1. www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific Review in slides Transgender people (male-to-female) Last update: November 2014

2. HIV and AIDS Data Hub for Asia-Pacific 2 Data availability and population size estimates HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge National response CONTENT

3. www.aidsdatahub.org Data availability and population size estimates

4. HIV and AIDS Data Hub for Asia-Pacific Population size estimates of transgender people, countries where data is available Source: Prepared by www.aidsdatahub.org based on 1) Bangladesh Global AIDS Response Progress Reporting 2014; 2) Mossman, E., Roguski, M., Ravuidi, R., et al. (2012). Integrated Biologic al Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji: HIV Prevention Project: Ministry of Health and Survival Advocacy Network Fiji; 3) India Global AIDS Response Progress Reporting 2014; 4) Indonesia Global AIDS Response Progress Reporting 2014; 5) Malaysia Global AIDS Response Progress Reporting 2014; 6) Nepal Global AIDS Response Progress Reporting 2014; and 7) Pakistan Global AIDS Response Progress Reporting 2014. Country Size Estimated Year of Estimate Comment 1 Bangladesh8,8822010- 2 Fiji3192012 Transgender sex workers in Suva, Nadi, Lautoka, Labasa 3 India60,0002013- 4 Indonesia37,9982012- 5 Malaysia20,0002010Transgender sex workers 6 Nepal9,4742012- 7 Pakistan43,0002009Hijra sex workers

5. HIV and AIDS Data Hub for Asia-Pacific Inclusion of transgender in sentinel and bio-behavioural surveys 5 Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys and Bio-Behavioural Surveys.www.aidsdatahub.org Country Sentinel and/or Bio- behavioural surveys Behavioural surveys Comment 1 BangladeshHSS 20112013* *Midline survey among MSM, MSW, and TG in Dhaka 2 Cambodia2010BSS 2013 Bio-behavioural study (Bros Khmer 2010) 3 FijiIBBS 2012 Transgender sex workers in Suva, Nadi, Lautoka, Labasa 4 IndiaHSS 2010-11IBBA 2009-2010Hijra sex workers (IBBA) 5 IndonesiaIBBS 2011 Waria 6 Lao PDRIBBS 2012 Vientiane Capital and Savannakhet 7 MalaysiaIBBS 2012 - 8 PakistanSGS 2011 Hijra sex workers 9 Papua New GuineaIBBS 2010 Transgender sex workers, Port Moresby 10 PhilippinesIHBSS 2013 Cebu city 11 ThailandIBBS 2010 Bangkok, Chiang Mai, Phuket

6. www.aidsdatahub.org HIV prevalence and epidemiology

7. HIV and AIDS Data Hub for Asia-Pacific National versus city-specific HIV prevalence among transgender, countries where data is available, 2011 7 * Hijra sex workers Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 2) National AIDS Control Organisation, India. (2012). HIV Sentinel Surveillance 2010-11: A Technical Brief; and 3) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.www.aidsdatahub.org

8. HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among transgender, 2010-2013 Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys and Bio-Behavioural Surveys.www.aidsdatahub.org * TG sex workers ** Long-hair MSM *** TG sex workers, Sample size = 38

9. HIV and AIDS Data Hub for Asia-Pacific Syphilis prevalence among transgender, 2009-2013 9 Source: Prepared by www.aidsdatahub.org based on 1) IEDCR, & ICDDR, B. (2011). National HIV Serological Surveillance, 2011 Bangladesh - 9th Round Technical Report; 2) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010); 3) Mossman, E., Roguski, M., Ravuidi, R., et al. (2012). Integrated Biological Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji: HIV Prevention Project: Ministry of Health and Survival Advocacy Network Fiji; 4) Kelly, A., Kupul, M.,et al. (2011). Askim Na Save (Ask and Understand): People Who Sell and Exchange Sex in Port Moresby; 5) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; and 6) Presentation by Tac-an I.A (2014). HIV and Syphilis Prevalence among Transgender People in the Philippines. Cebu City Health Department Philippines.www.aidsdatahub.org

10. HIV and AIDS Data Hub for Asia-Pacific Gonorrhoea and chlamydia prevalence among transgender, 2009-2012 10 Source: Prepared by www.aidsdatahub.org based on 1) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment.www.aidsdatahub.org Round 2 (2009-2010); 2) Mossman, E., Roguski, M., Ravuidi, R., et al. (2012). Integrated Biological Behavioural Surveillance Survey and Size Estimation of Sex Workers in Fiji: HIV Prevention Project: Ministry of Health and Survival Advocacy Network Fiji; 3) CHAS, USAID, The Global Fund, and PSI. (2012). Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet, Lao PDR, 2012. Consensus Meeting; and 4) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey.

