HIV and AIDS Data Hub for Asia-Pacific Review in slides Nepal Last updated: December 2014

HIV and AIDS Data Hub for Asia-Pacific 2 Basic Socio-demographic Indicators HIV Prevalence and Epidemiology 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) 28,121 (2014) 4 Annual population growth rate 1.1 (2014) 4 Population aged (thousands) 15,404 (2010) 5 Percentage of population in urban areas 18 (2013) 3 Crude birth rate (births per 1,000 population) 21.6 (2012) 3 Under-5 mortality rate (per 1,000 live births) 42 (2012) 2 Human development index (HDI) - Rank/Value 145/0.540 (2013) 1 Life expectancy at birth (years) 68.4 (2013) 1 Adult literacy rate (%) 57.4 ( ) 1 Ratio of girls to boys in primary and secondary education (%) (2013) 3 GDP per capita (PPP, $US) 694 (2013) 3 Per capita total health expenditure (Int.$) 85 (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. UN Population Division. (2011). World Population Prospects The 2010 Revision.

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Estimated number of adults and children living with HIV, new infections and AIDS-related deaths, Source: Prepared by based on UNAIDS. (2014). UNAIDS 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. (2014). UNAIDS HIV Estimates and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 7 Estimated people living with HIV by population group, 2013 Source: Prepared by based on National Centre for AIDS and STD Control Nepal. (2014). Nepal Global AIDS Response Progress Report, 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 Key population size estimates, Population size estimates PopulationsEstimateLow estimateHigh estimateYear of estimate People who inject drugs52, Female sex workers26,50424,64928, Men who have sex with men 196, Source: Prepared by based on 1. 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 -2069; and 2. Nepal Global AIDS Response Progress Reporting 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among key populations, Kathmandu valley, Source: Prepared by based on 1. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers Kathmandu Valley: Round III and Round IV 2011; 2. Integrated Biological and Behavioral Survey among MSM and Male Sex Workers Kathmandu Valley, Round I to III, ; 3. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Nepal, Round V- 2011; and 4. National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepalwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 10 HIV prevalence among key populations, Kathmandu valley, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Kathmandu Valley, Nepal, round IV-2011; 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Nepal, Round V-2011; and 3. National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepalwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 11 Trends of HIV prevalence among female sex workers by region, Latest!Latest! Source: Prepared by based on Integrated Biological and Behavioral Survey among Sex Workers, , National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011, and Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 12 Trends of HIV prevalence among female sex workers in Kathmandu and Pokhara Valley, Source: Prepared by based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 13 Trends of HIV prevalence among female sex workers and truckers in 22 Highway Districts, Source: Prepared by based on 1. UNAIDS, UNGASS Country Progress Report, 2010; and Integrated Biological and Behavioral Survey among FSWs and their Clients, 22 Highway Districts, www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 14 Trends of HIV prevalence among MSM and male sex workers in Kathmandu valley, Source: Prepared by based on Integrated Biological and Behavioral Survey among MSM and Male Sex Workers, Kathmandu Valley, Round I to III, , and National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepalwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 15 Trends of HIV prevalence among PWID by region, Source: Prepared by based on Integrated Biological and Behavioral Survey among IDUs, Round I Round II, Round III, Round IV and Round V , and National Centre for AIDS and STD Control, Teku, Kathmandu (2013). Factsheet N7: HIV Surveillance in Nepal,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among male labor migrants, Source: Prepared by based on National Centre for AIDS and STD Control, Teku, Kathmandu (2013). Factsheet N7: HIV Surveillance in Nepal,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among migrants and wives of migrants, Source: Prepared by based on 1. Success Search Option Pvt. 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; and 2. New ERA, Intrepid Nepal, & FHI. (2010). IBBS Survey among Wives of Migrants in Four Districts of Far-Western Nepal: Round II

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 18 Active syphilis prevalence among female sex workers in Kathmandu and Pokhara Valley, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Kathmandu Valley, Nepal, round IV-2011; and 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Pokhara Valley, Nepal, round IV

HIV and AIDS Data Hub for Asia-Pacific 19 Trends of HIV and STIs prevalence among female sex workers, 22 Highway Districts, Source: Prepared by based on 1. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal 2012; and 2. Family Health International (FHI). (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Female Sex Workers in 22 Terai Highway Districts of Nepal.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! STI prevalence among MSM, Kathmandu valley, Source: Prepared by based on National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepalwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported HIV cases by risk group, 2004 – July Source: National Centre for AIDS and STD Control, Teku, Kathmandu (2013). Factsheet N3: HIV Testing and Counseling Services in Nepal, as of July 2013.

