepal-2011: Vol.2 Injecting Drug Users. 13. National AIDS Control Program, Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report 2012 14.Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. 15.Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global Overview of Injecting Drug Use and HIV Infection among Injecting Drug Users. AIDS, 18(17), 2295-2303 16. Ibid. 17.UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. 18. Aramrattana, A. (2012). Estimated Size of Injecting Drug Users (IDU). Unpublished Power Point Presentation at Size Estimation Stake-Holder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi. 19. Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global Overview of Injecting Drug Use and HIV Infection among Injecting Drug Users. AIDS, 18(17), 2295-2303 20.UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.
    5. 5. HIV and AIDS Data Hub for Asia-Pacific Data availability of PWID in HIV sentinel surveillance surveys conducted between 2009 and 2012 5 Source: Prepared by www.aidsdatahub.org based on National HIV Sentinel Surveys and www.aidsinfoonline.org 6 4 4 1 3 0 0 26 Conducted between 2009-2012 Survey report available Age disaggregated data reported in global AIDS reporting Age disaggregated data available from survey reports Gender disaggregated data reported in global AIDS reporting Gender disaggregated data available from survey reports HIVsentinelsurveillancesurveys Number of countries assessed Bangladesh, China, India, Myanmar Myanmar China, India, Viet Nam Bangladesh, India, Myanmar, Thailand Bangladesh, China, India, Myanmar, Thailand, Viet Nam
    6. 6. HIV and AIDS Data Hub for Asia-Pacific Data availability of PWID in behavioral surveys conducted between 2009 and 2012 6 11 5 9 1 8 0 0 26 Conducted between 2009-2012 Survey report available Age disaggregated data reported in global AIDS reporting Age disaggregated data available from survey reports Gender disaggregated data reported in global AIDS reporting Gender disaggregated data available from survey reports BehaviouralsurveysincludingIBBS Number of countries assessed Afghanistan, China, Indonesia, Malaysia, Nepal, Pakistan, Philippines, Thailand, Viet Nam Afghanistan, China, Malaysia, Nepal, Pakistan, Philippines, Thailand, Viet Nam Afghanistan, India, Indonesia, Nepal, Pakistan, Afghanistan, China, India, Indonesia, Japan, Malaysia, Nepal, Pakistan, Philippines, Thailand, Viet Nam Nepal Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys; Integrated Biological and Behavioral Surveys; www.aidsinfoonline.org
    7. 7. HIV and AIDS Data Hub for Asia-Pacific 7 Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys; Bio-Behavioural Surveys; www.aidsinfoonline.org Data availability from sentinel and behavioural surveys among MSM, 2009-2012 6 4 6 1 20 10 15 1 0 2 4 6 8 10 12 14 16 18 20 22 24 26 Conducted between 2009-2012 Survey report available Age disaggregated data reported in global AIDS reporting Age disaggregated data available from survey reports Conducted between 2009-2012 (a) Survey report available (b) Age disaggregated data reported in global AIDS reporting (c) Age disaggregated data available from survey reports HIVSentinel SurveillanceSurvey Behaviouralsurvey includingIBBS Number of countries Bangladesh, China, India, Myanmar, Sri Lanka, Viet Nam Bangladesh, India, Myanmar, Sri Lanka Bangladesh, China, India, Myanmar, Sri Lanka, Viet Nam Myanmar Mongolia a) Afghanistan, Bangladesh, Cambodia, China, Fiji, India, Indonesia, Japan, Lao PDR, Malaysia, Mongolia, Myanmar , Nepal, PNG, Philippines , Rep. of Korea, Singapore, Thailand, Timor-Leste, Viet Nam b) Afghanistan, Cambodia, India, Indonesia, Lao PDR, Mongolia, Nepal, PNG, Timor-Leste, Viet Nam c) Afghanistan, Bangladesh, Cambodia, China, Indonesia, Japan, Malaysia, Mongolia, Myanmar , Nepal, PNG, Philippines , Rep. of Korea, Thailand, Viet Nam
    8. 8. HIV and AIDS Data Hub for Asia-Pacific MSM size estimates, countries where data is available Prepared by www.aidsdatahub.org ; Note: Please see next slide for references (a), (b) National HIV Sentinel Surveillance surveys and Integrated Biological and Behavioral surveys reported in Global AIDS Response Progress Report 2012 and UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.
    9. 9. HIV and AIDS Data Hub for Asia-Pacific References , MSM population estimation 9 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. 2.Khmer HIV/AIDS NGO Alliance (KHANA) and FHI estimation cited in “ National AIDS Authority.(2011).Cambodia Country Profile on HIV and AIDS 2009-2010: Onwards Towards Universal Access” 3.UNAIDS China. (2009). China AIDS Fact Sheet 2009 4.Mok, P. (2011). Sex Between Men in Your City. 5.Data provided by UNAIDS Country Office India. 6.Ministry of Health . (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009 (In Indonesian Language) 7.National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI 2011-2015. and National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012. 8.Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic. 9. WHO. (2009). HIV/AIDS in the South-East Asia Region 2009. 10.National Committee on HIV/AIDS. (2010). National Strategic Plan on HIV, AIDS and STIs : 2010-2015. Ulaanbaatar. 11.National AIDS Programme Myanmar (2009). HIV Estimates and Projections, Myanmar 2008-2015 12.HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation of Most-At-Risk-Population In Nepal-2011: Vol.1 Male Sex Workers, Transgender, and their Clients. 13.Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. 14.Mok, P. (2011). Sex Between Men in Your City. 15.National STD/AIDS Control Programme, World Bank, UNAIDS, UNFPA, et al. (2012). Technical Support to Design, Implement, and Monitor HIV Prevention Programmes among Female Sex Workers, Men who have Sex with Men and Transgender in Sri Lanka 16.Peerapatanapokin, W. (2012). Estimated sizes of Men who have Sex with Men (MSM). Unpublished Power Point Presentation at Size Estimation Stake-Holder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi, Thailand. 17.National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response 18.UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.
    10. 10. HIV and AIDS Data Hub for Asia-Pacific 10 1 1 1.0 1.0 1.0 2.2 3 1.7 3.3 0.6 3.0 4.3 1.1 0.3 0 5 % Regional median 1.4%; Range 0.1% - 4.3% Size estimates of MSM as proportion of adult male population (15-49) years Source: Prepared by www.aidsdatahub.org based on size estimates of MSM ( please see the information provided in the previous 2 slides) and the data on adult male population (15-49) years is retrieved from the UN Population Division at http://esa.un.org/unpd/wpp/index.htm
    11. 11. HIV and AIDS Data Hub for Asia-Pacific Percentage of men who ever had sex with men, countries where data is available, 2000-2006 11 * in the last 12 months Sources: Prepared by www.aidsdatahub.org based on 1) FHI, ICDDR, B., & USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological Experiment; 2) National AIDS Programme Myanmar. (2005). Behavioral Surveillance Survey 2003: General Population and Youth. 3)National Institute of Medical Statistics, & National AIDS Control Organisation. (2008). National Behavioural Surveillance Survey (BSS) 2006: Youth (15-24 Years); 4)Hong Kong,and Lao PDR_ power point presentation by Frits van Grensven, Thai MOPH-US CDC Collaboration, Recognizing and confronting the epidemic of HIV among MSM in South-East Asia, September 2006: and 5) National Statistics Office Philippines, & ORC Macro. (2004). Philippines National Demographic and Health Survey 2003 1 1 3 4 5 5 18 0 5 10 15 20 * Bangladesh ever married men (2006) * Myanmar (2003) India (2006) Hong Kong (2000) * Bangladesh never married men (2006) Philippines (2003) Lao PDR Vientiane (young male- 2004) %
    12. 12. HIV and AIDS Data Hub for Asia-Pacific Population size estimates of transgender people, countries where data is available Country Size Estimated Year of Estimate Comment 1 Bangladesh 4,504 - 8,882 2012 2 Fiji 319 2012 Transgender sex workers in Suva, Nadi, Lautoka, Labasa 3 India 0.5 – 1 million 2011 Anecdotal guesstimates 166,665 2011 UNDP study: 166,665 TGs and hijra recorded by CBOs in 42 sites 4 Indonesia 32,065 2009 5 Malaysia 10,733 2010 Transgender sex workers 6 Nepal 7,706 - 9,221 2011 7 Pakistan 43,000 2007 Source: Prepared by www.aidsdatahub.org based on 1. icddr-b. (2012). Experience Conducting Male Sexual Health Survey and MSM Mapping and Enumerations in Bangladesh. Presented at the South Asia Regional MSM and TG Size Estimation Workshop; 2. Mossman, E., Roguski, M., Ravuidi, R., et al. (2012). Integrated Biological Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji: HIV Prevention Project: Ministry of Health and Survival Advocacy Network Fiji; 3. Laxmi T, Gauri S, Payal K, et al. (2011). Transgender - Hijra Strategy NACP IV Working Groups. New Delhi; 4. Ministry of Health Indonesia. (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009. (In Bahasa); 5. Hock Eam, L., Chooi Leng, A., & Yik Koon, T. (2010). Size Estimation for Local Responses in Malaysia for HIV Prevention in Sex Work; 6. HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation of Most-At-Risk-Population in Nepal- 2011: Vol.1 Male Sex Workers, Transgender, and their Clients; and 7. National AIDS Control Program, Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report 2012.
    13. 13. HIV and AIDS Data Hub for Asia-Pacific Inclusion of transgender in sentinel and bio-behavioural surveys 13 Country Sentinel and/or Bio-behavioural Surveys Behavioural Surveys Comment 1 Bangladesh HSS 2011 BSS 2006-07 Hijra 2 Cambodia 2010 2010 Bio-behavioural study (Bros Khmer 2010) 3 Fiji IBBS 2012 IBBS 2012 Transgender sex workers in Suva, Nadi, Lautoka, Labasa 4 India HSS 2010-11 IBBA 2009-2010 Hijra sex workers (IBBA) 5 Indonesia IBBS 2011 IBBS 2011 Waria 6 Lao PDR IBBS 2012 IBBS 2012 Vientiane Capital and Savannakhet 7 Pakistan SGS 2011 SGS 2011 Hijra sex workers 8 PNG IBBS 2010 IBBS 2010 Transgender sex workers, Port Moresby 9 Thailand IBBS 2010 IBBS 2010 Bangkok, Chiang Mai, Phuket Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys and Bio-Behavioural Surveys
    14. 14. HIV and AIDS Data Hub for Asia-Pacific Male sex workers (MSW) size estimates, countries where data is available, 2007-2011 Country Estimated male sex workers Year of Estimate 1 Bangladesh 11,134 - 32,484 2010 2 Malaysia 5,000 2009 3 Nepal 10,450 - 12,302 2011 Highway Districts 4,733 - 5,767 2011 Kathmandu Valley 5,717 - 6,535 2011 4 Pakistan 63,000 2007 5 Thailand 18,239 2010 Source: Prepared by www.aidsdatahub.org based on 1. icddr-b. (2012). Experience Conducting Male Sexual Health Survey and MSM Mapping and Enumerations in Bangladesh. Presented at the South Asia Regional MSM and Transgender Size Estimation Workshop: Strengthening National Reporting on HIV among MSM and Transgender persons Colombo, Sri Lanka; 2. Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic; 3. HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation of Most-At-Risk- Population in Nepal-2011: Vol.1 Male Sex Workers, Transgender, and their Clients; 4. National AIDS Control Program, Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report 2012; and 5. Sub-Technical Working Group on Projection and Estimation, Situation Analysis Working Group. (2012). Size Estimation for Sex Workers, Power Point Presentation at Size Estimation Stakeholder Seminar, 10th January, 2012, Richmond Hotel, Nonthaburi.
