Sri Lanka

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1987-2011) Risk behaviors (2004-2009) Vulnerability and HIV knowledge (2004-2008) HIV Expenditure (2007-2009) National Response (2004-2009) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Source: 1. UN Statistics Division. (2010). Demographic and Social Statistics. Retrieved 10 January 2011, from http://unstats.un.org/unsd/demographic/products/socind/population.htm 2. UN Population Division. (2011). World Population Prospects, the 2010 Revision. Retrieved 10 January 2011, from http://esa.un.org/unpd/wpp/Excel-Data/population.htm 3. UNFPA. (2010). State of World Population 2010. 4. World Bank. World Development Indicators & Global Development Finance. Retrieved 10 January 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2 5. WHO. (2010). World Health Statistics 2010. 6. UNDP. (2010). Human Development Report 2010.

HIV prevalence and epidemiological status

Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2009 5 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of adults (15+) living with HIV vs women (15+) living with HIV, 1990-2009 6 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated adult HIV prevalence vs new HIV infections, 1990-2009 7 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Size estimates of populations at higher risk, 2010 8 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Ministry of Healthcare and Nutrition. (2010). Mapping Key Populations for HIV Prevention in Sri Lanka. National estimates are calculated using regression model approach

Estimated trends of HIV incidence by population subgroups 9 Source: National STD and AIDS Control Programme Sri Lanka. (2010). Report on HIV Estimates and Projections 2009, Sri Lanka.

Estimated number of people living with HIV, 2007-2015 10 Source: Prepared by www.aidsdatahub.org based on National STD and AIDS Control Programme Sri Lanka. (2010). Report on HIV Estimates and Projections 2009, Sri Lanka.

Estimated number of people who are in need of ART, 2007-2015 11 Source: Prepared by www.aidsdatahub.org based on National STD and AIDS Control Programme Sri Lanka. (2010). Report on HIV Estimates and Projections 2009, Sri Lanka.

Estimated number of HIV + pregnant women and who are in need of ART for PMTCT, 2007-2015 12 Source: Prepared by www.aidsdatahub.org based on National STD and AIDS Control Programme Sri Lanka. (2010). Report on HIV Estimates and Projections 2009, Sri Lanka.

Estimated number of children (0-14 years) living with HIV, 2007-2015 13 Source: Prepared by www.aidsdatahub.org based on National STD and AIDS Control Programme Sri Lanka. (2010). Report on HIV Estimates and Projections 2009, Sri Lanka.

Number of cumulative HIV cases, as of June 2011 14 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Number of cumulative HIV infections by gender, 1987-2010 15 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Number of cumulative HIV infections by district as of Dec-2010 16 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Cumulative HIV cases by age group and gender, as of Dec-2010 17 N = 1317 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Cumulative HIV infections by mode of transmission as of Dec-2010 18 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Number of new HIV cases by district, 2010 19 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Number of new HIV cases by age group and gender, 2010 20 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Trends of reported HIV cases by gender, 1987- 2010 21 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Number of annual reported HIV infections, AIDS cases and deaths, 1987- 2010 22 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Trends of reported AIDS cases by gender, 1987- 2010 23 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Number of cumulative AIDS cases by gender, 1987-2010 24 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

Cumulative number of reported AIDS deaths, 1987- December 2010 25 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2011).

HIV prevalence among sentinel populations, 2009 26 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme (2010). Report of the 2009 Survey - HIV Sentinel Sero - Surveillance Survey in Sri Lanka.

27 Trend of HIV prevalence among FSWs in Colombo, 1995-2009 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). Report of the 2007 Survey HIV Sentinel Sero-Surveillance Survey in Sri Lanka. and National STD/AIDS Control Programme. (2010). UNGASS Country Progress Report: Sri Lanka.

HIV prevalence among populations at higher risk (2005-2009) 28 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2010). UNGASS Country Progress Report: Sri Lanka.

Risk behaviours

Selected risky sexual behavior among youth (18-24) years in Galle (Southern Province), 2009 30 Source: Prepared by www.aidsdatahub.org based on Survey among Youth (18-24) Years in Galle in the Southern Province 2009 cited in UNGASS Country Progress Report 2010: Sri Lanka. Sample size = 812

% of consistent condom use among military personnel with different types of sexual partners in the last 12 months, 2008 31 Source: Prepared by www.aidsdatahub.org 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. Sample size= 900

Selected risky sexual behavior among military personnel, 2008 32 Source: Prepared by www.aidsdatahub.org 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. Sample size= 900

Percentage of consistent condom use among different types of female sex workers in the past year, 2006-2007 33 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 - 2007. Colombo: Ministry of Healthcare and Nutrition, Sri Lanka.

