HIV and AIDS Data Hub for Asia-Pacific Review in slides Regional overview slides Last updated: November 2014

Key population size estimates

People who inject drugs population size estimates, countries where data is available Estimated PWID (a)Year of estimateYear of reportingHIV prevalence (b) 1 Afghanistan (6 cities)17, Male (2012) 2 Australia215, Total- 1.2 (2012) 3 Bangladesh23, Total- 1.1 (2011) 4 Brunei3,000 – 4, Not available 5 Cambodia1, Total (2012) 6 China2,170, Total- 6.3 (2013) 7 India177, Total- 7.2 ( ) 8 Indonesia74, Total (2011) 9 Lao PDR1, Not available 10 Malaysia170, Total (2012) 11 Maldives400…20100 (2008) 12 Myanmar75,000 (60,000 – 90,000) Male (2013) 13 Nepal52, Male- 6.3 (2011) 14 Pakistan91, Total (2011) 15 Philippines14,400 (12,304-16,607) *Total (2013) 16 Papua New Guinea5,000 – 10, *Not available 17 Singapore10,000 – 20, *0.5 (2013) 18 Sri Lanka Not available 19 Thailand40, Total (2012) 20 Timor Leste *Not available 21 Viet Nam271, Male (2013) Prepared by ; Note: a) Please see next slide for references; b) National HIV Sentinel Surveillance surveys and Integrated Biological and Behavioral surveys reported in GARPR 2013 and 2014www.aidsdatahub.org * Year of source reference

HIV and AIDS Data Hub for Asia-Pacific References: People who inject drugs population size estimates 4 1. Afghanistan Global AIDS Response Progress Reporting (In 6 cities; Kabul, Herat, Mazar-i-Sharif, Jalalabad, Farah, and Nimroz) 2. Australia Global AIDS Response Progress Reporting 2014 based on Hepatitis C virus Projections Working Group: Estimates and projections of the hepatitis C virus epidemic in Australia. (2006). 3. Bangladesh Global AIDS Response Progress Reporting 2014 based on Population Size Estimates for Most at Risk Populations for HIV in Bangladesh 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), Cambodia Global AIDS Response Progress Reporting 2014 based on NACD,NCHADS, and KHANA. (2014). National Population Size Estimation, HIV Related Risk Behaviours and HIV Prevalence among People Who Use Drugs in Cambodia in Ministry of Health China, WHO, and UNAIDS. (2011) Estimates for the HIV/AIDS Epidemic in China (Unpublished). 7. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report Indonesia Global AIDS Response Progress Reporting 2014 based on Ministry of Health.(2013). Estimasi Populasi Rawan Tertular HIV di Indonesia Tahun 2012 (In Indonesian Language) 9. Lao Global AIDS Response Progress Reporting 2014 based on National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI Malaysia Global AIDS Response Progress Reporting 2014 based on Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic 11.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– Myanmar Global AIDS Response Progress Reporting 2014 based on National AIDS Programme Myanmar.(2009). HIV Estimates and Projections, Myanmar Nepal Global AIDS Response Progress Reporting 2014 based on Central Bureau of Statistics, Ministry of Home Affairs. (2013). Survery Report on Current Hard Drug Users in Nepal Pakistan Global AIDS Response Progress Reporting 2014 based on extrapolation and triangulation from mapping conducted as part of IBBS Round II, Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV 16. 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), Ibid. 18. Sri Lanka Global AIDS Response Progress Reporting 2014 based on National STD/AIDS Control Programme and the Family Planning Association of Sri Lanka. (2013). National Size Estimation of Most at Risk Populations (MARPs) for HIV in Sri Lanka 19. Thailand Global AIDS Response Progress Reporting 2014 based on 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. 20. 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), Viet Nam Global AIDS Response Progress Reporting 2014

HIV and AIDS Data Hub for Asia-Pacific Size estimates of PWID as proportion of adult male population (15-49) years Source: Prepared by based on size estimates of PWID ( please see the information provided in the previous 2 slides) and adult male population (15-49) years is based on 2012 population based on UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset. Regional median 0.2%; Range 0.01% - 2.3% * Size estimate from 6 cities

MSM size estimates, countries where data is available Estimated MSM (a)Year of estimateYear of reportingHIV prevalence (b) 1Afghanistan (Kabul)1, (2012) 2Australia190, (2012) 3Bangladesh 110, (Dhaka, 2013) 4Cambodia21, (2010) 5China3,830, (2013) 6Hong Kong SAR120, …4.08 (2011) 7India 427,000 [High risk MSM, interventions] 3,500,000 [MSM at-risk] ( ) 8Indonesia 1,095, (2011) 9Lao PDR 17,000 [High risk MSM] 49,330 [All MSM and TG] (Vientiane, 2011) 10Malaysia 173, (2012) 11Maldives 4, *0 (2008) 12Mongolia 11, ,000 (homo and bisexual) (Ulaanbaatar,2012) 13Myanmar 230, (2013) 14Nepal 196, (2012) 15Philippines 540,000 (390, ,529) *3.3 (2013) 16Singapore 90, (2013) 17Sri Lanka 7, (2011) 18Thailand 550, (2012) 19Timor Leste 11, (2011) 20Viet Nam 382, (2013) Prepared by ; Note: a) Please see next slide for references; b) National HIV Sentinel Surveillance surveys and Integrated Biological and Behavioral surveys reported in GARPR 2013 and 2014www.aidsdatahub.org * Year of source reference

