Male clients of sex workers are the largest factor in the HIV epidemic in Asia Clients of female sex workers make up the largest HIV-affected population group in Asia. The Commission on AIDS in Asia estimates that on average, there are about 10 male clients for every sex worker. As many as 37 million men in China and 30 million men in India buy sex regularly. Many of these men are married (or will be married in the future) and if infected, may transmit HIV to their wives and children. The most effective way to prevent HIV infections in low risk women is to prevent their husbands from becoming infected. The proportion of men who visit sex workers and the levels of condom use during commercial sex are key factors in determining the rate of transmission of HIV. Data on men who buy sex are not routinely collected or uniformly reported. The data presented here are gleaned from DHS surveys, and from general population sexual behavior surveys in Bangladesh and Thailand. High-risk men are not an easily identifiable group within the general population and therefore prevention programmes often take advantage of the fact that paying for sex is more common among men in certain occupations. For example, 40% of urban moto-taxi drivers in Cambodia paid for sex in the past year, compared to 12.7% of urban men overall. [Technical note: moto-taxi drivers surveyed in BSS 2007 and urban men in DHS 2005. The slide value for Cambodia is for Phnom Penh only.]

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

HIV prevalence and epidemiology

4 Global and regional HIV and AIDS statistics, 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.

5 Estimated number of people living with HIV, new infections, and AIDS-related deaths by region, 2001 and 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

Estimated number of adults and children living with HIV by region, 2010 6 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 adults and children newly infected with HIV by region, 2010 7 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 new HIV infections by sub-region, 2010 8 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 AIDS-related deaths among adults and children by region, 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.

Estimated number adults and children living with HIV, new infections, and AIDS-related deaths, Asia Pacific, 1990-2009 10 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of women and adults (15+) living with HIV, Asia Pacific, 1990-2009 11 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated proportion of adults (15-49) living with HIV by gender, Asia Pacifc, 1990-2009 12 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated percent distribution of adults and children living with HIV in Asia Pacific, 2009 13 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated proportion of female (15+) living with HIV among adults, 1990-2009, ASEAN countries and Papua New Guinea 14 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. ASEAN = Association of Southeast Asian Nations

Estimated proportion of female (15+) living with HIV among adults, 1990-2009, SAARC countries 15 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. SAARC = South Asian Association for Regional Cooperation

Estimated proportion of female (15+) living with HIV among adults, 1990-2009, high-income countries (Asia) 16 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated HIV prevalence among adults (15-49), 1990-2009, SAARC countries 17 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. * Estimated HIV prevalence among adults in Bangladesh, Maldives and Sri Lanka is < 0.1 % ( 1990-2009) SAARC = South Asian Association for Regional Cooperation

Estimated HIV prevalence among adults (15-49), 1990-2009, ASEAN countries 18 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. *Estimated HIV prevalence among adults in Philippines is < 0.1 % ( 1990-2009) ASEAN = Association of Southeast Asian Nations

Estimated HIV prevalence among adults (15-49), 1990-2009, Pacific countries (where data is available) 19 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Reported HIV cases by mode of transmissions in selected countries, 2009-2011 Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS country Progress reports 2010; 2. China _China UNAIDS Country Office at UN Joint Programme Retreat, March 9, 2011; 3. Ministry of Health Indonesia. (2011‬). Quarterly Progress Report: HIV & AIDS Situation in Indonesia, November 2011; 4. National Epidemiology Center Philippines. (2011). Philippine HIV/AIDS Registry: December 2011 ; 5. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report 2010-11.; 6. Malaysian AIDS Council and Malaysian AIDS Foundation. (2011). 2010 Annual Report. + reported AIDS cases; only available as sexual transmission ( both hetero and homo) ++ “Others” may include mother-to-child transmission * homosexual transmission also includes bisexual ** data not available for homosexual

21 HIV- TB burden, 2010 Source: Prepared by www.aidsdatahub.org based on WHO. (2011). Global Tuberculosis Control & WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response: Epidemic Update and Health Sector Progress Towards Universal Access.

