Myanmar

2 Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV Expenditure National Response CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Sources: Prepared by www.aidsdatahub.org based on 1. UNDP. (2011). Human Development Report 2011 - Sustainability and Equity: A Better Future for All; 2. WHO. (2012). World Health Statistics 2012; 3. Word Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved March, 2013, 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. (2011). World Population Prospects The 2010 Revision.

HIV prevalence and epidemiological status

5 Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2011 Source: Prepared by www.aidsdatahub.org based on AIDS spending data from www.aidsinfoonline.org

6 Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2011 Source: Prepared by www.aidsdatahub.org based on AIDS spending data from www.aidsinfoonline.org

7 Know your epidemic: Size estimates of key populations at higher risk, 2009 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, WHO and UNIADS. (2010). HIV Estimates and Projections, Myanmar 2008-2015.

Know your epidemic: People living with HIV by population group (AEM), 1990-2020 Source: Unpublished country AEM workbook prepared for the report: Strategic Information and M&E Working Group, Technical and Strategy Group on AIDS, Myanmar. (2012). HIV Estimates and Projections Asian Epidemiological Model Myanmar 2010‐2015.

Know your epidemic: New HIV infections by key population, 2010-2015 Source: Prepared by www.aidsdatahub.org based on unpublished country AEM workbook prepared for the report: Strategic Information and M&E Working Group, Technical and Strategy Group on AIDS, Myanmar. (2012). HIV Estimates and Projections Asian Epidemiological Model Myanmar 2010‐2015.

10 Trends of HIV prevalence among key populations at higher risk and male STI patients, 1992-2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

11 HIV prevalence among sentinel populations, 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

National prevalence often masks the high prevalence in geographical pockets…. Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health. Results of HIV Sentinel Sero-surveillance 2011 Myanmar.

HIV prevalence among key populations at higher risk by age group, 2011 13 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

Trends of HIV prevalence among young people who inject drugs and young female sex workers (15-24 yr), 2000-2011 14 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

15 HIV prevalence among female sex workers by age group, 2007 - 2011 Sources: Prepared by www.aidsdatahub.org based on 1. National AIDS Programme Myanmar, & WHO. (2007). HIV Sentinel Sero-Surveillance Survey 2007, 2. National AIDS Programme Myanmar, & WHO. (2009). HIV Sentinel Sero-Surveillance Survey 2008 3. National AIDS Programme Myanmar, & WHO. (2010). HIV Sentinel Sero-Surveillance Survey 2009 4. National AIDS Programme Myanmar, & WHO. (2011). HIV Sentinel Sero-Surveillance Survey 2010 and 5. National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

16 HIV prevalence among people who inject drugs by age group, 2007 - 2011 Sources: Prepared by www.aidsdatahub.org based on 1. National AIDS Programme Myanmar, & WHO. (2007). HIV Sentinel Sero-Surveillance Survey 2007, 2. National AIDS Programme Myanmar, & WHO. (2009). HIV Sentinel Sero-Surveillance Survey 2008 3. National AIDS Programme Myanmar, & WHO. (2010). HIV Sentinel Sero-Surveillance Survey 2009 4. National AIDS Programme Myanmar, & WHO. (2011). HIV Sentinel Sero-Surveillance Survey 2010 and 5. National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

17 HIV prevalence among men who have sex with men by age group, 2007 - 2011 Sources: Prepared by www.aidsdatahub.org based on 1. National AIDS Programme Myanmar, & WHO. (2007). HIV Sentinel Sero-Surveillance Survey 2007, 2. National AIDS Programme Myanmar, & WHO. (2009). HIV Sentinel Sero-Surveillance Survey 2008 3. National AIDS Programme Myanmar, & WHO. (2010). HIV Sentinel Sero-Surveillance Survey 2009 4. National AIDS Programme Myanmar, & WHO. (2011). HIV Sentinel Sero-Surveillance Survey 2010 and 5. National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

18 Syphilis prevalence among key populations at higher risk and male STI patients, 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2012). HIV Sentinel Sero-Surveillance Survey 2011

Trends of syphilis prevalence among key populations at higher risk, 2007 - 2011 19 Sources: Prepared by www.aidsdatahub.org based on 1. National AIDS Programme Myanmar, & WHO. (2007). HIV Sentinel Sero-Surveillance Survey 2007, 2. National AIDS Programme Myanmar, & WHO. (2009). HIV Sentinel Sero-Surveillance Survey 2008, 3. National AIDS Programme Myanmar, & WHO. (2010). HIV Sentinel Sero-Surveillance Survey 2009 and 4. National AIDS Programme Myanmar, & WHO. (2011). HIV Sentinel Sero-Surveillance Survey 2010

Annual cumulative and new HIV infections, 1989 - 2010 20 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar.

