1. Sri Lanka
Last updated: September 2016

2. CONTENT Basic socio-demographic indicators
HIV prevalence and epidemiological status
Risk behaviors
Vulnerability and HIV knowledge
HIV expenditure
National response

3. BASIC SOCIO-DEMOGRAPHIC INDICATORS
Total population (in thousands)
20,715 (2015) 1
Population aged (thousands)
10,325 (2015) 1
Maternal mortality ratio (per live births)
30 (2015) 5
Percentage of population in urban areas
18 (2015) 2
Antenatal care coverage - At least one visit (%)
99.4 (2007) 7
Crude birth rate (births per 1,000 population)
15.9 (2014) 2
Under-5 mortality rate (per 1,000 live births)
10 (2015) 2
Human development index (HDI) - Rank/Value
73/0.757 (2014) 4
Life expectancy at birth (years) - Male/Female
72/78 (2015) 5
Adult literacy rate (%)
91 (2010) 2
Ratio of girls to boys enrolled at primary level in public and
private school (%)
0.98 (2014) 2
GDP per capita (PPP, current international $)
11,739 (2015) 2
Per capita total expenditure on health (PPP int. $)
270 (2012) 3
Sources: Prepared by based on 1. UN Population Division. (2015). World Population Prospects: The 2015 Revision - Extended Dataset; 2. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved July 2016, from 3. WHO. (2015). World Health Statistics 2015; 4. Palanivel, T., Mirza, T., Tiwari, B. N., Standley, S., & Nigam, A. (2016). Asia-Pacific Human Development Report - Shaping the Future: How Changing Demographics Can Power Human Development; 5. WHO. (2016). World Health Statistics 2016: Monitoring health for the SDGs; 6. World Bank Group. (2016). World Development Indicators 2016 and 7. UNSD. Millennium Development Goals Database - Antenatal Care Coverage Retrieved May 2016, from

4. HIV prevalence and epidemiology

5. Estimated number of people living with HIV, new HIV infections and AIDS-related deaths, 2000-2015
Source: Prepared by based on   UNAIDS. (2016). HIV Estimates

6. Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 2000-2015
Source: Prepared by based on  UNAIDS. (2016). HIV Estimates

7. Key population size estimates, 2013
Low estimate
High estimate
Year of estimate
People who inject drugs (PWID)
423 -
2013
Female sex workers (FSW)
14,132
12,329
15,935
Men who have sex with men (MSM)
7,551
6,547
8,554
Source: Prepared by based on Sri Lanka Global AIDS Response Progress Reporting 2015 based on National STD/AIDS Control Programme and the Family Planning Association of Sri Lanka. (2013). National Size Estimation of Most at Risk Populations (MARPs) for HIV in Sri Lanka

8. HIV prevalence among key populations, 2005-2014
Source: Prepared by based on HIV sentinel sero-surveillance surveys (HSS) cited in National STD/AIDS Control Programme. (2014). Annual Report 2012; and

9. HIV prevalence among key populations by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

10. HIV prevalence among key populations by city and by age group, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

11. Annual reported number of HIV infections, AIDS cases and deaths, 1987-June 2016
Source: Prepared by based on 1) Ministry of Health Sri Lanka, National STD/AIDS Control Programme. (2016). Annual Report 2015; and 2) National STD/AIDS Control Programme. HIV/AIDS Surveillance data in Sri Lanka. (Quarterly reports)

12. Cumulative HIV cases by mode of transmission, 1987-2015
2,308
Source: Prepared by based on

13. Active syphilis prevalence among key populations by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

14. Risk behaviours

15. Proportion of key populations who reported condom use at last sex, 2006-2014
Source: Prepared by based on National STD/AIDS Control Programme. (2012). Sri Lanka Global AIDS Response Progress Report 2012.; and

16. Proportion of MSM who reported condom use at last sex with different partners, by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

17. Proportion of FSW who reported condom use at last sex with different partners, by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

18. Proportion of beach boys who reported condom use at last sex with different partners, by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

