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Presentation on theme: "Data Hub for Asia-Pacific Review in slides Myanmar"— Presentation transcript:

1 Data Hub for Asia-Pacific Review in slides Myanmar
HIV and AIDS Data Hub for Asia-Pacific Review in slides Myanmar

2 Content HIV prevalence and epidemiological status (1987-2008)
Risk behaviors ( ) Vulnerability and HIV knowledge ( ) Economics of AIDS ( ) National Response ( ) Archives

3 Basic socio-demographic indicators
Total population (in thousands) 50,496 (2010)2 Annual population growth rate 1.0% ( )2 Population aged (thousands) 28,294 (2008)6 Percentage of population in urban areas 34% (2010)1 Crude birth rate (births per 1,000 population) 20.5 (2008)3 Under-5 mortality rate (per 1,000 live births) 122 (2008)4 Human development index (HDI) - Rank/Value 132/0.451 (2010)5 Life expectancy at birth (years) 62.7 (2010)5 Adult literacy rate 91.9% ( )5 Ratio of girls to boys in primary and secondary education (%) 99 (2006)3 GDP per capita (PPP, $US) N/A Per capita total health expenditure (Int.$) 21 (2007)4 Source: 1. UNFPA The State of World Population 2010 2. UN Statistics Division 2010: 3. World Bank World Development Indicators & Global Development Finance ; 4. WHO World Health Statistics 2010 5. UNDP Human Development Report 2010 6. UN Population Division - Population Prospects: The 2008 Revision, Population Database

4 HIV prevalence and epidemiological status

5 Trends of HIV prevalence among populations at higher risk, 1992-2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

6 Trends of HIV prevalence among Female Sex Workers by city, 2000-2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

7 Trends of HIV prevalence among IDUs by sentinel site, 2000-2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

8 Trends of HIV prevalence among selected sentinel populations, 1992-2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

9 HIV prevalence among sentinel populations, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

10 HIV prevalence among Female Sex Workers, selected cities, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

11 HIV prevalence among Female Sex Workers by age group, 2008
Source: HIV Sentinel Sero-surveilance Survey, 2008

12 HIV prevalence among Female Sex Workers by age group, 2007 Vs 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

13 HIV prevalence among IDUs by sentinel site, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

14 HIV prevalence among IDUs by age group, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

15 HIV prevalence among IDUs by age group, 2007 Vs 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

16 Trends of HIV prevalence among young IDUs and Female Sex Workers (15-24), 2000-2008
Percent Source: HIV Sentinel Sero-surveilance Survey, 2008

17 HIV prevalence among MSM by age group, 2008
Source: HIV Sentinel Sero-surveilance Survey, 2008

18 HIV prevalence among MSM by age group, 2007 Vs 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

19 Trends of HIV prevalence among male STI patients, selected sentinel sites, 2000-2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

20 HIV prevalence among male STI patients by age group, 2007 and 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

21 HIV prevalence among TB patients by city, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

22 HIV prevalence among TB patients, selected cities/township, 2005-2008
Source: HIV Sentinel Sero-surveilance Survey, 2008

23 HIV prevalence among TB patients by age group, 2007 and 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

24 HIV prevalence among pregnant women attending ante-natal clinic by age group, 2008
Source: HIV Sentinel Sero-surveilance Survey, 2008

25 HIV prevalence among pregnant women attending ante-natal clinic by age group, 2007 and 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

26 HIV prevalence among new military recruits by age group, 2007 and 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

27 Trends of HIV prevalence among young pregnant women and military recruits (15-24), 2000-2008
Percent Source: HIV Sentinel Sero-surveilance Survey, 2008

28 HIV prevalence among blood donors by age group, 2007 and 2008
Sources: HIV Sentinel Sero-surveillance Surveys, 2007 and 2008

