India

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (2002-2008) - Estimated HIV prevalence and reported HIV/AIDS cases - HIV prevalence among key affected populations - HIV prevalence among women and young people Risk behaviors (2007-2008) - Risk behaviors among key affected populations - Risk behaviors among young people and general population Vulnerability and HIV knowledge (2001-2006) HIV Expenditure (2009) National Response (2001-2009) 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 June, 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. (2011). World Population Prospects The 2010 Revision.

HIV prevalence and epidemiological status

HIV Estimation and reported HIV/AIDS cases

6 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.

7 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.

8 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.

9 Percent 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.

10 Trends of estimated adult HIV prevalence and estimated number of PLHIV, 2002-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2010). Annual Report 2009-10.

11 Trend of adult HIV prevalence and number of PLHIV (Total & female), 2002-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief.

12 Estimated adult HIV prevalence, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief. %

13 Distribution of PLHIV among high HIV burden states, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief.

14 State-wise estimated adult HIV prevalence, 2006 & 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief.

15 HIV prevalence among adult (15-49) yr by state, 2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organization India. (2006). HIV Sentinel Surveillance and HIV Estimation, 2006.

16 Estimated HIV prevalence in selected states, 2005 Source: Prepared by www.aidsdatahub.org based on Dandona, L., Lakshmi, V., Kumar, A., et al. (2006). Is the HIV burden in India being overestimated? BMC Public Health.

17 Estimated HIV prevalence by sex, 2002-2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India, & National Institute of Medical Statistics. (2006). Technical Report - India HIV Estimates 2006.

18 % distribution of estimated HIV cases by age, 2002-2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India, & National Institute of Medical Statistics. (2006). Technical Report - India HIV Estimates 2006.

19 % distribution of reported HIV cases by mode of transmission, 2009 – February 2010 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2010). Annual Report 2009-10.

20 Reported cumulative HIV/AIDS cases, 2003-2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organization at www.nacoonline.org Cumulative Number Year

HIV prevalence among key affected populations

22 HIV prevalence and number tested positive for HIV among key affected populations, 2008-09 Source: Prepared by www.aidsdatahub.org based on Provisional estimate of HIV sentinel surveillance 2008-2009 cited in National AIDS Control Organization India. (2010). UNGASS Country Progress Report: India.

23 HIV prevalence among sentinel populations, 2006, 2007 and 2008-09 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS Control Organization India. (2006). HIV Sentinel Surveillance and HIV Estimation, 2006, 2. National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief, and 3. National AIDS Control Organisation India. (2010). Annual Report 2009-10.

24 HIV prevalence among sentinel populations, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

25 Trends of HIV prevalence among key affected populations, 2003-2007* * 3 years moving average based on consistent sites: IDU-13, MSM- 7, FSW-22 Source: National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief,

26 Districts with HIV prevalence higher than 15% among key affected populations, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief,

27 Trends of HIV prevalence among key affected populations, Maharashtra, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

28 Trends of HIV prevalence among key affected populations, Manipur, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

29 Trends of HIV prevalence among key affected populations, Delhi, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

30 Trends of HIV prevalence among key affected populations, Tamil Nadu, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

31 HIV prevalence among MSM and IDUs in Chandigarh, 2004-2006 Source: Prepared by www.aidsdatahub.org based on National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

32 HIV prevalence among sentinel populations, Surat, Gujarat 2003-2006 Source: Prepared by www.aidsdatahub.org based on National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report. 6.3 8.1 8.8 8 15.6 12.8 11.8 13.2 0 2 4 6 8 10 12 14 16 18 2003 2004 2005 2006 (%) STI patients FSWs MSM

HIV prevalence among FSWs

34 HIV prevalence among FSWs in selected states, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

35 Trends of HIV prevalence among FSWs in groups of states, 2003-2007* * 3 yr moving average based on consistent sites : South 4 (AP, TN, Kar, Mah): 7 sites, NE 2 (Mani, Naga): 2 sites, North 4 (Guj, Rak, Ori, WB): 7 sites Source: National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

36 Trends of HIV prevalence among FSWs in selected states, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

37 HIV prevalence among FSWs, by State, 2006* *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis. Source: Prepared by www.aidsdatahub.org based on National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report. 19.6 16.4 11.6 10.4 8.6 7.3 6.4 6.1 4.6 2.6 2 1.4 1.4 1.4 1.3 1.1 1.1 1 1 0.9 0.7 0.7 0.4 0 0 0 0.0 5.0 10.0 15.0 20.0 25.0 Maharashtra Nagaland Manipur Mizoram Karnataka Andhra Pradesh Gujarat West Bengal Tamil Nadu Rajasthan Chattisgarh Punjab Uttar Pradesh Pondicherry Haryana Madhya Pradesh Bihar Orissa Delhi Jharkhand Himachal Pradesh Chandigarh Assam Arunachal Pradesh Jammu & Kashmir Kerala (%)

