Bangladesh

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  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  www.aidsinfoonline.org

7 Key population size estimates, 2009-2010 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS Committee. (2009). Population Size Estimates for Most at Risk Populations for HIV in Bangladesh 2009 ; and 2. icddr-b. (2012). Experience Conducting Male Sexual Health Survey and MSM Mapping and Enumerations in Bangladesh. Presented at the South Asia Regional MSM and Transgender Size Estimation Workshop: Strengthening National Reporting on HIV among MSM and Transgender persons Colombo, Sri Lanka

8 HIV prevalence among key populations, 2000-2011 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS/STD Programme Bangladesh. (2001). HIV in Bangladesh: Where is it Going? Background Document for the Dissemination of the Third Round of National HIV and Behavioural Surveillance; 2. National AIDS/STD Programme Bangladesh. (2004). National HIV Serological and Behavioural Surveillance, 2003-2004 - Fifth Round Technical Report; 3. National AIDS/STD Programme Bangladesh. (2005). National HIV Serological Surveillance, 2004-2005: Sixth Round Technical Report; and 4. IEDCR, & ICDDR, B. (2011). National HIV Serological Surveillance, 2011 Bangladesh - 9th Round Technical Report.

9 HIV prevalence among key populations, 2011 Source: Prepared by www.aidsdatahub.org based on IEDCR, & ICDDR,B.(2011). National HIV Serological Surveillance, 2011 Bangladesh - 9th Round Technical Report.

10 HIV prevalence among Hijra, MSM, MSWs and mixed samples of MSM and MSWs by sentinel site, 2011 Source: Prepared by www.aidsdatahub.org based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

11 Trends of HIV prevalence among people who inject drugs (male) by sentinel site, 2003 - 2011 Source: Prepared by www.aidsdatahub.org based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

12 HIV prevalence among sex workers by type and sentinel site, 1998 - 2011 Source: Prepared by www.aidsdatahub.org based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

13 Active syphilis prevalence among Hijra, MSM, MSWs and mixed sample of MSM and MSWs by sentinel site, 2011 Source: Prepared by www.aidsdatahub.org based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

14 Active syphilis prevalence among people who inject drugs (male) by sentinel site, 2011 Source: Prepared by www.aidsdatahub.org based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

15 Active syphilis prevalence among female sex workers by type and sentinel site, 2011 Source: Prepared by www.aidsdatahub.org based on icddr,b, Institute of Epidemiology, Disease Control, and Research, & National AIDS/STD Programme (NASP) Directorate General of Health Services, Ministry of Health and Family Welfare, Bangladesh (2011). National HIV Serological Surveillance, 2011, Bangladesh - 9th Round Technical Report.

16 Annual reported number of HIV infections, AIDS cases and deaths, 1989-2012 Source: Prepared by www.aidsdatahub.org based on World AIDS Day Presentation 2012 http://www.bdnasp.net/index.php?option=com_content&view=article&id=104&Itemid=124: data retrieved on 14 Jan 2013

Risk behaviours

18 Proportion of key populations reported condom use at last sex, 2003-2010 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS/STD Programme Bangladesh . (2004). National HIV Seroloogical and Behavioural Surveillance, 2003-2004 - Fifth Round Technical Report; 2. National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report; and 3. icddr,b, 2010 (unpublished). Baseline Survey conducted among MSM in Dhaka city under PSA for the Global Fund project of icddr,b

19 Proportion of MSWs and Hijra who reported consistent condom use during anal sex in the last week by type of client and surveyed city, 2002-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.

20 Proportion of MSM reported consistent condom use with commercial partners in the last months by type of partner and surveyed city, 2002-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.

21 Proportion of FSWs who reported consistent condom use with regular clients in the last week, 2002-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.

22 Proportion of consistent condom use among PWID with FSWs in the last year, 2002-2007 Source: Prepared by www.aidsdatahub.org based on National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report.

23 Proportion of PWID reported using sterile injecting equipment, 2003-4 and 2006-7 Source: Prepared by www.aidsdatahub.org based on 1. National AIDS/STD Programme Bangladesh . (2004). National HIV Seroloogical and Behavioural Surveillance, 2003-2004 - Fifth Round Technical Report (Recalculated data that harmonize with UNGASS 2010 and GARP 2012 guidelines ); and 2. National AIDS/STD Programme Bangladesh.(2008). Behavioral Surveillance Survey 2006-07: Technical Report. PWID = both male and female

24 Overlapping risk behaviours and interaction among key populations, 2006-07 Source: Prepared by www.aidsdatahub.org based on National AIDS/STD Programme Bangladesh.(2008). Behavioral Surveillance Survey 2006-07: Technical Report. * in the last year; ** in the last month

25 Proportion of adults (15-49) years who reported having more than one sexual partner in the last 12 months and reported use of a condom at last sex, 2004 Source: Prepared by www.aidsdatahub.org based on FHI, ICDDR,B.,& USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological Experiment.

Vulnerability and HIV knowledge

27 Percentage of key populations at higher risk who had comprehensive HIV knowledge, 2006-07 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Survey 2006-07 cited in National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.

28 Percentage of key populations at higher risk who had comprehensive HIV knowledge by age group, 2006-07 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Survey 2006-07 cited in National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.

29 Percentage of key populations at higher risk who had comprehensive HIV knowledge, 2003-04 and 2006-07 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys 2003-04 and 2006-07 cited in National AIDS/STD Programme Bangladesh. (2010). UNGASS Country Progress Report: Bangladesh.

30 Percentage of ever married women and men with comprehensive HIV knowledge, 2007 Source: Prepared by www.aidsdatahub.org based on National Institute of Population Research and Training, Mitra and Associates, & Macro International. (2009). Bangladesh Demographic and Health Survey 2007 .

HIV expenditure

32 AIDS spending by financing source, 2008-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

33 AIDS spending by category, 2009-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

34 Proportion of total prevention programme spending on key populations at higher risk, 2007-11 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

National response

36 Proportion of key populations reached with HIV prevention programmes Source: Prepared by www.aidsdatahub.org based on 1.National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report; and 2.icddr,b, 2010 (unpublished). Baseline Survey conducted among MSM in Dhaka city under PSA for the Global Fund project of icddr,b

37 Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites (OST), 2011 Source: Prepared by www.aidsdatahub.org based on National AIDS/STD Programme Bangladesh. (2012). Global AIDS Response Progress Report: Bangladesh.

38 Number of needle/syringes distributed per person who inject drugs per year, 2008-11 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/STD Programme Bangladesh. (2012). Global AIDS Response Progress Report: Bangladesh.

39 Proportion of key populations who received an HIV test in the last 12 months and know their results, 2003-2010 Source: Prepared by www.aidsdatahub.org based on 1.National AIDS/STD Programme Bangladesh. (2008). Behavioral Surveillance Survey 2006-07: Technical Report; and 2.icddr,b, 2010 (unpublished). Baseline Survey conducted among MSM in Dhaka city under PSA for the Global Fund project of icddr,b

40 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; 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.

41 ART scale up, 2004-2011 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.

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

43 Spectrum of engagement in prevention of mother-to-child transmission (PMTCT), 2011 23 pregnant women tested for HIV (including previously known positive) 17 pregnant women tested positive (including previously known positive) 13 infants born to HIV-infected women received ARV for PMTCT Source: Prepared by www.aidsdatahub.org based on National AIDS/STD Programme Bangladesh. (2012). Global AIDS Response Progress Report: Bangladesh.

44 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific- HIV and AIDS Data Hub based on National AIDS/STD Programme Bangladesh. (2012). Global AIDS Response Progress Report: Bangladesh.

45 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.