HIV and AIDS Data Hub for Asia-Pacific References, MSM population estimation 7 1. Afghanistan Global AIDS Response Progress Reporting Australia Global AIDS Response Progress Reporting 2014 based on Prestage G, Ferris J, Grierson J, Thorpe R, Zablotska I, Imrie J, Smith A and Grulich AE. Homosexual men in Australia: population, distribution and HIV prevalence. Sexual Health 2008; 5: Bangladesh Global AIDS Response Progress Reporting Cambodia Global AIDS Response Progress Reporting 2014 based on MSM size estimation conducted by FHI in Ministry of Health China, WHO, and UNAIDS. (2011) Estimates for the HIV/AIDS Epidemic in China (Unpublished). 6. Mok, P. (2011). Sex Between Men in Your City. 7. India Global AIDS Response Progress Reporting 2014 and NACO.(2011). Strategic Approach for Targeted Intervention among MSM 8. Indonesia Global AIDS Response Progress Reporting 2014 based on Ministry of Health.(2013). Estimasi Populasi Rawan Tertular HIV di Indonesia Tahun 2012 (In Indonesian Language) 9. Lao Global AIDS Response Progress Reporting 2014 based on National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI Malaysia Global AIDS Response Progress Reporting 2014 based on Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic 11. WHO. (2009). HIV/AIDS in the South-East Asia Region National Committee on HIV/AIDS. (2010). National Strategic Plan on HIV, AIDS and STIs : Ulaanbaatar. 13.Myanmar Global AIDS Response Progress Reporting Nepal Global AIDS Response Progress Reporting Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. 16.Mok, P. (2011). Sex Between Men in Your City. 17.Sri Lanka Global AIDS Response Progress Reporting 2014 based on National STD/AIDS Control Programme and the Family Planning Association of Sri Lanka. (2013). National Size Estimation of Most at Risk Populations (MARPs) for HIV in Sri Lanka 18. Thailand Global AIDS Response Progress Reporting 2014 based on 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. 19.National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response 20.Viet Nam Global AIDS Response Progress Reporting 2014

HIV and AIDS Data Hub for Asia-Pacific 8 Regional median 1.6%; Range 0.14% - 4.8% Size estimates of MSM as proportion of adult male population (15-49) years Source: Prepared by 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 based on 2012 population based on UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset.

HIV and AIDS Data Hub for Asia-Pacific Percentage of men who ever had sex with men, countries where data is available, * in the last 12 months Sources: Prepared by 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 2003www.aidsdatahub.org

Female sex workers population size estimates, countries where data is available Estimated FSW (a)Year of estimate Year of reportingHIV prevalence (b) 1Afghanistan (2 cities) 4, (2012) 2Australia20,500… (2012) 3Bangladesh 74, (2011) 4Cambodia 37,000 (female entertainment workers) * (2010) 5China 2,470, …0.2 (2013) 6Hong Kong SAR 20, , …0 (2013) 7Fiji (Suva, Nadi, Lautoka, Labasa,Savsavu) (2012) 8India 868, ( ) 9Indonesia 229,856 (both direct and indirect) (2011) 10Lao PDR 13, (2011) 11Malaysia 40, (2012) 12Maldives , …0 (2008) 13Mongolia 1, , …0 (2012) 14Myanmar 70, (2013) 15Nepal 26,504 (24,649 – 28,359) (2011) 16Pakistan 136, (2011) 17Philippines 80,000 (70, ,175) (2011) 18Papua New Guinea 40, …19 (Port Moresby, 2010) 19Sri Lanka 14, (2011) 20Thailand 123, (2012) 21Timor Leste …1.5 (2011) 22Vanuatu (Port Vila)1, … 23Viet Nam71, (2013) Prepared by ; Note: a) Please see next slide for references; b) National HIV Sentinel Surveillance surveys and Integrated Biological and Behavioral surveys reported in GARPR 2013 and 2014www.aidsdatahub.org * Weighted and adjusted average