Percent distribution of reported HIV infections and AIDS cases by gender, 2010 21 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar.

Risk behaviours

23 Proportion of key populations at higher risk who used a condom at last sex by age group, 2007-2009 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers, 2008 and IBBS 2009 cited in National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.

24 Proportion of condom use among female sex workers with different types of sexual partners, 2007-2008 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

25 Number of clients in the last working day among FSWs, surveyed cities, 2007-2008 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

Proportion of surveyed female sex workers who have ever tried drugs, 2007-2008 26 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

Proportion of male PWID who reported using sterile injecting equipment at last injection, 2007-08 27 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.

28 Proportion of male PWID who never shared injecting equipment, at last injection and in the past six months, 2007-2008 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

29 Proportion of male PWID who reported using non-sterile injecting equipment at last injection and in the last six months, 2007-2008 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

30 Proportion of condom use among male PWID with different types of sexual partners, 2007-08 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

31 Proportion of male PWID having had sex with different types of sexual partners in the last six months, 2007-2008 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

Vulnerability and HIV knowledge

33 Percentage of key affected populations with comprehensive HIV knowledge by age group, 2007 - 2009 Source: Prepared by www.aidsdatahub.org based on Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers , 2008 and IBBS, 2009 cited in National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.

34 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: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

35 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: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

36 Percentage of IDUs who know the sources to get new needles, selected cities, 2007 - 2008 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

37 Percentage of SWs and IDUs who know the sources to get condoms, selected cities, 2007- 2008 Source: Prepared by www.aidsdatahub.org based onNational AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

38 Percentage of out of school youths (15-24) with comprehensive HIV knowledge by city, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioral Surveillance Survey 2008: Out of School Youth.

39 Percentage of out of school youths (15-24) with knowledge on HIV prevention and transmission, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioral Surveillance Survey 2008: Out of School Youth.

HIV Expenditure

41 AIDS spending by financing source, 2007-2011 Source: Prepared by www.aidsdatahub.org based on AIDS spending data from www.aidsinfoonline.org

AIDS spending by category, 2007-2011 42 Source: Prepared by www.aidsdatahub.org based on data retrieved from www.aidsinfoonline.org

Proportion spent on key populations at higher risk out of total prevention spending, 2007-2011 Source: Prepared by www.aidsdatahub.org based on AIDS spending data from www.aidsinfoonline.org

National response

45 Proportion of key populations at higher risk reached with HIV prevention programs in the last 12 months by age group, 2007-2009 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012

46 Proportion of people who inject drugs and female sex workers reached with HIV prevention programs in the last 12 months by surveyed city, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

Number of NSP and OST sites, 2011 47 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012

48 Number of needle/syringes distributed per person who inject drugs per year, 2008-2011 Source: 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; 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; and 4. National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012

Number of needles and syringes distributed to PWID by needles and syringes programmes (NSP), 2003 - 2011 49 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar. and National AIDS Programme Myanmar. (2012). Progress Report 2011: National Strategic Plan for HIV/AIDS in Myanmar.

Number of PWID on methadone maintenance therapy (MMT), 2006 - 2011 50 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar. and National AIDS Programme Myanmar. (2012). Progress Report 2011: National Strategic Plan for HIV/AIDS in Myanmar.

51 HIV testing coverage among key populations at higher risk, 2007-09 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012

52 Proportion of people who inject drugs and female sex workers who received HIV testing in the last 12 months and knew the results, surveyed cities, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers

Number of key populations at higher risk who received HIV test and post test counseling, 2006 - 2011 53 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar. and National AIDS Programme Myanmar. (2012). Progress Report 2011: National Strategic Plan for HIV/AIDS in Myanmar.

54 Number of ART sites and number of people on ART, 2008-2011 Source: Prepared by www.aidsdatahub.org based on Source: 1.WHO,UNAIDS,& UNICEF.(2006-2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2006-2010; and 2. UNAIDS.(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; 3. UNAIDS.(2012). Global Report: UNAIDS Report on the Global AIDS Epidemic.

55 ART scale up, 2002-2011 Source: Prepared by www.aidsdatahub.org based on Source: 1.WHO,UNAIDS,& UNICEF.(2006-2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2006-2010; 2. UNAIDS.(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; and 3. UNAIDS.(2012). Global Report: UNAIDS Report on the Global AIDS Epidemic.

56 Prevention of mother-to-child transmission cascade, 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012

57 Spectrum of engagement in prevention of mother-to-child transmission (PMTCT), 2011 376,894 pregnant women tested for HIV (including previously known positive) 3,578 pregnant women tested positive (including previously known positive) 3,003 received ARVs for PMTCT 3,180 infants born to HIV-infected women received ARV for PMTCT 180 infants received early infant diagnosis Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012

Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012

59 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.