1. Men who have sex with men

2. CONTENT Data availability and population size estimates
HIV prevalence and epidemiology
Risk behaviors
Vulnerability and HIV knowledge
HIV expenditure
National Response

3. Data availability and population size estimates

4. Data availability from sentinel and behavioural surveys among MSM, 2009-2012
Afghanistan, Bangladesh, Cambodia, China, Fiji, India, Indonesia, Japan, Lao PDR, Malaysia, Mongolia, Myanmar , Nepal, PNG, Philippines , Rep. of Korea, Singapore, Thailand, Timor-Leste, Viet Nam
Afghanistan, Cambodia, India, Indonesia, Lao PDR, Mongolia, Nepal, PNG, Timor-Leste, Viet Nam
Afghanistan, Bangladesh, Cambodia, China, Indonesia, Japan, Malaysia, Mongolia, Myanmar , Nepal, PNG, Philippines , Rep. of Korea, Thailand, Viet Nam
Source: Prepared by based on HIV Sentinel Surveys; Bio-Behavioural Surveys;

5. MSM size estimates, countries where data is available
Estimated MSM (a)
Year of estimate
HIV prevalence (b) 1
Bangladesh
21, ,581
2010
0 (2011) 2
Cambodia
21,327
2009
2.1 (2010) 3
China
4.1 million ( million)
6.7 (2012) 4
Hong Kong SAR
120,000
2011
4.08 (2011) 5
India
420,000 [High risk MSM, interventions]
3,500,000 [MSM at-risk]
4.4 ( ) 6
Indonesia
695,026 ( 423,729- 1,358,527)
8.5 (2011) 7
Lao PDR
17,000 [High risk MSM]
49,330 [All MSM and TG]
4.4 (Vientiane, 2010) 8
Malaysia
173,000
12.6 (2012) 9
Maldives
4,100
0 (2008) 10
Mongolia
11, ,000 (homo and bisexual)
2006
10.7 (2012) 11
Myanmar
224,000
2008
8.9 (2012) 12
Nepal
74,220 (65,864 – 82,330) [High-risk MSM]
256,600 [All MSM]
3.8 (2009) 13
Philippines
390, ,529
1.7 (2011) 14
Singapore
90,000
2.8 (2010) 15
Sri Lanka
31,000 (24,000-37,000)
0.9 (2011) 16
Thailand
550,571
7.1 (2012) 17
Timor Leste
11,197
1.3 (2011) 18
Viet Nam
285,388
16.7 (2009)
Prepared by ; Note: Please see next slide for references (a), (b) National HIV Sentinel Surveillance surveys and Integrated Biological and Behavioral surveys reported in Global AIDS Response Progress Report 2012 and UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.

6. References , MSM population estimation
UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.
Khmer HIV/AIDS NGO Alliance (KHANA) and FHI estimation cited in “ National AIDS Authority.(2011).Cambodia Country Profile on HIV and AIDS : Onwards Towards Universal Access”
UNAIDS China. (2009). China AIDS Fact Sheet 2009
Mok, P. (2011). Sex Between Men in Your City.
Data provided by UNAIDS Country Office India.
Ministry of Health . (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009 (In Indonesian Language)
National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI and National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012.
Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic.
WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.
National Committee on HIV/AIDS. (2010). National Strategic Plan on HIV, AIDS and STIs : Ulaanbaatar.
National AIDS Programme Myanmar (2009). HIV Estimates and Projections, Myanmar
HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation of Most-At-Risk-Population In Nepal-2011: Vol.1 Male Sex Workers, Transgender, and their Clients.
Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV.
National STD/AIDS Control Programme, World Bank, UNAIDS, UNFPA, et al. (2012). Technical Support to Design, Implement, and Monitor HIV Prevention Programmes among Female Sex Workers, Men who have Sex with Men and Transgender in Sri Lanka
Peerapatanapokin, W. (2012). Estimated sizes of Men who have Sex with Men (MSM). Unpublished Power Point Presentation at Size Estimation Stake-Holder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi, Thailand.
National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response
UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.