Percentage of sex workers, MSM and people who inject drugs who are under 25 years of age, countries where data is available 22 Source: Prepared by www.aidsdatahub.org based on Behavior Surveillance Surveys

People Who Inject Drugs

Estimated size and HIV prevalence among people who inject drugs in Asia-Pacific 24 Source: (a) Please see the next slide; (b) UNGASS Country Progress reports 2010 and Global AIDS Response Progress Reports 2012 based on HIV Sentinel Surveillance surveys and Integrated Biological and Behavioural surveys

References , people who inject drugs populations estimation 25 UNODC, & Ministry of Counter Narcotics Afghanistan. (2009). Drug Use Survey 2009 cited in Afghanistan Global AIDS Response Progress Report, 2012 Population Size Estimates for Most at Risk Populations for HIV in Bangladesh, 2009 (Unpublished) Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global Overview of Injecting Drug Use and HIV Infection among Injecting Drug Users. Aids, 18(17), 2295-2303 Drug User Population Size Estimates 2007 cited in Cambodia Global AIDS Response Progress Report, 2012 UNAIDS China. China AIDS Fact Sheet 2009 (Unpublished) National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report 2010-11. Ministry of Health . (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009 ( In Indonesian Language) National Committee for the Control of AIDS. (2012).Lao PDR Global AIDS Response Progress Report 2012 Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic (Unpublished). Sharma, M., Oppenheimer, E., Saidel, T., et al. (2009). A Situation Update on HIV Epidemics among People Who Inject Drugs and National Responses in South-East Asia Region. AIDS, 23, 1405–1413. National AIDS Programme Myanmar (2009). HIV Estimates and Projections, Myanmar 2008-2015 Nepal HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation of Most-At-Risk-Population in Nepal-2011: Vol.2 Injecting Drug Users. National AIDS Control Program, Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report 2012 Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global Overview of Injecting Drug Use and HIV Infection among Injecting Drug Users. AIDS, 18(17), 2295-2303 Ibid. National STD/AIDS Control Programme Sri Lanka. (2010). Report on HIV Estimates and Projections 2009 Aramrattana, A. (2012). Estimated Size of Injecting Drug Users (IDU). Unpublished Power Point Presentation at Size Estimation Stake-Holder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi. Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global Overview of Injecting Drug Use and HIV Infection among Injecting Drug Users. AIDS, 18(17), 2295-2303 Ministry of Health and National Technical Working Group on HIV Estimates and Projections. (2011). Preliminary Viet Nam HIV/AIDS Estimates and Projections 2011 cited in Viet Nam Global AIDS Response Progress Report 2012

Prevalence of injecting drug use among population (15-64), 2001-2007 26 Source: Prepared by www.aidsdatahub.org based on Bergenstorm A, Abdul-Quader A.S. Injection drug use, HIV and the current response in selected low-income and middle-income countries, AIDS 2010, 24 (suppl 3) : S 20- S29.

27 Trends in HIV prevalence among people who inject drugs, countries where data is available, 2001-2011 Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance and  Integrated HIV Behavioral and Serologic Surveillance Data reported by National AIDS programs

HIV prevalence among people who inject drugs, countries where data is available, 2008-2009 28 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

HIV prevalence among people who inject drugs who are <25 years old vs over 25 years old, countries where data is available, 2007-2009 29 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

Men Who Have Sex With Men

Estimated size and HIV prevalence among MSM in Asia-Pacific 31 Source: (a) Please see the next slide; (b) UNGASS Country Progress reports 2010 and Global AIDS Response Progress Reports 2012 based on HIV Sentinel Surveillance surveys and Integrated Biological and Behavioural surveys

References , MSM population estimation 32 icddr-b. (2012). Experience Conducting Male Sexual Health Survey and MSM Mapping and Enumerations in Bangladesh. Presented at the South Asia Regional MSM and Transgender Size Estimation Workshop: Strengthening National Reporting on HIV among MSM and Transgender persons Colombo, Sri Lanka. 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” UNAIDS China. (2009). China AIDS Fact Sheet 2009 (Unpublished) Mok, P. (2011). Sex Between Men in Your City. National AIDS Control Programme. (2011). NACP- IV National Strategy for HIV prevention among MSM : Strategic Approach for Targeted Intervention among MSM. Ministry of Health . (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009 ( In Indonesian Language) National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI 2011-2015 and Lao PDR Global AIDS Response Progress Report 2012 Ministry of Health Malaysia, & World Health Organization. (2009). National Consensus Workshop: Estimation and Projection of the HIV Epidemic (Unpublished). WHO. (2009). HIV/AIDS in the South-East Asia Region 2009. National Committee on HIV/AIDS. (2010). National Strategic Plan on HIV, AIDS and STIs : 2010-2015. Ulaanbaatar. National AIDS Programme Myanmar (2009). HIV Estimates and Projections, Myanmar 2008-2015 HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). 2011 estimate used for EPP Spectrum HIV estimates 2012 based on extrapolation of MSW, and MSW, Transgender and Clients estimates. (Unpublished) Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. Mok, P. (2011). Sex Between Men in Your City. National STD/AIDS Control Programme. (2012). Sri Lanka Global AIDS Response Progress Report 2012 Peerapatanapokin, W. Estimated sizes of Men who have Sex with Men (MSM). Unpublished Power Point Presentation at Size Estimation Stake-Holder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi, Thailand. National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response Ministry of Health and National Technical Working Group on HIV Estimates and Projections. (2011). Preliminary Viet Nam HIV/AIDS Estimates and Projections 2011 cited in Viet Nam Global AIDS Response Progress Report 2012