HIV and AIDS Data Hub for Asia-Pacific References, Female sex workers population size estimates Afghanistan Global AIDS Response Progress Reporting Australia Global AIDS Response Progress Reporting Bangladesh Global AIDS Response Progress Reporting Cambodia Global AIDS Response Progress Reporting 2014 based on female entertainment workers size estimation conducted by NCHADS in Ministry of Health China, WHO, and UNAIDS. (2011) Estimates for the HIV/AIDS Epidemic in China (Unpublished). 6.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 Fiji Global AIDS Response Progress Reporting 2014 based on Mossman, E., Roguski, M., Ravuidi, R., & Devi, R. (2013). Integrated Biological Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji 8.National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report Indonesia Global AIDS Response Progress Reporting 2014 based on Ministry of Health.(2013). Estimasi Populasi Rawan Tertular HIV di Indonesia Tahun 2012 (In Indonesian Language) 10. Lao PDR Global AIDS Response Progress Reporting 2014 National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI Malaysia Global AIDS Response Progress Reporting 2014 based on Lim HE, Ang CL and Teh YK., Size estimation for Local Responses in Malaysia for HIV Prevention in Sex Work, 2010 (unpublished) 12.WHO. (2009). HIV/AIDS in the South-East Asia Region National Committee on HIV/AIDS, UN, & gtz. (2008). Comprehensive Review of the National Response to HIV and STIs in Mongolia. 14. Myanmar Global AIDS Response Progress Reporting 2014 based on a mapping study conducted by Nataional AIDS Programme and PSI in Nepal Global AIDS Response Progress Reporting Pakistan Global AIDS Response Progress Reporting 2014 based on extrapolation and triangulation from mapping conducted as part of IBBS Round II, Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. 18.Asian Development Bank. (2005). Socioeconomic Implications of HIV/AIDS in the Pacific. 19. Sri Lanka Global AIDS Response Progress Reporting 2014 based on National STD/AIDS Control Programme and the Family Planning Association of Sri Lanka. (2013). National Size Estimation of Most at Risk Populations (MARPs) for HIV in Sri Lanka 20. Thailand Global AIDS Response Progress Reporting 2014 based on 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. 21.National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response 22. Vanuatu Global AIDS Response Progress Reporting 2014 based on IBBS and Population Size Estimation in Port Vila in Viet Nam Global AIDS Response Progress Reporting 2014

HIV and AIDS Data Hub for Asia-Pacific Size estimates of FSW as proportion of adult female population (15-49) years Source: Prepared by based on size estimates of FSW ( please see the information provided in the previous 2 slides) and adult female population (15- 49) years is based on 2012 population based on UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Datasetwww.aidsdatahub.org Regional median 0.4%; Range 0.2% - 4.1%

HIV and AIDS Data Hub for Asia-Pacific Population size estimates of transgender people, countries where data is available Source: Prepared by based on 1) Bangladesh Global AIDS Response Progress Reporting 2014; 2) Mossman, E., Roguski, M., Ravuidi, R., et al. (2012). Integrated Biologic al Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji: HIV Prevention Project: Ministry of Health and Survival Advocacy Network Fiji; 3) India Global AIDS Response Progress Reporting 2014; 4) Indonesia Global AIDS Response Progress Reporting 2014; 5) Malaysia Global AIDS Response Progress Reporting 2014; 6) Nepal Global AIDS Response Progress Reporting 2014; and 7) Pakistan Global AIDS Response Progress Reporting Country Size Estimated Year of Estimate Comment 1 Bangladesh8, Fiji Transgender sex workers in Suva, Nadi, Lautoka, Labasa 3 India60, Targeted interventions 4 Indonesia37, Malaysia20, Transgender sex workers 6 Nepal9, Pakistan43, Hijra sex workers

HIV and AIDS Data Hub for Asia-Pacific Inclusion of transgender in sentinel and bio-behavioural surveys 14 Source: Prepared by based on HIV Sentinel Surveys and Bio-Behavioural Surveys. Country Sentinel and/or Bio- behavioural surveys Behavioural surveys Comment 1 BangladeshHSS * *Midline survey among MSM, MSW, and TG in Dhaka 2 Cambodia2010BSS 2013 Bio-behavioural study (Bros Khmer 2010) 3 FijiIBBS 2012 Transgender sex workers in Suva, Nadi, Lautoka, Labasa 4 IndiaHSS IBBA Hijra sex workers (IBBA) 5 IndonesiaIBBS 2011 Waria 6 Lao PDRIBBS 2012 Vientiane Capital and Savannakhet 7 MalaysiaIBBS PakistanSGS 2011 Hijra sex workers 9 Papua New GuineaIBBS 2010 Transgender sex workers, Port Moresby 10 PhilippinesIHBSS 2013 Cebu city 11 ThailandIBBS 2010 Bangkok, Chiang Mai, Phuket

HIV and AIDS Data Hub for Asia-Pacific Male sex workers (MSW) size estimates, countries where data is available, CountryEstimated male sex workersYear of Estimate 1 Bangladesh32, Malaysia5, Nepal10, , Highway Districts4, , Kathmandu Valley5, , Pakistan63, Thailand18, Source: Prepared by based on 1.Bangladesh Global AIDS Response Progress Reporting 2014; 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 latest available sentinel and bio- behavioural surveys 16 Country Sentinel and/or Bio-behavioural surveys Behavioural surveysComment 1 BangladeshHSS * *Midline survey among MSM, MSW, and TG in Dhaka 2 Fiji-Behavioural study NepalIBBS 2012 MSM/MSW/TG-SW in Kathmandu valley 4 PakistanSGS PNGIBBS PhilippinesIBBS Thailand IBBS 2010 HSS 2013 IBBS 2010 Source: Prepared by based on HIV Sentinel Surveys and Bio-Behavioural Surveyswww.aidsdatahub.org

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Regional overview of trends in HIV infections and AIDS- related deaths Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report People living with HIV 4.8 million Women living with HIV 1.7 million New HIV infections Deaths “zoom-in” Children living with HIV Young people living with HIV

