HIV and AIDS Data Hub for Asia-Pacific Review in slides People living with HIV (PLHIV) Last updated: May 2016

HIV and AIDS Data Hub for Asia-Pacific Source: Prepared by based on UNAIDS Estimates 2013; Institute of Medical Statistics. (2015). India HIV Estimations 2015: Technical Report; and UNAIDS. (2015). HIV Estimates www.aidsdatahub.org * 2015 estimates; ** 2013 Estimates HIV estimates among high HIV burden countries, 2014 New HIV infectionsPeople living with HIVAIDS-related deaths India* 86,309 [55, ,641] 2,116,581 [1,711,009-2,649,302] 67,612 [46, ,034] Indonesia 69,000 [63,000-76,000] 660,000 [600, ,000] 34,000 [26,000-60,000] China** 45,000 [42,000-49,000] 810,000 [640, ,000] 30,000 [27,000-34,000] Pakistan 20,000 [9,700-50,000] 94,000 [58, ,000] 2,800 [1,800-4,900] Viet Nam 15,000 [13,000-16,000] 250,000 [220, ,000] 11,000 [6,000-17,000] Myanmar 8,700 [7,800-9,500] 210,000 [190, ,000] 10,000 [7,700-16,000] Thailand 7,900 [3,700-13,000] 450,000 [400, ,000] 19,000 [14,000-29,000] Philippines 6,400 [1,500-12,000] 36,000 [21, ,000] <500 [<500-3,700] Malaysia 6,200 [5,700-6,800] 100,000 [91, ,000] 9,000 [6,000-18,000] PNG 2,000 [1,500-2,500] 37,000 [34,000-41,000] <1,000 [<1,000-1,100] Nepal 1,500 [1,300-1,600] 39,000 [35,000-43,000] 2,600 [2,000-4,000] Bangladesh 1,000 [<1,000-1,100] 8,900 [8,000-9,800] <1,000 [900-1,200]

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! New HIV infections have declined significantly since 2000, but remain largely unchanged in past 5 years Estimated new HIV infections in Asia and the Pacific, Source: Prepared by based on UNAIDS. (2015). HIV Estimates www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults and women living with HIV in Asia and the Pacific region, Source: Prepared by based on UNAIDS. (2015). HIV Estimates www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of children living with HIV and new HIV infections among children in Asia and the Pacific region, Source: Prepared by based on UNAIDS. (2015). HIV Estimates www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 600,000 young people (15-24) are living with HIV in 2014, 12% of people living with HIV in Asia and the Pacific 6 320,000 young female (15-24) 370,000 young male (15-24) Source: Prepared by based on UNAIDS estimates 2014 and National Institute of Medical Statistics and National AIDS Control Organization (2015). India HIV Estimates Technical Report. Percent decrease between 2000 and 2014

HIV and AIDS Data Hub for Asia-Pacific MSM Source: Commission on AIDS in Asia. (2008). Redefining Aids in Asia: Crafting an Effective Response. Estimated annual new HIV infections by population group, Asian Epidemic Model Half of all new infections among MSM by 2020 if ‘business as usual’- Commission on AIDS in Asia

Treatment

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV testing is the entry point for treatment, but only around 1/3 of key populations know their HIV status HIV testing coverage among key populations, regional median, Source: Prepared by based on and Global AIDS Response Progress Reportingwww.aidsdatahub.orgwww.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Access to treatment in Asia and the Pacific region continues to grow: 1.9 million people living with HIV in the region are receiving HIV treatment People receiving antiretroviral therapy in Asia and the Pacific, 2003 – June % increase between 2013 and % increase between 2012 and 2013 Estimated 1.9 million as of June 2015 Source: Prepared by based on and UNAIDS “How AIDS Changed Everything. MDG 6: 15 Years and 15 Lessons of Hope from the AIDS Response”, Geneva 2015www.aidsdatahub.orgwww.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Number of people receiving antiretroviral therapy by sub-region, 2004 – June 2015 Source: Prepared by based on and UNAIDS “How AIDS Changed Everything. MDG 6: 15 Years and 15 Lessons of Hope from the AIDS Response”, Geneva 2015www.aidsdatahub.orgwww.aidsinfoonline.org Note: Estimated 1.9 million people are receiving ART as of June 2015

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Recent trends of ART coverage in global, and Asia and the Pacific, Source: Prepared by based on UNAIDS. (2015). HIV Estimates

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Treatment saves lives: AIDS-related deaths are declining in Asia and the Pacific AIDS-related deaths, Asia and the Pacific, Source: Prepared by based on 1. UNAIDS. (2015). HIV Estimates ; 2. and 3. UNAIDS “How AIDS Changed Everything. MDG 6: 15 Years and 15 Lessons of Hope from the AIDS Response”, Geneva 2015www.aidsdatahub.orgwww.aidsinfoonline.org People receiving ART Note: Estimated 1.9 million people were receiving ART as of June % decline since 2005