38 HIV prevalence among FSWs in Southern states (combined) by age, 2003-2006* *Includes only those sites from which there was consistent data available for 2003 to 2006. Total number of sites 9. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

39 HIV prevalence among FSWs in West Bengal, 2003-2006* *Includes only those sites from which there was consistent data available for 2003 to 2006. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

HIV prevalence among IDUs

41 HIV prevalence among IDUs in selected states, 2007 % Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

42 Trends of HIV prevalence among IDUs, selected states, 2003-2007* * 3 years moving average based on consistent sites: Manipur: 3 sites, Meghalaya: 1site, Mizoram: 1 site, Mumbai : 1 site, Nagaland: 5 sites, West Bengal: 1 site Source: National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

43 Trends of HIV prevalence among IDUs, selected states, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

44 HIV prevalence among IDUs, by selected state, 2006* *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis. Source: Prepared by www.aidsdatahub.org based on National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

45 HIV prevalence among IDUs in selected Northern states, 2002-2006* *Includes only those sites from which there was consistent data available for 2002 to 2006 Number of consistent sites considered in Manipur=3, Nagaland=3 and Mizoram=1. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

HIV prevalence among MSM

47 HIV prevalence and marital status of MSM among specific States in India, 2002-2009 Source: Prepared by www.aidsdatahub.org based on Setia M et al Int Conf: AIDS, 2002; Wave IV, Humsafar Trust, 2005; Gupta A et al, Jnl of Acq immune defici syndrome, vol 43,2006: Solomon SS. Presented at: the 16th Annual Conference on Retroviruses and Opportunistic Infections; Feb. 8-11, 2009 Montreal;

48 HIV prevalence among MSMs in selected states, 2007 % Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

49 Trends of HIV prevalence among MSMs in selected states, 2003-2007* * 3 years moving average based on consistent sites: AP+TN : 3sites, Goa: 1 site, Bangalore: 1site, Delhi: 1site, Manipur: 1 site Source: National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

50 Trends of HIV prevalence among MSM by state, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

51 HIV prevalence among MSM, by State, 2006* Source: Prepared by www.aidsdatahub.org based on National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report. *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis.

52 HIV prevalence among MSM in selected sentinel sites, 2004-2006 Source: Prepared by www.aidsdatahub.org based on National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

HIV prevalence among women, young people and general population

54 HIV prevalence among STI clinic attendees, selected states where HIV prevalence was more than 5, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

55 Trends of HIV prevalence among STD clinic attendees, 2003-2007* * 3 years moving average based on consistent sites: All India: 157 sites, South 4 (AP, TN, Kar, Mah): 36 sites, NE 2 ( Mani, Naga) : 3 sites, Mizoram: 1site, Gujarat : 8 sites, Chhattisgarh: 3 sites. Source: National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

56 Trends of HIV prevalence among ANC attendees and blood donors, 2005-2009 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2010). Annual CMIS Bulletin 2008-09.

57 HIV prevalence among ANC attendees by state, 2008-2009 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2010). Annual CMIS Bulletin 2008-09.

58 Selected districts with HIV prevalence higher than 3% among ANC attendees, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

59 Newly identified districts with HIV prevalence ≥ 1% among ANC attendees, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

60 Trends of HIV prevalence among ANC attendees by state, 2003-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief

61 Trends of HIV prevalence among ANC attendees in selected high prevalence states, 2003-2007* Source: National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief 3 years moving average based on consistent sites: India- 360 sites, South 4 ( AP, TN, Kar, Mah) -219 sites, NE 3 (Mani, Naga, Mizo) – 28 sites

62 HIV prevalence among pregnant women in selected districts of Tamil Nadu compared with state average, 2003-2006* *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Tamil Nadu 56. District prevalence reflects both rural and urban areas. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

63 HIV prevalence among pregnant women in selected districts of Maharashtra compared with state average, 2003-2006* *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Tamil Nadu 70. District prevalence reflects both rural and urban areas. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

64 HIV prevalence among pregnant women in selected districts of Andhra Pradesh compared with state average, 2003-2006* *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Andhra Pradesh 43. District prevalence reflects both rural and urban areas. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

65 HIV prevalence among pregnant women in selected districts of Karnataka compared with state average, 2003-2006* *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Karnataka 53. District prevalence reflects both rural and urban areas. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

66 HIV prevalence among pregnant women in Orissa and Rajasthan (combined) by age, 2003-2006* *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Orissa=5, Rajasthan=6. District prevalence reflects both rural and urban areas. Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

67 HIV prevalence among pregnant women by age group, 2006 Source: Prepared by www.aidsdatahub.org based on National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report.

