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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 ; 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
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 China AIDS Fact Sheet 2009 (Unpublished)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(Unpublished).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.
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
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
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
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.
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.
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
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)
%
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.
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
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.
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
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)
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.
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%
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
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
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
4,900,000
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.
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
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
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
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
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
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
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
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
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
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
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
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)
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)
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
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)
%
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 %
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
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
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.
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
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.
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
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
%
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
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
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
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
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)
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
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
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
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
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
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.
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
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, 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)
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
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;
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
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(%)
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(%)
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
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
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
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)***
%
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 %
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
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
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
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
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
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)
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
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
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
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
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
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
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
%
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
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
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
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
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
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
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
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)
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
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.
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.
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
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
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 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
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
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.
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.
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(%)
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
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
www.aidsdatahub.org
HIV expenditure
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
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
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
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
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
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
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
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
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
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
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
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
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
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, 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
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
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
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.
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
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 %
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)
%
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
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
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
%
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.
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
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
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
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
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
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
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 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
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
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
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;
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
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
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
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
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
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;
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
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;
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
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
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 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.
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;
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;
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
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(%)
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;
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 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.
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
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
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
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
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.
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)
Regional slides-jun-2014
Regional slides-jun-2014

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Regional slides-jun-2014

  • 1. www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific Review in slides Regional overview slides
  • 2. www.aidsdatahub.org Data availability and population size estimates
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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
  • 119. www.aidsdatahub.org Key populations and vulnerable populations
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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. 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;
  • 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. 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. 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. 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. 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. 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. 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)

Notas do Editor

  1. Updated
  2. Updated
  3. Note: Rate of HIV transmission is slowing and AIDS-related deaths remain stable
  4. Update and removed Malaysia invalidated data points.
  5. Bkk revised
  6. China trend updated
  7. Lao PDR revised
  8. Updated
  9. Checked
  10. Number of countries consistently reporting MSM(14), FSW(17), MSW(5), PWID(11).
  11. updated
  12. Median condom use 66%; Max 85% THL; Min 26% BGD; Count 18
  13. Updated with 2013 data
  14. updated
  15. 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
  16. 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
  17. Note: 1.25 million people are receiving antiretroviral therapy – expanding but lagging behind global trend
  18. 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)