Size estimates of MSM as proportion of adult male population (15-49) years Source: Prepared by www.aidsdatahub.org based on size estimates of MSM ( please see the information provided in the previous 2 slides) and adult male population (15-49) years retrieved from the UN Population Division http://esa.un.org/unpd/wpp/index.htm

Prevalence of MSM among adult male population, their heterosexual behavior and marital status, 2003-2007 34 Source: Prepared by www.aidsdatahub.org based on Cáceres, C. F., Konda, K., Segura, E. R., et al. (2008). Epidemiology of Male Same-Sex Behaviour and Associated Sexual Health Indicators in Low- and Middle-Income Countries: 2003–2007 Estimates

Percentage of men who ever had sex with men, countries where data is available, 2000-2006 35 Sources: Prepared by www.aidsdatahub.org based on 1. FHI, ICDDR, B., & USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological Experiment, 2. National AIDS Programme Myanmar. (2005). Behavioral Surveillance Survey 2003: General Population and Youth, 3. National Institute of Medical Statistics, & National AIDS Control Organisation. (2008). National Behavioural Surveillance Survey (BSS) 2006: Youth (15-24 Years), 4. Hong Kong,and Lao PDR_ power point presentation by Frits van Grensven, Thai MOPH-US CDC Collaboration, Recognizing and confronting the epidemic of HIV among MSM in South-East Asia, September 2006, and 5. National Statistics Office Philippines, & ORC Macro. (2004). Philippines National Demographic and Health Survey 2003. * % of man who had sex with a man in the last 12 months

36 Trends in HIV prevalence among MSM, countries where data is available, 2002-2011 Sources: Prepared by www.aidsdatahub.org based on Chengdu MSM HIV/AIDS Prevention Team. (2010). Chengdu MSM HIV/AIDS Prevention Situation and Response Analysis. Presented at the Men Who Have Sex with Men and Transgender Populations Multi-City HIV Initiative Meeting; National AIDS Control Organisation India. (2008). HIV Sentinel Surveillance and HIV Estimation in India 2007: A Technical Brief; van Griensven, F., & de Lind van Wijngaarden, J. W. (2010). A review of the epidemiology of HIV infection and prevention responses among MSM in Asia. AIDS, 24, S30-S40; National Epidemiology Center, & Department of Health Philippines. (2002-2011). Integrated HIV Behavioral and Serologic Surveillance; Bureau of Epidemiology, Department of Disease Control, Ministry of Health Thailand. (2010). Prevalence and Incidence of HIV Infections in Thailand (in Thai).; National AIDS Programme Myanmar. (2010). Results of HIV Sentinel Sero-surveillance 2009 Myanmar ; 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.

HIV prevalence among MSM, countries where data is available, 2008-2009 37 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010 Country data are not strictly comparable because methods and sampling varied. In addition, many surveys were conducted in a few large urban areas & it might not necessarily reflect prevailing conditions at the national level.

HIV prevalence among MSM who are <25 years old vs over 25 years old, countries where data is available, 2005-2009 38 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010

39 HIV prevalence among MSM and transgender, selected cities, 2005-2009 Source: Prepared by www.aidsdatahub.org based on WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.; Kanter, J., Koh, C., Razali, K., et al. (2009). Risk Behavior and HIV Prevalence among MSM: A Venue-Based Study in Kuala Lumpur, Malaysia.

