Bhutan

2 Basic socio-demographic indicators HIV prevalence and epidemiological status (1990-2010) Risk behaviors (2006) Vulnerability and HIV knowledge (2000-2006) HIV Expenditure National Response (1997-2008) Archives CONTENT

3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Sources: 1. UN Statistics Division. (2010). Demographic and Social Statistics. Retrieved 10 January 2011, from http://unstats.un.org/unsd/demographic/products/socind/population.htm 2. UN Population Division. (2011). World Population Prospects, the 2010 Revision. Retrieved 10 January 2011, from http://esa.un.org/unpd/wpp/Excel-Data/population.htm 3. UNFPA. (2010). State of World Population 2010. 4. World Bank. World Development Indicators & Global Development Finance. Retrieved 10 January 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2 5. WHO. (2010). World Health Statistics 2010. 6. UNDP. (2010). Human Development Report 2010. 7. World Bank. World Development Indicators: Ratio of Girls to Boys in Primary and Secondary Education (%). Retrieved 10 Jan 2011, from http://data.worldbank.org/indicator/SE.ENR.PRSC.FM.ZS

HIV prevalence and epidemiological status

Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2009 5 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of adults (15+) living with HIV vs women (15+) living with HIV, 1990-2009 6 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of adults (15+) living with HIV by gender, 1999-2009 7 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated adult HIV prevalence vs new HIV infections, 1990-2009 8 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Number and % distribution of cumulative HIV infections by mode of transmission, July 2010 9 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of cumulative HIV infections by age group and gender, July 2010 10 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

% distribution of cumulative HIV infections by age group and gender, July 2010 11 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of cumulative HIV infections and deaths by age group, July 2010 12 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of cumulative HIV infections and deaths by age group and gender, July 2010 13 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of new HIV infections by age group and gender, December 2009 - June 2010 14 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

HIV and Hepatitis-C prevalence among IDUs, 2006 15 Source: Prepared by www.aidsdatahub.org based on Sarkar K, Bal B, Mukherjee R, et al. (2006). Epidemic of HIV Coupled with Hepatitis C Virus among Injecting Drug Users of Himalayan West Bengal, Eastern India, Bordering Nepal, Bhutan, and Bangladesh. Subst Use Misuse, 41(3), 341-352. This study was conducted among IDUs along the border with Indian state of West Bengal.

Risk behaviours

% of surveyed population reporting extramarital and premarital sex in the past 12 months, 2006 17 Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

% of surveyed population reporting the use of a condom with extramarital and premarital partners in the past 12 months, 2006 18 Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

% of IDUs with high-risk behaviors, 2006 19 Source: Prepared by www.aidsdatahub.org based on Sarkar K, Bal B, Mukherjee R, et al. (2006). Epidemic of HIV Coupled with Hepatitis C Virus among Injecting Drug Users of Himalayan West Bengal, Eastern India, Bordering Nepal, Bhutan, and Bangladesh. Subst Use Misuse, 41(3), 341-352.

Vulnerability and HIV knowledge

% of young people with misconceptions on HIV transmission and treatment, 2006 21 Source: Prepared by www.aidsdatahub.org based on WHO. (2006). Fact Sheet on Young People and HIV/AIDS in Bhutan.

% of young females 15-24 yr with comprehensive knowledge, 2000 22 Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006). Bhutan: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update. 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)

HIV Expenditure

National response

Status of health facilities providing VCCT service and number of people (15+) tested for HIV in the past 12 months, 2008 25 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 pregnant women counseled and tested for HIV, 2007 26 Total 2,244 pregnant women were counseled and tested for HIV Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

% of pregnant women 15-49 yr with access to antenatal care, 1997-2005 27 Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006). Bhutan: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update. In Bhutan Maternal Mortality Rate (MMR) is 420* per 100,000 live births (WHO, World Health Report, 2006). Life-time risk of maternal death is 1* out of every 37 women (UNICEF, The State of the World’s Children, 2006) * Based on year 2000. This is the most recent data available.

Status of health facilities providing ANC, VCCT and PMTCT services and their uptake, 2008 28 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.

Number of HIV infected pregnant women needing ARVs for PMTCT and status of maternal and infant PMTCT coverage, 2008 29 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.

Status of health facilities providing ART and number of adults and children who received ART by gender, 2008 30 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.

Number of adults and children who are in need of ART and % of ART coverage, 2008 31 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 number of children (<15 yr) needing ART, reported number of children receiving ART and % ART coverage, 2008 32 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.

Number of adults and children with advanced HIV infection who are in need and who received ART, 2007 33 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

Archives

HIV prevalence and epidemiological status

Estimated number of people living with HIV, 2007 36 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic. and WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS Bhutan 2008 Update.

Reported HIV cases, 1993- March 2008 37 Source: Prepared by www.aidsdatahub.org based on HIV/STI/AIDS Program, Ministry of Health, Royal Government of Bhutan, 2008. Total 144 cases of HIV infection have been reported.

Mode of HIV transmission for reported cases, 1993- March 2008 38 Source: Prepared by www.aidsdatahub.org based on HIV/STI/AIDS Program, Ministry of Health, Royal Government of Bhutan, 2008.

Estimated number of people died of AIDS, 2002-2006 39 Source: Prepared by www.aidsdatahub.org based on Bhutan Millennium Development Progress Development Report, 2006 and UNAIDS Report on the Global AIDS Epidemic 2006.

Risk behaviours

% of surveyed population reporting extramarital and premarital sex in the past 12 months, 2006 41 Note: Age of these population groups is not provided in the source. Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

% of general population reporting the use of a condom with extramarital and premarital partners in the past 12 months, 2006 42 Note: Age of these population groups is not provided in the source. Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

43 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