68 HIV prevalence among pregnant women in Southern states, 2003-2006* Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report. *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of sites 222 (Andhra Pradesh=43; Karnataka=53; Maharashtra=70; Tamil Nadu=56)

69 HIV prevalence among pregnant women in Southern states (combined) by age, 2003-2006* Source: National Institute of Health & Family Welfare, & National AIDS Control Organisation India. (2006). Annual HIV Sentinel Surveillance Country Report. *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of sites 222 (Andhra Pradesh=43; Karnataka=53; Maharashtra=70; Tamil Nadu=56)

70 Trend of HIV prevalence among general clients of integrated counseling and testing centers (ICTCs), 2005-2009 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2010). Annual CMIS Bulletin 2008-09.

71 HIV prevalence among clients of integrated counseling and testing centers (ICTCs) by state, 2008-2009 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2010). Annual CMIS Bulletin 2008-09.

72 HIV prevalence among blood donors by state, 2008-2009 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2010). Annual CMIS Bulletin 2008-09.

73 HIV prevalence among young people aged 15-24, by age and residence, 2005-2006 Source: Prepared by www.aidsdatahub.org based on International Institute for Population Sciences India. (2007). National Family Health Survey (NFHS-3): Volume I, 2005-06

74 HIV prevalence among young people aged 15-24 in selected states, 2005-2006 Source: Prepared by www.aidsdatahub.org based on International Institute for Population Sciences India. (2007). National Family Health Survey (NFHS-3): Volume I, 2005-06

Archives

HIV prevalence and epidemiological status

77 HIV prevalence among key affected populations in Maharashtra state, 2003-2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organization India. (2006). HIV Sentinel Surveillance and HIV Estimation, 2006. 18.8 54.3 29.2 11.2 12.8 10.4 20.4 15.6 22.9 41.7 23.6 19.6 0 10 20 30 40 50 60 IDUs MSM FSWs (%) 2003 2004 2005 2006

78 HIV prevalence among most-at-risk populations in Manipur state, 2003-2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organization India. (2006). HIV Sentinel Surveillance and HIV Estimation, 2006. 24.5 29.2 12.8 21 14 12.4 24.1 15.6 10 19.8 10.4 11.6 0 5 10 15 20 25 30 35 IDUs MSM FSWs (%) 2003 2004 2005 2006

79 HIV prevalence among key affected populations in Tamil Nadu state, 2003-2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organization India. (2006). HIV Sentinel Surveillance and HIV Estimation, 2006. 63.8 4.2 8.8 39.9 6.8 4 18 6.2 5.5 24.2 5.6 4.6 0 10 20 30 40 50 60 70 IDUs MSM FSWs (%) 2003 2004 2005 2006

80 HIV prevalence among different population groups, India, 2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organization India. (2006). HIV Sentinel Surveillance and HIV Estimation, 2006.

81 % of reported STI symptoms among clients of female sex workers and female sex workers, 2001 and 2006 Clients of female sex workers Female sex workers Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). National Behavioural Surveillance Survey (BSS) 2006: Female Sex Workers (FSWs) and their Clients

82 % of MSM with self reported STI symptoms in the last 12 months, 2001 and 2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). National Behavioural Surveillance Survey (BSS) 2006: Men who have Sex with Men (MSM) and Injecting Drug Users (IDUs). Symptoms include Genital ulcer/sore, burning pain during urination

83 % of IDU with self reported STI symptoms in the last 12 months, 2001 and 2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). National Behavioural Surveillance Survey (BSS) 2006: Men who have Sex with Men (MSM) and Injecting Drug Users (IDUs). Symptoms include Genital ulcer/sore, burning pain during urination

84 Percentage of adult (15-49) yr with reported STI symptoms in the last 12 months, 2006 Source: Prepared by www.aidsdatahub.org based on National AIDS Control Organisation India. (2008). National Behavioural Surveillance Survey (BSS) 2006: General Population

85 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