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of people living with HIV and people who are receiving ART in 10 high HIV burden countries in Asia and the Pacific, Source: Prepared by based on UNAIDS Estimates 2013; Institute of Medical Statistics. (2015). India HIV Estimations 2015: Technical Report; and UNAIDS. (2015). HIV Estimates www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Current treatment scale-up: only 1 in 3 PLHIV are on ART ART coverage among countries in Asia and the Pacific, 2014 Note: As of June 2015, an estimated 38% of people living with HIV in the region are receiving ART. ART coverage data is not available for China, and India Source: Prepared by based on and UNAIDS “How AIDS Changed Everything. MDG 6: 15 Years and 15 Lessons of Hope from the AIDS Response”, Geneva 2015www.aidsdatahub.orgwww.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of children (0-14 year) living with HIV receiving antiretroviral therapy, Source: Prepared by based on UNAIDS. (2015). HIV Estimates

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART coverage and treatment gap among children (0-14yr) living with HIV, Asia and the Pacific, Source: Prepared by based on UNAIDS. (2015). How AIDS Changed Every Thing. MDG 6: 15 Years, 15 Lessons of Hope from the AIDS Responsewww.aidsdatahub.org ART coverage data is not available for China, and India

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of 12 months retention on antiretroviral therapy, 2014 Source: Prepared by based on 1) Global AIDS Response Progress Reporting 2015 and country narrative reports; 2)

Treatment: PMTCT

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Mother-to-child transmission rates in women with low CD4 counts, during pregnancy, labour and breastfeeding 20 Source: Prepared by 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 cited in UNICEF (2010). Children and AIDS: Fifth Stocktaking Report. (2010). Children and AIDS: Fifth Stocktaking Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Prevention of mother-to-child transmission coverage, Global and Asia and the Pacific, Efforts are needed to eliminate new HIV infections among children in Asia and the Pacific Source: Prepared by based on UNAIDS 2014 estimateswww.aidsdatahub.org

PMTCT coverage data is not available for China, India and Philippines Efforts are needed to eliminate new HIV infections among children in Asia and the Pacific Source: Prepared by based on UNAIDS “How AIDS Changed Everything. MDG 6: 15 Years and 15 Lessons of Hope from the AIDS Response”, Geneva 2015www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of infants born to HIV+ women receiving a virological test for HIV within 2 months of birth, Source: Prepared by based on

TB-HIV Co-treatment

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated HIV in new TB cases, Asia and the Pacific, 2013 Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Trends in number of TB patient tested for HIV in Asia and the Pacific, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Scaling-up HIV and TB co-infection screening in Asia and the Pacific, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Source: Prepared by based on Scaling-up HIV and TB co-infection screening in Asia and the Pacific,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated HIV+ incident TB cases that received treatment for TB and HIV, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated HIV+ incident TB cases that received treatment for TB and HIV, 2013 Source: Prepared by based on

Women living with HIV and reproductive health rights

HIV and AIDS Data Hub for Asia-Pacific Proportion of women living with HIV who had a desire to have children reported being coerced to undergo sterilization, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Proportion of surveyed HIV-positive pregnant women who were asked to undergo sterilization, Source: Prepared by based on Women of the Asia Pacific Network of People Living with HIV. (2012). Positive and pregnant, How dare you. A study on access to reproductive and maternal health care for women living with HIV in Asiawww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Number of HIV-positive pregnant women who were asked to undergo sterilization and had the option to decline, Source: Prepared by based on Women of the Asia Pacific Network of People Living with HIV. (2012). Positive and pregnant, How dare you. A study on access to reproductive and maternal health care for women living with HIV in Asiawww.aidsdatahub.org

Punitive laws hindering the HIV response among PLHIV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Punitive laws hindering the HIV response among PLHIV in South Asia 36 Restriction on entry, stay, and residence based on HIV status Laws that specifically criminalize HIV transmission or exposure Afghanistan NO YES Bangladesh NO Bhutan NO India NO Maldives NO NO INFO Nepal NO NO INFO Pakistan NO NO INFO Sri Lanka NO Source: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific in October 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Punitive laws hindering the HIV response among PLHIV in South-East Asia 37 Restriction on entry, stay, and residence based on HIV status Laws that specifically criminalize HIV transmission or exposure Brunei YES Cambodia NO YES Indonesia NO Lao PDR NO YES Malaysia YES NO Myanmar NO Philippines NO Singapore YES Thailand NO NO INFO Timor-Leste NO INFO Viet Nam NO YES Source: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific in October 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Punitive laws hindering the HIV response among PLHIV in East Asia 38 Restriction on entry, stay, and residence based on HIV status Laws that specifically criminalize HIV transmission or exposure China NO CONTRADICTORY INFO Japan NO NO INFO Mongolia NO YES DRP Korea YES NO INFO Rep of Korea NO NO INFO Source: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific in October 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Punitive laws hindering the HIV response among PLHIV in the Pacific 39 Restriction on entry, stay, and residence based on HIV status Laws that specifically criminalize HIV transmission or exposure Fiji NO Kiribati NO Marshall Islands YES FSM* NOYES Nauru NO INFONO Palau NO INFONO Papua New Guinea YES Samoa YESNO Solomon Islands YESNO Tonga YESNO Tuvalu NO INFONO Vanuatu NO *Federated States of Micronesia Source: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific in October 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 40 THANK YOU slides compiled by Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used. Please acknowledge if slides are lifted directly from this sitewww.aidsdatahub.org