1. Bangladesh
Last updated: July 2015

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)
158,513 (2014) 4
Annual population growth rate
1.2 (2014) 4
Population aged (thousands)
88,799 (2014) 4
Percentage of population in urban areas
33 (2013) 3
Crude birth rate (births per 1,000 population)
20.3 (2012) 3
Under-5 mortality rate (per 1,000 live births)
41 (2012) 2
Human development index (HDI) - Rank/Value
142/0.558 (2013) 1
Life expectancy at birth (years)
70.7 (2013) 1
Adult literacy rate (%)
57.7 ( ) 1
Ratio of girls to boys in primary and secondary education (%)
109.6 (2011) 3
GDP per capita (PPP, $US)
829 (2013) 3
Per capita total health expenditure (Int.$)
67 (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.

4. HIV prevalence and epidemiological status

5. Estimated number of people living with HIV, new infections and AIDS-related deaths, 1990-2014
Source: Prepared by based on  UNAIDS. (2015). HIV Estimates and

6. Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2014
Source: Prepared by based on  UNAIDS. (2015). HIV Estimates and

7. Key population size estimates, 2009-2010
% Population Proportion of (15-49)
Male
Female
Populations
Low estimate
High estimate
Year of estimate
Low
High
People who inject drugs 1
21,800
23,800
2009
0.06
0.07
Female sex workers 1
63,600
74,300
0.19
0.22
Brothel-based FSW 1
3,100
3,600
Street-based FSW 1
25,500
30,700
0.08
0.10
Hotel-based FSW 1
35,000
40,000
0.12
Men who have sex with men 2
32,967
143,065
2010
Clients of FSW 1
2,714,000
3,733,000 8 11
Returning migrants 1
381,000
762,000
Source: Prepared by based on 1. National AIDS Committee. (2009). Population Size Estimates for Most at Risk Populations for HIV in Bangladesh 2009 ; and 2. icddr-b. (2012). Experience Conducting Male Sexual Health Survey and MSM Mapping and Enumerations in Bangladesh. Presented at the South Asia Regional MSM and Transgender Size Estimation Workshop: Strengthening National Reporting on HIV among MSM and Transgender persons Colombo, Sri Lanka

8. HIV prevalence among key populations, by latest available survey year
Source: Prepared by based on 1). icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report; and 2. icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished).

9. HIV prevalence among key populations in Dhaka, 2000-2011
Source: Prepared by based on 1). icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report; and 2. icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished).

10. HIV prevalence among key populations in Dhaka, by latest available survey year
Source: Prepared by based on 1. icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report; and 2. icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished)

11. HIV prevalence among Hijra, MSM, MSWs and mixed samples of MSM and MSWs by sentinel site, 2011
Source: Prepared by based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

12. Trends of HIV prevalence among people who inject drugs (male) by sentinel site, 2003 - 2011
* Sentinel surveillance was not conducted
Source: Prepared by based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

13. HIV prevalence among sex workers by type and sentinel site, 1998 - 2011
Source: Prepared by based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

14. Active syphilis prevalence among Hijra, MSM, MSWs and mixed sample of MSM and MSWs by sentinel site, 2011
Source: Prepared by based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

15. Active syphilis prevalence among people who inject drugs (male) by sentinel site, 2011
Source: Prepared by based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

16. Active syphilis prevalence among female sex workers by type and sentinel site, 2011
Source: Prepared by based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

17. Annual reported number of HIV infections, AIDS cases and deaths, 1989-2013
Source: Prepared by based on 1. World AIDS Day Presentation data retrieved on 14 Jan 2013; and 2. National AIDS/STD Programme Bangladesh. (2013). HIV Data Analysis 2013.

18. Risk behaviours

19. Proportion of key populations who reported condom use at last sex, 2003 - 2013
* Dhaka
Source: Prepared by based on 1. National AIDS/STD Programme Bangladesh . (2004). National HIV Seroloogical and Behavioural Surveillance, Fifth Round Technical Report National AIDS/STD Programme Bangladesh . (2008). Behavioral Surveillance Survey : Technical Report icddr,b, 2010 (unpublished). Baseline Survey Conducted among MSM in Dhaka city under PSA for the Global Fund project of icddr,b; and 3. icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished)

20. Proportion of key populations who reported condom use at last sex (by latest available survey year)
Source: Prepared by based on 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 2. UNAIDS. (2012). Annexes - UNAIDS Report on the Global AIDS Epidemic 2012; and 3. icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished)

21. Proportion of MSWs and Hijra who reported consistent condom use during anal sex in the last week by type of client and surveyed city,
Source: Prepared by based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report.

