HIV and AIDS Data Hub for Asia-Pacific Review in slides Myanmar Last Update: April 2016

HIV and AIDS Data Hub for Asia-Pacific 2 Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV expenditure National response CONTENT

HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 53,719 (2014) 4 Annual population growth rate 0.8 (2014) 4 Population aged (thousands) 30,647 (2014) 4 Percentage of population in urban areas 33 (2013) 3 Crude birth rate (births per 1,000 population) 17.4 (2012) 3 Under-5 mortality rate (per 1,000 live births) 52 (2012) 2 Human development index (HDI) - Rank/Value 150/0.524 (2013) 1 Life expectancy at birth (years) 65.2 (2013) 1 Adult literacy rate (%) 92.7 ( ) 1 Ratio of girls to boys in primary and secondary education (%) 101 (2010) 3 GDP per capita (PPP, $US) 1,126 (2012) 5 Per capita total health expenditure (Int.$) 23 (2011) 2 Sources: Prepared by based on 1. UNDP. (2014). Human Development Report 2014 Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience; 2. WHO. (2014). World Health Statistics 2014; 3. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved October, 2014, from h ​ t ​ t ​ p ​ : ​ / ​ / ​ d ​ a ​ t ​ a ​ b ​ a ​ n ​ k ​. ​ w ​ o ​ r ​ l ​ d ​ b ​ a ​ n ​ k ​. ​ o ​ r ​ g ​​ ; 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset; and 5. World Statistics Pocketbook. United Nations Statistics Division

HIV prevalence and epidemiological status

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Estimated number of people living with HIV, new infections and AIDS-related deaths, Source: Prepared by based on UNAIDS. (2015). HIV Estimates and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 6 Estimated number of adults (15+) living with HIV and women (15+) living with HIV, Source: Prepared by based on UNAIDS. (2015). HIV Estimates and

HIV and AIDS Data Hub for Asia-Pacific 7 Size estimates of key populations at higher risk, Source: Prepared by based on National AIDS Programme Myanmar, WHO and UNIADS. (2010). HIV Estimates and Projections, Myanmar and National AIDS Programme. (2015). Myanmar Global AIDS Response Progress Report (Country Narrative Report).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! People living with HIV by population group based on AIDS epidemic model (AEM), Source: Unpublished country AEM workbook prepared for the report: Strategic Information and M&E Working Group, Technical and Strategy Group on AIDS, Myanmar. (2012). HIV Estimates and Projections Asian Epidemiological Model Myanmar 2010 ‐ 2015.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! New HIV infections by population group based on AIDS epidemic model (AEM), Source: Prepared by based on HIV Estimates and Projections Myanmar, AEM December 2014 cited in National AIDS Programme. (2015). Myanmar Global AIDS Progress Report (Country Narrative Report).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Distribution of new HIV infections by population group based on AIDS epidemic model (AEM), Source: : Prepared by based on HIV Estimates and Projections Myanmar, AEM December 2014 cited in National AIDS Programme. (2015). Myanmar Global AIDS Progress Report (Country Narrative Report).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key populations, Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 12 HIV prevalence among sentinel populations, 2014 Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 13 HIV prevalence trends among key populations, Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 14 HIV prevalence trends among low risk sentinel populations, Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! National prevalence often masks the high prevalence in some geographical areas Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence trend among young key populations (15-24), Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among young key populations (15-24 yr) by age group, Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 18 HIV prevalence among female sex workers by age group, Sources: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 19 HIV prevalence among people who inject drugs by age group, Sources: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 20 HIV prevalence among people who inject drugs by age group, IBBS and HSS results, 2014 Sources: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014; and Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 21 HIV prevalence among men who have sex with men by age group, Sources: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Trends of syphilis prevalence among key populations, Sources: Prepared by based on HIV Sentinel Sero ‐ surveillance Survey Reports.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 23 Syphilis prevalence among key populations by age group, 2014 Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 24 Syphilis prevalence among low risk sentinel populations by age group, 2014 Source: Prepared by based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 26 Proportion of key populations who reported condom use at last sex by age group, Source: Prepared by based on 1. Behavioral Surveillance Survey among Female Sex Workers, 2008; 2. IBBS 2009 cited in National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar; 3. National AIDS Programme. (2015). Myanmar Global AIDS Response Progress Report (Country Narrative Report); and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 27 Proportion of FSW who reported condom use with different types of sexual partners, Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 28 Number of clients in the last working day among FSW, surveyed cities, Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed female sex workers who have ever tried drugs, Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers. *Only 3 female sex workers among sampled population reported ever injected drugs

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of male PWID who reported using sterile injecting equipment at last injection, and Source: Prepared by based on 1. National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.; 2. National AIDS Programme. (2015). Myanmar Global AIDS Response Progress Report (Country Narrative Report); and 3.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 31 Proportion of male PWID who reported the use of sterile injecting equipment at the last time they injected, Source: Prepared by based on 1) National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers; and 2) Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 32 Proportion of male PWID who reported sexual contact with different partners in the last 12 months, 2014 Source: Prepared by based on Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 33 Proportion of male PWID who reported condom use at last sex with different partners, Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers; and Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 34 Proportion of male PWID who reported consistent condom use with different types of partners, 2014 Source: Prepared by based on Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report.

