Cambodia

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 epidemiology

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 Prepared by www.aidsdatahub.org based on 1. Drug User Population Size Estimates 2007 cited in National AIDS Authority Cambodia. (2012). Cambodia Global AIDS Response Progress Report, 2012; 2. Khmer HIV/AIDS NGO Alliance (KHANA) and FHI estimation cited in National AIDS Authority. (2011). Cambodia Country Profile on HIV and AIDS 2009-2010: Onwards Towards Universal Access; and 3. National AIDS Authority. (2011). Cambodia Country Profile on HIV and AIDS 2009-2010: Onwards Towards Universal Access.

8 HIV prevalence among key populations, 2002-2010 Source: Prepared by www.aidsdatahub.org based on 1. National Center for HIV/AIDS Dermatology and STDs, Cambodia. (2006). Report on HIV Sentinel Surveillance in Cambodia, 2006; 2. National AIDS Authority Cambodia. (2012). Cambodia Global AIDS Response Progress Report, 2012; 3. Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia; 4. National Centre for HIV/AIDS Dermatology and STD Cambodia, FHI, et al. (2006). Cambodian STI Survey 2005: Key Risk Behaviors and STI Prevalence.; 5. Phalkun, M. (2008). NCHADS Dissemination Presentation: HIV Prevalence among Drug Users 2007 in Cambodia; and 6. Chhorvann, C. (2011). Behavioral Sentinel Surveillance 2010. Power Point Presentation. National Center for HIV/AIDS Dermatology and STD. FSW – 2010 data represents FSW with more than 14 clients per week MSM – 2 data points are not strictly comparable since 2005 data represents 3 provinces and 2010 data represents 8 provinces

9 HIV prevalence among MSM by city, 2010 Source: Prepared by www.aidsdatahub.org based on Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among at-risk Urban Men in Cambodia.

10 Trend of HIV prevalence among direct female sex workers and number tested for HIV, 1996-2006 Source: Prepared by www.aidsdatahub.org based on National Center for HIV/AIDS Dermatology and STDs. (2006). Report on HIV Sentinel Surveillance in Cambodia, 2006.

11 HIV prevalence among female sex workers and number tested for HIV by province, 2006 Source: Prepared by www.aidsdatahub.org based on National Center for HIV/AIDS Dermatology and STDs. (2006). Report on HIV Sentinel Surveillance in Cambodia, 2006.

Trend of HIV prevalence among ANC attendees and number tested for HIV, 1996-2006 Source: Prepared by www.aidsdatahub.org based on National Center for HIV/AIDS Dermatology and STDs. (2006). Report on HIV Sentinel Surveillance in Cambodia, 2006. 12

13 Trends of HIV prevalence among ANC attendees (15-24 yr) by province, 1996-2006 Source: Prepared by www.aidsdatahub.org based on National Center for HIV/AIDS Dermatology and STDs. (2006). Report on HIV Sentinel Surveillance in Cambodia, 2006.

14 Trends of HIV prevalence among ANC attendees (25+ yr) by province, 1996-2006 Source: Prepared by www.aidsdatahub.org based on National Center for HIV/AIDS Dermatology and STDs. (2006). Report on HIV Sentinel Surveillance in Cambodia, 2006.

Risk behaviours

Proportion of key populations reported condom use at last sex, 2003-2010 16 Source: Prepared by www.aidsdatahub.org based on 1. National Center for HIV/AIDS Dermatology and STD Cambodia. (2003). Behavioral Sentinel Survey (BSS) IV; 2. National Center for HIV/AIDS Dermatology and STD Cambodia, FHI, & USAID. (2007). Cambodia 2007 Behavioral Surveillance Survey: HIV/AIDS Related Sexual Behaviors among Sentinel Groups.; 3. National Center for HIV/AIDS Dermatology and STDs Cambodia. (2007) Cambodia HIV Surveillance Survey among Drug Users 2007; 4. Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia; and 5. Chhorvann, C. (2011). Behavioral Sentinel Surveillance 2010. Power Point Presentation. National Center for HIV/AIDS Dermatology and STD.

Proportion of key populations who reported consistent condom use 17 Source: Prepared by www.aidsdatahub.org based on 1. Chhorvann, C. (2011). Behavioral Sentinel Surveillance 2010. Power Point Presentation. National Center for HIV/AIDS Dermatology and STD; 2.National Centre for HIV/AIDS Dermatology and STD Cambodia, FHI, et al. (2006). Cambodia STI Survey 2005; and 3. National Center for HIV/AIDS Dermatology and STDs Cambodia. (2007) Cambodia HIV Surveillance Survey among Drug Users 2007.

