Key Affected Populations

2 HIV Prevalence and Epidemiological Status (1990-2009) - IDU - MSM - Sex Worker Risk Behaviors (2004-2009) Vulnerability and HIV Knowledge (2005-2009) HIV Expenditure (2006-2009) - Sources of AIDS Spending - Spending by Categories - Prevention Spending - Spending on Care and Treatment National Response (2005-2009) - Coverage and Prevention - HIV Testing - Care and Treatment - Monitoring and Evaluation Archives CONTENT

National response

Coverage and prevention

5 HIV prevention coverage among IDUs, countries where data is available, 2005-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur ** 2009 Kathmandu

6 HIV prevention coverage among MSM, countries where data is available, 2005-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur

7 HIV prevention coverage among female sex workers, countries where data is available, 2005-2009 * Manipur Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

Proportion of FSWs, MSWs and Transgender/Hijra reached with prevention programme, countries where data is available, 2003-2009 * Hijra SW/MSW Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

9 Number of syringes/needles distributed per IDU per year vs HIV prevalence among IDU, 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

10 % of key affected populations reached with prevention programs, 2005* * Data collection between 2003-2005 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic. 82 97 28 37 35 81 22 77 17 1 5 45 9 48 15 69 11 52 60 72 0 10 20 30 40 50 60 70 80 90 100 Bangladesh Cambodia India Indonesia Nepal Pakistan Vietnam (%) Sex workers IDUs MSM

HIV testing

12 % of key affected populations received an HIV test in the last 12 months and know the results, East, South East Asia and Pacific, 2008-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010 * * Sex workers= only among brothel based

13 % of key affected populations received an HIV test in the last 12 months and know the results, South Asia, 2008-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

14 % of IDU received an HIV test in the last 12 months and know the results, by age group and gender, countries where data is available, 2008-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

15 Trends in % of IDU received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

16 % of MSM received an HIV test in the last 12 months and know the results, countries where data is available, 2008-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010 * Manipur ** Kathmandu *** Luang Prabang

17 Trends in % of MSM received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * 2009 data = Luang Prabang & 2007 data = Vientiane

18 % of MSM received an HIV test in the last 12 months and know the results, by age group, 2005-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 *Manipur ** Luaung Prabang *** Kathmandu

19 % of sex workers who received HIV test in the last 12 months and knew the result, countries where data is available, 2008-2009 * Only for brothel-based sex workers. Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010 Denominator = # of surveyed sex workers

Proportion of FSWs, MSWs and Transgender/ Hijra tested for HIV in the last 12 months and knew the results, countries where data is available, 2003-2009 * Hijra SW/MSW, ** TG/ Hijra - had HIV test in last year *** TG/ Hijra - Jakarta (had HIV test in last year), **** Program monitoring data ^ FSW (Kathmandu) Sources: www.aidsdatahub.org based on 1. UNGASS Country Progress Reports, 2010, 2. The Department of Health Indonesia, The National AIDS Commission, Komisi Penanggulangan AIDS, et al. (2007). Integrated Biological- Behavioral Surveillance among Most-at-Risk Groups in Indonesia, 2007: Surveillance Highlights- Waria and 3. National Center for HIV/AIDS Dermatology and STDs Cambodia. (2008). Presentation: Behavioral Sentinel Surveillance 2007.

21 Trends in HIV testing coverage among female sex workers, countries where data is available, 2007-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010 * Only for brothel-based sex workers.

22 Total number of health facilities vs availability of HIV testing and ART services Number 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

23 Estimated number of per 1000 adult population who received HIV testing and counseling in the last 12 months, 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

24 Estimated number of HIV testing and counseling facilities per 100 000 adult population, 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

25 Total population ≥ 15 years per testing and counseling facility, 2007-2008 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

26 Number of HIV tests per 1000 people ≥ 15 years, 2007-2008 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

Care and treatment

Estimated antiretroviral therapy coverage among people living with HIV, based on 2010 WHO guidelines, 2010 28 Source : Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response: Epidemic Update and Health Sector Progress Towards Universal Access.

Estimated antiretroviral therapy coverage among people living with HIV by region, based on 2010 WHO guidelines, 2010 29 Source : Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response: Epidemic Update and Health Sector Progress Towards Universal Access.

Estimated number of people eligible for ART, receiving ART, and ART coverage by region, 2010 30 Source : Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response: Epidemic Update and Health Sector Progress Towards Universal Access.