29 HIV prevalence among selected sentinel populations by city, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

30 HIV prevalence among selected sentinel populations, Yangon, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

31 HIV prevalence among selected sentinel populations, Mandalay, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

32 HIV prevalence among selected sentinel populations, Lashio, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

33 HIV prevalence among selected sentinel populations, Myitkyina, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

34 HIV prevalence among sentinel populations by place of residence, 2008
Source: HIV Sentinel Sero-surveilance Survey, 2008

35 HIV prevalence among youth (15-24 years) across sentinel groups, 2007
Source: Report of the HIV Sentinel Sero-surveillance Survey 2007, Myanmar

36 Proportion of reported HIV cases by gender, 1994 Vs 2008
Source: Myanmar_UNGASS Country Progress Report, 2010

37 Percentage of male IDU with reported STI symptoms in the last 12 months, 2007-2008
Source: Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

38 Syphilis prevalence among pregnant women and new military recruits by age group, 2008
Source: HIV Sentinel Sero-surveilance Survey, 2008

39 Syphilis prevalence among sentinel populations by place of residence, 2008
Source: HIV Sentinel Sero-surveillance Survey, 2008

40 Percentage of out of school youth with reported STI symptoms in the last 12 months by gender and city, 2007 Source: Behavior Surveillance Survey among Out of School Youth , 2008

41 Estimated HIV prevalence among Most at Risk Population, 2007
Source: Report of the HIV Sentinel Sero-surveillance Survey 2007, Myanmar

42 Estimated number of Most at Risk Population living with HIV, 2007
Source: Report of the HIV Sentinel Sero-surveillance Survey 2007, Myanmar

43 Estimated Number of Most at Risk Population, 2007
Source: Report of the HIV Sentinel Sero-surveillance Survey 2007, Myanmar

44 Estimated HIV prevalence among adults, 1981-2007
0.7% 2007 0.9% 0.5% Source: Report from the Technical Working Group on HIV Estimates and Impact Analysis in Myanmar, Mandalay August 15-16, 2007

45 Reported AIDS cases by sex, 1991-2005
Source: Wiwat Peerapatanapokin, Progress of HIV Epidemic in Myanmar. Presented at ICAAP, 2007

46 Risk behaviours

47 Percentage of key populations at higher risk who used a condom at last sex by age group, 2007 - 2009
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers, 2008 and IBBS, 2009_cited in UNGASS Country Progress Report, 2010

48 Percentage of condom use among female sex workers with different types of sexual partners, 2007-2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

49 Percent distribution of age at initiation into sex work among female sex workers, 2007-2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

50 Number of clients in the last work day among FSWs, selected cities, 2007-2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

51 Mean age at first sex work and mean duration of sex work among FSW, selected cities, 2007 - 2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

52 Percentage of IDU who never shared injecting equipment, at last injection and in the past six months, 2008 Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

53 Percentage of male IDU using non-sterile injecting equipment at last injection and in the last six months, Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

54 Percentage of male IDUs having had sex with different types of sexual partners in the last six months, Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

55 Percentage of condom use among male IDUs with different types of sexual partners, 2007-2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

56 % of male IDUs who had sex under the influence of amphetamine type stimulants (ATS) in last 6 months and condom use at last sex under the influence of ATS, Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

57 Percentage of male IDU who had sex under the influence of amphetamine type stimulants (ATS) in last 6 months and type of sexual partners, 43 36 Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

58 Age of initiation of drug use among male IDUs by city, 2007-2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

59 Percentage of condom use among male out of school youth (15-24) with different types of sexual partners, 2007 Source: Behavioral Surveillance Survey among Out of School Youth , 2008

60 Percentage of male out of school youth (15-24) reported having had sex with another man in the last 12 months, 2007 Source: Behavioral Surveillance Survey among Out of School Youth , 2008

61 Percentage of male out of school youth (15-24) reported having sex with commercial and casual partners in the last 12 months, 2007 Source: Behavior Surveillance Survey among Out of School Youth , 2008