    15. 15. HIV and AIDS Data Hub for Asia-Pacific Inclusion of MSW in sentinel and bio-behavioural surveys 15 Country Sentinel and/or Bio-behavioural surveys Behavioural surveys Comment 1 Bangladesh HSS 2011 BSS 2006-07 2 Fiji - Behavioural study 2010 3 Nepal IBBS 2009 IBBS 2009 MSM/MSW 4 Pakistan SGS 2011 SGS 2011 5 PNG IBBS 2010 IBBS 2010 6 Philippines IBBS 2011 IBBS 2011 7 Thailand IBBS 2010 HSS 2012 IBBS 2010 Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys and Bio-Behavioural Surveys
    16. 16. Female sex workers population size estimates, countries where data is available Prepared by www.aidsdatahub.org ; Note: a) Please see next slide for references b) National HIV Sentinel Surveillance surveys and Integrated Biological and Behavioral surveys reported in Global AIDS Response Progress Report 2012 and 2013 Estimated FSW (a) Year of estimate HIV prevalence (b) 1 Afghanistan (Kabul, Jalalabad, Mazar) 1,160 2006-2007 0.29 (2012) 2 Bangladesh 63,600 - 74,300 2009 0.3 (2011) 3 Cambodia 34,193 2009 3.8 (2011) 4 China 2,680,000 (1,800,000 - 3,700,000) 2009 0.3 (2012) 5 Hong Kong SAR 20,000 - 100,000 2005 0.05 (2009) 6 Fiji (Suva, Nadi, Lautoka, Labasa, Savsavu) 538 2012 0 (2012) 7 India 868,000 2009 2.8 (2010-11) 8 Indonesia 214,054 (177,962 - 258,007) 2009 7 (2011) 9 Lao PDR 13,510 2010 0.98 (2011) 10 Malaysia 40,000 2009 4.2 (2012) 11 Maldives 900 - 4,000 2008 0 (2008) 12 Mongolia 1,500 - 19,000 2006 0 (2012) 13 Myanmar 43,432 2012 7.1 (2012) 14 Nepal 26,878 (24,649 - 28,359) 2011 1.7 (2011) 15 Pakistan 136,000 2007 0.6 (2011) 16 Philippines 70,167 - 89,175 2011 0.3 (2011) 17 Papua New Guinea 40,000 2005 19* (2010) 18 Sri Lanka 41,000 (35,000 - 47,000) 2010 0.2 (2011) 19 Thailand 123,530 2010 2.2 (2012) 20 Timor Leste 675 2010 1.5 (2011) 21 Viet Nam 65,166 2011 2.7 (2012)
    17. 17. HIV and AIDS Data Hub for Asia-Pacific References , Female sex workers population size estimates 17 1.Chase R, Foran J, Rasheed A, et al. (2008). Mapping and Situation Assessment of Key Populations at High Risk of HIV in Three Cities of Afghanistan. 2.Population Size Estimates for Most at Risk Populations for HIV in Bangladesh, 2009. 3.National AIDS Authority.(2011).Cambodia Country Profile on HIV and AIDS 2009-2010: Onwards Towards Universal Access 4.UNAIDS China. (2009). China AIDS Fact Sheet 2009 (unpublished) 5.Hong Kong Advisory Council on AIDS. (2006). Report of Community Assessment and Evaluation of HIV Prevention for Commercial Sex Workers and their Clients in Hong Kong 2006. 6.Mossman, E., Roguski, M., Ravuidi, R., & Devi, R. (2013). Integrated Biological Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji 7.National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report 2010-11. 8.Ministry of Health . (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009 ( In Indonesian Language) 9.National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI 2011-2015. 10.Lim HE, Ang CL and Teh YK., Size estimation for Local Responses in Malaysia for HIV Prevention in Sex Work, 2010 (unpublished) cited in Malaysia Global AIDS Response Progress Report 2012 11.WHO. (2009). HIV/AIDS in the South-East Asia Region 2009. 12.National Committee on HIV/AIDS, UN, & gtz. (2008). Comprehensive Review of the National Response to HIV and STIs in Mongolia. 13.UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. 14.HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation of Most-At-Risk-Population In Nepal-2011: Vol.3 Female Sex Workers 15.National AIDS Control Program, Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report 2012 16.Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. 17.Asian Development Bank. (2005). Socioeconomic Implications of HIV/AIDS in the Pacific. 18.National STD/AIDS Control Programme. (2012). Sri Lanka Global AIDS Response Progress Report 2012 19.Sub-Technical Working Group on Projection and Estimation. (2012). Size Estimation for Sex Workers. Unpublished Power Point Presentation at Size Estimation Stakeholder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi. 20.National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response 21.UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.
    18. 18. HIV and AIDS Data Hub for Asia-Pacific 0.9 0.7 0.3 0.3 0.8 0.5 0.3 0.3 0.3 2.3 0.8 0.7 0.3 0.30.2 0 5 % Size estimates of FSW as proportion of adult female population (15-49) years Source: Prepared by www.aidsdatahub.org based on size estimates of FSW ( please see the information provided in the previous 2 slides) and adult female population (15- 49) years retrieved from the UN Population Division http://esa.un.org/unpd/wpp/index.htm Regional median 0.4%; Range 0.2% - 4.1%
    19. 19. HIV and AIDS Data Hub for Asia-Pacific 19 9 6 5 2 0 26 Conducted between 2009-2012 Survey report available Age disaggregated data reported in global AIDS reporting Age disaggregated data available from survey reports HIVsentinelsurveillancesurveys Number of countries assessed Bangladesh, China, India, Myanmar, Sri Lanka Myanmar, Viet Nam Bangladesh, India, Myanmar, Sri Lanka, Thailand, Viet Nam Bangladesh, Cambodia, China, India, Indonesia, Myanmar, Sri Lanka, Thailand, Viet Nam Data availability of FSW in HIV sentinel surveillance surveys conducted between 2009 and 2012 Source: Prepared by www.aidsdatahub.org based on National HIV Sentinel Surveys and www.aidsinfoonline.org
    20. 20. HIV and AIDS Data Hub for Asia-Pacific 20 Data availability of FSW in behavioral surveys conducted between 2009 and 2012 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys; Integrated Biological and Behavioral Surveys; and www.aidsinfoonline.org 19 12 12 5 0 26 Conducted between 2009-2012 Survey report available Age disaggregated data reported in global AIDS reporting Age disaggregated data available from survey reports BehaviouralsurveysincludingIBBS Number of countries assessed Afghanistan, China, Fiji, Indonesia, Japan, Lao PDR, Malaysia, Mongolia, Pakistan, PNG, Philippines, Viet Nam Cambodia, Fiji, Mongolia, Nepal, Pakistan, Afghanistan, Cambodia, Fiji, India, Indonesia, Lao PDR, Mongolia, Nepal, Pakistan, PNG, Timor Leste, Viet Nam Afghanistan, Cambodia, China, Fiji, India, Indonesia, Japan, Lao PDR, Malaysia, Mongolia, Nepal, Pakistan, PNG, Philippines, RO Korea, Singapore, Timor Leste, Thailand, Viet Nam
    21. 21. www.aidsdatahub.org HIV prevalence and epidemiology
    22. 22. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV and AIDS statistics in the Asia and the Pacific, 1990- 2012 22 4,900,000 1,700,000 210,000 350,000 270,000 0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Number People living with HIV (Estimate) Women living with HIV (Estimate) Children living with HIV (Estimate) New HIV infections (Estimate) AIDS-related deaths (Estimate) People living with HIV 4.9 million Women living with HIV 1.7 million New HIV Infections 350,000 Deaths 270,000 2012 “zoom-in” Children living with HIV 210,000 Source: Prepared by www.aidsdatahub.org based on UNAIDS HIV Estimates 2012 for UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.
