Maldives

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1990-2009) Risk behaviors (2004-2009) Vulnerability and HIV knowledge (2004-2009) HIV Expenditure National Response (2007-2009) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Sources: 1.UNFPA. (2010). State of World Population 2010, 2. UN Statistics Division. (2010). Social Indicators 3.Word Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved January, 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2, 4. WHO. (2010). World Health Statistics 2010, 5. UNDP. (2010). Human Development Report 2010, and 6. UN Population Division. (2009). World Population Prospects The 2008 Revision, Population Database

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.

Cumulative number of reported HIV/AIDS cases, 1994-2007 6 Sources: Prepared by www.aidsdatahub.org based on 1. European Union, WHO, UNICEF, et al. (2006). Maldives: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update and 2. National AIDS Council Maldives (2010). UNGASS Country Progress Report: Maldives

Number of people living with HIV and deaths, 2007 7 Source: Prepared by www.aidsdatahub.org based on National AIDS Council Maldives (2010). UNGASS Country Progress Report: Maldives

HIV prevalence among key affected populations, men in high risk occupation groups and youths (15-24), 2008 8 Source: Prepared by www.aidsdatahub.org based on Biological and Behavioral Survey, 2008 cited in National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldives

STI prevalence among MSM, IDU and men in high risk occupation groups, 2008 9 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of surveyed populations who experienced STI symptoms in past 3 months, 2008 10 % Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Women (15-49) who reported bad smelling or abnormal genital discharge in the last 12 months by region, 2009 11 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who reported genital sore or ulcer in the last 12 months by region, 2009 12 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Risk behaviours

Selected sexual behaviors among FSW in Male’ and Addu, 2008 14 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of FSWs who reported unprotected sex in the last week by type of partner and by atoll, 2008 15 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of consistent condom use in the past 12 months among surveyed populations, 2008 16 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Population interaction of female sex workers in Male’ and Addu, 2008 17 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives. 54% of FSW had non-client partner in past 12 months 32% of FSW ever injected drugs 39% of FSW have sexual partners who inject drugs * Estimated population FSW= 68 - 100% of FSW sold sex to male client 91% of the clients of FSW are married or have girlfriend 64% of FSW had non-client partner in past 12 months 9% of FSW have sexual partners who inject drugs Male’ Addu

% of MSM with selected sexual behaviors in Male’ and Addu, 2008 18 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of MSM who reported unprotected sex with male and female partners in Male’ and Addu, 2008 19 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of IDUs who used sterile injecting equipment at the last injection by age group and gender, 2008 20 Source: Prepared by www.aidsdatahub.org based on National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldives citing Biological and Behavioral Survey, 2008

% of IDUs ever been imprisoned and who injected drugs while inside the prison, 2008 21 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of IDUs with selected sexual behaviors in the past 12 months, 2008 22 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of key affected populations with overlapping risk behaviors by atoll, 2008 23 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of surveyed populations who had sex with FSWs and who reported consistent condom use with FSWs, 2008 24 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of surveyed populations having unprotected sex in the last month by type of partner, 2008 25 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives. %

Population interaction of resort male workers, 2008 26 100% of resort workers ever had sex 1% had sex with another man 88% of resort workers had sex with wife/girlfriend 4% bought sex from FSW 12% had sex with non-regular partner 2% had sexual partners who Inject drugs Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Young women (15-24) who reported sex before the age of 15 by region, 2009 27 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Young women (18-24) who reported sex before the age of 18 by region, 2009 28 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Selected sexual behaviors among youth (15-24) in Male’ and Laamu, 2008 29 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of sexually active youth (15-24) having unprotected sex with different types of sexual partners, 2008 30 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Vulnerability and HIV knowledge

% of key affected populations who had correct knowledge of HIV prevention, by atoll, 2008 32 Source: Prepared by www.aidsdatahub.org based Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of key affected populations who could identify major misconceptions about HIV transmission, by atoll, 2008 33 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of key affected populations who knew a healthy looking person may have HIV by atoll, 2008 34 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of surveyed populations who could identify major misconceptions about HIV transmission, 2008 35 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Comprehensive knowledge of HIV among women (15-49) by age group and residence, 2009 36 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Comprehensive knowledge of HIV among women (15-49) by region, 2009 37 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who know HIV can be transmitted from mother-to-child during pregnancy by age group and residence, 2009 38 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who know HIV can be transmitted from mother-to-child during delivery by region, 2009 39 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who know HIV can be transmitted from mother-to-child through breastfeeding by region, 2009 40 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who know that a healthy-looking person can have HIV by age group and residence, 2009 41 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who know that consistent condom use can prevent HIV by age group and residence, 2009 42 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who believe that a female teacher with HIV infection who is not sick should be allowed to continue teaching by region, 2009 43 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who would buy fresh vegetables from an HIV-infected shopkeeper by age group and residence, 2009 44 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Women (15-49) who would care for a family member sick with HIV by region, 2009 45 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Comprehensive knowledge of HIV among young women (15-24) by age group and residence, 2009 46 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Comprehensive knowledge of HIV among young women (15-24) by region, 2009 47 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Young women (15-24) who know a source of condom by age group and residence, 2009 48 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