62 Vulnerability and HIV knowledge

63 Percentage of key populations at higher risk with comprehensive HIV knowledge by age group, Source: Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008 and IBBS, 2009_cinted in UNGASS Country Progress Report, 2010

64 Percentage of Female Sex Workers with comprehensive HIV knowledge, selected cities, 2007-2008
The data covers 4 questions: Can having sex with only one faithful and infected partner reduce the risk of transmission? Can using condoms reduce the risk of HIV transmission? Can a person get HIV from mosquito bite? Can a person get HIV by sharing a meal with someone who is HIV infected? Source: Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

65 Percentage of male IDU with comprehensive HIV knowledge, selected cities, 2007-2008
The data covers 4 questions: Can having sex with only one faithful and infected partner reduce the risk of transmission? Can using condoms reduce the risk of HIV transmission? Can a person get HIV from mosquito bite? Can a person get HIV by sharing a meal with someone who is HIV infected? Source: Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

66 Percentage of IDUs who know the sources to get new needles, selected cities, 2007 - 2008
Source: Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

67 Percentage of SWs and IDUs who know the sources to get condoms, selected cities, 2007- 2008
Source: Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

68 Percentage of out of school youths (15-24) with comprehensive HIV knowledge by city, 2007
Source: Behavior Surveillance Survey among Out of School Youth , 2008

69 Percentage of out of school youths (15-24) with knowledge on HIV prevention and transmission, 2007
Source: Behavior Surveillance Survey among Out of School Youth , 2008

70 Economics of AIDS

71 Amount spent by domestic and international sources for AIDS, 2007 and 2008
Source: Myanmar_UNGASS Country Progress Report, 2010

72 Estimated resources available and need, 2004-2008
Year Source: Min Thwe, Service coverage for HIV and AIDS, Myanmar. Presented at ICAAP, 2007

73 National response

74 Percentage of key populations at higher risk reached with HIV prevention programs in the last 12 months by age group, Source: Behavior al Surveillance Survey among Injecting Drug Users and Female Sex Workers, 2008 and IBBS, 2009_cited in UNGASS Country Progress Report, 2010

75 Percentage of IDUs and Female Sex Workers reached with HIV prevention programs in the last 12 months, Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

76 % of populations at higher risk who received HIV testing in the last 12 months and knew the results, Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers, 2008 and IBBS, 2009_cinted in UNGASS Country Progress Report, 2010

77 Status of HIV testing among Female Sex Workers, 2007-2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

78 Status of HIV testing among IDUs, selected cities, 2007-2008
Source: Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008

79 Percentage of youth (15-24) tested for HIV in the last 12 months and received the results by gender, 2007 Total sample size = 6,954 Sexually active respondents = 3,495 Source: Behavioral Surveillance Survey among Out of School Youth , 2008

80 Percentage of youth tested for HIV in the last 12 months and who received the results by city, 2007
Source: Behavioral Surveillance Survey among Out of School Youth , 2008

81 Status of PMTCT coverage, 2008 - 2009
Source: Myanmar_UNGASS Country Progress Report, 2010

82 HIV infected pregnant women who received ARV prophylaxis by regimen, 2008 Vs 2009
Source: Myanmar_UNGASS Country Progress Report, 2010

83 Estimates (%) of HIV positive pregnant women who received ART to prevent MTCT, 2003-2008
Source: Report from the Technical Working Group on HIV Estimates and Impact Analysis in Myanmar, Mandalay August 15-16, 2007

84 Cumulative number of adults and children receiving ART, by gender, 2009
Source: Myanmar_UNGASS Country Progress Report, 2010

85 Number of adults and children receiving antiretroviral therapy, 2002 - 2009
Source: Myanmar_UNGASS Country Progress Report, 2010

86 % of adults and children known to be on treatment 12 months after initiation of antiretroviral therapy Source: Myanmar_UNGASS Country Progress Report, 2010

87 Estimates (%) of ART coverage for those in need, 2004-2008
Source: Report from the Technical Working Group on HIV Estimates and Impact Analysis in Myanmar, Mandalay August 15-16, 2007

88 Estimates (%) of Most-at-risk populations reached by HIV prevention programmes, 2005
Source: UNAIDS_Conflict and Health_Increase Coverage of HIV and AIDS Services in Myanmar Dec 2007 Citing MoH 2006 Unpublished citing Response to HIV/AIDS in Myanmar: Progress Report Yangon; 2006.