    23. 23. HIV and AIDS Data Hub for Asia-Pacific Latest! Estimated number of adults and children living with HIV by sub-region, 1990-2012 23 3,900,000 880,000 0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Number South and South-EastAsia East Asia Oceania 51,000 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report : UNAIDS Report on the Global AIDS Epidemic 2013
    24. 24. HIV and AIDS Data Hub for Asia-Pacific Latest! Estimated number of adults and children newly infected with HIV by sub-region, 1990-2012 24 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report : UNAIDS Report on the Global AIDS Epidemic 2013 270,000 81,000 2,1000 100000 200000 300000 400000 500000 600000 700000 800000 900000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Number South and South-EastAsia East Asia Oceania
    25. 25. HIV and AIDS Data Hub for Asia-Pacific Latest! Estimated AIDS-related deaths in adults and children by sub-region, 1990-2012 25 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report : UNAIDS Report on the Global AIDS Epidemic 2013 220,000 41,000 1,2000 50000 100000 150000 200000 250000 300000 350000 400000 450000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Number South and South-EastAsia East Asia Oceania
    26. 26. HIV and AIDS Data Hub for Asia-Pacific Latest! Estimated number of children living with HIV and new HIV infections among children, Asia and the Pacific, 1990- 2012 26 210,000 23,000 0 50000 100000 150000 200000 250000 300000 350000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Number Children (0-14) year with HIV New Infections among children (0-14) year Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report : UNAIDS Report on the Global AIDS Epidemic 2013
    27. 27. HIV and AIDS Data Hub for Asia-Pacific Latest! Estimated number of young people (15-24) living with HIV, Asia and the Pacific, 1990-2012 27 370,000 320,000 0 100,000 200,000 300,000 400,000 500,000 600,000 700,000 800,000 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 Number Young Male (15-24) living with HIV Young Female (15-24) living with HIV Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report : UNAIDS Report on the Global AIDS Epidemic 2013
    28. 28. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV infection estimates in high HIV burden countries, 2012 28 Country People living with HIV Country New HIV Infections Estimate Low estimate High estimate Estimate Low estimate High estimate 1 India 2,100,000 1,700,000 2,600,000 India 130,000 80,000 230,000 2 China 780,000 620,000 940,000 Indonesia 76,000 47,000 150,000 3 Indonesia 610,000 390,000 940,000 Pakistan 19,000 8,700 39,000 4 Thailand 440,000 400,000 480,000 Viet Nam 13,000 2,300 28,000 5 Viet Nam 260,000 70,000 490,000 Thailand 8,800 5,500 24,000 6 Myanmar 200,000 170,000 220,000 Malaysia 7,400 4,800 11,000 7 Pakistan 87,000 50,000 160,000 Myanmar 7,100 5,700 8,900 8 Malaysia 82,000 60,000 110,000 Philippines 1,800 1,100 4,000 9 Cambodia 76,000 59,000 120,000 Cambodia 1,400 <1,000 2,900 10 Nepal 49,000 39,000 65,000 Nepal 1,200 <1,000 2,700 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report : UNAIDS Report on the Global AIDS Epidemic 2013
    29. 29. HIV and AIDS Data Hub for Asia-Pacific Latest! New HIV infections in Asia and the Pacific region 29 0 100,000 200,000 300,000 400,000 500,000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 NewHIVinfections(Number) 26 % decline Stagnated decline between 2008 and 2012 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report : UNAIDS Report on the Global AIDS Epidemic 2013
    30. 30. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of people living with HIV and eligible people who are receiving ART in 10 high HIV burden countries in Asia and the Pacific, 2012 30 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% People living with HIV (2012) People on ART (2012) India China Indonesia Thailand Viet Nam Myanmar Pakistan Malaysia Cambodia Nepal Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
    31. 31. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence among people who inject drugs, 2007-2012 0.03 1.1 4.4 6.3 6.3 7.2 11.6 13.6 18.0 18.9 24.1 25.2 27.2 36.4 0 5 10 15 20 25 30 35 40 HIVprevalence(%) * Kathmandu Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org
    32. 32. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence among PWID in geographical locations that are higher than national prevalence, 2009-2012 32 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org 15.7 5.3 21.1 56.4 29.0 52.5 53.8 18.5 38.8 0 10 20 30 40 50 60 HIVprevalence(%) Afghanistan Bangladesh India Indonesia Myanmar Pakistan Philippines Thailand Viet Nam
    33. 33. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence among PWID in geographical locations where rising HIV prevalence trends are observed, 2005-2011 33 36.4 56.4 27.2 42.2 13.6 53.8 0 15 30 45 60 2005 2006 2007 2008 2009 2010 2011 HIVprevalence(%) Indonesia Indonesia (Jakarta) Pakistan Pakistan (Karachi) Philippines Philippines (Cebu) Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org
    34. 34. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends in HIV prevalence among PWID in ASEAN states/cities, where data is available, 2002-2012 34 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys 56.4 22 11.5 53.8 18.5 48.0 55.7 0 10 20 30 40 50 60 70 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HIVprevalence(%) Indonesia (Jakarta) Myanmar (Lashio) Myanmar (Mandalay) Philippines (Cebu) Thailand (Bangkok) Viet Nam (Hai Phong) Viet Nam (Quang Ninh)
    35. 35. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends in HIV prevalence among PWID in SAARC states/cities, where data is available, 2002-2012 35 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys 15.7 5.3 18.3 6.3 42.2 30.8 0 10 20 30 40 50 60 70 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HIVprevalence(%) Afghanistan (Herat) Bangladesh (Dhaka) India (Delhi) Nepal (Kathmandu) Pakistan (Karachi) Pakistan (Lahore)
    36. 36. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of HIV transmission through injecting drug use among reported HIV cases, 2009-2013 * New HIV cases ** Cumulative HIV cases 0% 20% 40% 60% 80% 100% Injecting drug use Others Sources: Prepared by www.aidsdatahub.org based on 1. Country Global AIDS Response Progress Reports 2012; 2.Ministry of Health Indonesia. (2011). Quarterly Progress Report: HIV & AIDS Situation in Indonesia, November 2011; 3. National Epidemiology Center Philippines. (2013). Philippines HIV/AIDS Registry: June 2013 ; 4. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health and Family Welfare. (2012). Annual Report 2011-12.; 5. Ministry of Health Malaysia (2013). HIV and AIDS Reporting System (1986-2012); 6. Ministry of Health Singapore. (2013). Retrieved August 2013, from http://www.moh.gov.sg/content/moh_web/home/statistics/infectiousDiseasesStatistics/HIV_Stats.html ; 7. National AIDS Control Programme Sri Lanka. (2013). Retrieved September 2013, from http://www.aidscontrol.gov.lk/web/index.php?option=com_content&view=article&id=63&Itemid=85&lang=en
    37. 37. HIV and AIDS Data Hub for Asia-Pacific Countries with >5% HIV prevalence among MSM in national estimates from surveys, 2009-2012 Source: Prepared by www.aidsdatahub.org based on UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. 6.7 7.1 8.5 8.9 12.6 16.7 0 10 20 30 40 China (2012) Thailand (2012) Indonesia (2011) Myanmar (2012) Malaysia (2012) Viet Nam (2009) %
    38. 38. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among MSM in selected geographical locations, 2009-2012 38Source: Prepared by www.aidsdatahub.org based on National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports 31.1 21.3 17.3 17.2 16.3 15.0 13.6 10.5 10.1 10.7 0 10 20 30 40 %
    39. 39. HIV and AIDS Data Hub for Asia-Pacific Countries/cities with rising HIV prevalence trend among MSM, 2000-2012 39 0 5 10 15 20 25 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 % China China (Chengdu, Sichuan) Indonesia Indonesia (Jakarta) Philippines (Metro Manila-calibrated) Philippines (Cebu) Viet Nam Viet Nam (Hanoi) Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports
    40. 40. HIV and AIDS Data Hub for Asia-Pacific Cities with stabilizing/ declining HIV prevalence trend among MSM, 2000-2012 40 0 10 20 30 40 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 % Bangladesh (Dhaka) India (Manipur) Myanmar (Yangon) Myanmar (Mandalay) Nepal (Kathmandu Valley) Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports
    41. 41. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among MSM by region, latest available year, 2008-2012 41 0 0 0.5 0.9 3.8 4.4 0.5 4.4 6.7 10.7 1.3 1.7 2.1 2.8 3 4.2 4.4 7.1 8.5 8.9 12.6 16.7 0 5 10 15 20 Bangladesh(2011) Maldives(2008) Afghanistan(2012) SriLanka(2011) Nepal(2009) India(2010-11) Fiji(2011) PNG(2009)* China(2012) Mongolia(2012)** Timor-Leste(2011) Philippines(2011) Cambodia(2010) Singapore(2010) Rep.ofKorea(2011) Japan(2010) LaoPDR(2010)*** Thailand(2012) Indonesia(2011) Myanmar(2012) Malaysia(2012) VietNam(2009) South Asia Pacific East Asia South-East Asia % * Port Moresby, ** Ulaanbaatar, ***Vientiane (MSM & TG) Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports; UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.
    42. 42. HIV and AIDS Data Hub for Asia-Pacific Proportion of newly reported and cumulative HIV cases attributable to homosexual transmission, 2011-2012 42 80 51 19 14 7 2 1 3 15 66 0 10 20 30 40 50 60 70 80 90 100 % newly reported HIV cases cumulative HIV cases % homosexual transmission among Source: Prepared by www.aidsdatahub.org based on data from Ministry of Health HIV statistics and AIDS registry; Country Global AIDS Response Progress Reports 2012 * both homo and bisexual ** cumulative HIV and AIDS cases
    43. 43. HIV and AIDS Data Hub for Asia-Pacific National versus city-specific HIV prevalence among transgender, countries where data is available, 2011 43 30.8 18.8 14.9 21.9 8.8 7.2 0 5 10 15 20 25 30 35 . . . . . . Indonesia (2011) India (2010-2011) Pakistan* (2011) % Jakarta Maharashtra Larkana National * Hijra sex workers Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 2) National AIDS Control Organisation, India. (2012). HIV Sentinel Surveillance 2010-11: A Technical Brief; 3) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.
