Key Populations at Higher Risk

2 HIV Prevalence and Epidemiology (1990-2011) - People Who Inject Drugs - 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 (2005-2010) - Coverage and Prevention - HIV Testing - Care and Treatment - Monitoring and Evaluation Archives CONTENT

National response

Coverage and prevention

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

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

HIV prevention coverage among female sex workers, countries where data is available, 2005-2009 7 * 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

Availability of Needle and Syringe Programmes(NSP) and Opioid Substitution Therapy(OST), countries where data is available, 2010 9 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.

Number of syringes per PWID distributed per year by Needle and Syringe Programme, countries where data is available, 2010 10 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 percentage of PWID receiving opioid substitution therapy and estimated number of NSP sites per 1,000 PWID, 2010 11 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. NSP = Needle and Syringe Programme Data for Thailand is available only in range

HIV testing

Number of countries in East, South and South-East Asia that reported the availability of HIV testing, treatment and care among key populations at higher risk , 2010 13 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.

Percentage (median) of key populations at higher risk who received an HIV test in the past 12 months and know the results, 2008-2010 14 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. # of reporting countries Sex Workers – Global - 52 East, South and South-East Asia - 16 MSM - Global - 41 East, South and South-East Asia - 14 PWID - Global - 26 East, South and South-East Asia -10

15 Comparison of regional and global HIV testing among key populations at higher risk , 2006-2008 vs. 2009-2010 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

Percentage of people who inject drugs who received an HIV test in the past 12 months and know the results, 2008-2010 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.

Percentage of MSM who received an HIV test in the past 12 months and know the results, 2008-2011 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.

Percentage of sex workers who received an HIV test in the past 12 months and know the results, 2008-2010 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.

Percentage of key populations at higher risk received an HIV test in the last 12 months and know the results, Asia Pacific, 2008-2010 East, South-East Asia and the Pacific South Asia 19 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.

Trends in percentage of people who inject drugs received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009 20 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

Percentage of PWID 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: www.aidsdatahub.org based on UNGASS country Progress reports 2008 & 2010

Trends in percentage of MSM received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009 22 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * 2009 data = Luang Prabang & 2007 data = Vientiane

Percentage of MSM received an HIV test in the last 12 months and know the results, by age group, 2005-2009 23 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 *Manipur ** Luaung Prabang *** Kathmandu

Percentage of sex workers who received HIV test in the last 12 months and knew the result, countries where data is available, 2008-2009 24 * 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.

Estimated number of HIV testing and counseling facilities per 100 000 adult population, South Asia, 2009-2010 26 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 HIV testing and counseling facilities per 100 000 adult population, ASEAN, 2009-2010 27 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 HIV testing and counseling facilities per 100 000 adult population, Pacific Island Countries and Territories , 2009-2010 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.

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 HIV testing and counseling facilities per 100 000 adult population, East Asia and non-ASEAN countries, 2009-2010

Number of people 15 years and older who received HIV testing and counselling per thousand adult population, East and South- East Asia, 2009-2010 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.

Number of people 15 years and older who received HIV testing and counselling per thousand adult population, South Asia, 2009-2010 31 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.

Number of people 15 years and older who received HIV testing and counselling per thousand adult population, Pacific Island Countries and Territories, 2009-2010 32 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.

Care and treatment

ART scale up in East, South and South-East Asia, 2003-2010 34 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 2006-2011

ART scale up in East, South and South-East Asia vs total low-and middle-income countries, 2003-2010 35 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 2006-2011

Estimated antiretroviral therapy coverage among people living with HIV by region, based on 2010 WHO guidelines, 2010 36 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 37 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 needing and receiving ART and ART coverage by gender, East, South and South-East Asia vs total low-and middle-income countries, 2010 38 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.

ART coverage among adults and children, East, South and South-East Asia vs total low-and middle-income countries, 2010 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.

ART coverage by gender, East, South and South-East Asia vs total low-and middle-income countries, 2010 40 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. East, South & SEA- # of countries reporting/ total countries in region = 20/34 Total low-and middle-income countries - # of countries reporting/ total countries = 109/149

Estimated antiretroviral therapy coverage among people living with HIV, based on 2010 WHO guidelines, 2010 41 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.

42 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. * Total number of people receiving ART = 2 Percentage distribution of male and female receiving ART (among reported number of people receiving ART) , 2010

43 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. Percentage distribution of adults and children receiving ART (among reported number of people receiving ART) , 2010

Estimated number and percentage distribution of people needing ART in Asia Pacific ( excluding India) based on 2010 WHO guidelines, 2010 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. In 2010, estimated number of people needing ART in Asia Pacific is 2.4 million of which people needing ART in India is estimated at 1.1 to 1.4 million (around 50% of ART need in Asia Pacific ).

45 Reported number of adults and children receiving ART, 2005-2010 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 2006-2011

Progress by region in achieving MDG target 6.B, 2009 : “Universal Access to treatment for HIV and AIDS for all those who need it” 46 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 %

Estimated ART coverage among adults and children, 2009 47 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)

Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, 2009 48 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

Percentage 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

HIV testing and provision of Co-trimoxazole preventive therapy and ART among TB patients, 2010 50 Source: Prepared by www.aidsdatahub.org based on WHO. (2011). Global Tuberculosis Control

TB burden, percentage of TB patients with known HIV status and HIV positivity among TB patients, Asia, 2010 51 Source: Prepared by www.aidsdatahub.org based on WHO. (2011). Global Tuberculosis Control

52 TB burden, percentage of TB patients with known HIV status and HIV positivity among TB patients, Pacific, 2010 Source: Prepared by www.aidsdatahub.org based on WHO. (2011). Global Tuberculosis Control

Percentage of estimated HIV-positive incident TB cases that received treatment for TB and HIV, countries where data is available, 2007-2009 53 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

54 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