% of sex workers reporting the use of a condom with the most recent client, 2004-2007 34 Source: Prepared by www.aidsdatahub.org based on 1. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. 2. UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic. and 3. National Council for Economic Development, & UNDP. Millennium Development Goal Country Report 2005: Sri Lanka.

% of sex workers reporting consistent use of a condom in the past 12 months, 2006 35 Source: Prepared by www.aidsdatahub.org based on BSS 2006 among MARPs cited in UNGASS Country Progress Report 2008: Sri Lanka.

Pattern of consistent condom use among beach boys and MSM with regular and non regular partners, 2006-2007 36 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 - 2007. Colombo: Ministry of Healthcare and Nutrition, Sri Lanka.

% of MSM reporting the use of a condom the last time they had anal sex with a male partner, 2007 37 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka.

% of MSM reporting the use of a condom the last time they had anal sex with a male partner, 2005-2007 38 Data represents Anuradapura district only – Year 2005 UNGASS Report states that 1/3 MSM did not use condoms, implying that 2/3 or 67% have used condoms. ONLY 18% OF THE MSM REPORTED USING A CONDOM CONSISTENTLY Source: Prepared by www.aidsdatahub.org based on 1. National STD/AIDS Control Programme (2006). Country Report – Sri Lanka on Follow Up to the Declaration on Commitment On HIV/AIDS (UNGASS) (Reporting Period : January 2003- December 2005) and 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. Data represents national level of condom use among MSM during anal sex – Year 2007

Percentage of consistent condom use with commercial partners among specific male population groups in the past year (2006-2007) 39 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 - 2007. Colombo: Ministry of Healthcare and Nutrition, Sri Lanka.

% of males in high risk occupational groups used a condom every time they had vaginal sex in the past 12 months, 2006 40 Source: Prepared by www.aidsdatahub.org based on BSS 2006 among MARPs cited in National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka..

Vulnerability and HIV knowledge

% of military personnel with correct knowledge on HIV prevention and mode of transmission, 2008 42 Sample size= 900 Source: Prepared by www.aidsdatahub.org 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.

% of most-at-populations with comprehensive knowledge, 2007 43 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition)

Young people (15-24) with comprehensive HIV knowledge, 2007 44 Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS, Sri Lanka, 2008 Update.

% of MSM with knowledge of HIV transmission and prevention, Anuradhapura, 2005 45 Data represent a survey conducted among 105 MSM in Anuradhapura in 2005 HIV is prevented by using condoms HIV is transmitted by unprotected sex Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

HIV Expenditure

Amount of domestic and international HIV expenditures and % shared by government, 2008 - 2009 47 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of total HIV expenditures by financing source, 2008 - 2009 48 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of total HIV expenditures by service category, 2008-2009 49 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of total HIV expenditures by major spending category, 2008-2009 50 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of total HIV expenditures by major spending category, 2008-2009 51 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Amount of total HIV expenditures on prevention by service category, 2008 – 2009 52 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of total HIV expenditures on prevention by service category, 2008 - 2009 53 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Total Resource Allocation for HIV & AIDS, 2007-2011 54 Source: Prepared by www.aidsdatahub.org based on National STD and AIDS Control Programme. (2007). Sri Lanka National HIV/AIDS Strategic Plan 2007-2011.

National Response

Percentage of selected populations ever tested for HIV, 2006-2007 56 Source: Prepared by www.aidsdatahub.org based on Rawstorne, P., & Worth, H. (2007). Sri Lanka Behavioural Surveillance Survey: First Round Survey Results 2006 – 2007.

% of populations at higher risk who have been tested for HIV in the last 12 months and who knew their results, 2007 57 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka.

Percentage of population at higher risk reached with HIV prevention program in the last 12 months, 2006-2007 58 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009.

% of most at risk populations reached by HIV prevention programs, 2005 59 Source: Prepared by www.aidsdatahub.org based on Stover, J., and M. Fahnestock. 2006. Coverage of Selected Services for HIV/AIDS Prevention, Care, and Treatment in Low- and Middle-income Countries in 2005. Washington, DC: Constella Futures, POLICY Project.