    44. 44. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among transgender, 2009-2012 44 1 3.2 1.8 2.9 3.6 3.1 9.3 10.4 14.9 23.7 0 5 10 15 20 25 30 35 % Bangladesh (2011) Fiji* (2012) Cambodia** (2010) Lao PDR (2012) Malaysia (2009) Thailand (2010) Pakistan (2011) PNG*** (2010) Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys and Bio-Behavioural Surveys * TG sex workers ** Long-hair MSM *** TG sex workers, Sample size = 38
    45. 45. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among MSW, countries where data is available, 2009-2012 Source: Prepared by www.aidsdatahub.org based on 1.Integrated Biological and Behavioural Surveys; 2.HIV Sentinel Surveillance Surveys; 3. www.aidsinfoonline.org; 4.J Zhao, W. Cai, L. Chen, J. Cheng, H. Ma, & X. Wang. (2012). A Comparison of HIV infection and Related Risk Factors between Money Boys and Non-commercial Men who have Sex with Men in Shenzhen, China. Poster presented at the IAS 2012, Washington, D.C., USA. * Shenzhen, ** Port Moresby 0 0 3.5 4.5 5.2 12.2 14.2 18.3 0 4 8 12 16 20 %
    46. 46. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence data on MSW is scarce but it indicates higher HIV prevalence than FSW in most of the countries, 2011-2012 46 0.3 7 1.7 0.6 19 2.2 0 18.3 5.2 3.5 14.2 12.2 0 5 10 15 20 25 Bangladesh (2011) Indonesia (2011) Nepal (2011) Pakistan (2011) PNG (2011) Thailand (2012) % FSW MSW Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org
    47. 47. HIV and AIDS Data Hub for Asia-Pacific Latest! 47 HIV prevalence among female sex workers, 2008-2012 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org; National Centre for HIV/AIDS Dermatology and STD Cambodia (2013). 2011 Cambodia STI Survey: Female Entertainment Workers; National AIDS Control Organization, India (2012) HIV Sentinel Surveillance 2010-11: A Technical Brief. 0 0 0 0.2 0.3 0.3 0.3 0.3 0.6 1.0 1.5 1.7 2.2 2.7 2.8 3.8 4.2 7.0 7.1 19 0 5 10 15 20 HIVprevalence(%) *Female entertainment workers who reported selling sex in the past 12 months ** Data from IBBS 2012
    48. 48. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence among FSW in geographical locations that are higher than national prevalence, 2009-2012 48 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org 22 25 8.8 15 19 7 22.5 0 5 10 15 20 25 30 HIVprevalence(%) India Indonesia (Direct FSW) Indonesia (Indirect FSW) Myanmar Philippines (Freelance FSW) PNG Thailand (Direct FSW) Thailand (Indirect FSW) Viet Nam
    49. 49. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence trends among FSW - ASEAN countries, where data is available, 2000-2012 49 3.8 10.4 7.1 1.61.7 2.7 0 5 10 15 20 25 30 35 40 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 HIVprevalence(%) Cambodia Indonesia (Direct FSW) Lao PDR Myanmar Philippines Thailand* (Direct FSW) Thailand* (Indirect FSW) Viet Nam Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org * HIV sentinel surveillance data
    50. 50. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence trends among FSW - SAARC countries, where data is available, 2000-2012 50 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) www.aidsinfoonline.org 0.5 2.7 1.7 0.6 0.20 2 4 6 8 10 12 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 HIVprevalence(%) Bangladesh (Street-based FSW, Dhaka) India Nepal (Kathmandu Valley) Pakistan Sri Lanka (Colombo)
    51. 51. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of heterosexual transmission among reported HIV cases, 2009-2013 Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010; 2. Country Global AIDS Response Progress Reports 2012; 3.Ministry of Health Indonesia. (2011). Quarterly Progress Report: HIV & AIDS Situation in Indonesia, November 2011; 4. National Epidemiology Center Philippines. (2013). Philippines HIV/AIDS Registry: June 2013 ; 5. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health and Family Welfare. (2012). Annual Report 2011-12.; 6. Ministry of Health Malaysia (2013). HIV and AIDS Reporting System (1986-2012). * New HIV cases ** Cumulative HIV cases 0% 20% 40% 60% 80% 100% Heterosexual transmission Others
    52. 52. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among prisoners, countries where data is available, 2011-12 52 0.5 0.8 1.9 3 4.3 0 1 2 3 4 5 Kabul, Afghanistan (2012) Herat, Afghanistan (2012) Hong Kong SAR (2011) Indonesia (2011) Kota Denpasar, Indonesia (2011) % Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys and Special Preventive Programme Centre for Health Protection, Department of Health Hong Kong. (2012). HIV Surveillance Report – 2011 Update
    53. 53. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among military personnel and truck drivers, countries where data is available, 2006-2012 53 0 0.1 0 0 2.6 0 1 2 3 Sri Lanka (2011) Bhutan (2006) * Afghanistan (2012) Nepal (2009) India (2010-11) Military personnel Truck drivers % Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Surveys; Integrated Biological and Behavioral Surveys; National HIV/AIDS and STI Programme, Ministry of Health Bhutan. (2009). Bhutan: HIV Epidemiological Situation and Health Sector Response 2009 *including driver's assistant
    54. 54. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among men at higher risk by occupation, countries where data is available, 2008-2012 54 0.2 0.2 0.3 1.1 0.0 0.5 1.0 1.5 Resort workers Clients attending Social Hygiene Services State enterprise electricity workers Seafarers Maldives (2008) Hong Kong (2011) Lao PDR (2008) Thailand (2012) % Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys; HIV Sentinel Surveillance Surveys; and Special Preventive Programme Centre for Health Protection, Department of Health Hong Kong. (2012). HIV Surveillance Report – 2011 Update
    55. 55. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence among migrants and wives of migrants, 2010-11 55Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Surveys and Integrated Biological and Behavioural Surveys 1 1.8 2.4 3.5 3.9 4.3 0.8 2.6 0 1 2 3 4 5 India (2010-11) NepalFar-Western Region (2010) Thane,India (2010-11) Ranong,Thailand (2011)* Sonipat,India (2010-11) Trang,Thailand (2011)* Nepal (2010) Doti,Nepal (2010) Migrants Wives of migrants % * HIV prevalence among migrants in Thailand from neighbouring countries
    56. 56. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV prevalence among migrant workers who are working in Thailand, 2010 56 2.5 0.7 0.5 1.3 1.5 1.4 2.3 2 1.1 0 1 2 3 4 5 Cambodian Myanmar Laotian 1-3yrs 4-6yrs 7-9yrs Fisheryworkers Fishermen Factoryworkers By nationality By duration of stay in Thailand By occupation % Source: Prepared by www.aidsdatahub.org based on UNDP, Joint United Nations Initiative on Mobility and HIV in South East Asia, & ADB. (2012). Meeting Report - Consultation on The Memorandum of Understanding to Reduce HIV Vulnerability Associated with Population Movement.
    57. 57. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of migrants among reported HIV cases, 2011- 2012 57 10 31 5 18 0 20 40 60 80 100 % new HIV cases cumulative HIV cases Source: Prepared by www.aidsdatahub.org based on Bangladesh World AIDS Day Presentation 2012 http://www.bdnasp.net/index.php?option=com_content&view=article&id=104&Itemid=124: data retrieved on 14 Jan 2013; Nepal National Center for AIDS and STD Control at http://www.ncasc.gov.np/index1.php?option=information&id=38; National Epidemiology Center Philippines. (2012). Philippines HIV/AIDS Registry: December 2012 * Migrant workers and spouses of migrants
    58. 58. www.aidsdatahub.org Risk behaviours
    59. 59. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends of regional median on condom use at last sex among key populations, countries that reported consistently in the Global AIDS Reporting between 2010 to 2013 59 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 75 83 80 62 66 66 36 45 45 42 38 38 0 20 40 60 80 100 UNGASS 2010 Reporting Global AIDS Response Progress Report 2012 Global AIDS Response Progress Report 2013 Condomuseatlastsex(median%) FSW (17 countries) MSM (14 countries) PWID (11 countries) MSW (5 countries)
    60. 60. HIV and AIDS Data Hub for Asia-Pacific Latest! Trend of regional median on safe injecting practices among PWID for countries that reported consistently in the Global AIDS Reporting between 2010 to 2013 60 83 81 80 0 20 40 60 80 100 UNGASS 2010 Global AIDS Response Progress Report 2012 Global AIDS Response Progress Report 2013 Safeinjection(%) Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 11 countries (Afghanistan, Bangladesh, China, Indonesia, Malaysia, Myanmar, Nepal, Pakistan, Philippines, Thailand, and Viet Nam) reported in all three rounds of Global AIDS Reporting between 2010 to 2013
    61. 61. HIV and AIDS Data Hub for Asia-Pacific Latest! Average number of injections among people who inject drugs, 2006-12 61 2 2 2 3 3 7 7 4 4 0 1 2 3 4 5 6 7 8 Numberofinjections average injections per day (or) in the last day average injections per week (or) in the last week Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys;
    62. 62. HIV and AIDS Data Hub for Asia-Pacific Latest! Duration of injecting drugs among PWID, 2006-2012 62 4 3 5 6 8 3 5 7 9 7 6 0 2 4 6 8 10 Durationofinjectingdrugs(year) Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
    63. 63. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of PWID who reported safe injection practice at last injection, 2006-2012 63 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 98 96 95 87 81 80 78 69 66 62 36 25 79 0 20 40 60 80 100 Safeinjection(%)
    64. 64. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of PWID reported condom use at last sex, 2006-2012 64 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 81 78 58 54 52 49 49 47 45 43 27 23 23 15 48 0 20 40 60 80 100 Condomuse(%)
    65. 65. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of PWID reported consistent condom use, 2006-2011 65 0 20 40 60 80 100 Consistentcondomuse(%) in the past 6 months in the past 12 months * PWID in community **PWID in rehabilitation centres Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
    66. 66. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who sold sex to men, 2008-2012 66 58 49 4 41 34 8 23 60 52 64 63 44 0 20 40 60 80 100 % last 12 months last 6 months last 3 months last month Undefined period Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys
    67. 67. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who reported buying sex from male and female, 2006-2012 67 8 8 19 29 58 62 68 3 6 14 8 49 50 25 0 20 40 60 80 100 Ulaanbaatar,Mongolia (2012) Mumbai,India (2010-11) Hanoi,Viet Nam (2009) * Kathmandu,Nepal (2009) ** Male',Maldives (2008) Kabul,Afghanistan (2012) *** Dhaka,Bangladesh (2006-07) ** Philippines (2009)*** % bought sex from female bought sex from male Bought sex * from male = last month, from female = last 12 months; ** last month for both male and female; *** from male= last 12 months, from female = ever; Mongolia: last 12 months; India: ever for both male and female Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys
    68. 68. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who had vaginal sex with female in the last year, 2006- 2012 68 * Capital city; ** Last 6 months, *** Ever Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys 23 36 44 49 56 79 0 20 40 60 80 100 Sri Lanka (2006-07) Mongolia (2012) * Fiji (2010) ** Viet Nam (2009) * Bangladesh (2006-07) * Philippines (2009)*** %
    69. 69. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reported condom use at last anal sex with male partners, 2009-2012 69Source: Prepared by www.aidsdatahub.org based on Country Global AIDS Response Progress Reports 2012 and UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. 86 82 77 76 75 71 70 67 66 66 63 61 60 51 36 26 17 66 0 20 40 60 80 100 %
    70. 70. HIV and AIDS Data Hub for Asia-Pacific Source: Prepared by www.aidsdatahub.org based on Country Global AIDS Response Progress Reports 2012; Integrated Bio-Behavioural Surveys; and Behavioural Surveillance Surveys 85 82 76 74 70 60 58 36 68 66 47 15 43 48 25 6 57 0 20 40 60 80 100 National,2010 Bangkok,2010 ChiangMai,2010 National,2009 National,2009 Hanoi,2009** HCMC,2009**** National,2011 National,2011 Ulaanbaatar,2011 Ulaanbaatar,2011 National,2011 Jakarta,2011*** Bandung,2011*** Manipur,2009 **Mumbai,2009 National,2011 Thailand Myanmar Viet Nam China Mongolia Indonesia India Philippines % Condom use at last sex Consistent condom use * with non-regular partners; ** with clients; *** with commercial partners; **** with MSWs Regional median for condom use at last anal sex is 66% Condom use at last anal sex and consistent use among MSM, 2009-2011