Trends in consistent condom use among female sex workers, 1997- 2010 18 Source: Prepared by www.aidsdatahub.org based on 1. National Center for HIV/AIDS Dermatology and STD Cambodia, FHI, & USAID. (2007). Cambodia 2007 Behavioral Surveillance Survey: HIV/AIDS Related Sexual Behaviors among Sentinel Groups ; and 2. Chhorvann, C. (2011). Behavioral Sentinel Surveillance 2010. Power Point Presentation. National Center for HIV/AIDS Dermatology and STD.

Proportion of PWID reported having protective sexual behaviour and safe injection practice, 2007 19 Source: Prepared by www.aidsdatahub.org based on National Center for HIV/AIDS Dermatology and STDs Cambodia. (2007) Cambodia HIV Surveillance Survey among Drug Users 2007.

Proportion of MSM who engaged in transactional sex and proportion of MSM who had sex with female, 2010 20 Source: Prepared by www.aidsdatahub.org based on Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia.

Mean number of clients/sexual partners among FSW and MSM 21 Source: Prepared by www.aidsdatahub.org based on 1. National Center for HIV/AIDS Dermatology and STD Cambodia, FHI, & USAID. (2007). Cambodia 2007 Behavioral Surveillance; and 2.Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia.

Proportion of adults (15-49) years who reported having more than one sexual partner in the last 12 months and reported condom use at last sex, 2005 22 Source: Prepared by www.aidsdatahub.org based on National Institute of Statistics Ministry of Planning, Directorate General for Health Ministry of Health, & MEASURE DHS ICF Macro. (2011). Cambodia Demographic and Health Survey 2010 - Preliminary Report.

Vulnerability and HIV knowledge

24 Percentage of injecting and other drug users who knew that proper use of condom can prevent HIV transmission, 2007 Source: Prepared by www.aidsdatahub.org based on Phalkun, M. (2008 ). NCHADS Dissemination Presentation: HIV Prevalence among Drug Users 2007 in Cambodia.

25 Percentage of injecting and other drug users who knew that used needles and syringes can transmit HIV infection, 2007 Source: Prepared by www.aidsdatahub.org based on Phalkun, M. (2008 ). NCHADS Dissemination Presentation: HIV Prevalence among Drug Users 2007 in Cambodia.

HIV Expenditure

AIDS spending by financing source, 2006-2009 27 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

28 AIDS spending by category, 2006-2009 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of total prevention programme spending on key populations at higher risk, 2006-2009 29 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

National response

Proportion of key populations reached with HIV prevention programmes, 2010 31 Source: Prepared by www.aidsdatahub.org based on 1.Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia.; and 2. Chhorvann, C. (2011). Behavioral Sentinel Surveillance 2010. Power Point Presentation. National Center for HIV/AIDS Dermatology and STD.

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

Number of needle/syringes distributed per person who inject drugs per year, 2008-2011 33 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (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.

Proportion of key populations who received an HIV test in the last 12 months and know their results, 2007-2010 34 Source: Prepared by www.aidsdatahub.org based on 1.National Center for HIV/AIDS Dermatology and STD Cambodia, FHI, & USAID. (2007). Cambodia 2007 Behavioral Surveillance Survey: HIV/AIDS Related Sexual Behaviors among Sentinel Groups ; . 2.Chhorvann, C. (2011). Behavioral Sentinel Surveillance 2010. Power Point Presentation. National Center for HIV/AIDS Dermatology and STD; 3.Liu, K.-L., & Chhorvann, C. (2010). Behavioral Risks On-site Serosurvey among At-risk Urban Men in Cambodia; and 4.Drug User HIV Prevalence and Behavioral Survey 2007 cited in National AIDS Authority Cambodia. (2010). UNGASS Country Progress Report: Cambodia.

Scale-up HIV testing at VCCT services and percent tested positive, 2006-2011 35 Sources: Prepared by www.aidsdatahub.org based on National Centre for HIV/AIDS Dermatology and STD Cambodia. (2012). Annual Report 2011.

Number of ART sites and number of people on ART, 2001-2011 36 Source: Prepared by www.aidsdatahub.org based on National Centre for HIV/AIDS Dermatology and STD Cambodia. (2012). Annual Report 2011.

ART scale up, 2004-2011 37 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (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.

Location of facility- based Opportunistic Infection/ART sites, 2011 38 Prepared by www.aidsdatahub.org based on National Centre for HIV/AIDS Dermatology and STD Cambodia. (2012). Annual Report 2011.

Prevention of mother-to-child transmission cascade, 2011 39 Source: : Prepared by www.aidsdatahub.org based on National AIDS Authority Cambodia. (2012). Cambodia Global AIDS Response Progress Report, 2012.

Spectrum of engagement in prevention of mother-to-child transmission (PMTCT), 2011 40 Source: Prepared by www.aidsdatahub.org based on National AIDS Authority Cambodia. (2012). Cambodia Global AIDS Response Progress Report, 2012.

41 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific- HIV and AIDS Data Hub based on National AIDS Authority Cambodia. (2012). Cambodia Global AIDS Response Progress Report, 2012.

42 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.