HIV and AIDS Data Hub for Asia-Pacific Review in slides Most-at-risk populations

HIV and AIDS Data Hub for Asia-Pacific Content HIV prevalence and epidemiological status ( ) Sex worker IDU MSM Vulnerability and HIV knowledge ( ) Risk behaviors ( ) Resource needs and AIDS spending ( ) National Response ( ) Coverage and prevention HIV testing Care and Treatment Monitoring and evaluation Archives 2

HIV and AIDS Data Hub for Asia-Pacific National response

HIV and AIDS Data Hub for Asia-Pacific 4 Coverage and prevention

HIV and AIDS Data Hub for Asia-Pacific HIV prevention coverage among female sex workers, Source: UNGASS country progress report_2006, 2008 & 2010 * Calculated median value 2009 data is provisional

HIV and AIDS Data Hub for Asia-Pacific HIV prevention coverage among IDUs, Source: UNGASS country progress report_2006, 2008 & data is provisional * Calculated median value

HIV and AIDS Data Hub for Asia-Pacific HIV prevention coverage among MSM, Source: UNGASS country progress report_2006, 2008 & data is provisional * Calculated median value

HIV and AIDS Data Hub for Asia-Pacific Percentage of MARPs reached with HIV prevention programs in the last 12 months, Source: Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009

HIV and AIDS Data Hub for Asia-Pacific % of most-at-risk populations reached with prevention programs, 2005* * Data collection between Source: UNAIDS, Report on the Global AIDS Epidemic, 2006

HIV and AIDS Data Hub for Asia-Pacific Percentage of MARPs reached with HIV prevention programme - FSW Source: UNGASS country progress reports, 2005 & 2008

HIV and AIDS Data Hub for Asia-Pacific Percentage of MARPs reached with HIV prevention programme-IDU Source: UNGASS country progress reports, 2005 & 2008

HIV and AIDS Data Hub for Asia-Pacific Percentage of MARPs reached with HIV prevention programme-MSM Source: UNGASS country progress reports, 2005 & 2008

HIV and AIDS Data Hub for Asia-Pacific Percentage of MARPs who received HIV test in the last 12 months and knew the results, Source: Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009

HIV and AIDS Data Hub for Asia-Pacific % of female sex workers who received HIV testing in the past 12 months and who know the results, 2007* * Or the most recent data Source: UNAIDS_Report on the global AIDS epidemic, July 2008 and UNAIDS_ UNGASS Country Reports 2008

HIV and AIDS Data Hub for Asia-Pacific % of injecting drug users who received HIV testing in the past 12 months and who know the results, 2007* * Or the most recent data Source: UNAIDS_Report on the global AIDS epidemic, July 2008 and UNAIDS_ UNGASS Country Reports 2008

HIV and AIDS Data Hub for Asia-Pacific % of men who have sex with men who received HIV testing in the past 12 months and who know their results, 2007* * Or the most recent data Source: UNAIDS_Report on the global AIDS epidemic, July 2008 and UNAIDS_ UNGASS Country Reports 2008

HIV and AIDS Data Hub for Asia-Pacific 17 HIV testing

HIV and AIDS Data Hub for Asia-Pacific Total population ≥ 15 years per testing and counseling facility, Source: Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009

HIV and AIDS Data Hub for Asia-Pacific Number of HIV tests per 1000 people ≥ 15 years, Source: Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009

HIV and AIDS Data Hub for Asia-Pacific Annual estimated new infections (in millions) in the region with current or scaled-up HIV prevention, Note: By effective prevention interventions, the region can cut one-third new infections by the year 2010 Source: UNAIDS, A scaled-up response to AIDS in Asia and the Pacific, June 2005

HIV and AIDS Data Hub for Asia-Pacific 21 Care and treatment

HIV and AIDS Data Hub for Asia-Pacific ART coverage among adults and children, Source: UNGASS country progress report_2006, 2008 & 2010 * Only for adults 2009 data is provisional