Median positivity of active syphilis among sex workers and MSM, East, South and South-East Asia, 2008 and 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. Number of reporting countries – Sex workers  2008 = 13, 2010 = 14 MSM  2008= 11, 2010 = 12

Percentage of sex workers and MSM seropositive for syphilis, 2008-2010 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. * 2007 data, ** 2005 data

Sex Workers

Estimated size and HIV prevalence among sex workers in Asia-Pacific 43 Source: (a) Please see the next slide; (b) UNGASS Country Progress reports 2010 and Global AIDS Response Progress Reports 2012 based on HIV Sentinel Surveillance surveys and Integrated Biological and Behavioural surveys

References , FSW population estimation 44 Chase R, Foran J, Rasheed A, et al. (2008). Mapping and Situation Assessment of Key Populations at High Risk of HIV in Three Cities of Afghanistan. Population Size Estimates for Most at Risk Populations for HIV in Bangladesh, 2009 (Unpublished) National AIDS Authority.(2011).Cambodia Country Profile on HIV and AIDS 2009-2010: Onwards Towards Universal Access UNAIDS China. (2009). China AIDS Fact Sheet 2009 (unpublished) Hong Kong Advisory Council on AIDS. (2006). Report of Community Assessment and Evaluation of HIV Prevention for Commercial Sex Workers and their Clients in Hong Kong 2006. National AIDS Control Organisation India, Department of AIDS Control, & Ministry of Health & Family Welfare. (2011). Annual Report 2010-11. Ministry of Health . (2009). Estimasi Populasi Dewasa Rawan Terinfeksi HIV 2009 ( In Indonesian Language) National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI 2011-2015. Lim HE, Ang CL and Teh YK., Size estimation for Local Responses in Malaysia for HIV Prevention in Sex Work, 2010 (unpublished) cited in Malaysia Global AIDS Response Progress Report 2012 WHO. (2009). HIV/AIDS in the South-East Asia Region 2009. National Committee on HIV/AIDS, UN, & gtz. (2008). Comprehensive Review of the National Response to HIV and STIs in Mongolia. Ministry of Health Myanmar. (2011). Myanmar National Strategic Plan on HIV and AIDS 2011-2015. HIV/AIDS and STI Control Board, & National Centre for AIDS and STD Control. (2011). Mapping and Size Estimation Of Most-At-Risk-Population In Nepal-2011: Vol.3 Female Sex Workers National AIDS Control Program,Ministry of Inter-Provincial Coordination. (2012). Pakistan Global AIDS Response Progress Report 2012 Philippine National AIDS Council. (2011). Estimates of the Most At-Risk Population and People Living with HIV. Asian Development Bank. (2005). Socioeconomic Implications of HIV/AIDS in the Pacific. National STD/AIDS Control Programme. (2012). Sri Lanka Global AIDS Response Progress Report 2012 Sub-Technical Working Group on Projection and Estimation. (2012). Size Estimation for Sex Workers. Unpublished Power Point Presentation at Size Estimation Stake-Holder Seminar January 10th, 2012, Richmond Hotel, Nonthaburi. National AIDS Programme, Ministry of Health as cited in WHO SEARO (2010).Timor Leste: Epidemiological Situation and Health Sector Response Ministry of Health and National Technical Working Group on HIV Estimates and Projections. (2011). Preliminary Viet Nam HIV/AIDS Estimates and Projections 2011 cited in Viet Nam Global AIDS Response Progress Report 2012

45 Trends in HIV prevalence among female sex workers, countries where data is available, 2001-2011 Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs

HIV prevalence among female sex workers, countries where data is available, 2005-2009 46 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010

HIV prevalence among female sex workers, countries where data is available, 2007-2009 47 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010

HIV prevalence among male and female sex workers, countries where data is available, 2007-2009 48 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010 * Kathmandu valley

HIV prevalence among sex workers who are <25 years old vs over 25 years old, countries where data is available, 2007-2009 49 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

Percentage of sex workers who are under 25 years of age, countries where data is available 50 Source: Prepared by www.aidsdatahub.org based on Behavior Surveillance Surveys, Integrate Biological and Behavioural Surveys, HIV Sentinel Surveillance Surveys.

