HIV and AIDS Data Hub for Asia-Pacific Review in slides Thailand

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

HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 70,243 (2013) 4 Annual population growth rate 0.3 ( ) 4 Population aged (thousands) 37,494 (2010) 4 Percentage of population in urban areas 34 (2011) 3 Crude birth rate (births per 1,000 population) 11.9 (2011) 3 Under-5 mortality rate (per 1,000 live births) 13 (2012) 1 Human development index (HDI) - Rank/Value 89/0.722 (2013) 1 Life expectancy at birth (years) 74.4 (2013) 1 Adult literacy rate (%) 93.5 ( ) 1 Ratio of girls to boys in primary and secondary education (%) (2009) 3 GDP per capita (PPP, $US) 13,586 (2012) 1 Per capita total health expenditure (Int.$) 327 (2009) 2 Sources: Prepared by based on 1. UNDP. (2014). Human Development Report Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience; 2. WHO. (2012). World Health Statistics 2012; 3. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved March, 2013, 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 ​ ; and 4. 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 PLHIV, new infections and AIDS 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 Key population size estimates Population size estimate PopulationsEstimateYear of estimate People who inject drugs40, Female sex workers123, Men who have sex with men550, Source: Prepared by based on 1. Aramrattana, A. (2012). Estimated Size of Injecting Drug Users (IDU). Unpublished Power Point Presentation at Size Estimation Stakeholder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi; 2. Peerapatanapokin, W. Estimated sizes of Men who have Sex with Men (MSM). Unpublished Power Point Presentation at Size Estimation Stakeholder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi, Thailand; and 3. 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.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 Trends of HIV prevalence among key populations, Source: Prepared by based on 1. Thailand Bureau of Epidemiology cited in UNGASS 2010; 2.Bureau of Epidemiology, Department of Disease Control, Ministry of Health (2010). Prevalence and Incidence of HIV Infections in Thailand (in Thai) ; 3. National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; 4. Bureau of Epidemiology, Department of Disease Control, Ministry of Health (2011). Prevalence and Incidence of HIV Infections in Thailand (in Thai); 5. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Surveillance of HIV infection in Thailand, Round 30, 2012; 6. Global AIDS Response Progress Report 2012.Thailand Country Reports; and 7. FSW and PWID prevalence trends are based on HIV Sentinel Surveillance Surveys and MSM prevalence trend is based on Integrated Biological and Behavioural Survey conducted in Bangkok, Chiang Mai and Phuket

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among key populations, 2012 Source: Prepared by based on 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic ; and 2. * data from IBBS among PWID

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among MSM and transgender people in Bangkok and Chiang Mai, Source: Prepared by based on 1.K.Kladsawas, et al. Trends in HIV prevalence and risk behavior among men who have sex with men (MSM) in Bangkok, Thailand, 2003 to : AIDS XVIII International AIDS Conference: Abstract no. TUAC0203 ; 2. Jommaroeng, R. (2009). HIV infection among MSM in Thailand. Paper presented at the TuSM 18 HIV infection among MSM in developed East and Southeast Asia, Bangkok.; 3. National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; and 4. Bureau of Epidemiology, Thailand. (2012). Integrated Biological and Behavioral Surveillance Survey 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 Selected sentinel sites with HIV prevalence higher than 5% among key populations, 2012 Source: Prepared by based on Thailand Bureau of Epidemiology. (2012). HIV Serological Surveillance Report, 2012 Thailand - 30th Roundwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 12 Annual reported number of AIDS cases and deaths, Source: Prepared by based on Thailand Epidemiological Information Section, Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. (2011). AIDS Situation Update, Data retrieved from

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 13 Estimated adult new HIV infections by sub-population (AIDS Epidemic Model) Source: Prepared by based on Thailand Estimates and Projections (Unpublished)

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 15 Proportion of key populations who reported condom use at last sex, Source: Prepared by based on 1.National AIDS Prevention and Alleviation Committee Thailand. (2008). UNGASS Country Progress Report: Thailand; 2. National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand; 3. Bureau of Epidemiology, Thailand. (2010). Integrated Biological and Behavioral Surveillance Survey (IBBS) Men who have Sex with Men 2010 (in Thai); 4. National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; and 5.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 16 Proportion of MSM, transgender people, and male sex workers who reported consistent condom use in the last 3 months, Bangkok, 2010 Source: Prepared by based on Bureau of Epidemiology, Thailand. (2010). Integrated Biological and Behavioral Surveillance Survey (IBBS) Men who have Sex with Men