HIV and AIDS Data Hub for Asia-Pacific Estimated number of AIDS related deaths with and without antiretroviral therapy in Asia, Number Source: UNAIDS_AIDS Epidemic Update, December 2009

HIV and AIDS Data Hub for Asia-Pacific Percent distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008 Source: Universal access health sector response, 2008

HIV and AIDS Data Hub for Asia-Pacific Source: Universal access health sector response, 2008 Percent distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008

HIV and AIDS Data Hub for Asia-Pacific Percentage distribution of HIV positive males and females receiving ART, 2008 Source: Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009

HIV and AIDS Data Hub for Asia-Pacific ART coverage for adult and children PLHIV by countries, 2008 Source: Universal access health sector response, 2008

HIV and AIDS Data Hub for Asia-Pacific Adults and children with advanced HIV infection received ART ( ) Source: UNAIDS_UNGASS Country Reports, 2008 UNAIDS_Report on the Global AIDS epidemic, 2008

HIV and AIDS Data Hub for Asia-Pacific Adults and children with advanced HIV infection received ART ( ) Source: UNAIDS_UNGASS Country Reports, 2008 UNAIDS_Report on the Global AIDS epidemic, 2008

HIV and AIDS Data Hub for Asia-Pacific 30 Monitoring and Evaluation

HIV and AIDS Data Hub for Asia-Pacific Civil society involvement in the HIV response in Asia Pacific

HIV and AIDS Data Hub for Asia-Pacific Source: UNGASS Country progress reports 2008 N o. Content area Bangla- desh Cambo- dia ChinaFijiIndia Indone- sia Lao Malay- sia Mongo- lia 1 A M&E plan of the NSP has been developed Yes 1. 1 Endorsed by key partners in M&EYes 1. 2 Developed in consultation with civil societyYes NoYes 1. 3 Partners have aligned with M&E Yes, but only some partners Yes, most partners -No Yes, most partners Yes, all partner 2The M&E budget is securedNo Yes No 3Functional M&E unit In progress YesNoYes In progress No In progress 4Strategy for data collection and analysisYes yesYes 5Well-defined standardized set of indicatorsYes yesYes 6HIV sero-surveillanceYes yesYes 7Behavioural surveillanceYes yesYes NoYes 8Guidelines on data collection toolsYes yesYes NoYes 9Strategy for assessing data qualityYes yesYes NoYesNoYes 1010 Strategy for data dissemination and use, including yearly publication Yes yesYes 1 National and sub-national databaseNoYesyesNoYes NoN/ANo Assessment of Monitoring and Evaluation Systems

HIV and AIDS Data Hub for Asia-Pacific Source: UNGASS Country progress reports, 2008 Assessment of Monitoring and Evaluation Systems N o. Content area Myan- mar Nepal Pakis- tan PNG Phili- ppine Singa- pore Sri Lanka Thai- land Viet- nam 1 A M&E plan of the NSP has been developed Yes In progress Yes In progress Yes 1. 1 Endorsed by key partners in M&EYes - -NA-Yes 1. 2 Developed in consultation with civil societyYes Partners have aligned with M&E Yes, all partners Yes, most partner Yes, but only some partners - Yes, most partners - yes, most partners - Yes, most partners 2The M&E budget is securedNo Yes (mostly) NoYes -NoYes 3Functional M&E unitYes In progress Yes In progress Yes In progress Yes 4Strategy for data collection and analysisYes 5Well-defined standardized set of indicatorsYes 6HIV sero-surveillanceYes 7Behavioural surveillanceYes 8Guidelines on data collection toolsYes 9Strategy for assessing data qualityYes 1010 Strategy for data dissemination and use, including yearly publication Yes Yes (partially) Yes NoYes 1 National and sub-national databaseYes Yes (partially) N/ANo Yes