11. www.aidsdatahub.org Risk behaviours

12. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender who sell sex, countries where data is available, 2009- 2013 12 Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 2) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 3) National Center for HIV/AIDS Dermatology and STD Cambodia. (2013). Behavioral Sentinel Surveillance (BSS 2013): Presented by Mun Phalkun on 16 December 2013; 4) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010); and 5) Presentation by Tac-an I.A (2014). HIV and Syphilis Prevalence among Transgender People in the Philippines. Cebu City Health Department Philippines.www.aidsdatahub.org

13. HIV and AIDS Data Hub for Asia-Pacific Mean years in the profession of selling sex and mean number of clients among transgender, 2006-2011 13 Source: Prepared by www.aidsdatahub.org based on 1) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011; 2) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.; 3) Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia; and 4) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey.www.aidsdatahub.org

14. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported condom use at last sex with male clients, 2006-2013 14 Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys.www.aidsdatahub.org * Dhaka ** Combined use of condom and water-based lubricant

15. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported condom use at last sex with casual male partners, 2006-2013 15 Source: Prepared by www.aidsdatahub.org based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report; 2) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 3) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010); 4) CHAS, USAID, The Global Fund, and PSI. (2012). Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to- Female Transgender in Vientiane Capital and Savannakhet, Lao PDR, 2012. Consensus Meeting; 5) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; and 6) National Center for HIV/AIDS Dermatology and STD Cambodia. (2013). Behavioral Sentinel Surveillance (BSS 2013): Presented by Mun Phalkun on 16 December 2013.www.aidsdatahub.org * Dhaka

16. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported consistent condom use with male clients, 2006-2013 16 Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys.www.aidsdatahub.org * Dhaka ** Port Moresby

17. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported consistent condom use with casual partners, 2009-2013 17 Source: Prepared by www.aidsdatahub.org based on Behavioural Surveillance Surveys and Bio-Behavioural Surveys.www.aidsdatahub.org * Port Moresby

18. HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations reported condom use at last sex with transgender (2006-2011) 18 * with commercial TG partner ** with regular TG partner Source: Prepared by www.aidsdatahub.org based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07; 2) CHAS, USAID, The Global Fund, and PSI. (2012). Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet, Lao PDR, 2012. Consensus Meeting; 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 Fijii; 4) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010); and 5) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011.www.aidsdatahub.org

19. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reported injecting drug use, countries where data is available, 2006-2013 19 Source: Prepared by www.aidsdatahub.org based on 1) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07; 2) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 3) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 4) National AIDS Control Program, Pakistan. (2011). HIV Second Generation Surveillance in Pakistan - National Report Round IV 2011; 5) IBBS 2011 - Integrated Biological and Behavioral Survey; and 6) National Center for HIV/AIDS Dermatology and STD Cambodia. (2013). Behavioral Sentinel Surveillance (BSS 2013): Presented by Mun Phalkun on 16 December 2013.www.aidsdatahub.org

20. Vulnerability and HIV knowledge

21. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender with comprehensive HIV knowledge, 2006-2012 21 Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Republic of Indonesia. (2011). IBBS 2011 - Integrated Biological and Behavioral Survey; 2) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 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; and 4) National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.www.aidsdatahub.org

22. National response

23. HIV and AIDS Data Hub for Asia-Pacific Proportion of transgender reached with outreach programmes in the last year, 2006-2012 Source: Prepared by www.aidsdatahub.org based on 1) National AIDS Control Program, Ministry of Health and Canada-Pakistan HIV/AIDS Surveillance Project (2007). HIV Second Generation Surveillance in Pakistan: National Report- Round II 2006-07; 2) National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07; 3) Malaysia AIDS Council and Ministry of Health. (2010). Integrated Biological and Behavioral Survey 2009; 4) 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; and 5) Indian Council of Medical Research, & FHI. (2011). National Summary Report - Integrated Behavioural and Biological Assessment. Round 2 (2009-2010).www.aidsdatahub.org

24. HIV and AIDS Data Hub for Asia-Pacific HIV testing coverage among transgender, 2009-2013 Source: Prepared by www.aidsdatahub.org based on 1) Behavioural Surveillance Surveys and Bio-Behavioural Surveys;www.aidsdatahub.org and 2) www.aidsinfoonline.org * TG/Hijra sex workers

25. HIV and AIDS Data Hub for Asia-Pacific 25 THANK YOU slides compiled by www.aidsdatahub.orgwww.aidsdatahub.org 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 www.aidsdatahub.org if slides are lifted directly from this sitewww.aidsdatahub.org