HIV expenditure

National response

% of surveyed populations reached with HIV prevention program, 2008 51 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of youth (15-24) reached by HIV prevention program and who received HIV test in the past year, 2008 52 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Status of HIV testing among adults (15+) vs HIV testing facilities, 2009 53 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 key affected populations who were tested for HIV in the past 12 months and knew the results by age group, 2008 54 Source: Prepared by www.aidsdatahub.org based on National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldives citing Biological and Behavioral Survey, 2008

% of key affected populations who were tested for HIV in the past 12 months by atoll, 2008 55 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of IDUs who were tested for HIV in the past 12 months and knew the results by age group and gender, 2008 56 Source: Prepared by www.aidsdatahub.org based on National AIDS Council Maldives. (2010). UNGASS Country Progress Report: Maldives citing Biological and Behavioral Survey, 2008

% of surveyed populations who have been tested for HIV in the past 12 months by occupation, 2008 57 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

Status of ANC, VCCT and PMTCT services and their uptakes, 2008 - 2009 58 Sources: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009 and 2. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

Status of health facilities providing ART and number of adults and children received ART, 2008 and 2009 59 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

Status of ART coverage among adults and children who are in need of ART, 2009 60 Note: Estimated numbers of people needing ART based on both WHO 2006 and 2010 guidelines are (<100) 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

Archives

HIV prevalence and epidemiological status

Women (15-49) who reported genital sore or ulcer in the last 12 months by age group and residence, 2009 63 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives and ICF Macro (2010). Maldives Demographic and Health Survey 2009, Calverton, Maryland: MOHF and ICF Macro.

Estimated number of adults and children living with HIV vs estimated new HIV infections, 1990-2009 64 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of adults and children living with HIV and AIDS deaths, 1990-2009 65 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Risk behaviours

% of young people (15-24) who had sexual intercourse before the age of 18, 2004 67 Source: Prepared by www.aidsdatahub.org based on Merhi, S., Cockcroft, A., & Andersson, N. (2004). Maldives Reproductive Health Survey: Follow Up. Reproductive Health Survey, 2004 is a national survey. It covered 663 women 469 and men aged 15-24 yrs (N=1,132)

% of young people (15-24) who had higher-risk sex in the past 12 months, 2004 68 Source: Prepared by www.aidsdatahub.org based on Merhi, S., Cockcroft, A., & Andersson, N. (2004). Maldives Reproductive Health Survey: Follow Up. Reproductive Health Survey, 2004 is a national survey. It covered 663 women and 469 men aged 15-24 yrs (N=1,132) Higher-risk sex defined as “ sex with non-marital, non-cohabitating partner in the past 12 months”

% of young people (15-24) reporting the use of a condom during higher-risk sex in the past 12 months, 2004 69 Reproductive Health Survey, 2004 is a national survey. It covered 663 women and 469 men aged 15-24 yrs (N=1,132) Higher-risk sex defined as “ sex with non-marital, non-cohabitating partner in the past 12 months” Source: Prepared by www.aidsdatahub.org based on Merhi, S., Cockcroft, A., & Andersson, N. (2004). Maldives Reproductive Health Survey: Follow Up.

% of population <18 yr who were sexually active and who used condoms, 2004 70 Source Prepared by www.aidsdatahub.org based on Reproductive Health Survey, 2004, cited by National HIV/AIDS Council Maldives, & UNICEF. (2006). The HIV/AIDS Situation in the Republic of the Maldives in 2006.

Vulnerability and HIV knowledge

% of young people (15-24) who had correct knowledge of HIV prevention and who knew a healthy looking person may have HIV, by atoll, 2008 72 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of young people (15-24) who could identify major misconceptions about HIV transmission, by atoll, 2008 73 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of surveyed populations who had correct knowledge of HIV prevention and who knew a healthy looking person may have HIV, 2008 74 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Family Maldives, & UNDP. (2008). Biological and Behavioural Survey on HIV/AIDS: Republic of Maldives.

% of population 15-24 yr with knowledge of HIV prevention, 2004 75 Source: Prepared by www.aidsdatahub.org based on Merhi, S., Cockcroft, A., & Andersson, N. (2004). Maldives Reproductive Health Survey: Follow Up. Reproductive Health Survey, 2004 is a national survey. It covered 663 women and 469 men aged 15-24 yrs (N=1,132)

% of population 15-49 yr with knowledge of HIV transmission, 2004 76 Source: Prepared by www.aidsdatahub.org based on Merhi, S., Cockcroft, A., & Andersson, N. (2004). Maldives Reproductive Health Survey: Follow Up. Reproductive Health Survey, 2004 is a national survey. It covered 2,693 married women 15-49 yrs and 1,409 married men 15-64 yrs (N=4,102) 63 1 3 5 34 0 10 20 30 40 50 60 70 Blood transfusion Breast-feeding Homosexuality Mother-to-child Infected needles HIV is transmitted through (%)

National response

Number of adults and children with advanced HIV infection who are in need and who received ART, 2007 78 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 pregnant women tested and counseled for HIV, 2007 79 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. Total 4,438 pregnant women were tested and counseled for HIV

80 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