    71. 71. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reported consistent condom with male commercial partners in the last month, 2006-2010 71 7 15 17 36 59 77 0 20 40 60 80 100 Dhaka, Bangladesh (2006-07) HCMC, Viet Nam (2009) Port Moresby, PNG (2010) *Mumbai, India (2009-10) Hanoi, Viet Nam (2009) Kathmandu, Nepal (2009) % * Undefined period, HCMC = Ho Chi Minh City Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys
    72. 72. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reported consistent condom use with non-commercial/casual partners, 2006-2011 72 5 65 24 58 55 0 20 40 60 80 100 Bangladesh (2006-07) Nepal (2009) Fiji (2010) Singapore (2011) India (2009-10) % last month last 6 months undefined period Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys; 2) Chan, R., Chio, M., Lim, S., Lo, D., Tan, A., Wong, J., & Loh, B. (2013). Outreach HIV Testing Project in Venues Frequented by MSM - November 2011 to February 2012; 3) Bavinton, B., Singh, N., Naiker, D. S., et al. (2011). Secret Lives, Other Voices: A Community-Based Study Exploring Male-to-Male Sex, Gender Identity and HIV Transmission Risk in Fiji. Suva, Fiji: AIDS Task Force of Fiji
    73. 73. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reported consistent condom use with male partners, 2009-2012 73 43 48 51 68 0 20 40 60 80 100 China (2011) ** Ulaanbaatar,Mongolia (2012) *** Luang Prabang,Lao PDR (2009) * Bangkok,Thailand (2010) % *Last 3 months; **Last 6 months; ***Last year Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys
    74. 74. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who inject drugs, 2006-2012 74 0.5 1.5 3 3.7 6.4 12 6 16 0 2 4 6 8 10 12 14 16 18 % injected drugs last year ever injected drugs Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys * Capital city; ** Luang Prabang
    75. 75. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender who sell sex, countries where data is available, 2009- 2011 75 81 84 36 90 0 10 20 30 40 50 60 70 80 90 100 Indonesia (2011) Malaysia (2009) Cambodia (2010) India (2009-10) % in last year in the last 6 months undefined period Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 2) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 3) Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia.; 4) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010)
    76. 76. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported condom use at last sex with male clients, 2006-2012 76 30 53 67 74 80 80 89 95 0 20 40 60 80 100 % *Dhaka; ** combined use of condom and water-based lubricant Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys
    77. 77. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported consistent condom use with male clients, 2006-2012 77 1 24 40 69 51 45 61 0 20 40 60 80 100 Bangladesh (2006-07) * Pakistan (2011) Malaysia (2009) Lao PDR (2012) PNG (2010) ** Fiji (2012) India (2009-10) % last week last month last six months last year undefined period Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys * Dhaka; ** Port Moresby
    78. 78. HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations reported condom use at last sex with transgender (2006-2011) 78 2 8 13 45 90 91 16 0 20 40 60 80 100 Sylhet Dhaka Luang Prabang Chennai Pune Bangladesh (2006-07) * Lao PDR (2009) ** Fiji (2010-11) ** India (2009-10) * Pakistan (2011) MSM PWID * with commercial TG partner ** with regular TG partner Source: Prepared by www.aidsdatahub.org based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07 ; 2) CHAS, USAID, The Global Fund, and PSI. (2012). Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet, Lao PDR, 2012. Consensus Meeting ; 3) Bavinton, B., Singh, N., Naiker, D. S., et al. (2011). Secret Lives, Other Voices: A Community-Based Study Exploring Male-to-Male Sex, Gender Identity and HIV Transmission Risk in Fiji. Suva, Fiji: AIDS Task Force of Fiji; 4) ) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010); 5) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011
    79. 79. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported injecting drug use, countries where data is available, 2006-2011 79 0.2 0.7 3.1 3.4 0 1 2 3 4 5 Bangladesh (2006-07) * Indonesia (2011) Malaysia (2009) Paksitan (2011) % last year last 6 months Source: Prepared by www.aidsdatahub.org based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07; 2) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 3) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 4) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011
    80. 80. HIV and AIDS Data Hub for Asia-Pacific Average duration in the profession of selling sex among MSW, countries where data is available, 2007-2011 80 8 5 6 5 0 1 2 3 4 5 6 7 8 9 10 Quetta Peshawar Dhaka Chittagong Pakistan (2011) Bangladesh (2007) Years(Mean) Source: Prepared by www.aidsdatahub.org based on 1.National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.; 2. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011
    81. 81. HIV and AIDS Data Hub for Asia-Pacific Average number of clients among MSW in the last month, 2007-2011 81 4 10 5 6 11 56 0 10 20 30 40 50 60 Chittagong Dhaka Ho Chi Minh City Hanoi Kathmandu Peshawar * Bangladesh (2007) Viet Nam (2009) Nepal (2009) Pakistan (2011) Meannumberofclients * Last week Source: Prepared by www.aidsdatahub.org based on 1.National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.; 2. Ministry of Health Viet Nam. (2011). Integrated Biological and Behavioural Survey 2009; 3. New ERA, STD/AIDS Counseling and Training Services, & FHI. (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) Men who have Sex with Men in Kathmandu Valley: Round III - 2009.; 4. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011
    82. 82. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW reported condom use at last sex, 2009-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 32 35 38 49 76 84 98 0 20 40 60 80 100 Pakistan, 2011 Bangladesh, 2011 Nepal, 2009 Indonesia, 2011 PNG, 2010 Philippines, 2011 Thailand, 2012 %
    83. 83. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW reported consistent condom use with male clients, 2007-2011 83 16 32 7 9 85 27 37 0 20 40 60 80 100 Dhaka ,Bangladesh (2007) Chittagong ,Bangladesh (2007) Larkana ,Pakistan (2011) Karachi ,Pakistan (2011) Kathmandu ,Nepal (2009)* Port Moresby ,PNG (2010) Shenzhen ,China (2008) % last week last month last 6 months undefined period Source: Prepared by www.aidsdatahub.org based on 1. National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.; 2. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.; 3. New ERA, STD/AIDS Counseling and Training Services, & FHI. (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) Men who have Sex with Men in Kathmandu Valley: Round III - 2009.; 4.Askim Na Save (Ask and Understand): People Who Sell and Exchange Sex in Port Moresby. Key Quantitative Findings. Sydney: Papua New Guinea Institute of Medical Research and the University of New South Wales.; 5. Cai, W.-D., Zhao, J., Zhao, J.-K., et al. (2010). HIV Prevalence and Related Risk Factors among Male Sex Workers in Shenzhen, China: Results from a Time–location Sampling Survey. Sexually Transmitted Infections, 86(1), 15-20. * with one time paying male anal sex partner
    84. 84. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW who reported transactional sex with female, 2008-2011 5 9 40 18 20 3 4 32 10 14 0 10 20 30 40 50 Dhaka,Bangladesh (2007) Chittagong,Bangladesh (2007) Pakistan (2011) Shenzhen,China (2008) Ho Chi Minh City,Viet Nam (2009) Hanoi,Viet Nam (2009) Lastmonth Last6 monthsLast12months % Had sex with FSW Sold sex to female Source: Prepared by www.aidsdatahub.org based on 1. National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.; 2. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.; 3.Cai, W.-D., Zhao, J., Zhao, J.-K., et al. (2010). HIV Prevalence and Related Risk Factors among Male Sex Workers in Shenzhen, China: Results from a Time–location Sampling Survey. Sexually Transmitted Infections, 86(1), 15-20.; 4.Ministry of Health Viet Nam. (2011). Integrated Biological and Behavioural Survey 2009
    85. 85. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW with overlapping risk behaviours, countries where data is available, 2007-2011 1 5 7 2 11 8 16 18 7 34 0 10 20 30 40 50 Dhaka Chittagong Quetta Karachi Hai Phong Ho Chi Minh City * Bangladesh (2007) ** Pakistan (2011) ***Viet Nam (2009) % Inject drugs Had sex with PWID * In last year ** In last 6 months *** Ever injected drugs; Had sexual partner who inject drugs Source: Prepared by www.aidsdatahub.org based on 1. National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.; 2. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.; 3. Ministry of Health Viet Nam. (2011). Integrated Biological and Behavioural Survey 2009
    86. 86. HIV and AIDS Data Hub for Asia-Pacific Latest! Average duration in the profession of selling sex among FSW, countries where data is available, 2006-2011 86 95 73 65 60 56 30 25 17 7 89 68 80 23 64 18 0 12 24 36 48 60 72 84 96 108 Averagedurationofsexwork (months) FSW Street-based FSW Brothel-based FSW Hotel-based FSW Venue-based FSW Female entertainment worker *Median duration of sex work Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
    87. 87. HIV and AIDS Data Hub for Asia-Pacific Latest! Average number of clients among FSW, 2006-2011 87 42 25 15 15 14 12 11 10 8 7 6 6 5 4 4 5 31 48 0 10 20 30 40 50 60 Numberofclients in last week in last month *Venue-based/Hotel-based FSW ** Street-based FSW *** Median number of clients Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
    88. 88. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of FSW reported condom use at last sex with a client, 2006-2012 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys; 3) www.aidsinfoonline.org 96 94 92 90 89 89 84 83 83 80 80 76 67 64 60 51 44 41 38 36 29 80 0 20 40 60 80 100 % *Federated States of Micronesia
    89. 89. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of FSW who reported consistent condom use with their clients, 2008-2012 89 0 20 40 60 80 100 Consistentcondomuse(%) in the last week in the last month in the last 6 months in last year No defined period *Venue-based FSW with one-time client ** Street-based FSW with regular client *** with regular client Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys
    90. 90. HIV and AIDS Data Hub for Asia-Pacific Sources: www.aidsdatahub.org based on 1. FHI, ICDDR, B., & USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological Experiment; 2.India, NBSS-General Population (2006) and BBS in 6 states (2009) cited in National AIDS Control Organization India. (2010). UNGASS Country Progress Report: India; 3. Demographic and Health Surveys 90 Percentage of men reported paying for sex in the last 12 months, countries where data is available, 2005 - 2012 9.9 3.8 2.4 2 1.5 6.3 5.3 0.5 12.5 15 7.1 2.1 12.2 1.1 0 2 4 6 8 10 12 14 16 % National Province/State/Region *Thailand, Age Adjusted Data from National Sexual Behaviour Survey (2006)
    91. 91. HIV and AIDS Data Hub for Asia-Pacific Proportion of truckers reported having commercial sex in the last year, 2006-2012 91 29 88 39 66 26 29 29 14 48 0 10 20 30 40 50 60 70 80 90 100 Dhaka Thimphu Samdrup Jongkhar North-East North-South North-West South-East Afghanistan (2012) * Bangladesh (2006-07) Bhutan (2008) India national highways (2009-10) Nepal (2009) % Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Integrated Biological and Behavioral Surveys *including driver's assistant and ever had commercial sex
    92. 92. HIV and AIDS Data Hub for Asia-Pacific Proportion of military personnel and police reported having commercial sex in the last year, 2008-2011 92 22 11 34 11 26 30 0 10 20 30 40 50 60 70 80 90 100 Thimphu, Bhutan (2008) Sri Lanka (2008) Timor-Leste (2011) Fiji (2008) Thimphu, Bhutan (2008) Samdrup Jongkhar, Bhutan (2008) % Military personnel Uniformed personnel Police Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys ;Integrated Biological and Behavioral Surveys; International Centre for Ethnic Studies, Ministry for Foreign Affairs, Buitenlandse Zaken, et al. (2009). A Survey of HIV/AIDS Awareness and Risky Sexual Behavior in a Vulnerable Population in Sri Lanka.
