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

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 Archives CONTENT

HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Sources: Prepared by based on 1. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset; 2. 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 ​ ; 3. WHO. (2014). World Health Statistics 2014; and 4. UNDP. (2014). Human Development Report 2014 Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience. Total population (thousands) 352 (2014) 1 Annual population growth rate1.8 (2014) 1 Population aged (thousands)202 (2014) 1 Percentage of population in urban areas43 (2013) 2 Crude birth rate (births per 1,000 population)22.2 (2012) 2 Under 5 mortality rate (per 1,000 live births)11 (2012) 3 Human Development Index (HDI)- Rank/Value103/0.698 (2013) 4 Life expectancy at birth (years)77.9 (2013) 4 Adult literacy rate (%)98.4 ( ) 4 Ratio of girls to boys in primary and secondary education (%) 98 (2006) 2 GDP per capita (PPP, $US)6,666 (2013) 2 Per capita total health expenditure (Int.$)707 (2011) 3

HIV prevalence and epidemiological status

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of people living with HIV, women living with HIV, new HIV infections, adult HIV prevalence and AIDS-related deaths, 2005 and Source: Prepared by based on UNAIDS. (2014). The Gap Report.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Cumulative number of reported HIV/AIDS cases, Sources: Prepared by based on 1. European Union, WHO, UNICEF, et al. (2006). Maldives: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections Update ;2. National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldives ; and 3. Maldives Country Progress Report www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Cumulative number of people living with HIV and deaths, Source: Prepared by based on Maldives Country Progress Report www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 Key population size estimates Source: Prepared by based on 1. Sharma, M., Oppenheimer, E., Saidel, T., et al. (2009). A Situation Update on HIV Epidemics among People Who Inject Drugs and National Responses in South-East Asia Region. AIDS, 23, 1405–1413; 2. WHO. (2009). HIV/AIDS in the South-East Asia Region Population size estimates PopulationsEstimateLow estimateHigh estimate Year of estimate Female sex workers -9004, Men who have sex with men 4, * People who inject drugs ** * Year of source reference ** Year of reporting

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key affected populations, men in high risk occupation groups and youths (15-24), PopulationNumber tested for HIV HIV prevalence (%) Female sex workers940 MSM1240 PWID2780 Sea farers1000 Resort workers Construction workers1020 Youths6090 Source: Prepared by based on Biological and Behavioral Survey, 2008 cited in National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldiveswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific STI prevalence among MSM, IDU and men in high risk occupation groups, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Proportion of surveyed populations who experienced STI symptoms in past 3 months, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Women (15-49) who reported bad smelling or abnormal genital discharge in the last 12 months by region, Source: Prepared by based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macrowww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Women (15-49) who reported genital sore or ulcer in the last 12 months by region, Source: Prepared by based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macrowww.aidsdatahub.org

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSWs who reported unprotected sex in the last week by type of partner and by atoll, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of consistent condom use in the past 12 months among surveyed populations, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Selected sexual behaviors among FSW in Male’ and Addu, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Population interaction of female sex workers in Male’ and Addu, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives. * Estimated population FSW= % of FSW sold sex to male clients 91% of the clients of FSW are married or have girlfriend 54% of FSW had non-client partner in past 12 months 32% of FSW ever injected drugs 39% of FSW have sexual partners who inject drugs * Estimated population FSW= % of FSW sold sex to male client 91% of the clients of FSW are married or have girlfriend 64% of FSW had non-client partner in past 12 months 9% of FSW have sexual partners who inject drugs Male’Addu

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM who reported unprotected sex with male and female partners in Male’ and Addu, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM with selected sexual behaviors in Male’ and Addu, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID who used sterile injecting equipment at the last injection by age group and gender, Source: Prepared by based on National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldiveswww.aidsdatahub.org citing Biological and Behavioral Survey, 2008

HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID who have ever been imprisoned and who injected drugs while inside the prison, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of PWID with selected sexual behaviors in the past 12 months, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations with overlapping risk behaviors by atoll, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Proportion of surveyed populations who reported having unprotected sex in the last month by type of partner, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives. %

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations who had sex with FSWs and who reported consistent condom use with FSWs, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Population interaction of resort male workers, % of resort workers ever had sex 1% had sex with another man 88% of resort workers had sex with wife/girlfriend 4 % bought sex from FSW 12% had sex with non- regular partner 2% had sexual partners who Inject drugs Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Selected sexual behaviors among youth (15-24) in Male’ and Laamu, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who had correct knowledge of HIV prevention, by atoll, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations who could identify major misconceptions about HIV transmission, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Comprehensive knowledge of HIV among women (15-49) by age group and residence, Source: Prepared by based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Comprehensive knowledge of HIV among women (15-49) by region, Source: Prepared by based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Comprehensive knowledge of HIV among young women (15-24) by age group and residence, Source: Prepared by based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

HIV expenditure

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations reached with HIV prevention program, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who were tested for HIV in the past 12 months and knew the results by age group, Source: Prepared by based on National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldives citing Biological and Behavioral Survey, 2008www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of youth (15-24) reached by HIV prevention program and who received HIV test in the past year, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Status of HIV testing among adults (15+) and HIV testing facilities, Source: Prepared by based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who were tested for HIV in the past 12 months by atoll, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations who have been tested for HIV in the past 12 months by occupation, Source: Prepared by based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART scale up, Source: Prepared by based on 1.UNAIDS. (2014). UNAIDS HIV Estimates 1990 – 2013; and NOTE: 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 adults receiving and needing ART, and coverage, Source: Prepared by based on UNAIDS. (2014). The Gap Report.

HIV and AIDS Data Hub for Asia-Pacific 45 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