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 2013 Estimates for UNAIDS. (2014). The Gap Reportwww.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 2013 Estimates for UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of young people (15-24) living with HIV in Asia and the Pacific region, Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific New HIV infectionsPeople living with HIV EstimateLow estimateHigh estimateEstimateLow estimateHigh estimate India* 130,000 80,000250,000 2,100,000 1,700,0002,700,000 Indonesia 80,000 49,000170, , ,0001,000,000 China* 48,00041,00054,000780,000620,000940,000 Viet Nam 14,000 11,00021, , ,000280,000 Pakistan 14,000 7,00033,000 68,000 41,000130,000 Thailand 8,200 4,10017, , ,000470,000 Malaysia 8,000 5,50012,000 86,000 66,000120,000 Myanmar 6,700 5,3008, , ,000220,000 Philippines 3,4002,3005,30022,00016,00032,000 PNG 2,200 1,6002,900 32,000 29,00035,000 Cambodia 1,300<1,0003,00075,00041,000130,000 Nepal 1,300<1,0002,40039,00031,00052,000 Source: Prepared by based on UNAIDS Estimates 2013; Philippines HIV Estimations and Projections 2014 (Unpublished document); and * 2011 estimates HIV estimates among high HIV burden countries, 2013

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! New HIV infections have declined significantly since 2001, but remain largely unchanged in past 5 years Estimated new HIV infections in Asia and the Pacific, Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report. 30% decline

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among people who inject drugs, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among PWID in geographical locations that are higher than national prevalence, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) Zhang L, Chow EPF, Jing J, et al. HIV prevalence in China: Integration of surveillance data and a systematic review. Lancet Infect Dis 2013; published online Oct (13)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among PWID in geographical locations where rising HIV prevalence trends are observed, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) * male PWID ** 2013 data for Cebu and Mandaue reported as national

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Trends in HIV prevalence among PWID in ASEAN states/cities, where data is available, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveyswww.aidsdatahub.org * male PWID

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Trends in HIV prevalence among PWID in SAARC states/cities, where data is available, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of HIV transmission through injecting drug use among reported HIV cases, Source: Prepared by based on 1. Country Global AIDS Response Progress Reports 2012; 2. Directorate General of Disease Control and Environmental Health, Ministry of Health, Indonesia (Feb 2014). Situation Progress Report of HIV and AIDS in Indonesia in 2013 (Laporan Situasi Perkembangan HIV & AIDS di Indonesia tahun 2013, Kementerian Kesehatan RI 2013) ; 3. National Epidemiology Center Philippines. (2014). Philippines HIV/AIDS Registry: August 2014; 4. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health and Family Welfare. (2012). Annual Report ; 5. Ministry of Health Malaysia (2014). HIV and AIDS Reporting ( ); 6. Ministry of Health Singapore. (2013). Retrieved August 2013, from ; 7. National AIDS Control Programme Sri Lanka. (2013). Retrieved 10 October 2014, from ; and 8. Ministry of Health and Population Nepal, National Center for AIDS and STD control. Factsheet Number 2: Cumulative cases in Nepal, As of Mangsir 2070 (Nov 2013); 9. Centre for Health Protection, Department of Health Hong Kong. (2014). Hong Kong STD/AIDS Update, Vol. 19, No.1, Quarter www.aidsdatahub.orghttp://

HIV and AIDS Data Hub for Asia-Pacific Countries with >5% HIV prevalence among MSM in national estimates from surveys, Source: Prepared by based on UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence > 5% among MSM in selected geographical locations, Source: Prepared by based on National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports; Lan, W., et al. (2012). HIV Prevalence and Influencing Factors Analysis of Sentinel Surveillance among Men who have Sex with Men in China, and Chengdu Center for Disease Control and Prevention. (2014). Intensifying HIV response among MSMs with city-approach in Chengdu city, China.

HIV and AIDS Data Hub for Asia-Pacific Countries and select cities with rising HIV prevalence trend among MSM, Source: Prepared by based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports; China Global AIDS Response Progress Reports and Chengdu Center for Disease Control and Prevention. (2014). Intensifying HIV response among MSMs with city-approach in Chengdu city, China.

HIV and AIDS Data Hub for Asia-Pacific Cities with stabilizing/ declining HIV prevalence trend among MSM, Source: Prepared by based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reportswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among MSM by region, latest available year, Source: Prepared by based on 1. HIV Sentinel Surveillance Reports; 2. Integrated Biological and Behavioral Surveillance Reports; and 3. Bangladesh icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished)

HIV and AIDS Data Hub for Asia-Pacific % homosexual transmission among Proportion of newly reported and cumulative HIV cases attributable to homosexual transmission, Source: Prepared by based on 1. National Epidemiology Center Philippines. (2014). Philippines HIV/AIDS Registry: August 2014; 2. Directorate General of Disease Control and Environmental Health, Ministry of Health, Indonesia (Feb 2014). Situation Progress Report of HIV and AIDS in Indonesia in 2013 (Laporan Situasi Perkembangan HIV & AIDS di Indonesia tahun 2013, Kementerian Kesehatan RI 2013); 3. Ministry of Health and Population Nepal, National Center for AIDS and STD control. Factsheet Number 2: Cumulative cases in Nepal, As of Mangsir 2070 (Nov 2013); 4. National AIDS Control Programme Sri Lanka. (2013). Retrieved 10 October 2014, from 5. Ministry of Health Malaysia (2014). HIV and AIDS Reporting ( ); 6. Country Global AIDS Response Progress Reports.; 6. Centre for Health Protection, Department of Health Hong Kong. (2014). Hong Kong STD/AIDS Update, Vol. 19, No.1, Quarter www.aidsdatahub.orghttp://