    93. 93. HIV and AIDS Data Hub for Asia-Pacific Proportion of taxi drivers and rickshaw pullers reported having commercial sex in the last year, 2006-2010 93 63 64 34 41 0 50 100 Dhaka,Bangladesh (2006-07) Chittagong, Bangladesh (2006-07) Cambodia (2010) Thimphu,Bhutan (2008) % Taxi drivers Rickshaw pullers Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and National Center for HIV/AIDS Dermatology and STD Cambodia. (2011). Estimation of the HIV Prevalence among General Population in Cambodia, 2010.
    94. 94. HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk reported having commercial sex in the last year by occupation, 2008-2011 94 2 4 6 7 9 23 51 0 20 40 60 80 100 % Maldives (2008) Fiji (2008) Indonesia (2011) Lao PDR (2008) Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys * Seafarers, dock workers, truck drivers and moto-taxi drivers
    95. 95. HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk reported injecting drugs in the last year, countries where data is available, 2006-2011 95 3 7 1 1 0.3 6 0 2 4 6 8 Truckers Rickshaw pullers Taxi drivers Truckers Men at higher risk* Prisoners ** Dhaka, Bangladesh (2006-07) Thimphu, Bhutan (2008) Indonesia (2011) % Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Integrated Biological and Behavioral Surveys * Seafarers, dock workers, truck drivers and moto-taxi drivers; ** Ever injected drugs
    96. 96. www.aidsdatahub.org Vulnerability and HIV knowledge
    97. 97. HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID with comprehensive HIV knowledge, 2006-2012 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys; 3) UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. 20 23 27 29 44 45 49 49 54 57 64 76 0 20 40 60 80 100 ComprehensiveHIVKnowledge(%) *Kathmandu
    98. 98. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM with comprehensive HIV knowledge, by age group, countries where data is available, 2005-2009 98 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur 0 20 40 60 80 100 % Total <25 yr 25+ yr
    99. 99. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender with comprehensive HIV knowledge, 2006-2012 99 32 37 41 55 0 20 40 60 80 100 Indonesia (2011) Malaysia (2009) Fiji (2012) Bangladesh (2006-07) % Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 2) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 3) Bavinton, B., Singh, N., Naiker, D. S., et al. (2011). Secret Lives, Other Voices: A Community-Based Study Exploring Male-to-Male Sex, Gender Identity and HIV Transmission Risk in Fiji. Suva, Fiji: AIDS Task Force of Fiji; 4) National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.
    100. 100. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW with comprehensive HIV knowledge, 2007-2009 0 20 40 60 80 100 Pakistan, 2008 Thailand, 2009 Bangladesh, 2007 Indonesia, 2007 Nepal, 2009 % Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.
    101. 101. HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW with comprehensive HIV knowledge, 2006-2012 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys 3) UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. 72 54 52 41 41 37 35 32 31 30 30 24 24 15 10 2 1 0 20 40 60 80 100 Comprehensive HIVknowledge(%)
    102. 102. HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk with comprehensive HIV knowledge, 2006-2011 8 12 57 35 41 50 19 34 44 24 12 14 0 20 40 60 80 100 Truckers(2006-2007) Rickshawpullers(2006- 2007) Electricityworkers(2008) Seafarers(2008) Uniformedservices(2008) STIclinicattendees(2008) Plantationworkers(2008) STIclinicattendees(2008) Petroleumworkers(2008) STIclinicattendees(2009) Prisoners(2011) Menathigherrisk*(2011) Bangladesh Lao PDR Fiji PNG Mongolia Indonesia % Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys ,Integrated Biological and Behavioral Surveys, UNGASS Progress Reports 2010 * Seafarers, dock workers, truck drivers and moto-taxi drivers
    103. 103. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of migrants with comprehensive HIV knowledge, 2008-2011 103 13 16 20 29 19 30 50 40 61 0 20 40 60 80 100 Wives of migrants, (2010) Returned migrants, Mid to Far-Western(2008) Mobile men, Mongolia (2009) Returned migrants, Northern Bihar (2011) Active migrants, Northern Bihar (2011) Returned migrants, Ganjam (2011) Active migrants, Ganjam (2011) Returned migrants, Thane(2011) Active migrants, Thane (2011) Nepal.India % Source: Prepared by www.aidsdatahub.org based on 1) Success Search Option (P) Ltd Nepal, Intrepid Nepal, & Save the Children Nepal. (2010). Integrated Biological and Behavioral Surveillance Survey among Male Labor Migrants: Round 3 - Mid and Far-Western Regions of Nepal.; 2) Saggurti N, Mahapatra B, Swain SN, et al. (2011). Migration and HIV in India: Study of Select Districts. New Delhi: UNDP, NACO, and Population Council; 3) Mongolia Second Generation Sentinel Surveillance 2009 cited in UNGASS Country Progress Report, 2010
    104. 104. www.aidsdatahub.org HIV expenditure
    105. 105. HIV and AIDS Data Hub for Asia-Pacific Latest! Data availability on AIDS spending data, Asia Latest available spending data Available trend data 1 Afghanistan 2012 2008 - 2012 2 Bangladesh 2012 2008 - 2012 3 Cambodia 2012 2006 - 2012 4 China 2012 2006 - 2012 5 DPR of Korea 2011 2009 - 2011 6 India 2011 2008 - 2011 7 Indonesia 2010 2006 - 2010 8 Lao PDR 2011 2006 - 2011 9 Malaysia 2012 2008 - 2012 10 Mongolia 2011 2007 - 2011 11 Myanmar 2011 2007 - 2011 12 Nepal 2009 2006 - 2009 13 Pakistan 2010 2007 - 2010 14 Philippines 2011 2006 - 2011 15 Sri Lanka 2010 2007 - 2010 16 Thailand 2011 2007 - 2011 17 Timor Leste 2009 2008 - 2009 18 Viet Nam 2010 2006 - 2010 Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonline.org
    106. 106. HIV and AIDS Data Hub for Asia-Pacific Latest! Data availability on AIDS spending data, the Pacific Latest available spending data Available trend data 1 Fiji 2012 2007 - 2012 2 Kiribati 2012 2010 - 2012 3 Marshall Islands 2012 2007 - 2012 4 Micronesia 2012 2008 - 2012 5 Nauru 2009 2008 - 2009 6 Palau 2011 2007 - 2011 7 Papua New Guinea 2010 2009 - 2010 8 Samoa 2011 2009 - 2011 9 Solomon Islands 2011 2008 - 2011 10 Tonga 2009 2008 - 2009 11 Tuvalu 2011 2008 - 2011 12 Vanuatu 2012 2008 - 2012 Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonline.org
    107. 107. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV expenditure from domestic sources, Asia and the Pacific, latest available year, 2009-2012 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org and India Global AIDS Response Progress Report 2012 97 88 85 0 53 52 40 37 31 24 17 10 7 1 11 9 8 1 1 0 25 50 75 100 Malaysia (2012) China (2012) Thailand (2011) Fiji (2012) Sri Lanka (2010) Philippines (2011) Indonesia (2010) Pakistan (2011) Mongolia (2011) PNG (2010) Viet Nam (2010) Cambodia (2012) India (2011-12) Myanmar (2011) Bangladesh (2012) Lao PDR (2011) Timor-Leste (2009) Nepal (2009) Afghanistan (2012) % Upper middle income Lower middle income Low income 90% Committed for NACP IV
    108. 108. HIV and AIDS Data Hub for Asia-Pacific Latest! AIDS spending in the Asia and the Pacific by major spending categories and prevention spending on key populations, latest available year, 2009 - 2012 108 24% 47% 18% 4% 7% Prevention spending Care and treatement spending Programme management and admin Incentives for human resources Others 189 67 31 23 13 - 20 40 60 80 100 120 140 160 180 200 Total prevention spending (25 countries) Key populations prevention spending Spending on people who use drugs (13 countries) Spending on sex workers and clients (15 countries) Spending on men who have sex with men (14 countries) MillionUSD Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
    109. 109. HIV and AIDS Data Hub for Asia-Pacific Latest! AIDS spending category by amount and financing source in Asia and the Pacific, latest available year, 2009-2012 109Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 46 300 39 10 143 77 101 21 0 50 100 150 200 250 300 350 400 Prevention Care and treatment Programme and administration Incentive and human resources MillionUSD International Domestic public
    110. 110. HIV and AIDS Data Hub for Asia-Pacific Latest! Distribution of prevention spending by financing source in Asia and the Pacific, latest available year, 2009-2012 110Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 0% 20% 40% 60% 80% 100% Total prevention spending Sex workers and clients MSM PWID Prevention spending on International Domestic public
    111. 111. HIV and AIDS Data Hub for Asia-Pacific Latest! 300 184 77 42 0 50 100 150 200 250 300 350 400 Total care and treatment spending Spending on ART MillionUSD International Domestic public Total care and treatment and ART spending by financing source in Asia and the Pacific, latest available year, 2009- 2012 111 60% of total care and treatment spending Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
    112. 112. HIV and AIDS Data Hub for Asia-Pacific Latest! Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org HIV prevention spending in Asia and the Pacific – low on HIV prevention among people who inject drugs, latest available year reported by countries, 2009-2012 Note: China and India do not report prevention spending breakdown 189 67 39 - 20 40 60 80 100 120 140 160 180 200 Total prevention spending Prevention spending on key populations Prevention spending on PWID US$inMillions
    113. 113. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends in spending on PWID harm reduction programmes out of total prevention spending, countries where HIV prevalence among PWID is more than 10%, 2006-2012 113 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 5%10% 57% 22% 67% 1% 7% 20% 0% 50% 100% 2006 2007 2008 2009 2010 2011 2012 SpendingonPWIDoutoftotal preventionspending(%) Cambodia Indonesia Malaysia Myanmar Pakistan Philippines Thailand Viet Nam
    114. 114. HIV and AIDS Data Hub for Asia-Pacific Prevention spending in Asia and the Pacific – low on HIV prevention spending among MSM, latest available year reported by countries, 2009-2012 114 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org Prevention spending breakdown is not available for China and India 189 67 13 - 20 40 60 80 100 120 140 160 180 200 Total prevention spending Prevention spending on key populations Prevention spending on MSM Millions
    115. 115. HIV and AIDS Data Hub for Asia-Pacific Trends in proportion of spending on MSM prevention programmes out of total prevention spending, countries with >5% HIV prevalence among MSM in national estimates from surveys 115 1 2 15 10 3 0 5 10 15 20 25 30 2007 2008 2009 2010 2011 % Indonesia Malaysia Myanmar Thailand Viet Nam Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org Data is not available for China
    116. 116. HIV and AIDS Data Hub for Asia-Pacific Latest! Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org HIV prevention spending in Asia and the Pacific – low on HIV prevention spending among sex workers and clients, latest available year reported by countries, 2009-2012 Prevention spending breakdown is not available for China and India 189 67 23 0 20 40 60 80 100 120 140 160 180 200 Total prevention spending Prevention spending on key populations Prevention spending on SW and clients Millions
    117. 117. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends in HIV prevention spending on sex workers and clients out of total prevention spending, countries where HIV prevalence among FSW is more than 5%, 2007-2011 117 31 5 0.10 50 100 2007 2008 2009 2010 2011 Spendingonsexworkersand clientsoutoftotalprevention spending(%) Myanmar Indonesia Papua New Guinea Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
    118. 118. www.aidsdatahub.org National response
    119. 119. www.aidsdatahub.org Key populations and vulnerable populations
    120. 120. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends of regional median on prevention coverage among key populations, countries that reported consistently in the Global AIDS Reporting between 2010 to 2013 120 44 66 64 47 55 56 37 24 24 0 20 40 60 80 100 UNGASS 2010 reporting Global AIDS Response Progress Report 2012 Global AIDS Response Progress Report 2013 Preventioncoverage(median%) MSM (9 countries) FSW (11 countries) MSW (4 countries) Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
    121. 121. HIV and AIDS Data Hub for Asia-Pacific Latest! Number of syringes distributed per PWID per year by Needle and Syringe Programmes (NSP), 2012 121 237 193 182 180 163 119 116 98 94 36 35 22 12 116 0 100 200 300 Numbersyringesdistributedper PWIDperyear Medium coverage: >100–<200 syringes per PWID per year Low coverage: <100 syringes per PWID per year High coverage: >200 syringes per PWID per year Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
    122. 122. HIV and AIDS Data Hub for Asia-Pacific Latest! Number of NSP and OST sites by country where data is available, 2012 122 Number of needles/syringes programme sites Number of opioid substitution therapy sites Afghanistan 35 1 Bangladesh 69 2 Cambodia 18 1 China 941 756 India 264 107 Indonesia 194 83 Lao PDR 5 8 Malaysia 605 715 Maldives 0 1 Mongolia 1 0 Myanmar 50 18 Nepal 29 3 Pakistan 33 1 Sri Lanka 0 0 Thailand 36 147 Viet Nam 3922 60 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2013). Global AIDS Response Progress Report 2013 – Online Country Reports
    123. 123. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV testing coverage among PWID, countries where data is available, 2006-2012 123 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 91 79 78 47 44 37 35 31 28 27 21 17 9 5 5 0 20 40 60 80 100 HIVtestingcoverage(%) * Programme data It is not strictly comparable across countries since methods and sampling varied. In addition, many surveys were conducted in a few urban areas and it might not necessarily reflect prevailing conditions at the national level. ** denominator is only those who answered HIV testing related questions and not all surveyed population.
