key affected populations

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HIV and AIDSData Hub for Asia-PacificReview in slides

Key Affected Populations

HIV and AIDS Data Hub for Asia-Pacific

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)

National Response (2005-2009)

- Coverage and Prevention

- HIV Testing

- Care and Treatment

- Monitoring and Evaluation

• Archives

CONTENT

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National response

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Coverage and prevention


Latest!Latest!Latest!Latest!

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


* Manipur



7

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

* Manipur




8

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


9

% of key affected populations reached with prevention programs, 2005*

* Data collection between 2003-2005Source: 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

4 8

15

6911

52

60

7 2

0 10 20 30 40 50 60 70 80 90 100

Bangladesh

Cambodia

India

Indonesia

Nepal

Pakistan

Vietnam

(%)

Sex workers

IDUs

MSM

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HIV testing



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% 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



12

% of key affected populations received an HIV test in the last 12 months and know the results, South Asia, 2008-2009




13

% 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




14

Trends in % of IDU received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009




15

% of MSM received an HIV test in the last 12 months and know the results, countries where data is available, 2008-2009


* Manipur** Kathmandu*** Luang Prabang



16

Trends in % of MSM received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009


* 2009 data = Luang Prabang & 2007 data = Vientiane



17

% of MSM received an HIV test in the last 12 months and know the results, by age group, 2005-2009


*Manipur** Luaung Prabang*** Kathmandu



18

% 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



19

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.



20

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

Nu

mb

er




21

Estimated number of per 1000 adult population who received HIV testing and counseling in the last 12 months, 2009




22

Estimated number of HIV testing and counseling facilities per 100 000 adult population, 2009



23

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


24

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


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Care and treatment



26

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



27

ART scale up in East, South and South-East Asia vs total low-and middle-income countries, 2003-2009




28

Trends in ART coverage among adults and children, East Asia Pacific countries, 2005-2009 (based on Universal Access reports)


*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



29

Trends in ART coverage among adults and children, South Asian countries, 2006-2009 ( based on Universal Access reports)


*Coverage based on WHO 2006 ART initiation guideline** only the range is available for 2009, which is 36-55



30

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 totalData based on country reported figures

in UNGASS 2010 ( coverage based on 2006 WHO ART initiation guideline)



31

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



32

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



33

Estimated ART coverage among adults and children, 2009


* Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350)



34

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




35

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



36

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



37

Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, other East-Asia Pacific countries, 2009




38

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




39

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




40

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




41

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




42

Estimated number of adults and children receiving and needing ART, and ART coverage by region, 2009




43

Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2009


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


44

Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008




45

% 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.



46

Reported number of adults and children receiving ART, 2005-2009




47

Estimated number of AIDS related deaths with and without antiretroviral therapy in Asia, 1996-2008

Nu

mb

er

Source: UNAIDS, & WHO. (2009). AIDS Epidemic Update.



48

% 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



49

% 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

www.aidsdatahub.org

Monitoring and Evaluation



51

% countries with HIV prevalence surveys among key affected populations, in the last 2 years (2009)

No survey= Bhutan, Brunei, Fiji, Hong Kong, Singapore, Timor-Leste, PNG, CambodiaAt least 2 populations = Afghanistan, Lao PDR, Pakistan, MongoliaAll 3 populations = Bangladesh, China, India, Indonesia, Malaysia, Maldives, Myanmar, Nepal, Philippines, Sri Lanka, Thailand, Vietnam

Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs



52

Data availability from sero-surveillance surveys among key affected populations, Asia Pacific, 2007-2009

Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs

a) Afghanistan, Bangladesh, 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, Vietnamg) Bangladesh, 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



53

% 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



54

Asia Pacific countries with systematic sero-surveillance conducted among ANC attendees and key affected populations, 2009


Please see the details (with country names) in next slide



55

Data availability on HIV sero-surveillance surveys in Asia Pacific




56

Number of countries with selective data available on key affected populations, 2007-2009



57

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.


58

Assessment of Monitoring and Evaluation systems according to NCPI responses, South Asia, 2009




59

Assessment of Monitoring and Evaluation systems according to NCPI responses, East Asia & Pacific (non-ASEAN), 2009




60

Assessment of Monitoring and Evaluation systems according to NCPI responses, East Asia & Pacific (non-ASEAN), 2009 (continued)




61

Civil society involvement in the HIV response in Asia Pacific



62

Assessment of Monitoring and Evaluation Systems

Source: UNGASS Country Progress Reports 2008


63

Assessment of Monitoring and Evaluation Systems

Source: UNGASS Country Progress Reports, 2008


64

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

78

78

78

61

50

44

100

100

100

94

94

89

89

50

0 10 20 30 40 50 60 70 80 90 100

A M&E plan of the NSP has been developed

Endorsed by key partners in M&E

Developed in consultation with civil society

Partners have aligned with M&E

The M&E budget is secured

Functional M&E unit

Strategy for data collection and analysis

Well-defined standardized set of indicators

HIV sero-surveillance

Behavioural surveillance

Guidelines on data collection tools

Strategy for assessing data quality

Strategy for data dissemination and use, including yearly publication

National and sub-national database

Percent

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Archives


66

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



67

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


68

% of most-at-risk populations covered by targeted prevention programs in South-east Asia, 2003

1%

MSM covered bypreventionprograms

8%

Risky acts protectedby publicallydistributing condoms

19%

Sex workers coveredby outreachprevention prorams

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.

5.4%

IDUs reached byharm reductionprograms


69

% 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.

39

5449

53

33

54

78

45 47

0

20

40

60

80

100

India 2002 (5 cities) Indonesia 2002-2003 (3 cities)

Vietnam 2006 (Ho Chi Minh City)

(%)

With MSWs With non-MSWs With FSWs


70

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

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