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM and transgender people who reported consistent condom use, Bangkok and Chiang Mai 17 Source: Prepared by based on 1. Griensven, F. v., Varangrat, A., et al. (2010). Trends in HIV Prevalence, Estimated HIV Incidence, and Risk Behavior Among Men Who Have Sex With Men in Bangkok, Thailand, 2003–2007. J Acquir Immune Defic Syndr 53, ; 2. Chariyalertsak, S., Kosachunhanan, N., et al. (2011). HIV Incidence, Risk Factors, and Motivation for Biomedical Intervention among Gay, Bisexual Men, and Transgender Persons in Northern Thailand. PLoS ONE, 6(9), e doi: /journal.pone www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 18 Proportion of PWID who reported using sterile injecting equipment at the last time they injected, Source: Prepared by based on 1. National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand; 2.National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; and 3. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Median number of times having vaginal sex with clients among FSW in the last month, Source: Prepared by based on Guest, P., Prohmmo, A., et al. (2007). Survey of Sexual and Reproductive Health of Sex Workers in Thailand: Institute for Population and Social Research, Mahidol University.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM by reported number of male partners in the last 3 months, Bangkok, Source: Prepared by based on Edwards-Jackson, N., Phanuphak, N., et al. (2012). HIV Serostatus Disclosure Is Not Associated with Safer Sexual Behavior among HIV-Positive Men who have Sex with Men (MSM) and Their partners at Risk for Infection in Bangkok, Thailand. AIDS Res Ther, 9(1), Sample size = 200 (HIV-positive) MSM

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM and transgender who reported exchanging sex for money or goods, Bangkok and Chiang Mai 21 Source: Prepared by based on 1. Griensven, F. v., Varangrat, A., et al. (2010). Trends in HIV Prevalence, Estimated HIV Incidence, and Risk Behavior Among Men Who Have Sex With Men in Bangkok, Thailand, 2003–2007. J Acquir Immune Defic Syndr 53, ; and 2. Chariyalertsak, S., Kosachunhanan, N., et al. (2011). HIV Incidence, Risk Factors, and Motivation for Biomedical Intervention among Gay, Bisexual Men, and Transgender Persons in Northern Thailand. PLoS ONE, 6(9), e doi: /journal.pone www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of transgender with selected sexual behaviours, Bangkok, Chiang Mai, and Phuket 22 Source: Prepared by based on Guadamuz, T. E., Wimonsate, W., et al. (2011). HIV Prevalence, Risk Behavior, Hormone Use and Surgical History among Transgender Persons in Thailand. AIDS Behav, 15(3), doi: /s

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 23 Proportion of adults (15-49) who had more than one sexual partner in the past 12 months and reported condom use at last sex, by age group and gender, 2006 Source: Prepared by based on IPSR, National Sexual Behavioural Survey, 2006 cited in National AIDS Prevention and Alleviation Committee Thailand. (2008). UNGASS Country Progress Report: Thailand.

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! 26 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 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

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 31 Proportion of key populations with comprehensive HIV knowledge, 2007 and 2009 Sources: Prepared by 1. National AIDS Prevention and Alleviation Committee Thailand. (2008). UNGASS Country Progress Report: Thailand, and 2. National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 32 Proportion of sex workers and MSM with comprehensive HIV knowledge by age group, 2007 and 2009 Source: Prepared by based on 1. UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 33 Proportion of young people (15-24) with comprehensive HIV knowledge by age group and gender, 2006 Source: Prepared by based on Institute for Population and Social Research (2006), Thailand National Sexual Behavioural Survey 2006 cited in National AIDS Prevention and Alleviation Committee Thailand. (2008). UNGASS Country Progress Report: Thailandwww.aidsdatahub.org

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. National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; 2.. National AIDS Committee Thailand. (2014). Thailand Global AIDS Response Progress Report, 2014; and 3.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 36 Proportion of key populations who received an HIV test in the last 12 months and knew their results, Source: Prepared by based on 1. UNAIDS. (2010). Report on The Global AIDS Epidemic, 2010; 2. National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; and 3. National AIDS Committee Thailand. (2014). Thailand Global AIDS Response Progress Report, 2014; and

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 National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report,

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.National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012.; 2. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 3.

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; and 4. UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 5. UNAIDS. (2014). The Gap Report; 6. National AIDS Committee Thailand. (2014). Thailand AIDS Response Progress Report, Reporting Period: ; and 7.

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 ART, and coverage, Source: Prepared by based on UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

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! 43 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and partnerswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 44 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.