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who reported condom use at last sex, Source: Prepared by based on Integrated Biological and Behavioral Surveys; and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of female sex workers who reported condom use with their most recent client, Kathmandu Valley, Source: Prepared by based on National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Kathmandu Valley, Nepal, round IV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of female sex workers who reported condom use with their most recent client, Pokhara Valley and 22 Terai Highway Districts, Source: Prepared by based on 1. Nepal Integrated Biological and Behavioral Survey, 2008; 2. Family Health International (FHI). (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Female Sex Workers in 22 Terai Highway Districts of Nepal; 3. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Pokhara Valley, Nepal, round IV-2011; and 4. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 26 Proportion of female sex workers who reported consistent condom use in the last 12 months by type of partner, Kathmandu, Source: Prepared by based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 27 Proportion of female sex workers who reported consistent condom use in the last 12 months by type of partner, Pokhara Valley, Source: Prepared by based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 28 Proportion of female sex workers who reported consistent condom use in the last 12 months by type of partner, 22 Terai Highway Districts, Source: Prepared by based on 1. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal 2012; and 2. Family Health International (FHI). (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Female Sex Workers in 22 Terai Highway Districts of Nepal.

HIV and AIDS Data Hub for Asia-Pacific 29 Proportion of female sex workers who reported condom use at last sex and consistent condom use in the last 12 months by partner type, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Pokhara Valley, Nepal, round IV-2011; 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Kathmandu Valley, Nepal, round IV-2011; and 3. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal

HIV and AIDS Data Hub for Asia-Pacific 30 Proportion of female sex workers who reported condom use at last sex and consistent condom use in the last 12 months by partner type, 22 Highway Districts, 2012 Source: Prepared by based on Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 31 Proportion of female sex workers who were forced to have sex and physically assaulted in the last 12 months, Source: Prepared by based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011; and 2. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 32 Proportion of surveyed FSW younger than 20 years of age, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Kathmandu Valley, Nepal, round IV-2011; 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Pokhara Valley, Nepal, round IV-2011; 3. Family Health International (FHI). (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Female Sex Workers in 22 Terai Highway Districts of Nepal; and 4. Family Health International (FHI). (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Female Sex Workers in 22 Terai Highway Districts of Nepal.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 33 Average duration of sex work among FSW, Source: Prepared by based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011; and 2. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal

HIV and AIDS Data Hub for Asia-Pacific 34 Proportion of surveyed MSM younger than 25 years and MSM who were married, Kathmandu Valley, Source: Prepared by based on 1. Family Health International (FHI), New ERA Study Team, and National Centre of AIDS and STD Control. (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Men who have Sex with Men in Kathmandu Valley. Round III – 2009; and 2. National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepalwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 35 Proportion of surveyed PWID younger than 25 years of age, Source: Prepared by based on 1. National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011; and 2. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 36 Proportion of MSM who reported consistent condom use in the last month by partner type, Kathmandu valley, Source: Prepared by based on National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepalwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 37 Average years of injecting drugs use among male PWID, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Nepal, Round V-2011; 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Pokhara Valley, Nepal, Round V-2011; and 3. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 38 Proportion of male PWID who reported using sterile injecting equipment at last injection, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal. Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Pokhara Valley, and Eastern Terai, Round I to Round V, ; Western to Far-Western Terai, Round I to Round III, ; 2. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012 and 3.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 39 Proportion of male PWID who reported sharing injecting equipment in the last week, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Nepal, Round V-2011; 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Pokhara Valley, Nepal, Round V-2011; and. 3. Family Health International (FHI), New ERA Study Team, and National Centre of AIDS and STD Control. (2009). Integrated Biological and Behavioral Surveillance Survey among Male Injecting Drug Users in the Eastern Terai of Nepal. Round IV – 2009www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 40 Proportion of male PWID who reported use of previously used needles and syringes in the last week, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal. Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley and Pokhara Valley Round I to Round V, ; and 2. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 41 Proportion of male PWID who reported sex with FSW in the last 12 months, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Nepal, Round V-2011; 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Pokhara Valley, Nepal, Round V-2011; and 3. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 42 Proportion of male PWID who reported condom use at last sex with female sex workers, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal. Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Pokhara Valley, and Eastern Terai, Round I to Round V, ; Western to Far-Western Terai, Round I to Round III, ; and 2. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 43 Proportion of male PWID who reported consistent condom use with female sex workers in the last 12 months, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal. Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Pokhara Valley, and Eastern Terai, Round I to Round V, ; Western to Far-Western Terai, Round I to Round III, ; and 2. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 44 Proportion of male PWID who reported consistent condom use in the last year by partner type, Pokhara Valley, Source: Prepared by based on National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Kathmandu Valley, Nepal, Round V

HIV and AIDS Data Hub for Asia-Pacific 45 Proportion of male PWID who reported consistent condom use in the last year by partner type, Kathmandu Valley, Source: Prepared by based on National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Pokhara Valley, Nepal, round V-2011, June 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 46 Proportion of male PWID who reported consistent condom use in the last year by partner type, Eastern Terai, Source: Prepared by based on 1. Integrated Biological and Behavioral Survey among IDUs, EasternTerai, Round I to Round IV, ; and 2. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 47 Proportion of male PWID who reported consistent condom use in the last year by partner type, Western to Far-Western Terai, Source: Prepared by based on Integrated Biological and Behavioral Survey among IDUs, Western to Far-Western Terai, Round I to Round III, www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 48 Proportion of male migrant laborers who reported condom at last sex with female sex workers, Source: Prepared by based on 1.FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006, and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal. Integrated Biological and Behavioral Survey among Male Labour Migrants,11 Districts of Western and Mid to Far Western Region, www.aidsdatahub.org