Risk behaviours

Condom use at last sex among key populations at higher risk and use of sterile injecting equipment at last injection among PWID in Asia Pacific 52 * Manipur ** Kathmandu Valley *** Programme monitoring data Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Report s 2005, 2008 & 2010

Percentage of condom use at last sex among key populations at higher risk , 2008-2009 53 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

Percentage of condom use at last sex among people who inject drugs, countries where data is available, 2007-2009 54 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

Percentage of condom use at last sex among people who inject drugs, by age group, countries where data is available, 2007-2009 55 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 *Manipur ** Kathmandu

Percentage of people who inject drugs reported using sterile injecting equipment the last time they injected, by age group, 2007-2009 56 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 *Manipur ** Kathmandu

Percentage of people who inject drugs reported using sterile injecting equipment the last time they injected, by gender, 2007-2009 57 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur

Percentage of condom use at last anal sex with a male partner among MSM, 2008-2009 58 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010 * 2007 data ( Lao PDR- Vientiane city) ** Manipur *** Kathmandu

Trends in percentage of condom use at last anal sex with a male partner among MSM, countries where data is available, 2005-2009 59 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 *2005 = 2004 data (central A) and 2007 = Dhaka and Sylhet ** Hijra sex workers *** 2007 – end project evaluation data & 2009 – program monitoring data

Percentage of condom use at last anal sex with a male partner among MSM, by age group, countries where data is available, 2007-2009 60 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur ** Kathmandu

61 Percentage of active MSMs who are married or reported recent sex with women among selected countries in Asia Source: Prepared by www.aidsdatahub.org based on Data from national behavioural surveillance and Naz Foundation International and Vision 2002; Choi, Liu et al 2003; Colby 2003; Girault, Saidel et al 2004; van Griensven, Thanprasertsuk et al 2004; Pisani and Dili STI survey team 2004a cited in Monitoring the AIDS Pandemic Network. (2004). AIDS in Asia: Face the Facts - A Comprehensive Analysis of the AIDS Epidemic in Asia 2004.

62 Trends in percentage of condom use with the most recent client among female sex workers, East, South East Asia, and Pacific, 2004-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Only among brothel based ; ** Both male and female sex workers ; *** survey was conducted in 5 , 7 and 10 high HIV prevalence provinces/ cities in 2004, 2006, and 2009 respectively

63 Trends in percentage of condom use with the most recent client among female sex workers, South Asia, 2005-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * 2009 – Manipur only

64 Percentage of condom use with the most recent client , female sex workers vs male sex workers, countries where data is available, 2005-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * For male sex workers – condom use at last anal sex with male partner

65 Percentage of condom use at last sex among sex workers, by age group, countries where data is available, 2007-2009 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

Percentage of condom use with the most recent client among female sex workers, male sex workers and transgender, countries where data is available, 2003-2009 Sources: www.aidsdatahub.org based on 1. National Center for HIV/AIDS Dermatology and STDs Cambodia. (2008). Presentation: Behavioral Sentinel Surveillance 2007. 2. Indian Council of Medical Research, FHI, & India AIDS Initiative. (2007). Integrated Behavioural and Biological Assessment: Repeated Surveys to Assess Changes in Behaviours and Prevalence of HIV/STIs in Populations at Risk of HIV- Round 1 (2005-2007). 3. National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2005). HIV Second Surveillance in Pakistan - National Report Round 1 & National AIDS Control Program Pakistan, Canada-Pakistan HIV/AIDS Surveillance Project, & Canadian International Development Agency. (2008). HIV Second Generation Surveillance in Pakistan: National Report Round III, and 4. UNGASS Country Progress Reports 2006,2008 & 2010 * Cambodia TG/ Hijra - with male client * * Nepal male sex workers – condom use at last anal sex with male partner, *** Pakistan TG/Hijra – surveyed years (2005 and 2008), **** India FSW (Manipur) and Hijra/TG (Tamil Nadu)

67 Proportion of female sex workers who ever used drugs and who injected drugs, 2006-2009 Source: Prepared by www.aidsdatahub.org based on Behavior Surveillance Surveys and Integrated Biological and Behavioral Surveillance Surveys * Injected drugs in the last 12 months; ***In the last 3 months and calculated median value; DFSW= direct female sex workers, IDFSW = indirect female sex workers, KTM= Kathmandu; *** ever used drug in the last month and injected drugs in the last 12 months; ++ injected drugs in the last 6 months; + ever injected drugs