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 36 Proportion of key populations with comprehensive HIV knowledge by age group, Source: Prepared by based on Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers, 2008 and IBBS, 2009 cited in National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar; and Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report. *Yangon

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 37 Proportion of male PWID with comprehensive HIV knowledge by location and by age group, 2014 Source: Prepared by based on Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 38 Proportion of female sex workers with comprehensive HIV knowledge, selected cities, The data covers 4 questions: 1.Can having sex with only one faithful and infected partner reduce the risk of transmission? 2.Can using condoms reduce the risk of HIV transmission? 3.Can a person get HIV from mosquito bite? 4.Can a person get HIV by sharing a meal with someone who is HIV infected? Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 39 Proportion of out of school youths (15-24) with comprehensive HIV knowledge by city, 2007 Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioral Surveillance Survey 2008: Out of School Youth.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 40 Proportion of out of school youths (15-24) with knowledge on HIV prevention and transmission, 2007 Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioral Surveillance Survey 2008: Out of School Youth.

HIV Expenditure

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 42 AIDS spending by financing source, Source: Prepared by based on and Global AIDS Response Progress Reporting 2015www.aidsdatahub.orgwww.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by category, Source: Prepared by based on data retrieved from

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of HIV spending on key populations out of total prevention spending, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on HIV prevention programmes from domestic and international sources, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on care and treatment from domestic and international sources, Source: Prepared by based on

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 48 HIV testing coverage among key populations, Sources: Prepared by based on National AIDS Programme, Myanmar (2015). Myanmar Global AIDS Response Progress Report, (Country Narrative Report); and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 49 Proportion of PWID and FSW who received an HIV test in the last 12 months and knew the results, surveyed cities, Source: Prepared by based on 1) National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers; and 2) Ministry of Health, The Republic of the Union of Myanmar. (2014). Myanmar Integrated Biological and Behavioural Surveillance Survey and Population Size Estimates among People Who Inject Drugs. Final Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 50 Proportion of key populations reached with HIV prevention programs in the last 12 months by age group, Sources: Prepared by based on National AIDS Programme. (2012). Myanmar Global AIDS Response Progress Report. (Country Narrative Report)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 51 Proportion of people who inject drugs and female sex workers reached with HIV prevention programs in the last 12 months by surveyed city, Source: Prepared by based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy (OST) sites, Sources: Prepared by based on National AIDS Programme. Myanmar Global AIDS Response Progress Reports (Country Narrative Reports).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 53 Number of needle/syringes distributed per person who inject drugs per year, Source: Prepared by based on 1. WHO,UNAIDS,&UNICEF.(2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009; 2. WHO,UNAIDS,&UNICEF.(2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010; 3. WHO,UNAIDS,& UNICEF.(2011). Global HIV/AIDS Response Epidemic Update and Health Sector Progress towards Universal Access Progress Report 2011; 4. National AIDS Programme. Myanmar Global AIDS Response Progress Reports (Country Narrative Reports); and 5.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of needles and syringes distributed to PWID by needles and syringes programmes (NSP), Source: Prepared by based on National AIDS Programme. (2015). Myanmar Global AIDS Response Progress Report (Country Narrative Report).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of PWID on methadone maintenance therapy (MMT), Source: Prepared by based on National AIDS Programme. (2015). Myanmar Global AIDS Response Progress Report (Country Narrative Report).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 56 Number of ART sites and number of people on ART, Source: Prepared by based on Source: 1.WHO,UNAIDS,& UNICEF.( ). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report ; 2. UNAIDS.(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; 3. National AIDS Programme. Myanmar Global AIDS Progress Reports (Country Narrative Reports).g; and 4.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 57 Estimated PLHIV, people receiving ART and treatment gap, Source: Prepared by based on 1) UNAIDS. (2015). HIV Estimates ; 2) and 3) National AIDS Programme. (2015). Myanmar Global AIDS Response Progress Report (Country Narrative Report).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 58 Proportion of people known to be on ART at 12, 24 and 60 months after they started treatment Source: Prepared by based on National AIDS Programme. (2015). Myanmar Global AIDS Response Progress Report (Country Narrative Report).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults living with HIV, adults receiving ARVs, and adult ART coverage, Source: Prepared by based on UNAIDS. (2015). How AIDS Changed Everything. MDG 6: 15 Years, 15 Lessons of Hope From the AIDS Responsewww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Cumulative cross sectional cascade for HIV treatment and care, 2014 Source: Prepared by based on Global AIDS Response Progress Reporting 2015www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! PMTCT coverage and HIV testing coverage among pregnant women, 2014 Source: Prepared by ww.aidsdatahub.org based on Global AIDS Response Progress Reporting 2015ww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of pregnant women living with HIV, pregnant women receiving ARVs, and ART coverage, Source: Prepared by based on UNAIDS. (2015). How AIDS Changed Everything. MDG 6: 15 Years, 15 Lessons of Hope From the AIDS Responsewww.aidsdatahub.org

Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms National data on stigma and discrimination STIGMA INDEX (2009 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 7% Civil society perspectives/ratings: Trend Laws and policies in place to protect and promote HIV- related human rights 4/10 5/10 Efforts to implement human rights-related laws and policies 2/10 4/10 5/10 Myanmar 63 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on Global AIDS Response Progress Reporting and information provided by UNAIDS country office and partners.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Punitive laws hindering the HIV response 64 Sources: 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 65 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 site.