ART and PMTCT coverage, 2006-2009 60 Source: Prepared by www.aidsdatahub.org based on 1. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 2. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

Status of maternal and infant PPTCT coverage, 2009 61 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Number of HIV+ pregnant women who are in need of and who received ART to prevent mother-to-child transmission, 2007 62 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

% of HIV+ pregnant women who received antiretroviral to reduce the risk of mother to child transmission of HIV, 2006-2007 63 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. According to 2007 data, (1-3) % of HIV+ pregnant women were receiving ART to prevent mother-to-child transmission of HIV. (Source:WHO_UNAIDS_UNICEF_Towards Universal Access – Scaling up priority HIV/AIDS interventions in the health sector, 2008)

Number of adults and children who are in need of ART and % of ART coverage, 2009 64 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Number of children (<15 years) who are in need of ART, who are receiving ART and % of ART coverage, 2009 65 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

% of adults and children with HIV known to be on treatment 12 months after the initiation of ART, 2004 - 2007 66 Source: Prepared by www.aidsdatahub.org based on1. National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka. 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 3. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

Number of adults and children with advanced HIV infection receiving ART, 2007 67 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

National Composite Policy Index (NCPI) , 2003-2009 68 Rated by government officials Score= 0 to 10 Source: Prepared by www.aidsdatahub.org based on1. National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka. 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 3. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

69 Rated by civil society organizations, Bilateral agencies and UN organizations Score = 0 to 10 National Composite Policy Index (NCPI), 2003-2009 Source: Prepared by www.aidsdatahub.org based on1. National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka. 2. National STD/AIDS Control Programme. (2008). UNGASS Country Progress Report: Sri Lanka. and 3. National STD/AIDS Control Programme Sri Lanka (2010). UNGASS Country Progress Report: Sri Lanka

Archives

HIV prevalence and epidemiological status

Estimated number of people living with HIV, 2001-2007 72 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic.

Trend of reported AIDS deaths, 1987-2009 73 Source: Prepared by www.aidsdatahub.org based on Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2010). HIV/AIDS Situation in Sri Lanka as of End 2009, PowerPoint Presentation.

Cumulative number of HIV/AIDS cases, by sex, 2008-2009 74 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Department of Health Services. HIV/AIDS Surveillance Data in Sri Lanka : Update – 4th Quarter 2009.

Cumulative HIV Cases by province as of end 2009 (N=1196) 75 Source: Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2010). HIV/AIDS Situation in Sri Lanka as of End 2009, PowerPoint Presentation.

% of new HIV Cases by district, 2009 76 Source: Strategic Information Management Unit, National STD/AIDS Control Programme, Sri Lanka. (2010). HIV/AIDS Situation in Sri Lanka as of End 2009, PowerPoint Presentation.

HIV prevalence among adults 15-49, 2001-2007 77 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS, Sri Lanka, 2008 Update. and 2. UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic.

HIV prevalence among young people 15-24, 2002-2007 78 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS, Sri Lanka, 2008 Update. 2. WHO. (2006). Fact Sheet on Young People and HIV/AIDS in Sri Lanka. and 3. UNFPA. (2003). State of World Population 2003.

HIV prevalence among pregnant women in ANC settings, Colombo, 2002-2005 79 Data refers to National STI/AIDS Control Program’s screening of VDRL samples from two maternity hospitals in Colombo during the period 2002-2005. Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. Prevalence of HIV among Antenatal Clinic Attendees at the Two Premier Maternity Hospitals in Colombo and Pilot Project at Gampaha cited in UNGASS Country Report 2008: Sri Lanka.

Risk behaviours

% of population 15-19 yrs who reported commercial sex in the past 12 months, 2004 81 Primary source is National Survey of Emerging Issues Among Adolescents, 2004 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

% of males 15-19 with multiple partners reporting the use of a condom in the past 12 months, 2004 82 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

Vulnerability and HIV knowledge

% of population 15-19 yrs with knowledge of HIV transmission, 2004 84 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

% of population 15-19 yrs with knowledge of HIV prevention, 2004 85 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

% of population 15-49 yrs who know about 3 or more ways of preventing HIV/AIDS, 2000 86 Questions on preventive methods asked were about condom use, limiting to a faithful partner, abstinence and avoiding multiple partners. Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

% of population 15-24 yrs with HIV/AIDS awareness, 2000 87 Questions on preventive methods asked were about condom use, limiting to a faithful partner, abstinence and avoiding multiple partners. Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2006). UNGASS Country Progress Report: Sri Lanka.

88 THANK YOU slides compiled by www.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 site