7. Size estimates of MSM as proportion of adult male population (15-49) years
Regional median 1.4%; Range 0.1% - 4.3%
Source: Prepared by based on size estimates of MSM ( please see the information provided in the previous 2 slides) and the data on adult male population (15-49) years is retrieved from the UN Population Division at

8. Percentage of men who ever had sex with men, countries where data is available, 2000-2006
* in the last 12 months
Sources: Prepared by based on 1) FHI, ICDDR, B., & USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological Experiment; 2) National AIDS Programme Myanmar. (2005). Behavioral Surveillance Survey 2003: General Population and Youth. 3)National Institute of Medical Statistics, & National AIDS Control Organisation. (2008). National Behavioural Surveillance Survey (BSS) 2006: Youth (15-24 Years); 4)Hong Kong,and Lao PDR_ power point presentation by Frits van Grensven, Thai MOPH-US CDC Collaboration, Recognizing and confronting the epidemic of HIV among MSM in South-East Asia, September 2006: and 5) National Statistics Office Philippines, & ORC Macro. (2004). Philippines National Demographic and Health Survey 2003

9. Prevalence of male-to-male sex among adult male population, their heterosexual behavior and marital status,
Source: Prepared by based on Cáceres, C. F., Konda, K., Segura, E. R., et al. (2008). Epidemiology of Male Same-Sex Behaviour and Associated Sexual Health Indicators in Low- and Middle-Income Countries: 2003–2007 Estimates

10. HIV prevalence and epidemiology

11. Countries with >5% HIV prevalence among MSM in national estimates from surveys, 2009-2012
Source: Prepared by based on UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.

12. HIV prevalence among MSM in selected geographical locations, 2009-2012
Bkk revised
Source: Prepared by based on National AIDS Committee Thailand. (2012). Thailand Global AIDS Response Progress Report, 2012; HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports

13. Countries/cities with rising HIV prevalence trend among MSM, 2000-2012
China trend updated
Source: Prepared by based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports

14. Cities with stabilizing/ declining HIV prevalence trend among MSM, 2000-2012
Source: Prepared by based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports

15. HIV prevalence among MSM by region, latest available year, 2008-2012
Lao PDR revised
Source: Prepared by based on HIV Sentinel Surveillance Reports; Integrated Biological and Behavioral Surveillance Reports; UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.

16. Syphilis prevalence among MSM, 2009-2012
** Western Province
* Capital city
Source: Prepared by based on 1) HIV Sentinel Surveillance Reports; 2) Integrated Biological and Behavioral Surveillance Reports; 3) Lan, W., Lu, W., L.Norris, J., et al. (2012). HIV Prevalence and Influencing Factors Analysis of Sentinel Surveillance among Men who have Sex with Men in China, Chinese Medical Journal, 125(11), ; 4) WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response Epidemic Update and Health Sector Progress towards Universal Access Progress Report 2011.

17. Proportion of newly reported and cumulative HIV cases attributable to homosexual transmission,
* both homo and bisexual ** cumulative HIV and AIDS cases
Source: Prepared by based on data from Ministry of Health HIV statistics and AIDS registry; Country Global AIDS Response Progress Reports 2012

18. Correlation between reported homo sexual mode of transmission and HIV prevalence among MSM
Source: Prepared by based on data from Ministry of Health HIV statistics and AIDS Registry; HIV Sentinel Surveillance Reports; Country Global AIDS Response Progress Reports 2012

19. Risk behaviours

20. Mean number of sexual partners among MSM in the last month, countries where data is available,
* Capital city; ** Last 6 months
Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys

21. Proportion of MSM who sold sex to men, 2008-2012
Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys

22. Proportion of MSM who reported buying sex from male and female, 2006-2012
Bought sex
* from male = last month, from female = last 12 months; ** last month for both male and female; *** from male= last 12 months, from female = ever; Mongolia: last 12 months; India: ever for both male and female
Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys

23. Proportion of MSM who had vaginal sex with female in the last year, 2006- 2012
* Capital city; ** Last 6 months, *** Ever
Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys

24. Proportion of MSM reported condom use at last anal sex with male partners, 2009-2012
updated
Source: Prepared by based on Country Global AIDS Response Progress Reports 2012 and UNAIDS.(2013).Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.

