HIV and AIDS Data Hub for Asia-Pacific Review in slides Malaysia Last updated: July 2015

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) 30,188 (2014) 4 Annual population growth rate 1.5 (2014) 4 Population aged (thousands) 16,961 (2014) 4 Percentage of population in urban areas 73 (2013) 3 Crude birth rate (births per 1,000 population) 17.6 (2012) 3 Under-5 mortality rate (per 1,000 live births) 9 (2012) 2 Human development index (HDI) - Rank/Value 62/0.773 (2013) 1 Life expectancy at birth (years) 75 (2013) 1 Adult literacy rate (%) 93.1 ( ) 1 Ratio of girls to boys in primary and secondary education (%) (2005) 3 GDP per capita (PPP, $US) 10,514 (2013) 3 Per capita total health expenditure (Int.$) 619 (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 ​​ ; and 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset.

HIV prevalence and epidemiology

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 Latest!Latest! 7 Key population size estimates, Population size estimates PopulationsEstimateYear of estimate People who inject drugs170, Female sex workers40, Transgender sex workers20, Men who have sex with men173, Source: Prepared by based on 1) Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic and 2) Malaysia Global AIDS Response Progress Reporting 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 HIV prevalence among key populations, 2012 Source: Prepared by based on UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among key populations, Klang Valley, 2009 Source: Prepared by based on 1. Malaysian AIDS Council. (2009). Integrated Bio-behavioural Surveillance Report: Klang Valley, Malaysia May-December 2009; and 2. Malaysian AIDS Council. (2009). Risk Behavior and HIV Prevalence among MSM: A Venue-Based Study in Kuala Lumpur, Malaysia. * Kuala Lumpur

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence trends among ANC attendees, Source: Prepared by based on Ministry of Health Malaysia. (2014). HIV/AIDS Reporting Systemwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 Reported HIV cases by mode of transmission, Source: Prepared by based on Ministry of Health Malaysia. (2014). HIV/AIDS Reporting Systemwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported HIV cases by states and regions, Source: Prepared by based on Ministry of Health Malaysia. (2014). HIV/AIDS Reporting Systemwww.aidsdatahub.org

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 14 Proportion of key populations reported condom use at last sex, Source: Prepared by based on 1. Ministry of Health, Malaysia. (2004). Behavioural Surveillance Survey of the Sex Worker Population; 2. Yap, I. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 Malaysia; 3. UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; 4. Malaysian AIDS Council. (2009). Risk Behavior and HIV Prevalence among MSM: A Venue-Based Study in Kuala Lumpur, Malaysia; 5. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 6. * Programme/project data; ** Kuala Lumpur and Klang Valley; *** National data from IBBS Data points are not strictly comparable since sampling methodology and geographical locations varied

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of transgender reported condom use at last sex, Source: Prepared by based on Yap, I. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 Malaysiawww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of transgender reported consistent condom use in the last month, Source: Prepared by based on Yap, I. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 Malaysiawww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID reported using sterile injecting equipment, Source: Prepared by based on 1. AIDS/STD Section Disease Control Division Malaysia. (2010). UNGASS Country Progress Report: Malaysia 2010; 2. Yap, I. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 Malaysia; and 3. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013www.aidsdatahub.org *Klang Valley; ** National data from IBBS Data points are not strictly comparable since sampling methodology and geographical locations varied

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Interactions and overlapping risk behaviours among key populations, Source: Prepared by based on Yap, I. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 Malaysiawww.aidsdatahub.org

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 20 Proportion of key populations with comprehensive HIV knowledge, 2009 Source: Prepared by based on Malaysian AIDS Council. (2009). Integrated Bio-behavioural Surveillance Preliminary Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 21 Number and percentage of national service trainees (17-19 yr) with comprehensive HIV knowledge, 2008 Source: Prepared by based on Malaysia National Service Survey, MOH, 2008 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia Sample size = 6000

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! 24 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

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

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. Yap, I. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 Malaysia; and 2. AIDS/STD Section Disease Control Division Malaysia. (2012). Malaysia Global AIDS Response Progress Report,

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.Yap, I. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 Malaysia. 2. AIDS/STD Section Disease Control Division Malaysia. (2012). Malaysia Global AIDS Response Progress Report, * FSW and PWID - Klang Valley, MSM – Penang (2010), ** National data from IBBS Data points are not strictly comparable since sampling methodology and geographical locations varied

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 Malaysia Global AIDS Response Progress Reports.

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. (2010). 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; and 5.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 34 Source: Prepared by based on 1. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010; 2. Malaysia Global AIDS Response Progress Reporting 2013; and 3. Number of ART sites and number of people on ART,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART scale up, Source: Prepared by based on 1. UNAIDS. (2014). UNAIDS HIV Estimates ; and 2. Total PLHIV is used as a denominator to calculate ART coverage

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 Total PLHIV is used as a denominator to calculate ART coverage

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! PMTCT coverage and HIV testing coverage among pregnant women, 2013 Source: : Prepared by based on Data presented at the UNAIDS Regional Management Meeting (RMM) held from 25 to 28 October 2014 and UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms STIGMA INDEX ( Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 14% Civil society perspectives/ratings: Trend Laws and policies in place to protect and promote HIV- related human rights 5/10 7/10 Efforts to implement human rights-related laws and policies 7/10 6/10 7/10 National data on stigma and discrimination 38 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 Latest!Latest! 39 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