Malaysia

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1984-2009) Risk behaviors (2004-2009) Vulnerability and HIV knowledge (2007-2009) HIV Expenditure (2008-2009) National Response (2006-2009) 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 % 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.

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 Size estimates of populations at higher risk, 2009 Source: AIDS/STD Division Malaysia, & WHO. (2009). Most at Risk Populations: Who are They? Estimations & Projections- Findings from the National Consensus Workshop 2009 (Unpublished).

10 Estimated HIV prevalence among key affected populations, 2009 Source: National Consensus Workshop on Estimation and Projection of the Malaysian HIV Epidemic, 2009 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010. Note: :Estimation Projection Package (EPP) was used for estimation

11 Estimated number of new HIV infections by gender, 1985-2015 Source: National Consensus Workshop on Estimation and Projection of the Malaysian HIV Epidemic, 2009 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010. Note: : Spectrum Projection was used for estimation

12 Estimated number of people living with HIV by gender, 1985-2015 Note: : Spectrum Projection was used for estimation Source: National Consensus Workshop on Estimation and Projection of the Malaysian HIV Epidemic, 2009 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

13 HIV Notification Screening Rates 2000-2008 5107 5938 6978 6756 6427 6120 5830 4549 21.7 24.7 28.5 27.0 25.1 23.4 21.9 16.7 3692 13.3 Source: Ministry of Health Malaysia. (2009). Power point presentation. HIV/AIDS Situation in Malaysia

14 Number of reported new HIV infections by gender, 1984-2009 Source: Prepared by www.aidsdatahub.org based on Resource Center, Malaysian AIDS Council. (2009). AIDS in Malaysia.

15 % distribution of reported new HIV infections by gender, 1990 - 2009 Source: Prepared by www.aidsdatahub.org based on Resource Center, Malaysian AIDS Council. (2009). AIDS in Malaysia.

16 Number of reported HIV infections by state, 2003-2009 Source: Prepared by www.aidsdatahub.org based on Malaysia, Ministry of Health , 2009 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

17 Number of cumulative HIV infections by gender, 1984 – June 2009 Source: Prepared by www.aidsdatahub.org based on Resource Center, Malaysian AIDS Council. (2009). AIDS in Malaysia.

18 % distribution of reported HIV infections by gender, 1986 –2009 Source: Prepared by www.aidsdatahub.org based on Resource Center Malaysian AIDS Council. (2009). AIDS in Malaysia.

19 % distribution of reported HIV/AIDS cases by gender, 1990- June 2009 Source: Prepared by www.aidsdatahub.org based on Malaysian AIDS Council, & Malaysian AIDS Foundation. Malaysian Statistics from http://fabulousasianow.blogspot.com/2010/04/malaysia-hivaids-statistics-as-of-june.html

20 Number of reported AIDS deaths by gender, 1984 – June 2009 Source: Prepared by www.aidsdatahub.org based on Malaysian AIDS Council, & Malaysian AIDS Foundation. Malaysian Statistics from http://fabulousasianow.blogspot.com/2010/04/malaysia-hivaids-statistics-as-of-june.html

21 Number of cumulative AIDS deaths by gender, 1984 – June 2009 Source: Prepared by www.aidsdatahub.org based on Malaysian AIDS Council, & Malaysian AIDS Foundation. Malaysian Statistics from http://fabulousasianow.blogspot.com/2010/04/malaysia-hivaids-statistics-as-of-june.html

22 % distribution of reported HIV/AIDS cases by age group, 1990-June 2009 Source: Prepared by www.aidsdatahub.org based on Malaysian AIDS Council, & Malaysian AIDS Foundation. Malaysian Statistics from http://fabulousasianow.blogspot.com/2010/04/malaysia-hivaids-statistics-as-of-june.html

23 % distribution of reported HIV/AIDS cases by mode of transmission, 2000-2009 Source: Malaysia, Ministry of Health , 2010 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

24 Number of ANC attendees, number tested for HIV and % HIV positive among pregnant women, 1998-2009 Source: Prepared by www.aidsdatahub.org based on Malaysia, Ministry of Health , 2010, cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

25 Number of babies tested HIV + among reported number of babies delivered by HIV + mother, 2000-2008 Source: Prepared by www.aidsdatahub.org based on Malaysia country presentation, East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20th November 2009, Bangkok

26 % of HIV + children below 19 years among total reported HIV + cases, 2000-2008 Source: Prepared by www.aidsdatahub.org based on Malaysia country presentation, East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20th November 2009, Bangkok

27 Number tested for HIV and % HIV positive among migrant workers, 2004-2009 Source: Prepared by www.aidsdatahub.org based on Malaysia, Ministry of Health , 2010 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