    124. 124. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reached with HIV prevention programmes in the last 12 months, 2009-2012 124 77 77 70 69 67 64 53 49 46 23 23 9 58 0 20 40 60 80 100 % Definition of reach : Know where to go to receive an HIV test and had been given condoms in the last 12 months Source: Prepared by www.aidsdatahub.org based on Country Global AIDS Response Progress Reports 2012 and www.aidsinfoonline.org
    125. 125. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who received an HIV test in the last 12 months and know their results, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org and Ministry of Health Indonesia.(2013). Recalculated HIV Testing Coverage for the Global AIDS Response Progress Report Online Reporting using IBBS 2011 Data. * Programme data It is not strictly comparable across countries since methods and sampling varied. In addition, many surveys were conducted in a few urban areas and it might not necessarily reflect prevailing conditions at the national level. 9 14 25 26 28 33 34 39 40 42 42 43 48 56 65 65 79 0 20 40 60 80 100 %
    126. 126. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reached with outreach programmes in the last year, 2006-2012 Source: Prepared by www.aidsdatahub.org based on 1) National AIDS Control Program, Ministry of Health and Canada-Pakistan HIV/AIDS Surveillance Project (2007). HIV Second Generation Surveillance in Pakistan: National Report- Round II 2006-07; 2) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07 ; 3) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 4) Bavinton, B., Singh, N., Naiker, D. S., et al. (2011). Secret Lives, Other Voices: A Community-Based Study Exploring Male-to-Male Sex, Gender Identity and HIV Transmission Risk in Fiji. Suva, Fiji: AIDS Task Force of Fiji; 5) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010) 4 37 44 77 83 0 20 40 60 80 100 Pakistan (2006-07) Bangladesh (2006-07) Malaysia (2009) Fiji (2012) India (2009-10) %
    127. 127. HIV and AIDS Data Hub for Asia-Pacific HIV testing coverage among transgender, 2006-2012 * Dhaka; ** Port Moresby 27 33 57 72 92 8 37 14 44 0 20 40 60 80 100 Bangladesh (2006-07) * Pakistan (2011) Malaysia (2009) Indonesia (2011) India (2009-10) PNG (2010) ** Lao PDR (2012) Bangladesh (2006-07) * Fiji (2012) % ever tested for HIV tested in the last 12 months tested in the last 12 months and knew the results Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys
    128. 128. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW reached with HIV prevention programmes, 2009-2012 128Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 9 9 12 34 37 74 79 93 0 20 40 60 80 100 % Definition of reach : Know where to go to receive an HIV test and had been given condoms in the last 12 months
    129. 129. HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW who received an HIV test in the last 12 months and know their results, 2009-2012 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org * denominator is only those who answered HIV testing related questions and not all surveyed population. It is not strictly comparable across countries since methods and sampling varied. In addition, many surveys were conducted in a few urban areas and it might not necessarily reflect prevailing conditions at the national level. 9 37 38 44 52 65 89 0 20 40 60 80 100 Pakistan, 2011 Philippines, 2011 Bangladesh, 2010 PNG, 2010 Thailand, 2012 Nepal, 2009 Indonesia*, 2011 %
    130. 130. HIV and AIDS Data Hub for Asia-Pacific Latest! HIV testing coverage among FSW, countries where data is available, 2006-2012 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 4 6 14 16 22 25 35 40 44 47 49 55 55 56 66 66 67 71 75 100 0 20 40 60 80 100 % ** Programme data It is not strictly comparable across countries since methods and sampling varied. In addition, many surveys were conducted in a few urban areas and it might not necessarily reflect prevailing conditions at the national level. * denominator is only those who answered HIV testing related questions and not all surveyed population.
    131. 131. HIV and AIDS Data Hub for Asia-Pacific Latest! 131 83 76 64 63 62 60 56 55 54 46 37 20 18 8 7 55 0 20 40 60 80 100 % Proportion of FSW reached with HIV prevention programmes, 2008-2012 Source: Prepared by www.aidsdatahub.org based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys; 3) www.aidsinfoonline.org Definition of reach : Know where to go to receive an HIV test and had been given condoms in the last 12 months
    132. 132. HIV and AIDS Data Hub for Asia-Pacific Proportion of prisoners, clients of FSW, and truckers ever received an HIV test, 2010-2012 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioural Surverys 16 19 25 29 27 25 6 15 16 35 0 20 40 60 80 100 Herat Kabul National KotaDenpasar Mumbai Pune North-South North-West North-East South-East Afghanistan (2012) Indonesia (2011) India (2009-10) India national highways (2009-10) % Prisoners Clients of FSW Truckers
    133. 133. HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk who received an HIV test by occupation, 2008-2011 133 31 67 54 27 13 7 2 0 20 40 60 80 100 Construction workers Seafarers STI clinic attendees Taxi drivers Electricity workers Men at higher risk* Mine workers Tested in the last 12 months Ever tested for HIV % Maldives (2008) Fiji (2008) Cambodia (2010) Lao PDR (2008) Indonesia (2011) Balochistan, Pakistan (2011) Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys ,Integrated Biological and Behavioral Surveys, UNGASS Progress Reports 2010 * Seafarers, dock workers, truck drivers and moto-taxi drivers
    134. 134. HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk reached with HIV prevention programmes, 2006-2009 134 3 3 19 1 1920 31 40 44 50 0 20 40 60 80 100 % Bangladesh (2006- 07) * Bhutan (2008) * Nepal (2009) Mongolia (2009) Maldives (2008) PNG (2008) Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys ,Integrated Biological and Behavioral Surveys, UNGASS Progress Reports 2010 * Capital city
    135. 135. HIV and AIDS Data Hub for Asia-Pacific Latest! Inclusion of migrants in the latest available National Strategic Plans 135 Country Identify migrants as priority population or focus area 1 Afghanistan (2011-2015) YES 2 Bangladesh (2011-2015) YES 3 Bhutan (2012-2016) YES 4 Brunei Darussalam No information 5 Cambodia (2011-2015) YES 6 China (2011-2015) YES 7 DPR Korea No National Strategic Plan 8 Fiji (2011-2015) YES 9 India (2012-2017) YES 10 Indonesia (2010-2014) YES 11 Japan (2012-2017) YES 12 Lao PDR (2011-2015) YES 13 Malaysia (2011-2015) YES 14 Maldives No information 15 Mongolia (2010-2015) YES 16 Myanmar (2011-2015) YES 17 Nepal (2011-2016) YES 18 Pakistan (2007-2012) YES 19 Papua New Guinea (2011-2015) YES 20 Philippines (2011-2016) YES 21 Republic of Korea No information 22 Singapore YES 23 Sri Lanka (2007-2011) YES 24 Thailand (2012-2016) YES 25 Timor-Leste (2011-2016) YES 26 Viet Nam (2011-2020) YES Source: Prepared by www.aidsdatahub.org based on the latest National Strategic Plans and National Commitments and Policies Instrument(NCPI), 2012
    136. 136. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of migrants tested for HIV, 2009-2011 136 2 14 15 26 19 0 10 20 30 40 50 60 70 80 90 100 Bangladeshi migrants in India (2010-11) Nepalese migrants in India (2010-11) Spouses in Nepal (2010-11) Nepalese circular/returned migrants from India (2010-11) Mobile men in Mongolia (2009) % Ever tested Tested in the last 12 months and knew the results Source: Prepared by www.aidsdatahub.org based on 1) Wagle, S., Bohidar, N., Samuels, F., et al. (2011). Vulnerability to HIV & AIDS: A Social Research on Cross Border Mobile Populations from Nepal to India.; 2)Sultana, T., Das, A., Sultana, M. M., et al. (2011). Vulnerability to HIV and AIDS: A Social Research on Cross Border Mobile Population from Bangladesh to India.; 3) Mongolia Second Generation Sentinel Surveillance 2009 cited in UNGASS Country Progress Report, 2010
    137. 137. www.aidsdatahub.org Treatment
    138. 138. HIV and AIDS Data Hub for Asia-Pacific Latest! Though HIV is concentrated among key populations, less than half of them know their HIV status Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 42 41 39 28 0 20 40 60 80 100 Female sex workers Male sex workers Men who have sex with men People who inject drugs HIVtestingcoverage(%) HIV testing coverage among key populations, regional median, 2007-2012
    139. 139. HIV and AIDS Data Hub for Asia-Pacific Latest! * MSM 2010; ** Female entertainment workers; ***MSM 2009 HIV testing coverage among key populations, selected countries, 2007-2012 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 42 39 28 0 20 40 60 80 100 % FSW MSM PWID
    140. 140. HIV and AIDS Data Hub for Asia-Pacific Latest! 1.25 million people are receiving antiretroviral therapy – expanding but lagging behind the regional target Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org; 1.25 million 0 1,150,000 2,300,000 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 NumberofpeoplereceivingART 2015 Regional Target 13% increase between 2011 and 2012 20% increase between 2010 and 2011
    141. 141. HIV and AIDS Data Hub for Asia-Pacific Number of people receiving antiretroviral therapy by sub-region, 2004-2012 0 200000 400000 600000 800000 1000000 1200000 1400000 2004 2005 2006 2007 2008 2009 2010 2011 2012 NumberofpeopleonART Oceania East Asia South and South-East Asia 1.25 million people receiving ART in 2012 Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org;