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 50 Proportion of female sex workers with comprehensive HIV knowledge, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Kathmandu Valley, Nepal, round IV-2011; 2. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011), Integrated Biological and Behavioral Surveillance (IBBS) Survey among Female Sex Workers in Pokhara Valley, Nepal, round IV-2011; and 3. Ministry of Health and Population, National Centre for AIDS and STD Control (NCASC). (2012). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID with comprehensive HIV knowledge, Kathmandu Valley, Eastern Terai Eco-Zone and Pokhara Valley, Source: Prepared by based on 1. National Centre for AIDS and STD Control (NCASC) Nepal and ASHA Project (2011). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Injecting Drugs Users in Pokhara Valley and Kathmandu Valley, Nepal, Round V-2011; 2. IBBS among IDUs in Kathmandu Valley, Pokhara Valley and Eastern Terai, Round IV, 2009; Western to Far-Western Terai, Round III, 2009; and 3. Ministry of Health and Population, National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in Eastern Terai Highway Districts of Nepal. Round V-2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM and transgender with comprehensive HIV knowledge, Kathmandu Valley, Source: Prepared by based on 1. UNAIDS Report on The Global AIDS Epidemic, 2010; 2. Family Health International (FHI), New ERA Study Team, and National Centre of AIDS and STD Control. (2009). Integrated Biological and Behavioral Surveillance Survey (IBBS) among Men who have Sex with Men in Kathmandu Valley. Round 111 – 2009; and 3. National Centre for AIDS and STD Control. (2012). Integrated Biological and Behavioral Surveillance (IBBS) Survey among Men who have Sex with Men (MSM) and Transgender (TG) People in Kathmandu Valley, Nepal;

HIV and AIDS Data Hub for Asia-Pacific 53 Proportion of male migrant laborers with comprehensive HIV knowledge, Source: Prepared by based on 1. FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006, and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS and National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal. Mid to Far Western Region, www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 54 Proportion of adults (15-49yr) with comprehensive HIV knowledge by gender, 2006 and 2011 Source: Prepared by based on 1. Population Division, Ministry of Health and Population. Nepal Demographic and Health Survey 2006, May 2007; and 2. Population Division Ministry of Health and Population, New ERA, MEASURE DHS IFC Macro, & U.S. Agency for International Development. (2011). Nepal Demographic And Health Survey 2011, March 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 55 Proportion of young people (15–24yr) with comprehensive HIV knowledge by region and gender, 2011 Source: Prepared by based on Population Division Ministry of Health and Population, New ERA, MEASURE DHS IFC Macro, & U.S. Agency for International Development. (2011). Nepal Demographic And Health Survey 2011, March 2012www.aidsdatahub.org

HIV Expenditure

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

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 58 AIDS spending by category, Source: Prepared by based on

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

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on HIV prevention 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! Proportion of key populations reached with HIV prevention programmes, Source: Prepared by based on 1. UNAIDS, UNGASS Country Progress Report, 2008 citing IBBS for Data on MARPs; 2. UNAIDS Report on The Global AIDS Epidemic, 2010; 3. UNAIDS. (2012). Annexes - UNAIDS Report on the Global AIDS Epidemic 2012; and 4.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who received an HIV test in the last 12 months and knew their results, Source: Prepared by based on 1. National Centre for AIDS and STD Control Nepal, and UNAIDS. (2008). UNGASS Country Progress Report: Nepal; 2. National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal; 3. National Centre for AIDS and STD Control Nepal. (2012). Nepal Global AIDS Response Progress Report, 2012; and 4.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites (OST), Source: Prepared by based on Nepal Global AIDS Response Progress Reportingwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 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 Centre for AIDS and STD Control Nepal. (2012). Nepal Global AIDS Response Progress Report, 2012; 5. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of ART sites and number of people on ART, Source: Prepared by based on 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. UNAIDS.(2012). Global Report: UNAIDS Report on the Global AIDS Epidemic; 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 5.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART scale up, Source: Prepared by based on 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 2. UNAIDS. (2014). The Gap Report; and 3.

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. (2014). The Gap Reportwww.aidsdatahub.org ART coverage (%) represents the proportion of people receiving ART out of the total number of people living with HIV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of pregnant women living with HIV, receiving ARVs, and PMTCT coverage, Source: Prepared by based on UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Treatment cascade, Source: Prepared by based on Government of Nepal, Ministry of Health and Population National Centre for AIDS and STD Control. (2014). Nepal Global AIDS Response Progress Report 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 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 (2011 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 11% Civil society perspectives/ratings: Trend Laws and policies in place to protect and promote HIV- related human rights 4/10 3/10 6/10 Efforts to implement human rights-related laws and policies 4/10 72 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific- HIV and AIDS Data Hub based on National Centre for AIDS and STD Control Nepal. Nepal Global AIDS Response Progress Reports 2012 to 2014

HIV and AIDS Data Hub for Asia-Pacific 73 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