HIV and AIDS Data Hub for Asia-Pacific National versus city-specific HIV prevalence among transgender, countries where data is available, * Hijra sex workers Source: Prepared by based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS Integrated Biological and Behavioral Survey; 2) National AIDS Control Organisation, India. (2012). HIV Sentinel Surveillance : A Technical Brief; and 3) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among transgender, Source: Prepared by 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, Source: Prepared by based on 1.Integrated Biological and Behavioural Surveys; 2.HIV Sentinel Surveillance Surveys; 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. * Dhaka, **Shenzhen, *** Port Moresby

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, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished); and 4) * FSW data is for 2011 ** Kathmandu data reported as national; FSW data is for 2011 *** Data for Port Moresby **** MSW data is for 2010

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 40 HIV prevalence among female sex workers, Source: Prepared by based on Integrated Biological and Behavioural Surveys; and HIV Sentinel Surveillance Surveyswww.aidsdatahub.orgwww.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among FSW in geographical locations that are higher than national prevalence, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence trends among FSW - ASEAN countries, where data is available, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence trends among FSW - SAARC countries, where data is available, Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) UNAIDS Report on The Global AIDS Epidemic, 2010 ; and 4)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of heterosexual transmission among reported HIV cases, Sources: Prepared by based on 1. UNGASS Country Progress Reports 2010; 2. Country Global AIDS Response Progress Reports 2012 and 2014; 3. Directorate General of Disease Control and Environmental Health, Ministry of Health, Indonesia (Feb 2014). Situation Progress Report of HIV and AIDS in Indonesia in 2013 (Laporan Situasi Perkembangan HIV & AIDS di Indonesia tahun 2013, Kementerian Kesehatan RI 2013); 4. National Epidemiology Center Philippines. (2014). Philippines HIV/AIDS Registry: August 2014; 5. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health and Family Welfare. (2012). Annual Report ; 6. Ministry of Health Malaysia (2014). HIV and AIDS Reporting System ( ).; 7. Centre for Health Protection, Department of Health Hong Kong. (2014). Hong Kong STD/AIDS Update, Vol. 19, No.1, Quarter ; 8. Ministry of Health and Population Nepal, National Center for AIDS and STD control. Factsheet Number 2: Cumulative cases in Nepal, As of Mangsir 2070 (Nov 2013www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among prisoners, countries where data is available, Source: Prepared by based on Integrated Biological and Behavioral Surveys and Special Preventive Programme Centre for Health Protection, Department of Health Hong Kong. (2013). HIV Surveillance Report – 2012 Updatewww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among military personnel and truck drivers, countries where data is available, Source: Prepared by 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 2009www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among men at higher risk, countries where data is available, Source: Prepared by based on Integrated Biological and Behavioral Surveys; HIV Sentinel Surveillance Surveys; and Special Preventive Programme Centre for Health Protection, Department of Health Hong Kong. (2013). HIV Surveillance Report – 2012 Updatewww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among migrants and wives of migrants, Source: Prepared by based on HIV Sentinel Surveillance Surveys and Integrated Biological and Behavioural Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among migrant workers who are working in Thailand, Source: Prepared by 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!Latest! Proportion of migrants among reported HIV cases, Source: Prepared by based on 1)Bangladesh World AIDS Day Presentation data retrieved on 14 Jan 2013; 2) Ministry of Health and Population Nepal, National Center for AIDS and STD control. Factsheet Number 2: Cumulative cases in Nepal, As of Mangsir 2070 (Nov 2013); and 3) National Epidemiology Center Philippines. (2014). Philippines HIV/AIDS Registry: August * Migrant workers and spouses of migrants

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Average number of injections among people who inject drugs, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys;

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Duration of injecting drugs among PWID, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID who reported safe injection practice at last injection, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID who reported condom use at last sex, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID reported consistent condom use, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who sold sex to men, Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys; Lan, W., Lu, W., L.Norris, J., Dong- min, L., Wei, G., Zheng-wei, D., & Ning, W. (2012). HIV Prevalence and Influencing Factors Analysis of Sentinel Surveillane among Men who have Sex with Men in China, Chinese Medical Journal, 125(11), ; Bavinton, B., Singh, N., Naiker, D. S., Deo, M. N., Talala, M., Brown, M.,Navokavokadrau, S. (2011). Secret Lives, Other Voices: A Community-based Study Exploring Male-to-Male Sex, Gender Identity and HIV Transmission Risk in Fiji.; Pedroso, L., Sasota, R., & Tacardon, L. (2011). Further Study of the 2009 Philippine Integrated HIV Behavioral and Serologic Surveillance : HIV Prevalence and Behavioral Risk Factors among MSMwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who reported buying sex from male and female, 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 based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who had vaginal sex with female in the last year, * Capital city; ** Last 6 months, *** Ever Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who reported condom use at last anal sex with male partner, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Source: Prepared by based on Country Global AIDS Response Progress Reports 2012; Integrated Bio-Behavioural Surveys; and Behavioural Surveillance Surveyswww.aidsdatahub.org Condom use at last anal sex and consistent use among MSM,