31 ART scale up in East, South and South-East Asia, 2003-2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010

32 ART scale up in East, South and South-East Asia vs total low-and middle-income countries, 2003-2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010

Countries’ progress by region in achieving MDG target 6 33 Source: Prepared by www.aidsdatahub.org based on United Nations site for the MDG Indicators at http://mdgs.un.org/unsd/mdg/Default.aspx 46 % 36 % 24 % 23 % Target 6.B“Universal Access to treatment for HIV & AIDS for all those who need it”

34 Trends in ART coverage among adults and children, East Asia Pacific countries, 2005-2009 (based on Universal Access reports) Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010 *Coverage based on WHO 2006 ART initiation guideline ** only the range is available for 2009, which is 31-67 *** sudden decline in 2007 might be due to denominator issue (2006 denominator = 130,000 ; 2007 denominator = 250,000

35 Trends in ART coverage among adults and children, South Asian countries, 2006-2009 ( based on Universal Access reports) Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010 *Coverage based on WHO 2006 ART initiation guideline ** only the range is available for 2009, which is 36-55

36 ART coverage by gender, countries where data is available, 2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010 * sex-disaggregated denominator not available and calculation is based on total Data based on country reported figures in UNGASS 2010 ( coverage based on 2006 WHO ART initiation guideline)

37 ART coverage among adults (>15 years) vs children (<15 years), countries where data is available, 2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010

38 Trends in ART coverage among adults (>15 years) vs children (<15 years), countries where data is available 2006-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006 -2010

39 Estimated ART coverage among adults and children, 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 * Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350)

40 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, 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

41 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, ASEAN countries, 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

42 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, SAARC countries, 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

43 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, other East-Asia Pacific countries, 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

% of adults and children known to be on treatment 24, 36, 48, and 60 months after initiation of ART, countries where data is available, 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

45 Estimated number of adults and children receiving and needing ART in East, South and South-East Asia vs total low-and middle-income countries, 2008-2009 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

46 Estimated ART coverage among adults and children in East, South and South-East Asia vs total low-and middle-income countries, 2008-2009 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

47 Estimated number of adults and children receiving and needing ART by gender in in East, South and South-East Asia vs total low-and middle-income countries, 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

48 Estimated ART coverage by gender in East, South and South-East Asia vs total low-and middle-income countries, 2009 Coverage estimate is based on unrounded number of people receiving and needing ART 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 Estimated number of adults and children receiving and needing ART, and ART coverage by region, 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 Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 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 Estimated in need of ART is based on WHO 2010 ART initiation guideline except China and India . * Estimated in need of ART based on WHO 2010 guideline is not available and it is based on estimated number in need reported by countries

51 Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 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

52 % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 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.

53 Reported number of adults and children receiving ART, 2005-2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010

54 Estimated number of AIDS related deaths with and without antiretroviral therapy in Asia, 1996-2008 Number Source: UNAIDS, & WHO. (2009). AIDS Epidemic Update.

55 % of estimated HIV-positive incident TB cases that received treatment for TB and HIV, countries where data is available, 2007-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010; Countries collected the data using ART patient registers and estimates from WHO STOP TB data base except Afghanistan_ ART data base, Indonesia _ART monitor and reports, Japan_ Nagoya Medical Center & International Medical Center of Japan (ACC) Database, PNG_ National Department of Health Program Monitoring

56 % distribution of HIV positive males and females receiving ART, 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

Monitoring and Evaluation

Number of countries with HIV prevalence surveys among key affected populations, in the last 2 years Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Surveys 58 No survey= Bhutan, Brunei, Fiji, Hong Kong, Timor-Leste, PNG, Cambodia At least 2 populations = Afghanistan, Lao PDR, Pakistan, Mongolia, Singapore All 3 populations = Bangladesh, China, India, Indonesia, Malaysia, Maldives, Myanmar, Nepal, Philippines, Sri Lanka, Thailand, Vietnam No survey= Bhutan, Brunei, Fiji, Hong Kong, Singapore, PNG At least 2 populations = Afghanistan, Cambodia, Lao PDR, Pakistan, Mongolia, Timor -Leste All 3 populations = Bangladesh, China, India, Indonesia, Malaysia, Maldives, Myanmar, Nepal, Philippines, Sri Lanka, Thailand, Vietnam