Percentage of men reported paying for sex in the last 12 months, countries where data is available, 2003 - 2009 Sources: www.aidsdatahub.org based on 1. FHI, ICDDR, B., & USAID. (2006). Assessment of Sexual Behavior of Men in Bangladesh: A Methodological Experiment, 2. National Institute of Public Health, National Institute of Statistics Cambodia, & ORC Macro. (2006). Cambodia Demographic and Health Survey 2005 , 3. India, NBSS-General Population (2006) and BBS in 6 states (2009) cited in National AIDS Control Organization India. (2010). UNGASS Country Progress Report: India; 4. Ministry of Health and Population Nepal, New ERA, & Macro International Inc. (2007). Nepal Demographic and Health Survey 2006; 5. National Statistics Office Philippines, & ORC Macro. (2004). Philippines National Demographic and Health Survey 2003; 6. Brown, T., Rhujareonpornpanich, O., Peerapatanapokin, W., et al. (2009). Revising HIV Estimates and Projection: Implications of the National Sexual Behavior Survey; and 7. National Institute of Hygiene and Epidemiology Vietnam, ORC Macro, USAID, et al. (2006). Vietnam Population and AIDS Indicator Survey 2005 68 *Thailand, Age Adjusted Data from National Sexual Behaviour Survey (2006)

Vulnerability and HIV knowledge

Percentage of people who inject drugs with comprehensive HIV knowledge, countries where data is available, 2005-2009 70 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur ** Kathmandu

Percentage of people who inject drugs with comprehensive HIV knowledge, by age group and gender, countries where data is available, 2005-2009 71 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur ** Kathmandu

Percentage of MSM with comprehensive HIV knowledge, countries where data is available, 2007-2009 72 East, South-East Asia, and the Pacific South Asia Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

Percentage of MSM with comprehensive HIV knowledge, by age group, countries where data is available, 2005-2009 73 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur

Percentage of sex workers with comprehensive HIV knowledge, countries where data is available, 2007-2009 74 East, South-East Asia, and the Pacific South Asia Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

Percentage of sex workers with comprehensive HIV knowledge, by gender, countries where data is available, 2007-2009 75 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010

Percentage of sex workers with comprehensive HIV knowledge, by age group, countries where data is available, 2005-2009 76 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010 * Manipur

HIV Expenditure

Sources of AIDS Spending

79 Sources of AIDS spending, 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. * 2008 data ** 2007 data

% of domestic AIDS spending, 2008-2009 80 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Proportion of domestic and international funding, low and middle income countries 81 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Trends in domestic/public and international expenditure in million USD in selected Asian countries, 2006-2009 82 Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, Annex II: Country Progress Indicators

Trends in domestic/public and international expenditure in million USD in selected Asian countries, 2006-2009 83 Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, Annex II: Country Progress Indicators

Trends in domestic/public and international expenditure in thousand USD in selected Pacific countries, 2007-2009 84 Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, Annex II: Country Progress Indicators

Total, international and public expenditure in USD, 2006-2009 85 Sources: Prepared by www.aidsdatahub.org based on Spending Indicators from http://www.aidsinfoonline.org/

Spending by Categories

AIDS spending by categories, selected countries 87 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010

Percentage distribution of AIDS spending per key area, ASEAN countries, 2008-2009 88 Source: Prepared by www.aidsdatahub.org based on UNAIDS(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Percentage distribution of AIDS spending per key area, SAARC countries , 2009 89 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Prevention Spending

AIDS spending per component of prevention, selected countries 91 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Report s2010 KPR= key populations at higher risk Mass media refers to communication for Social and Behavioural change

AIDS spending per component of prevention, selected countries 92 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010 KPR= key populations at higher risk

Mother-to-child transmission vs spending on PMTCT, out of total HIV prevention spending 93 Proportion of reported HIV cases attributable to mother-to-child transmission Proportion of spending on PMTCT, out of total HIV prevention spending Source: Prepared by www.aidsdatahub.org based on Reported HIV Cases by National AIDS Programmes and UNAIDS(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Trends in percentage of AIDS spending on prevention, 2006-2009 94 * 2007 = only from public source; 2008 &09 = only from international source Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, Annex II: Country Progress Indicators

Percentage of funding spent for prevention programmes among key populations at higher risk (out of prevention sub-total), 2007-2009 95 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010

Percentage of funding spent for prevention programmes among key populations at higher risk (out of total AIDS spending), 2007-2009 96 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010

Percentage of funding spent for prevention programmes among people who inject drugs, 2007-2009 97 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010