22. Proportion of MSM reported consistent condom use with commercial partners in the last months by type of partner and surveyed city,
Source: Prepared by based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report.

23. Proportion of FSWs who reported consistent condom use with regular clients in the last week,
Source: Prepared by based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report.

24. Proportion of consistent condom use among PWID with FSWs in the last year, 2002-2007
Source: Prepared by based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report.

25. Proportion of PWID who reported using sterile injecting equipment, 2003-04 and 2006-07
Source: Prepared by based on 1. National AIDS/STD Programme Bangladesh . (2004). National HIV Seroloogical and Behavioural Surveillance, Fifth Round Technical Report (Recalculated data that harmonize with UNGASS 2010 and GARP 2012 guidelines ); and 2. National AIDS/STD Programme Bangladesh.(2008). Behavioral Surveillance Survey : Technical Report.

26. Overlapping risk behaviors and interaction among key populations, 2006-07
* in the last year; ** in the last month
Source: Prepared by based on National AIDS/STD Programme Bangladesh.(2008). Behavioral Surveillance Survey : Technical Report.

27. Proportion of adults (15-49) years who reported having more than one sexual partner in the last 12 months and reported use of a condom at last sex, 2004
Source: Prepared by based on FHI, ICDDR,B.,& USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological Experiment.

28. Vulnerability and HIV knowledge

29. Proportion of key populations with comprehensive HIV knowledge, 2003-04 and 2006-07
Source: Prepared by based on Behavioral Surveillance Surveys and cited in National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.

30. Proportion of key populations at higher risk with comprehensive HIV knowledge, 2006-07
Source: Prepared by based on Behavioral Surveillance Survey cited in National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.

31. Proportion of key populations with comprehensive HIV knowledge by age group, 2006-07
Source: Prepared by based on Behavioral Surveillance Survey cited in National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.

32. Proportion of adults (15-49) with comprehensive HIV knowledge, 2011
Source: Prepared by based on National Institute of Population Research and Training (NIPORT), Mitra and Associates, & ICF International. (2013). Bangladesh Demographic and Health Survey.

33. HIV expenditure

34. AIDS spending by financing source, 2008-2013
Source: Prepared by based on

35. AIDS spending by category, 2008-2012
Source: Prepared by based on

36. Proportion of total prevention programme spending on key populations at higher risk, 2010-2012
Source: Prepared by based on

37. Proportion of spending on HIV prevention from domestic and international sources, 2008-2012
Source: Prepared by based on

38. Proportion of spending on care and treatment from domestic and international sources, 2008-2012
Source: Prepared by based on

39. National response

40. Proportion of key populations reached with HIV prevention programmes, 2006-07 and 2010
Source: Prepared by based on 1.National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report; 2.icddr,b.(2010). Baseline Survey conducted among MSM in Dhaka city under PSA for the Global Fund project of icddr,b (unpublished); and 3. icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished)

41. Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites (OST), 2011-2013
Source: Prepared by based on Bangladesh Global AIDS Response Progress Reporting

42. Number of needle/syringes distributed per person who inject drugs per year, 2008-2013
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
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 AIDS/STD Programme Bangladesh. (2012). Global AIDS Response Progress Report: Bangladesh; 5. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic; and 6.

43. 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 AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey : Technical Report; and 2.icddr,b, 2010 (unpublished). Baseline Survey conducted among MSM in Dhaka city under PSA for the Global Fund project of icddr,b; and 3. icddr,b, HIV Midline survey among MSM, MSW & TG (unpublished)

44. Number of ART sites and number of people on ART, 2004-2013
Source: Prepared by based on Source: 1.WHO,UNAIDS,& UNICEF.( ). 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. Bangladesh Global AIDS Response Progress Reporting 2014; and 5.

45. ART scale up,
Source: Prepared by based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report; and

46. Estimated number of adults living with HIV, adults receiving ART, and adult ART coverage, 2013
Note: ART coverage (%) represents the proportion of people receiving ART out of the total number of people living with HIV
Source: Prepared by based on UNAIDS. (2014). The Gap Report

47. Estimated number of pregnant women living with HIV, receiving ARVs, and PMTCT coverage, 2013
Source: Prepared by based on UNAIDS. (2014). The Gap Report

48. National data on stigma and discrimination
Selected indicators of response from NCPI 2014
Access to justice:
Legal services (legal aid or other) 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
3/10 
4/10
Efforts to implement human rights-related laws and policies
STIGMA INDEX
(2009)
Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 21.4%
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. slides compiled by www.aidsdatahub.org
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