25. Condom use at last sex and HIV prevention coverage among MSM (arranged by HIV prevalence),latest available year
Source: Prepared by based on

26. Condom use at last sex and HIV prevention coverage among MSM (arranged by level of coverage),latest available year
Source: Prepared by based on

27. Condom use at last anal sex and consistent use among MSM, 2009-2011
Median condom use 66%; Max 85% THL; Min 26% BGD; Count 18
Source: Prepared by based on Country Global AIDS Response Progress Reports 2012; Integrated Bio-Behavioural Surveys; and Behavioural Surveillance Surveys

28. Proportion of MSM reported consistent condom with male commercial partners in the last month,
* Undefined period, HCMC = Ho Chi Minh City
Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys

29. Proportion of MSM reported consistent condom use with non-commercial/casual partners, 2006-2011
Source: Prepared by based on 1) Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys; 2) Chan, R., Chio, M., Lim, S., Lo, D., Tan, A., Wong, J., & Loh, B. (2013). Outreach HIV Testing Project in Venues Frequented by MSM - November 2011 to February 2012; 3) Bavinton, B., Singh, N., Naiker, D. S., et al. (2011). Secret Lives, Other Voices: A Community-Based Study Exploring Male-to-Male Sex, Gender Identity and HIV Transmission Risk in Fiji. Suva, Fiji: AIDS Task Force of Fiji

30. Proportion of MSM reported consistent condom use with male partners, 2009-2012
*Last 3 months;
**Last 6 months;
***Last year
Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys

31. Proportion of MSM who inject drugs, 2006-2012
* Capital city; ** Luang Prabang
Source: Prepared by based on Integrated Biological and Behavioural Surveys and Behavioural Surveillance Surveys

32. Vulnerability and HIV knowledge

33. Percentage of MSM with comprehensive HIV knowledge, by age group, countries where data is available,
* Manipur
Source: Prepared by based on UNGASS Country Progress Reports 2006,2008 & 2010

34. HIV Expenditure

35. Prevention spending in Asia and the Pacific – low on HIV prevention spending among MSM, latest available year reported by countries,
Prevention spending breakdown is not available for China and India
Source: Prepared by based on

36. AIDS spending by category, 2009-2011
AIDS spending breakdown is not available for China and India
Source: Prepared by based on

37. Proportion of prevention spending by category, 2009-2011
Prevention spending breakdown is not available for China and India
Source: Prepared by based on

38. Amount and proportion of spending on MSM prevention programmes out of total prevention spending,
Data is not available for China
Amount spending is not available for India
Source: Prepared by based on and India UNAIDS Country Office for India data

39. Trends in proportion of spending on MSM prevention programmes out of total prevention spending, countries with >5% HIV prevalence among MSM in national estimates from surveys
Data is not available for China
Source: Prepared by based on

40. National response

41. Proportion of MSM reached with HIV prevention programmes in the last 12 months, 2009-2012
Definition of reach : Know where to go to receive an HIV test and had been given condoms in the last 12 months
Source: Prepared by based on Country Global AIDS Response Progress Reports 2012 and

42. Proportion of MSM who received an HIV test in the last 12 months and know their results, 2007-2011
* Programme data
It is not strictly comparable across countries since methods and sampling varied. In addition, many surveys were conducted in a few urban areas and it might not necessarily reflect prevailing conditions at the national level.
Source: Prepared by based on and Ministry of Health Indonesia.(2013). Recalculated HIV Testing Coverage for the Global AIDS Response Progress Report Online Reporting using IBBS 2011 Data.

43. Criminalisation of same-sex sexual activities between consenting adult males in South-East Asia and the Pacific countries
South-East Asia
Pacific
Brunei
YES
Fiji NO
Cambodia
Kiribati
Indonesia
Marshall Islands
Lao PDR
FSM*
Malaysia
Nauru
Myanmar
Palau
Philippines
Papua New Guinea
Singapore
Samoa
Thailand
Solomon Islands
Timor-Leste
Tonga
Viet Nam
Tuvalu
Vanuatu
Sources: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2013). Punitive Laws Hindering the HIV Response in Asia and the Pacific in August 2013
*Federated States of Micronesia

44. Criminalisation of same-sex sexual activities between consenting adult males in South Asia and East Asia countries
South Asia
East Asia
Afghanistan
YES
China NO
Bangladesh
Japan
Bhutan
Mongolia
India
DRP Korea
Maldives
Rep of Korea
Nepal
Pakistan
Sri Lanka
Sources: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2013). Punitive Laws Hindering the HIV Response in Asia and the Pacific in August 2013

45. slides compiled by www.aidsdatahub.org
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