19. Proportion of key population who reported consistent condom use with different partners by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

20. Overlapping risk behaviors reported among surveyed key populations by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

21. Average number of clients reported among FSW by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

22. Average number of sex partners reported among MSM by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

23. Average number of sex partners reported among beach boys in Galle, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

24. Proportion of surveyed key populations who are married, by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

25. Proportion of surveyed key populations who are younger than 25 years, by city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

26. Vulnerability and HIV knowledge

27. Proportion of key populations with comprehensive HIV knowledge, by city and age group, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Intergrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

28. Proportion of military personnel with correct knowledge on HIV prevention and mode of transmission, 2008
Sample size = 900
Source: Prepared by based on International Centre for Ethnic Studies. (2009). A Survey of HIV/AIDS Awareness and Risky Sexual Behavior in a Vulnerable Population in Sri Lanka.

29. Proportion of young people (15-24) with comprehensive HIV knowledge, 2007
Source: Prepared by based on WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS, Sri Lanka, 2008 Update.

30. HIV expenditure

31. AIDS spending by financing source, 2007-2013
Source: Prepared by based on and Global AIDS Response Progress Reporting.

32. AIDS spending by financing source, 2007-2013
Source: Prepared by based on and Global AIDS Response Progress Reporting.

33. AIDS spending by category, 2007-2010
Source: Prepared by based on

34. Proportion of total prevention programme spending on key populations at higher risk, 2008-2010
Source: Prepared by based on

35. Proportion of spending on HIV prevention from domestic and international sources, 2008-2010
Source: Prepared by based on

36. Proportion of spending on care and treatment from domestic and international sources, 2008-2010
Source: Prepared by based on

37. National response

38. Proportion of key populations who received an HIV test in the last 12 months and knew their results,
Source: Prepared by based on 1. National STD/AIDS Control Programme. (2010). UNGASS Country Progress Report: Sri Lanka; and 2. National STD/AIDS Control Programme. (2012). Sri Lanka Global AIDS Response Progress Report 2012; and 3)

39. Proportion of key population who received an HIV test in the last 12 months, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

40. Proportion of key populations who received an HIV test in the last 12 months and knew the results, by age group and city, 2014
Source: Prepared by based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.

41. Number of ART sites and number of adults on ART, 2004-2015
Source: Prepared by based on 1) WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports ; 2. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 3) Global AIDS Response Progress Reporting; and 4)

42. ART scale up,
Source: Prepared by based on 1) UNAIDS. (2016). HIV Estimates ; and 2) Global AIDS Response Progress Reporting

43. Treatment cascade 2015
Source: Prepared by based on UNAIDS 2016 HIV Estimates; and Global AIDS Response Progress Reporting (GARPR)

44. Estimated number of adults living with HIV, adults receiving ARVs, and adult ART coverage, 2015
Source: Prepared by based on 1) UNAIDS. (2016). HIV Estimates

45. Estimated number of pregnant women living with HIV, pregnant women receiving ARVs, and PMTCT coverage, 2015
Source: Prepared by based on 1) UNAIDS. (2016). HIV Estimates

46. Estimated number of children living with HIV, children receiving ARVs, and children ART coverage, 2015
Source: Prepared by based on 1) UNAIDS. (2016). HIV Estimates

47. Proportion of people who were alive and on ART, 2015
Source: Prepared by based on Ministry of Health Sri Lanka, National STD/AIDS Control Programme. (2016). Annual Report 2015

48. National data on stigma and discrimination
Selected indicators of response from NCPI 2014
Access to justice:
N/A Legal services (legal aid or other) N/A NHRI or other mechanisms
Civil society perspectives/ratings:
2009
2011
2013
Trend
Laws and policies in place to protect and promote HIV- related human rights
2/10 
N/A
Efforts to implement human rights-related laws and policies
3/10 
1/10 
STIGMA INDEX
( Data)
Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 30%
Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and partners

49. Punitive laws hindering the HIV response
Sources: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific in October 2014

50. slides compiled by www.aidsdatahub.org
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slides compiled by
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