HIV and AIDS Data Hub for Asia-Pacific Source: UNGASS Country progress reports, 2008 Assessment of Monitoring and Evaluation Systems: Proportion of countries reporting selected key components (N=18)

HIV and AIDS Data Hub for Asia-Pacific Number of countries with selective data available on MARPs, Source: Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009

HIV and AIDS Data Hub for Asia-Pacific Percentage of countries with HIV prevalence surveys among MARPs, in the last 2 years (2009) 36

HIV and AIDS Data Hub for Asia-Pacific Percentage of countries with behavior surveys among MARPs, in the last 2 years (2009) 37

HIV and AIDS Data Hub for Asia-Pacific Percentage of high HIV burden countries with HIV prevalence surveys, in the last 2 years (2009) 38

HIV and AIDS Data Hub for Asia-Pacific Percentage of countries with data on HIV testing among general population (15-49) in Source: Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009

HIV and AIDS Data Hub for Asia-Pacific Slide-A (References for IDUs estimation / HIV prevalence) 1. As of (Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303) 2. As of (Source: National AIDS/STD Program, Ministry of Health and Family Welfare, HIV prevalence as of (Source: Bangladesh National AIDS Committee. UNGASS Indicator Report (CRIS), January 2003-December ) 3 As of (Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303) 4. Source: _Consensus estimates of the number of problem drug users in Cambodia, Source: National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention, As of (Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303) 7. Source: Working Group on HIV Prevention among Injecting Drug Users in Hong Kong, Community Forum on AIDS, Hong Kong Advisory Council on AIDS. Report of community assessment and evaluation on HIV prevention among injecting drug users in Hong Kong September As of (Source: NACO-Ministry of Health and Family Welfare. UNGASS India Report, 2005) 9. As of (Source: - Komisi Penanggulangan AIDS. Laporan Nasional: Kegiatan Estimasi Populasi Dewasa Rawan Terinfeksi HIV Tahun Pandu Riono-Family Health International. Pemodelan Matematik Tren Epidemi HIV-AIDS Indonesia Sampai ) 10. As of (Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303) 11. As of (Source: Ministry of Health, Malaysia. Consensus report on HIV and AIDS: Epidemiology in 2004-Malaysia. March 15, 2004) 12. As of (Source: Wijangarrden J. W. D. The HIV/AIDS situation in the Republic of Maldives in UNICEF, National HIV/AIDS Council (NAC), Ministry of Health of the Maldives and the UN Theme Group on HIV/AIDS. August 3, 2006) 13. As of Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303. Contd.…..

HIV and AIDS Data Hub for Asia-Pacific 14. Size estimation as of (Source: - Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303 ­- HIV prevalence as of Source: Ministry of Health, Union of Myanmar, 2006) 15. Source: National Center for AIDS and STD Control – Family Health International, Size estimation as of (Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303) - HIV prevalence as of 2005 (0.5% at Sargodha and 26% at Karachi) (Source: + Zindagi N., et al. Baseline study on HIV and STIs risk among IDUs in Lahore, Sargodha, Faisalabad and Sialkot, June-July Pilot study conducted by the HIV/AIDS surveillance project, March 2005) 17. Source: Department of Health, Philippines – WHO. Consensus report on HIV and AIDS epidemiology As of (Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303) 19. Ibid. 20. Ibid. 21. Size estimation as of (Source: Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection Presentation at the Integrated Analysis and Advocacy-HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, HIV prevalence as of Thai Ministry of Public Health. Results from Sentinel surveillance ) 22. As of (Source: Aceijas C., Stimson G. V., Hickman M. and Rhodes T., on behalf of the United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries. Global overview of injecting drug use and HIV infection among injecting drug users. JAIDS 2004;18:2295–2303) 23. Size estimation as of (Source: Family Health International. Population size estimates. FHI Country Office, Viet Nam. 2004) HIV prevalence as of (Source: Viet Nam Administration for AIDS Control (VAAC), Ministry of Health of Viet Nam. 2007) Slide-A (References for IDUs estimation / HIV prevalence)