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reported consistent condom with male commercial partners in the last month, * Undefined period, HCMC = Ho Chi Minh City Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reported consistent condom use with non-commercial/casual partners, Source: Prepared by 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 Fijiwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reported consistent condom use with male partners, *Last 3 months; **Last 6 months; ***Last year Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who inject drugs, Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveyswww.aidsdatahub.org * Capital city; ** Luang Prabang

HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender who sell sex, countries where data is available, Source: Prepared by based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS Integrated Biological and Behavioral Survey; 2) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 3) National Center for HIV/AIDS Dermatology and STD Cambodia. (2013). Behavioral Sentinel Surveillance (BSS 2013): Presented by Mun Phalkun on 16 December 2013; 4) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 ( ); and 5) Presentation by Tac-an I.A (2014). HIV and Syphilis Prevalence among Transgender People in the Philippines. Cebu City Health Department Philippines.

HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported condom use at last sex with male clients, Source: Prepared by based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys. * Dhaka ** Combined use of condom and water-based lubricant

HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported consistent condom use with male clients, Source: Prepared by 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 ( ) 69 * with commercial TG partner ** with regular TG partner Source: Prepared by based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey ; 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, 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 ( ); 5) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported injecting drug use, countries where data is available, Source: Prepared by based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey ; 2) Ministry of Health Republic of Indonesia. (2011). IBBS 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; 5) IBBS Integrated Biological and Behavioral Survey; and 6) National Center for HIV/AIDS Dermatology and STD Cambodia. (2013). Behavioral Sentinel Surveillance (BSS 2013): Presented by Mun Phalkun on 16 December

HIV and AIDS Data Hub for Asia-Pacific Average duration in the profession of selling sex among MSW, countries where data is available, Source: Prepared by based on 1.National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report.; 2. National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Average number of clients among MSW in the last month, * Last week Source: Prepared by based on 1.National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : 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 ; 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, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW reported consistent condom use with male clients, Source: Prepared by based on 1. National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : 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 ; 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), * 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, Source: Prepared by based on 1. National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : 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), ; 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, * In last year ** In last 6 months *** Ever injected drugs; Had sexual partner who inject drugs Source: Prepared by based on 1. National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : 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!Latest! Average duration in the profession of selling sex among FSW, countries where data is available, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Average number of clients among FSW, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW who reported condom use at last sex, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW who reported consistent condom use with their clients, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Sources: 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 Surveyswww.aidsdatahub.org 81 Percentage of men reported paying for sex in the last 12 months, countries where data is available, *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, Source: Prepared by based on Behavioural Surveillance Surveys and Integrated Biological and Behavioral Surveyswww.aidsdatahub.org *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, Source: Prepared by 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, Source: Prepared by 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,

HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk reported having commercial sex in the last year by occupation, Source: Prepared by based on Integrated Biological and Behavioral Surveyswww.aidsdatahub.org * 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, Source: Prepared by based on Behavioural Surveillance Surveys and Integrated Biological and Behavioral Surveyswww.aidsdatahub.org * Seafarers, dock workers, truck drivers and moto-taxi drivers; ** Ever injected drugs

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID with comprehensive HIV knowledge, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveys; 3) UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM with comprehensive HIV knowledge, by age group, countries where data is available, Source: Prepared by based on UNGASS Country Progress Reports 2006,2008 & 2010www.aidsdatahub.org * Manipur

HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender with comprehensive HIV knowledge, Source: Prepared by based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS 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, Source: Prepared by 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, Source: Prepared by based on 1) Integrated Biological and Behavioral Surveys; 2) Behavioral Surveillance Surveyswww.aidsdatahub.org 3) UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk with comprehensive HIV knowledge, Source: Prepared by based on Behavioural Surveillance Surveys,Integrated Biological and Behavioral Surveys, UNGASS Progress Reports 2010www.aidsdatahub.org * Seafarers, dock workers, truck drivers and moto-taxi drivers

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of migrants with comprehensive HIV knowledge, Source: Prepared by 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, 2010www.aidsdatahub.org

HIV expenditure

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Data availability on AIDS spending data, Asia Latest available spending dataAvailable trend data 1Afghanistan Bangladesh Cambodia China DPR of Korea India Indonesia Lao PDR Malaysia Mongolia Myanmar Nepal Pakistan Philippines Sri Lanka Thailand Timor Leste Viet Nam Source: Prepared by based on data from

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Data availability on AIDS spending data, the Pacific Latest available spending dataAvailable trend data 1Fiji Kiribati Marshall Islands Micronesia Nauru Palau Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu Source: Prepared by based on data from