28 HIV prevalence and number tested (+) for HIV among key affected populations, 2009 Source: Prepared by www.aidsdatahub.org based on Malaysia, Integrated Bio-Behavioral Surveillance (IBSS), 2009 and Venue Day Time Sampling Survey among MSM, 2009 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

29 HIV prevalence among key affected populations, 2007-2009 Source: Prepared by www.aidsdatahub.org based on AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia citing Malaysian AIDS Council. (2009). The Integrated Bio-Behavioural Surveillance (IBBS) Survey 2009 and Malaysian AIDS Council. (2009). Risk Behavior and HIV Prevalence among MSM: A Venue-Based Study in Kuala Lumpur, Malaysia * MSM 2007 - VCT site survey 2009 – Venue-based study in Kuala Lumpur

30 HIV prevalence among young people (15-24), 2007 Source: Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS: Malaysia- 2008 Update

Risk behaviours

32 Number and % of key affected populations who reported the use of a condom at last sex, 2008 and 2009 Sources: Prepared by www.aidsdatahub.org based on Malaysia_Integrated Bio-Behavioural Surveillance (IBBS), 2009 and Malaysian AIDS Council/ PT Foundation VCT programme survey cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

33 % of key affected populations who reported the use of a condom at last sex, 2004-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

34 Number and % of IDUs who used sterile injecting equipment at the last injection, 2004 and 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

35 % of sex workers and transgender who injected drugs in the past 12 months, 2009 Source: Prepared by www.aidsdatahub.org based on AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

Vulnerability and HIV Knowledge

37 Number and % of sex workers and IDUs with comprehensive HIV knowledge, 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

38 Number and % of national service trainees (17-19 yr) with comprehensive HIV knowledge, 2008 Source: Prepared by www.aidsdatahub.org based on Malaysia_National Service Survey, MOH, 2008 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010. Sample size = 6000

39 % of selected most-at-risk populations* with comprehensive knowledge, 2007 *Only those who attend services Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Source: Prepared by www.aidsdatahub.org based on AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

HIV expenditure

41 Amount of domestic and international HIV expenditures and % shared by government, 2008 - 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

42 % distribution of total HIV expenditures by financing source, 2008 - 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

43 Amount of total HIV expenditures by major spending category, 2008 - 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

44 % distribution of total HIV expenditures by major spending category, 2008-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

National response

46 Status of health facilities providing VCCT service and number of people (15+) tested for HIV, 2008-2009 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, and 2. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

47 Number and % of sex workers and IDUs who received an HIV test in the last 12 months and knew the results, 2009 Source: Prepared by www.aidsdatahub.org based on Malaysia_Integrated Bio-Behavioural Surveillance (IBBS), 2009 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

48 Number of people (15+ yr) who received HIV testing and counseling by age group and gender, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

49 Number of people (15+ yr) who received HIV testing and counseling by age group, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

50 Number and % of sex workers and IDUs reached with HIV prevention programme, 2009 Source: Prepared by www.aidsdatahub.org based on Integrated Bio-Behavioural Surveillance (IBBS), 2009 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

51 Availability and coverage of harm reduction programmes for IDUs, 2007-2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

52 Status of needle and syringe exchange programme (NSEP) sites, 2006 - 2009 Source: Prepared by www.aidsdatahub.org based on AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

53 Number of needle and syringe exchange programme (NSEP) sites, client registration and needle return rate, 2006-2009 Source: Prepared by www.aidsdatahub.org based on AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010.

54 Status of ANC, VCCT and PMTCT services and uptakes, 2008 - 2009 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, and 2. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

55 Status of PMTCT coverage among pregnant women and % of infants born to HIV infected mother received ARVs and co-trimoxazole prophylaxis, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

56 Number of HIV infected pregnant women needing ARVs for PMTCT and status of maternal and infant PMTCT coverage, 2008 and 2009 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, and 2. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

57 Number of HIV infected pregnant women and their infants received ARVs to reduce the risk of MTCT, 2006-2009 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2007). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2007, 2. WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008, 3. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and 4. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

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59 Status of health facilities providing ART and number of adults and children received ART, 2008 and 2009 Source: Prepared by www.aidsdatahub.org based on 1. AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010, 2. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and 3. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

60 Number of adults and children who are in need of ART and % of ART coverage, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

61 Estimated number of children (<15 yr) needing ART, reported number of receiving ART and % ART coverage, 2008 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009

62 Number of adults and children with HIV received ART, 2007 - 2009 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008, 2. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009, and 3. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

63 Number and % of adult and children with HIV known to be on treatment 12, 24, 36 and 48 months after initiation of ART, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010

64 Source: European Union, WHO, UNICEF, et al. (2006). Malaysia: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

65 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