HIV and AIDS Data Hub for Asia-Pacific Slide-B (References for FSWs estimation / HIV prevalence) 1. Source: National AIDS/STD Program, Ministry of Health and Family Welfare, Source: _Consensus estimates of the number of problem drug users in Cambodia, HIV prevalence as of (Source: National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention, 2006) 4. Source: Working Group on HIV Prevention for Commercial Sex Workers and their Clients, Community Forum on AIDS, Hong Kong Advisory Council on AIDS. Report of community assessment and evaluation of HIV prevention for commercial sex workers and their clients in Hong Kong September 2006) 5. As of (Source: NACO-Ministry of Health and Family Welfare. UNGASS India Report, 2005) 6. Source: - Komisi Penanggulangan AIDS. Laporan Nasional: Kegiatan Estimasi Populasi Dewasa Rawan Terinfeksi HIV Tahun Pandu Riono-Family Health International. Pemodelan Matematik Tren Epidemi HIV-AIDS Indonesia Sampai No data on size estimation. HIV prevalence as of (Source: FHI. HIV Surveillance Survey and Sexually Transmitted Infection Periodic Prevalence Survey, Lao People’s Democratic Republic, 2001) 8. As of (Source: Ministry of Health, Malaysia. Consensus report on HIV and AIDS: Epidemiology in 2004-Malaysia. March 15, 2004) 9. Source: Youth on AIDS. Mongolia at a glance. Accessed on July 19, 2007 at: Source: Ministry of Health, Union of Myanmar. UNGASS Country Report of Myanmar, January – December As of (Source: National Center for AIDS and STD Control – Family Health International, 2005) 12. As of (Source: - National AIDS Control Program. Integrated Biological and Behavioural Surveillance: Summary Report – Sind, Round 1, May National AIDS Control Program. Integrated Biological and Behavioural Surveillance: Summary Report – Balochistan, Round 1, May 2006) 13. As of (Source: Department of Health, Philippines – WHO. Consensus report on HIV and AIDS epidemiology 2005) 14. As of (Source: Toole M. The HIV situation in Papua New Guinea: What we can deduce from surveillance and special studies. Center for International Health. Presentation at ASHM Conference, Melbourne, October 2006) 15. Old data from (Source: Wong M. L., Chan R. K. W., Chua W. L., and Sharon W. Sexually Transmitted Diseases and Condom Use Among Female Freelance and Brothel-Based Sex Workers in Singapore. Sexually Transmitted Diseases, November 1999; 26(10): ) Contd.…..

HIV and AIDS Data Hub for Asia-Pacific 16. Source: UNAIDS. Country Report-Sri Lanka on Follow up the Declaration on Commitment on HIV/AIDS (UNGASS), December Size estimation: Data in 1999 from estimated size in A2 project. Assumption from the AEM modeling in (Source: - Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection Presentation at the Integrated Analysis and Advocacy- HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, 2006) - HIV prevalence: Sentinel surveillance data. HIV prevalence among Indirect sex worker is of 3.34% and among direct sex workers is of 9.00% by end of (Source: Thai Ministry of Public Health. Results from Sentinel surveillance ) 18. As of (Source: Pisani E., and Dili survey team. HIV, STIs and risk behaviour in East Timor: an historic opportunity for effective action. Family Health International, 2004) 19. Size estimation as of (Source: Family Health International. Population size estimates. FHI Country Office, Viet Nam. 2004) HIV prevalence as of Mid HIV prevalence is the national prevalence (4.2%) where as the lowest prevalence 8.4% in Hai Phong and the highest prevalence 33.9% in Can Tho. (Source: Ministry of Health, Viet Nam. National Sentinel Surveillance Report. 2007) Slide-B (References for FSWs estimation / HIV prevalence)