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Domestic funding has increased to make up for leveling off of international financing Source: UNAIDS estimates 2012 Resources available for AIDS response in Asia and the Pacific, low-and middle-income countries (LMIC)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Source: Prepared by based on India Global AIDS Response Progress Report 2012, and Kumar, U. A., ‘Azad Launches Rs 14,295 Crore Phase IV of NACP’, The New Indian Express, 13 February, 2014). HIV expenditure from domestic sources, Asia and the Pacific, latest available year, % Committed for NACP IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending in the Asia and the Pacific by major spending categories and prevention spending on key populations, latest available year, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending category by amount and financing source in Asia and the Pacific, latest available year, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Distribution of prevention spending by financing source in Asia and the Pacific, latest available year, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Total care and treatment and ART spending by financing source in Asia and the Pacific, latest available year, % of total care and treatment spending Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! About half of AIDS spending is on care and treatment, mostly domestically sourced Source: Prepared by based on 60% of total care and treatment spending Spending by service category is not available for India and China

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Source: Prepared by based on HIV prevention spending in Asia and the Pacific – low on HIV prevention among people who inject drugs, latest available year reported by countries, Note: China and India do not report prevention spending breakdown

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Trends in spending on PWID harm reduction programmes out of total prevention spending, countries where HIV prevalence among PWID is more than 10%, Source: Prepared by based on

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, Source: Prepared by based on Prevention spending breakdown is not available for China and India

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 108 Source: Prepared by based on Data is not available for China

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Source: Prepared by based on HIV prevention spending in Asia and the Pacific – low on HIV prevention spending among sex workers and clients, latest available year reported by countries, Prevention spending breakdown is not available for China and India

HIV and AIDS Data Hub for Asia-Pacific Latest!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%, Source: Prepared by based on

National response

Key populations and vulnerable populations

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Source: Prepared by based on Prevention services are reaching key populations but are not scaling up fast enough to reverse the epidemic HIV prevention coverage among key populations (regional median trend*) * latest available data from UNGASS/ Global AIDS Response Progress Reporting (GARPR) 2010 to 2014

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Stalled progress in HIV testing coverage among key populations 114 * latest available data from UNGASS/ Global AIDS Response Progress Reporting (GARPR) 2010 to 2014 Source: Prepared by based on HIV testing coverage among key populations (regional median trend*)

HIV and AIDS Data Hub for Asia-Pacific Number of syringes distributed per PWID per year by Needle and Syringe Programmes (NSP), 2013 Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of NSP and OST sites by country where data is available, Number of needles/syringes programme sites Number of opioid substitution therapy sites Afghanistan 351 Bangladesh692 Cambodia181 China India Indonesia19483 Lao PDR58 Malaysia Maldives01 Mongolia10 Myanmar5018 Nepal293 Pakistan331 Sri Lanka00 Thailand36147 Viet Nam Source: Prepared by based on UNAIDS (2013). Global AIDS Response Progress Report 2013 – Online Country Reportswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV testing coverage among PWID, countries where data is available, Source: Prepared by based on 1. Ministry of Health Indonesia.(2014). Recalculated HIV Testing Coverage presented at the Regional Management Meeting (RMM) 2014 using IBBS 2011 Data; and 2. * Programme data Data 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.

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM reached with HIV prevention programmes in the last 12 months, Source: Prepared by based on

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, Source: Prepared by based on and 1. MEN Fiji, The Draft Report of 2011 IBBS of Transgender and MSM in Suva and Lautoka reported in GARPR 2012 online report; 2. Ministry of Health Indonesia.(2014). Recalculated HIV Testing Coverage presented at the Regional Management Meeting (RMM) 2014 using IBBS 2011 Data; and * Programme data Data 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.

HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reached with outreach programmes in the last year, Source: Prepared by 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 ; 2) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey ; 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 ( )

HIV and AIDS Data Hub for Asia-Pacific HIV testing coverage among transgender, Source: Prepared by based on 1) Behavioural Surveillance Surveys and Bio-Behavioural Surveys; and 2) * TG/Hijra sex workers

HIV and AIDS Data Hub for Asia-Pacific Proportion of MSW reached with HIV prevention programmes, Source: Prepared by based on 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, Source: Prepared by based on * 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.

HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW reached with HIV prevention programmes in the last 12 months, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW who received an HIV test in the last 12 months and know their results, Source: Prepared by based on 1. Ministry of Health Indonesia.(2014). Recalculated HIV Testing Coverage presented at the Regional Management Meeting (RMM) 2014 using IBBS 2011 Data; and 2. * Programme data Data 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.

