Nepal

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1990-2011) Risk behaviors (2002-2011) Vulnerability and HIV knowledge (2005-2011) HIV Expenditure (2007) National Response (2005-2011) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Source: 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.

HIV prevalence and epidemiological status

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

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

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

8 % distribution of adults (15+) living with HIV by gender, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

9 % distribution of estimated HIV cases by population group, 2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal. (2010). National Estimates of HIV Infections: 2009 Nepal.

10 % distribution of cumulative HIV infections by gender, Sept 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 17th Sept 2011.

11 % distribution of cumulative HIV infections by gender, 2007 - Sept 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2007, Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2008, Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2009, Cumulative HIV and AIDS Situation of Nepal, as of 15th Dec 2010 and Cumulative HIV and AIDS Situation of Nepal, as of 17th Sept 2011.

12 Number of cumulative HIV infections by age group and gender, July 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 16th July 2011.

13 % distribution of reported cumulative HIV infections by population group, July 2011 Source: Prepared by www.aidsdatahub.org based on Ministry of Health and Population, National Centre of AIDS and STD Control (2011). Cumulative HIV and AIDS Situation of Nepal, as of 16th July 2011.

14 Trends of HIV prevalence among key affected populations, Kathmandu, 2002-2011 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys, 2002-2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report: Nepal , National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011 and Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

15 HIV prevalence among key affected populations by age group, 2008-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs, FSWs, MSWs and MSM, 2008-2009 cited in National Centre for AIDS and STD Control Nepal. (2010). UNGASS Country Progress Report 2010: Nepal

16 Trends of HIV prevalence among PWID by region, 2002-2011 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among IDUs, Round I Round II, Round III, Round IV and Round V 2002-2011

17 HIV prevalence among PWID by selected region, 2009 Source: Prepared by www.aidsdatahub.org based on USAID, ASHA Project, & National Center for AIDS and STD Control. (2009). IBBS 2009, Round IV, Injecting Drug Users (IDUs), Kathmandu, Pokhara, Eastern Terai, Western to Far Western Terai Fact Sheet.

18 Trends of HIV prevalence among female sex workers by region, 1999-2011 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among Sex Workers, 1999-2009 and National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

19 Trends of HIV prevalence among female sex workers in Kathmandu and Pokhara Valley, 2004 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

20 Trends of HIV prevalence among female sex workers and their clients (Truckers) in 22 highway districts, 2003-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among FSWs and their Clients_22 Highway Districts, 2003-2009

21 Trends of HIV prevalence among MSM and male sex workers in Kathmandu valley, 2004-2009 Source: Prepared by www.aidsdatahub.org based onIntegrated Biological and Behavioral Survey among MSM and Male Sex Workers_ Kathmandu Valley, Round I to III, 2004-2009

22 Trends of HIV and STIs prevalence among MSM, Kathmandu valley, 2004-2009 Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Survey among MSM and Male Sex Workers_ Kathmandu Valley, Round I to III, 2004-2009

23 HIV prevalence among male labour migrants in 11 districts of Western and mid to far Western Regions, 2006-2008 Source: Prepared by www.aidsdatahub.org based on 1. FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Male Labor Migrants in 11 Districts in Western, Mid and Far Western Regions of Nepal 2006, and 2. USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). IBBS among Male Labor Migrants in 11 Districts in Western and Mid to Far-Western Regions of Nepal

24 HIV prevalence among wives of migrant labourers in 4 districts of Western Region, 2008 Source: Prepared by www.aidsdatahub.org based on USAID, Advancing Surveillance Policies Prevention Care and Support to Fight HIV/AIDS, & National Centre for AIDS and STD Control Nepal. (2008). Integrated Biological and Behavioral Surveillance Survey among Wives of Migrant Laborers in Four Districts of Far-Western Regions of Nepal: Round I -2008

25 Active syphilis prevalence among female sex workers in Kathmandu and Pokhara Valley, 2004 - 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Female Sex Workers (Fact Sheet), Kathmandu and Pokhara Valleys, round IV, 2011

26 Trends of HIV and STIs prevalence among female sex workers, 22 Highway Districts, 2003-2009 Source: Prepared by www.aidsdatahub.org based on FHI, ACNielsen Nepal Pvt Ltd, STD/AIDS Counseling and Training Services, et al. (2009). Integrated Biological and Behavioral Surveillance Survey among Female Sex Workers in 22 Terai Highway Districts of Nepal.

27 STI prevalence among FSWs in 16 districts of East-west Highways of Nepal, 1999-2006 Source: Prepared by www.aidsdatahub.org based on FHI and USAID. (2006). Integrated Bio-Behavioral Survey among Female Sex Workers in East-West Highways Covering 22 Districts of Nepal: Round III -2006.

28 Active syphilis prevalence among PWID in Kathmandu and Pokhara Valley, 2011 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Nepal, New ERA & Intrepid Nepal (2011), Integrated Biological and Behavioral Surveillance among Injecting Drug Users (Fact Sheet), Kathmandu and Pokhara Valleys, round V, 2011

Archives

HIV prevalence and epidemiological status

31 % distribution of HIV infections across the four different epidemic regions (2007) Source: Prepared by www.aidsdatahub.org based on HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.

32 Reported new HIV and AIDS cases, 2000-2009 Source: Prepared by www.aidsdatahub.org based onNational Centre for AIDS and STD Control Teku Kathmandu. (2009). Factsheet N°3: HIV Testing and Counseling Services in Nepal (as of July 2009). .

33 Cumulative reported HIV and AIDS cases, 2009 Source: Prepared by www.aidsdatahub.org based on National Centre for AIDS and STD Control Teku Kathmandu. (2009). Factsheet N°2: Cumulative HIV and AIDS Situation of Nepal, as of Aswin 2066 (17 Oct 09).

34 HIV prevalence among STI patients in different sites (1998-2001) Source: HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.

35 HIV prevalence among STI patients, Kathmandu, 1992-2000 Source: European Union, WHO, UNICEF, et al. (2006). Nepal: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

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

37 Estimated number of women (15-49) living with HIV, 2001-2007 Sources: Prepared by www.aidsdatahub.org based on 1. European Union, WHO, UNICEF, et al. (2006). Nepal: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic

38 Estimated number of deaths due to AIDS, 2001-2007 Source: 1. WHO, UNAIDS and UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS Nepal 2008 Update, and 2. Centre for AIDS and STD Control Nepal, & UNAIDS. (2008). UNGASS Country Progress Report: Nepal.

39 HIV prevalence among clients of PMTCT services (2006-2007) Source: Prepared by www.aidsdatahub.org based on HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007.

40 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