HIV and AIDS Data Hub for Asia-Pacific Slide-C (References for MSM estimation / HIV prevalence) 1. As of This includes male sex workers and Hijra. (Source: National AIDS/STD Program, Ministry of Health and Family Welfare, 2005) 2. Data from Phnom Penh only, as of (Source: Family Health International. Sexual behaviour, STIs and HIV among men who have sex with men in Phnom Penh October 2002) 3. Source: - National Center for AIDS/STDs Control and Prevention Chinese Center for Disease Control and Prevention, Xu H., Zhang B., Zeng Y. and Li X. HIV Epidemic Status and Behavioural Surveillance among MSM in China. Presentation at XVI International AIDS Conference, Toronto, Canada, August 12-18, As of (Source: Working Group on Men who have sex with Men in Hong Kong, Community forum on AIDS, Hong Kong Advisory Council on AIDS. Report of community assessment and evaluation of HIV prevention effort on men who have sex with men in Hong Kong September 2006) 5. Size estimation as of (Source: - NACO-Ministry of Health and Family Welfare. UNGASS India Report, HIV prevalence in Mumbai, India. Low value is among MSM and high value is among transgender. - Setia M. S., Lindan C., Jarajani H. R., Kumta S., Asktrand M., Mathur M., et al. Men who have sex with men and transgender in Mumbai, India: An emerging risk group for STIs and HIV. Indian J Dermatol Venereol Leprol 2006;72: ) 6. Size estimation as of 2006 among whom 28,000 were transgender (Source: - Komisi Penanggulangan AIDS. Laporan Nasional: Kegiatan Estimasi Populasi Dewasa Rawan Terinfeksi HIV Tahun Pandu Riono-Family Health International. Pemodelan Matematik Tren Epidemi HIV-AIDS Indonesia Sampai ) HIV prevalence as of 2005 of which HIV prevalence among MSM was 1.2% and among transgender was 22%. The HIV prevalence among MSW was 6%. (Source: Ministry of Health, Indonesia. Results from the Behavioural Surveillance Survey (BSS) in Indonesia ) 7. Source: Ministry of Health, Malaysia. Consensus report on HIV and AIDS: Epidemiology in 2004-Malaysia. March 15, Source: National Center for AIDS and STD Control – Family Health International, Source: National AIDS Control Program, Ministry of Health, Government of Pakistan, FHI, DFID. National study of reproductive tract and sexually transmitted infections: Survey of high risk groups in Lahore and Karachi, Source: Department of Health, Philippines – WHO. Consensus report on HIV and AIDS epidemiology Size estimation includes 10,000 MSWs. - HIV prevalence: 6.67% among MSWs and 7.33% among MSM. (Source: Estimated size in A2 project. Assumption from the AEM modeling in 2006) 12. As of (Source: Family Health International. Population size estimates. FHI Country Office, Viet Nam. 2004)

HIV and AIDS Data Hub for Asia-Pacific 45

HIV and AIDS Data Hub for Asia-Pacific % of most-at-risk populations covered by targeted prevention programs in South-east Asia, 2003 Source: WHO (2004), Coverage of selected service for HIV/AIDS Prevention, Care and Support in Low and Middle Income Countries in % IDUs reached by harm reduction programs

HIV and AIDS Data Hub for Asia-Pacific % of men who have sex with men reporting the use of a condom the last time they had sex in India (2002), Indonesia ( ) and Vietnam (2006) Source: - India National AIDS Control Organization (NACO) – Ministry of Health and Family Welfare. National Baseline High Risk and Bridge Population Behavioural Surveillance Survey, Indonesia Ministry of Health and Central Bureau of Statistics. Behavioural Surveillance in 13 provinces, Ministry of Health, Vietnam. Results from the HIV/STI Integrated Biological and Behavioural Surveillance (IBBS) in Vietnam, 2006

HIV and AIDS Data Hub for Asia-Pacific 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