Percentage of funding spent for prevention programmes among MSM, 2007-2009 98 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010

Percentage of funding spent for prevention programmes among sex workers and their clients, 2007-2009 99 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010

HIV prevention spending per capita (USD per person), countries where data is available, 2008-2009 100 Sources: Prepared by www.aidsdatahub.org based on Spending Indicators from http://www.aidsinfoonline.org/

HIV prevention spending per people living with HIV, countries where data is available, 2006-2009 101 Sources: Prepared by www.aidsdatahub.org based on Spending Indicators from http://www.aidsinfoonline.org/

Spending on Care and Treatment

Spending on ART by financing source, 2007-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Spending on ART, Public vs International financing source (by donor) Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Spending on ART, out of total care and treatment spending 105 Sources: Prepared by www.aidsdatahub.org based on Spending Indicators from http://www.aidsinfoonline.org/

Estimated spending per pregnant woman living with HIV on treatment (2007-08) 106 Sources: Prepared by www.aidsdatahub.org based on Spending Indicators from http://www.aidsinfoonline.org/

Trends in percentage of AIDS spending on care and treatment, 2006-2009 107 Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, Annex II: Country Progress Indicators * 2007 = only from public source; 2008 &09 = only from international source

Trends in total amount of AIDS spending (in million USD) on care and treatment, 2006-2009 108 * 2007 = only from public source; 2008 &09 = only from international source Sources: Prepared by www.aidsdatahub.org based on 1. UNGASS Country Progress Reports 2010, and 2. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic, Annex II: Country Progress Indicators Log scale

National response

Coverage and prevention

HIV prevention coverage among people who inject drugs, countries where data is available, 2005-2009 111 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 112 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 113 * 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 115 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 116 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 117 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 119 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 120 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

121 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 125 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 126 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 128 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 129 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 130 * 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 132 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 133 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 134 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.

135 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 136 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 137 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 138 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 140 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 141 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 142 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 143 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 144 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 146 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 147 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.

148 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

149 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 ).

151 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” 152 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 153 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 154 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 156 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 157 Source: Prepared by www.aidsdatahub.org based on WHO. (2011). Global Tuberculosis Control

158 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 159 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

Data Availability

Number of countries with HIV prevalence surveys among key populations at higher risk , in the last 2 years Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance Surveys 161 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 behavioural surveys* among key affected populations, Asia-Pacific, 2009-2011 Source: Prepared by www.aidsdatahub.org based on National Sentinel Surveillance Reports ; Global AIDS Response Progress Reports- Country Reports (2012) ; UNGASS Progress Reports (2010). Afghanistan, Bangladesh, Cambodia, China, India, Indonesia , Lao, Malaysia, Myanmar, Mongolia, Nepal, Pakistan, Philippines, PNG, Singapore, Sri Lanka, Thailand, Timor-Leste, Viet Nam Afghanistan, Bangladesh, Cambodia, China, India, Indonesia , Lao, Malaysia, Myanmar, Mongolia, Nepal, Pakistan, Philippines, PNG, Singapore, Sri Lanka, Thailand, Timor-Leste, Viet Nam d) Afghanistan, Bangladesh, China, India, Indonesia, Lao, Malaysia, Myanmar, Nepal, Pakistan, Philippines, Thailand, Viet Nam g) Bangladesh, Cambodia, China, Fiji, India, Indonesia, Lao, Malaysia, Mongolia, Myanmar, Nepal, Philippines, PNG, Singapore, Sri Lanka, Thailand, Timor-Leste, Viet Nam * Behavioural survey includes both Behavioural Surveillance Surveys (BSS) and Integrated Biological and Behavioural Surveys (IBBS)

Data availability from HIV Sentinel Surveillance Surveys among key populations, Asia-Pacific, 2008-2011 Source: Prepared by www.aidsdatahub.org based on National Sentinel Surveillance Reports ; Global AIDS Response Progress Reports- Country Reports (2012) ; UNGASS Progress Reports (2010).

Percentage of Asia Pacific countries with systematic sero -surveillance conducted among ANC attendees and key populations at higher risk , 2009 164 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

Asia Pacific countries with systematic sero-surveillance conducted among ANC attendees and key populations at higher risk , 2009 165 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

Data availability on HIV sero-surveillance surveys in Asia Pacific 166 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)

Number of countries with selective data available on key populations at higher risk , 2007-2009 167 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010

168 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