    142. 142. HIV and AIDS Data Hub for Asia-Pacific Latest! Source: Prepared by www.aidsdatahub.org based on UNAIDS HIV Estimates 2012 for UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013. Recent trends in global, and Asia and the Pacific ART coverage, 2009-2012 38% 35% 46% 42% 53% 50% 61% 51% 0% 50% 100% Global Asia and the Pacific 2009 2010 2011 2012
    143. 143. HIV and AIDS Data Hub for Asia-Pacific Latest! Scaling-up antiretroviral treatment coverage in Asia and the Pacific, but lagging behind the global trend Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS HIV Estimates 2012 for UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org; 1.25 million 0 500 1,000 1,500 Thousands Number of people receiving ART 38% 35% 46% 42% 53% 50% 61% 51% 0% 50% 100% Global Asia and the Pacific Recent trends in global, and Asia and the Pacific ART coverage 2009 2010 2011 2012
    144. 144. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of people living with HIV and eligible people who are receiving ART in 10 high HIV burden countries, Asia and the Pacific, 2012 144 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% People living with HIV (2012) People on ART (2012) India China Indonesia Thailand Viet Nam Myanmar Pakistan Malaysia Cambodia Nepal Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org
    145. 145. HIV and AIDS Data Hub for Asia-Pacific Latest! 84 79 76 73 58 51 50 48 43 42 34 33 27 26 17 14 12 8 50% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% ARTcoverage Treatment gap ART coverage Proportion of eligible people receiving antiretroviral therapy and treatment gap, 2012 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org Note: ART coverage based on WHO 2010 guideline
    146. 146. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends in antiretroviral therapy coverage 2010-2012 Source: Prepared by www.aidsdatahub.org based on 1) www.aidsinfoonline.org 84 79 76 73 58 51 50 48 43 42 34 33 27 26 17 14 12 8 5 0 20 40 60 80 100 ARTcoverage(%) 2010 2011 2012 Note: ART coverage based on WHO 2010 guideline
    147. 147. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of eligible people receiving ART by age group, 2012 0% 20% 40% 60% 80% 100% Mongolia Maldives Philippines Thailand Malaysia Pakistan Afghanistan Fiji VietNam Indonesia India Bangladesh PapuaNewGuinea SriLanka LaoPDR Myanmar Nepal Cambodia Bhutan* Children 0-14 years receiving ART Adults 15+ years receiving ART * 5 out of 38 people receiving ART are children Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org;
    148. 148. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of eligible children (0-14 year) receiving antiretroviral therapy, 2012 148 43 33 40 0 20 40 60 80 100 South and South- East Asia East Asia Oceania ARTcoverage(%) Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org
    149. 149. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of 12 months retention on antiretroviral therapy, 2012 87 0 20 40 60 80 100 SolomonIslands Palau Afghanistan Malaysia Bangladesh Fiji Mongolia Cambodia Philippines Maldives China LaoPDR PapuaNew Guinea VietNam Brunei Darussalam Thailand SriLanka Indonesia Regionalmedian 12monthsretentiononART(%) Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org;
    150. 150. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of 12 months retention on antiretroviral therapy by age group, countries where data is available, 2011-2012 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 100 83 87 87 11 91 94 88 95 100 100 0 20 40 60 80 100 12monthsretentiononART(%) Children 0-14 years Adults 15+ years
    151. 151. HIV and AIDS Data Hub for Asia-Pacific Proportion of retention on antiretroviral therapy by treatment coverage, 2011 78 48 88 44 0 20 40 60 80 100 12 months 24 months 60 months 12 months 24 months 60 months on treatment on treatment Countries with ART coverage ≥ 50% Countries with ART coverage < 50% Retentiononantiretroviraltherapy(%) Cambodia Thailand Vietnam PNG Malaysia Myanmar Bangladesh Nepal Sri Lanka Indonesia Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2012). Global Report: UNAIDS Report on the Global AIDS Epidemic 2012 (online country reports), and www.aidsinfoonline.org
    152. 152. www.aidsdatahub.org Treatment: PMTCT
    153. 153. HIV and AIDS Data Hub for Asia-Pacific Latest! Mother-to-child transmission rates in women with low CD4 counts, during pregnancy, labour and breastfeeding 153 3.9 3.5 7.6 7.6 4.5 2.3 7.3 15.5 1.9 7.4 13.3 20.8 0 10 20 30 40 50 >500 350-500 200-350 <200 Mother-to-child transmission rate (%) MaternalCD4count(cells/ul) during pregnancy during delivery through breastfeeding Source: Prepared by www.aidsdatahub.org based on Kuhn,L., et al., 'Potential Impact of New WHO Criteria for Antiretroviral Treatment for Prevention of Mother-to-Child HIV Transmission'. AIDS, vol. 24, no.9, 1 June 2010, pp. 1374-1377 cited in UNICEF (2010). Children and AIDS: Fifth Stocktaking Report.
    154. 154. HIV and AIDS Data Hub for Asia-Pacific Latest! 42% 15% 56% 16% 60% 19% 62% 19% 0% 20% 40% 60% 80% 100% Global Asia and the Pacific PMTCTcoverage(%) 2009 2010 2011 2012 Coverage with effective antiretroviral prophylaxis and treatment for prevention of mother-to-child transmission (PMTCT), Global and Asia and the Pacific Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS HIV Estimates 2012 for UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org;
    155. 155. HIV and AIDS Data Hub for Asia-Pacific Prevention of mother-to-child transmission coverage by region, 2012 18 26 49 0 20 40 60 80 100 South and South-East Asia East Asia Oceania PMTCTcoverage(%) Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS HIV Estimates 2012 for UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org;
    156. 156. HIV and AIDS Data Hub for Asia-Pacific Latest! PMTCT coverage with effective ARV regimen, Asia and the Pacific, 2011 5 8 9 14 16 23 26 26 29 38 42 75 86 >95 >95 >95 1 4 2 6 10 8 11 17 7 13 23 18 30 77 60 73 0 20 40 60 80 100 PMTCTcoverage(%) Percent (Estimate) Percent (High estimate) Percent (Low estimate) Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS. (2012). Global Report: UNAIDS Report on the Global AIDS Epidemic 2012.; 2) www.aidsinfoonline.org
    157. 157. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of infants born to HIV positive pregnant women received virological HIV testing within 2 months of birth, 2012 Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org 0 20 40 60 80 100 Earlyinfantdiagnosis(%)
    158. 158. HIV and AIDS Data Hub for Asia-Pacific Latest! Decline in new HIV infections among children (0-14 yr), Asia and the Pacific, 2001-2012 158 2015 Target 0 5000 10000 15000 20000 25000 30000 35000 NewHIVinfectionamongchildren New HIV infections among children 8% decline 2010-2012 Reduce 23, 000 new HIV infections among children Source: Prepared by www.aidsdatahub.org based on 1)UNAIDS HIV Estimates 2012 for UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) www.aidsinfoonline.org;
    159. 159. www.aidsdatahub.org TB HIV Co-treatment
    160. 160. HIV and AIDS Data Hub for Asia-Pacific Latest! Estimated number of people acquiring TB who are living with HIV in Asia and the Pacific, 2011 13 164 2.2 0 50 100 150 200 East Asia South and South- East Asia Oceania Numberinthousands Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2012). UNAIDS Report on the Global AIDS Epidemic 2012.
    161. 161. HIV and AIDS Data Hub for Asia-Pacific Latest! Trends in number of TB patient tested for HIV in Asia and the Pacific, 2006-2011 882,810 223,514 6,3260 200,000 400,000 600,000 800,000 1,000,000 2006 2007 2008 2009 2010 2011 TBpatientstestedforHIV(number) South and South-East Asia East Asia Oceania Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonline.org
    162. 162. HIV and AIDS Data Hub for Asia-Pacific Latest! Scaling-up HIV and TB co-infection screening in Asia and the Pacific, 2006-2011 630,596 1,112,650 0 200,000 400,000 600,000 800,000 1,000,000 1,200,000 2006 2007 2008 2009 2010 2011 Number PLHIV screened for TB TB patients tested for HIV Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonline.org
    163. 163. HIV and AIDS Data Hub for Asia-Pacific Latest! 0% 50% 100% PLHIV screened for TB 0% 50% 100% TB patients tested for HIV 2006 2007 2008 2009 2010 2011 Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonline.org Scaling-up HIV and TB co-infection screening in Asia and the Pacific, 2006-2011
    164. 164. HIV and AIDS Data Hub for Asia-Pacific Latest! Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonline.org Scaling-up integration of HIV and TB co-treatment in Asia and the Pacific, 2003-2012 0 10000 20000 30000 40000 50000 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Number TB patients living with HIV receiving ART 4 times increase between 2007 and 2009 82% increase between 2009 and 2012
    165. 165. HIV and AIDS Data Hub for Asia-Pacific Latest! Proportion of people living with HIV and TB starting antiretroviral therapy, 2011 36 58 67 0 20 40 60 80 100 East Asia South and South- East Asia Oceania PeoplelivingwithHIVandTB startingART(%) Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2012). UNAIDS Report on the Global AIDS Epidemic 2012.
    166. 166. HIV and AIDS Data Hub for Asia-Pacific Latest! Estimated HIV+ incident TB cases that received treatment for TB and HIV, 2012 Source: Prepared by www.aidsdatahub.org based on data from www.aidsinfoonline.org 27 0 20 40 60 80 100 % HIV+ incident TB cases that received treatment for TB and HIV (%) Regional (median)

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