Data availability from sero-surveillance surveys among key affected populations, Asia Pacific, 2007-2010 Afghanistan, Bangladesh, Cambodia, China, India, Indonesia , Lao, Malaysia, Maldives, Myanmar, Nepal, Pakistan, Philippines, PNG, Singapore, Sri Lanka, Thailand, Vietnam d) Afghanistan, Bangladesh, Cambodia , China, India, Indonesia, Malaysia, Maldives, Myanmar, Nepal, Pakistan, Philippines, Thailand, Vietnam g) Bangladesh, Cambodia, China, India, Indonesia, Lao, Japan, Malaysia, Maldives, Mongolia, Myanmar, Nepal, Philippines, PNG, Singapore, Sri Lanka, Thailand, Vietnam Bangladesh, China, Indonesia, Lao, Maldives, Myanmar, Pakistan, Philippines, PNG, Sri Lanka Bangladesh, Indonesia, Nepal, Pakistan, PNG, Thailand Afghanistan, Bangladesh, China, Indonesia, Maldives, Myanmar, Nepal, Pakistan, Philippines Bangladesh, China, Indonesia, Thailand Bangladesh, China, Indonesia, Lao, Japan, Mongolia, Myanmar, Nepal, Philippines, PNG, Sri Lanka, Vietnam Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS Programs

60 % of Asia Pacific countries with systematic sero -surveillance conducted among ANC attendees and key affected populations, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010).Towards Universal Access Health Sector Response Country Reports 2010 (compiled from country response questionnaires which is not included in the published report) Denominator = 26 countries

61 Asia Pacific countries with systematic sero-surveillance conducted among ANC attendees and key affected populations, 2009 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010).Towards Universal Access Health Sector Response Country Reports 2010 (compiled from country response questionnaires which is not included in the published report) Please see the details (with country names) in next slide

62 Data availability on HIV sero-surveillance surveys in Asia Pacific Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010).Towards Universal Access Health Sector Response Country Reports 2010 (compiled from country response questionnaires which is not included in the published report)

63 Number of countries with selective data available on key affected populations, 2007-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

64 Assessment of Monitoring and Evaluation systems according to NCPI responses, ASEAN, 2009 Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009 Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.

65 Assessment of Monitoring and Evaluation systems according to NCPI responses, South Asia, 2009 Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009 Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.

66 Assessment of Monitoring and Evaluation systems according to NCPI responses, East Asia & Pacific (non-ASEAN), 2009 Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009 Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.

67 Assessment of Monitoring and Evaluation systems according to NCPI responses, East Asia & Pacific (non-ASEAN), 2009 (continued) Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009 Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.

68 Civil society involvement in the HIV response in Asia Pacific Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009

Archives

70 Percentage of countries with data on HIV testing among general population (15-49) in 2006-2008 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

71 Reported HIV/AIDS cases by mode of transmissions in selected countries, 2008 Source: HIV/AIDS case reports by National AIDS programs cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009. * Unsafe sex includes MSM transmission

72 % of most-at-risk populations covered by targeted prevention programs in South-east Asia, 2003 Source: Prepared by www.aidsdatahub.org based on USAID, UNAIDS, WHO, et al. (2004). Coverage of Selected Services for HIV/AIDS Prevention, Care and Support in Low and Middle Income Countries in 2003.

73 % of men who have sex with men reporting the use of a condom the last time they had sex in India (2002) , Indonesia (2002-2003) and Vietnam (2006) Sources: Prepared by www.aidsdatahub.org based on 1. India National AIDS Control Organization (NACO) .National Baseline High Risk and Bridge Population Behavioural Surveillance Survey, 2002, 2. Indonesia Ministry of Health and Central Bureau of Statistics. Behavioural Surveillance in 13 Provinces, 2002-2003. 2004, and 3. National Institute of Hygiene and Epidemiology Vietnam, FHI, Vietnam Administration of HIV/AIDS Control, et al. (2006). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam 2005 – 2006.

74 Resource need estimates for Asia-Pacific according to types of interventions, 2006-2008 Source: Prepared by www.aidsdatahub.org based on UNAIDS. UNAIDS Resource needs Estimates, 2005-2008

75 Resources mobilized for HIV/AIDS from the Global Fund, Round 1-8 Source: Global Fund; http://www.theglobalfund.org/en/hivaids cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.

76 Assessment of Monitoring and Evaluation Systems Source: UNGASS Country Progress Reports 2008

77 Assessment of Monitoring and Evaluation Systems Source: UNGASS Country Progress Reports, 2008

78 Assessment of Monitoring and Evaluation Systems: Proportion of countries reporting selected key components (N=18) Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports, 2008

79 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