HIV and AIDS Data Hub for Asia-Pacific Review in slides Transgender people (male-to-female) Last update: November 2014

HIV and AIDS Data Hub for Asia-Pacific 2 Data availability and population size estimates HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge National response CONTENT

Data availability and population size estimates

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, 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 5 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 prevalence and epidemiology

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 Syphilis prevalence among transgender, Source: Prepared by based on 1) IEDCR, & ICDDR, B. (2011). National HIV Serological Surveillance, 2011 Bangladesh - 9th Round Technical Report; 2) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 ( ); 3) Mossman, E., Roguski, M., Ravuidi, R., et al. (2012). Integrated Biological Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji: HIV Prevention Project: Ministry of Health and Survival Advocacy Network Fiji; 4) Kelly, A., Kupul, M.,et al. (2011). Askim Na Save (Ask and Understand): People Who Sell and Exchange Sex in Port Moresby; 5) Ministry of Health Republic of Indonesia. (2011). IBBS Integrated Biological and Behavioral Survey; and 6) 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 Gonorrhoea and chlamydia prevalence among transgender, Source: Prepared by based on 1) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 ( ); 2) Mossman, E., Roguski, M., Ravuidi, R., et al. (2012). Integrated Biological Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji: HIV Prevention Project: Ministry of Health and Survival Advocacy Network Fiji; 3) 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; and 4) Ministry of Health Republic of Indonesia. (2011). IBBS Integrated Biological and Behavioral Survey.

Risk behaviours

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 Mean years in the profession of selling sex and mean number of clients among transgender, Source: Prepared by based on 1) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011; 2) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report.; 3) Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia; and 4) Ministry of Health Republic of Indonesia. (2011). IBBS Integrated Biological and Behavioral Survey.

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 condom use at last sex with casual male partners, Source: Prepared by based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report; 2) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 3) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 ( ); 4) 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; 5) Ministry of Health Republic of Indonesia. (2011). 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 * Dhaka

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 transgender reported consistent condom use with casual partners, Source: Prepared by based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys. * Port Moresby

HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations reported condom use at last sex with transgender ( ) 18 * 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 Fijii; 4) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 ( ); and 5) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV

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

Vulnerability and HIV knowledge

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; and 4) National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.

National response

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; and 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 25 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