89 Number of FSWs reached by NGO prevention programmes, 2005
Source: UNAIDS_Conflict and Health_Increase Coverage of HIV and AIDS Services in Myanmar Dec 2007 Citing MoH 2006 Unpublished

90 Archives 90

91 Risk behaviours

92 % of men who reported commercial sex in the past 12 months, 2003
4 1 2 5 15-24 yr 25-49 yr Note: n=4631 including 1707 aged yrs and 2924 aged yrs. (%) Source: Myanmar NACP, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

93 % of men reported consistent condom use with commercial sex and causal sex partners, 2003
70 (%) 60 60 55 54 51 50 40 30 18 20 11 10 15-24 25-49 Total Commercial sex Casual sex Source: Myanmar, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

94 % of population (15-24) who were sexually active, 2003
Note: n=3380 including 1707 males and 1673 females. (%) 50 Male Female 40 30 25.0 22.0 23.0 21.0 19.0 17.0 20 15.0 13.0 15.0 12.0 11.0 13.0 13.0 11.0 10 Dawei Lashio Mandalay Meiktila Monywa Taunggyi Yangon Source: Myanmar, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

95 Vulnerability and HIV knowledge

96 % of population (15-49) who heard of HIV/AIDS, 2003
Note: n=9678 including 4631 males and 5047 females. Source: Myanmar NACP, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

97 % of population (15-49) with knowledge about effective HIV prevention methods, 2003
(%) 35 36 31 46 29 30 40 42 44 26 55 41 51 37 28 20 34 50 100 Myanmar Dawei Lashio Mandalay Meiktila Monywa Taunggyi Yangon Total Male Female Note: n=9678 including 4631 males and 5047 females. Source: Myanmar NACP, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

98 % of population (15-49) who know that HIV/AIDS can be prevented by using condoms, 2003
(%) 50 54 45 63 42 43 57 59 67 41 72 47 65 68 55 38 27 49 100 Myanmar Dawei Lashio Mandalay Meiktila Monywa Taunggyi Yangon Total Male Female Note: n=9678 including 4631 males and 5047 females. Source: Myanmar NACP, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

99 % of population (15-24) with comprehensive knowledge, 2003-2004
100 90 Percent (%) 80 Government target = 90 per cent (2005) 70 60 50 40 30 23.9 21.2 20 10 Male Female Source: UNAIDS. Myanmar UNGASS Country Report , Reporting period: January-December 2004

100 % of population (15-49) willing to care for family member sick with AIDS, 2003
(%) 100 Note: n=9678 including 4631 males and 5047 females. 70.0 61.0 60.0 59.0 56.0 55.0 47.0 50 Dawei Lashio Mandalay Meiktila Monywa Taunggyi Yangon Source: Myanmar NACP, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

101 % of population (15-49) willing to eat/buy food from an HIV infected vendor, 2003
(%) 100 Note: n=9678 including 4631 males and 5047 females. 50 31.0 29.0 27.0 21.0 20.0 18.0 20.0 Dawei Lashio Mandalay Meiktila Monywa Taunggyi Yangon Source: Myanmar NACP, Behavioral Surveillance Survey, 2003, National AIDS Control programme, Ministry of Health, 2005

102 National response

103 Estimated number of people in need of ARV, 2007
Source: Report from the Technical Working Group on HIV Estimates and Impact Analysis in Myanmar, Mandalay August 15-16, 2007

104 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


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