HIV and AIDS Data Hub for Asia-Pacific Proportion of prisoners, clients of FSW, and truckers ever received an HIV test, Source: Prepared by based on Integrated Biological and Behavioural Surveryswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of men at higher risk who received an HIV test by occupation, Source: Prepared by based on Behavioural Surveillance Surveys,Integrated Biological and Behavioral Surveys, UNGASS Progress Reports 2010www.aidsdatahub.org * 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, Source: Prepared by based on Behavioural Surveillance Surveys,Integrated Biological and Behavioral Surveys, UNGASS Progress Reports 2010www.aidsdatahub.org * Capital city

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Inclusion of migrants in the latest available National Strategic Plans 129 Country Identify migrants as priority population or focus area 1 Afghanistan ( ) YES 2 Bangladesh ( ) YES 3 Bhutan ( ) YES 4 Brunei Darussalam No information 5 Cambodia ( ) YES 6 China ( ) YES 7 DPR Korea No National Strategic Plan 8 Fiji ( ) YES 9 India ( ) YES 10 Indonesia ( ) YES 11 Japan ( ) YES 12 Lao PDR ( ) YES 13 Malaysia ( ) YES 14 Maldives No information 15 Mongolia ( ) YES 16 Myanmar ( ) YES 17 Nepal ( ) YES 18 Pakistan ( ) YES 19 Papua New Guinea ( ) YES 20 Philippines ( ) YES 21 Republic of Korea No information 22 Singapore YES 23 Sri Lanka ( ) YES 24 Thailand ( ) YES 25 Timor-Leste ( ) YES 26 Viet Nam ( ) YES Source: Prepared by based on the latest National Strategic Plans and National Commitments and Policies Instrument(NCPI), 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of migrants tested for HIV, Source: Prepared by 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, 2010www.aidsdatahub.org

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

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Access to treatment in Asia Pacific region continues to grow: 1.56 million people living with HIV in the region are receiving HIV treatment Source: Prepared by based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) and 3) UNAIDS.(2014). The Gap Report. People receiving antiretroviral therapy in Asia and the Pacific, % increase between 2012 and % increase between 2011 and 2012

HIV and AIDS Data Hub for Asia-Pacific Number of people receiving antiretroviral therapy by sub-region, Source: Prepared by based on 1)UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.; 2) and 3) UNAIDS.(2014). The Gap Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Recent trends of ART coverage in global, and Asia and the Pacific, % Note: ART coverage (%) represents the proportion of people receiving ART out of the total number of people living with HIV Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Treatment saves lives: AIDS-related deaths are declining in Asia and the Pacific 9 x increase since % decline since 2005 AIDS-related deaths, Asia and the Pacific, Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report. People receiving ART

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 2013 Estimates for UNAIDS. (2014). The Gap Report. Data not available for China

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Treatment is expanding in the region, but still only 1 in 3 PLHIV are on ART and most start late ART coverage among countries in Asia and the Pacific, CD4 cells/mm CD4 cells/mm 3 Regional median CD4 at ART initiation Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report, and information provided by UNAIDS country offices for UNAIDS regional management meeting (RMM) 2014www.aidsdatahub.orgwww.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 139 Trends in antiretroviral therapy coverage Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report.

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 2013 Estimates for UNAIDS. (2014). The Gap Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART coverage among children (0-14yr) living with HIV and treatment gap, Asia and the Pacific, Source: Prepared by based on UNAIDS. (2014). The Gap Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of adults and children living with HIV known to be on treatment 12 months after initiation of ART, 2013 Source: Prepared by based on 1) Global AIDS Response Progress Reporting 2014 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 144 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! Region lags behind the global average in eliminating new HIV infections among children 29% decline since 2005 Estimated new HIV infections among children in Asia and the Pacific, Global average 67% Elimination of mother-to-child transmission in Asia and the Pacific, Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report. PMTCT coverage data is not available for China

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 146 PMTCT coverage with effective ARV regimen, Asia and the Pacific, 2013 Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report. PMTCT coverage data is not available for China

TB HIV Co-treatment

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of people acquiring TB who are living with HIV in Asia and the Pacific, 2011 Source: Prepared by based on UNAIDS. (2012). UNAIDS Report on the Global AIDS Epidemic

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 data from

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 data from

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

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Source: Prepared by based on data from Scaling-up integration of HIV and TB co-treatment in Asia and the Pacific,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of people living with HIV and TB starting antiretroviral therapy, 2011 Source: Prepared by based on UNAIDS. (2012). UNAIDS Report on the Global AIDS Epidemic

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated HIV+ incident TB cases that received treatment for TB and HIV, 2012 Source: Prepared by based on data from

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reduction in TB deaths among high TB/HIV burden countries in Asia and the Pacific, >50% reduction50–25% reduction<25% reduction CambodiaChinaIndonesia MyanmarIndiaViet Nam Thailand Source: Prepared by based on UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic

Data availability and population size estimates

HIV and AIDS Data Hub for Asia-Pacific Data availability of PWID in HIV sentinel surveillance surveys conducted between 2009 and Source: Prepared by based on National HIV Sentinel Surveys and 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 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 based on Behavioral Surveillance Surveys; Integrated Biological and Behavioral Surveys;

HIV and AIDS Data Hub for Asia-Pacific 159 Source: Prepared by based on HIV Sentinel Surveys; Bio-Behavioural Surveys; Data availability from sentinel and behavioural surveys among MSM, 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 160 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 based on National HIV Sentinel Surveys and

HIV and AIDS Data Hub for Asia-Pacific 161 Data availability of FSW in behavioral surveys conducted between 2009 and 2012 Source: Prepared by based on Behavioral Surveillance Surveys; Integrated Biological and Behavioral Surveys; and 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

HIV and AIDS Data Hub for Asia-Pacific 162 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