HIV and AIDS Data Hub for Asia-Pacific Review in slides Lao PDR 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) 6,894 (2014) 4 Annual population growth rate 1.8 (2014) 4 Population aged (thousands) 3,673 (2014) 4 Percentage of population in urban areas 36.5 (2013) 3 Crude birth rate (births per 1,000 population) 27.3 (2012) 3 Under-5 mortality rate (per 1,000 live births) 72 (2012) 2 Human development index (HDI) - Rank/Value 139/0.569 (2013) 1 Life expectancy at birth (years) 68.3 (2013) 1 Adult literacy rate (%) 72.7 ( ) 1 Ratio of girls to boys in primary and secondary education (%) 91.6 (2012) 3 GDP per capita (PPP, $US) 1,646 (2013) 3 Per capita total health expenditure (Int.$) 75 (2011) 2 Source: 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 epidemiological status

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! Estimated new HIV infections by mode of transmission(AEM) Source: Lao PDR, Asian Epidemic Modeling (AEM) presented at the UNAIDS Regional Management Meeting, October 2012

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 Key population size estimates, Source: Prepared by based on 1. National Committee for the Control of AIDS. (2012). Lao PDR Global AIDS Response Progress Report 2012, andwww.aidsdatahub.org 2. National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among key populations, Source: Prepared by based on National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 10 HIV and syphilis prevalence among service women in Vientiane and Savannakhet, Source: Prepared by based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 HIV prevalence among service women by province, 2011 Source: Prepared by based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Sexually transmitted infections (STI) prevalence among key populations, Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR. (2009). Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Annual reported number of HIV infections, Source: Prepared by based on National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported HIV/AIDS cases by mode of transmission, Source: Prepared by based on National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report,

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 National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012, Phimphachanh, C. (2010). Rapid Assessment and Response to Drug Use and Injecting Drug use in Huapganh and Phongsaly Provinces, Lao PDR. PowerPoint presentation presented at the Data Analysis Workshop, Vientiane, Lao PDR, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM who reported condom use at last sex by type of partner, Luang Prabang, Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM who reported consistent condom use in the past 3 months by type of partner, Luang Prabang, Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of transgender people who reported condom and water-based lubricant use at last anal sex, Vientiane and Savannakhet, 2010 and Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of transgender people who reported consistent use of condom and water-based lubricant in the last month in Vientiane and Savannakhet, 2010 and Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who reported condom use at last sex with their client, Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR. (2009). Integrated Behavioral Biological Surveillance 2008, Center for HIV/AIDS/STI Lao PDR. (2009). Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who reported condom use at last sex by type of partner, Source: Prepared by based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioural Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who reported consistent condom use in the past three months by type of partner, Source: Prepared by based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Age of entering into sex work among service women, and duration of working as service woman, Source: Prepared by based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Median number of clients in the past week among service women, Source: Prepared by based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who injected drug in the past year, Source: Prepared by based on Center for HIV/AIDS/STI Lao. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who are married, 2009 and Source: Prepared by based on Center for HIV/AIDS/STI, Lao PDR,. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations at higher risk with comprehensive HIV knowledge, Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR. (2005). Second Generation Surveillance 2nd Round on HIV, STI and Behavior 2004, Center for HIV/AIDS/STI Lao PDR. (2009). Integrated Behavioral Biological Surveillance 2008, Center for HIV/AIDS/STI Lao PDR. (2009). Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioural Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women with comprehensive HIV knowledge, 2008 and Source: Prepared by based on Center for HIV/AIDS/STI Lao PDR. (2009). Integrated Behavioral Biological Surveillance 2008, and Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioural Surveillance Survey among Service Women 2011www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM and transgender people with correct knowledge of HIV transmission, 2009 and Source: Prepared by based on Center for HIV/AIDS/STI Lao. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 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! 34 AIDS spending by service 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

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 Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012; and 2. Lao PDR 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. 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 Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012; 5. UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 6. Medium coverage: >100–<200 syringes per PWID per year Low coverage: <100 syringes per PWID per year High coverage: >200 syringes per PWID per year

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 know their results, Source: Prepared by based on 1. National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012; and 2. Lao PDR Global AIDS Response Progress Reporting 2014 based on Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who received an HIV test in the last 12 months and know their results, Source: Prepared by based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

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. Lao PDR Global AIDS Response Progress Reporting 2014; and 3.

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

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 Reportwww.aidsdatahub.org

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

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 & discrimination STIGMA INDEX (2012 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 36% Civil society perspectives/ratings: Trend Laws and policies in place to protect and promote HIV- related human rights 7/10 Efforts to implement human rights-related laws and policies 7/10 5/10 6/10 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 46 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