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Key Affected Populations

Key Affected Populations. CONTENT. 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

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Key Affected Populations

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  1. Key Affected Populations

  2. CONTENT 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

  3. HIV prevalence and epidemiology

  4. Global and regional HIV and AIDS statistics, 2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

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

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

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

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

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

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

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

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

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

  14. Estimated HIV burden in South-East Asia Region, 2009 Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.

  15. Estimated number of new HIV infections in the South-East Asia Region, 1990–2009 Number of new infections estimated by Spectrum model using surveillance data reported by national AIDS programmes, Member countries of WHO South-East Asia Region Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.

  16. Reported HIV cases by modes of transmissions in selected countries, 2008-2009 * including bisexual ** data not available for homosexual Source: Prepared by www.aidsdatahub.org based on UNGASS country Progress reports 2010

  17. Distribution of reported HIV/AIDS cases by mode of transmission, South-East Asia Region, 2009 Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.

  18. HIV- TB burden, South-East Asia Region, 2009 Source: Prepared by www.aidsdatahub.org based on WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.

  19. Prevalence distribution among key affected populations in Asia, 1990-2020 Source: Prepared by www.aidsdatahub.org based on UNAIDS_Estimates and projections_P.Rao presentation in ICAPP, Bali, August 2009

  20. % of sex workers. MSM and IDU who are under 25 years of age, countries where data is available • MSM = < 20 years old • ** IDUs and MSM = <20-25 years old, calculated median value • *** age range is 19-25 years old Source: Prepared by www.aidsdatahub.org based onBehavior Surveillance Surveys

  21. IDU

  22. Estimated size and HIV prevalence among IDUs in Asia-Pacific Source: (a) Please see the next slide; (b) UNGASS country Progress reports 2010 based on HIV sentinel surveillance surveys

  23. References , IDU populations estimation • Drug use survey in 2005 cited in National AIDS Control Program Afghanistan. (2010). UNGASS Country Progress Report: Afghanistan • Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries. AIDS, Sep;24 Suppl 3:S20-9. • 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 • Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries. AIDS, Sep;24 Suppl 3:S20-9. • UNAIDS China. China AIDS fact sheet 2009 (Unpublished) • Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries. AIDS, Sep;24 Suppl 3:S20-9. • National AIDS Programme, Ministry of Health cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010. • United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS in Asia and the Pacific. (2006). Lao PDR – United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS in Asia and the Pacific Baseline Assessment Dec 2006. • Ministry of Health cited in UNODC, & UNAIDS. (2009). United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS for Asia and the Pacific: Malaysia Country Advocacy Brief- Injecting Drug Use and HIV • Bergenstrom, A. M., & Abdul-Quader, A. S. (2010). Injection drug use, HIV and the current response in selected low-income and middle-income countries. AIDS, Sep;24 Suppl 3:S20-9. • National AIDS Programme Myanmar, & WHO. (2008). Report from the Technical Working Group on Estimation and Projection of HIV and AIDS in Myanmar. • HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007. • National AIDS Control Programme cited in UNODC, & UNAIDS. (2010). United Nations Regional Task Force on Injecting Drug Use and HIV/AIDS for Asia and the Pacific: Pakistan Country Advocacy Brief- Injecting Drug Use and HIV. • Power point presentation of Dr.Samonte G, National Epidemiology Center, Department of Health, Philippines (undated) • 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. • Ibid. • Sharma M, Oppenheimer E, Saidel T, Loo V, Garg R. A situation update on HIV epidemics among people who inject drugs and national responses in South-East Asia Region. AIDS 2009; 23:1405–1413. • 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 • Estimates and projections of HIV/AIDS 2007-2012, Ministry of Health cited in Vietnam Administration of HIV/AIDS Control. (2010). UNGASS Country Progress Report: Vietnam.

  24. Prevalence of injecting drug use among population(15-64), 2001-2007 Source: Prepared by www.aidsdatahub.org based onBergenstorm 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.

  25. HIV prevalence among IDUs, countries where data is available, 2001-2009 Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs

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

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

  28. HIV prevalence among IDUs (15–24)years, India and Myanmar, 2003–2009 Source: Sentinel surveillance reports, National AIDS Programme, Myanmar; Sentinel surveillance reports, National AIDS Control Organization, India cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.

  29. HIV prevalence among IDU, countries where data is available, 2006-2008 Most of the data come from the surveys whose methods & sample size can be highly heterogeneous. In addition, many surveys were conducted in a few large urban areas & it might not necessarily reflect prevailing conditions at the national level. 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

  30. HIV prevalence among IDUs, 2007-2009 Source: WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.

  31. Trends of HIV prevalence among injecting drug users in selected countries, 1994-2007 Source: Prepared by www.aidsdatahub.org based on Commission on AIDS in Asia. (2008). Redefining Aids in Asia: Crafting an Effective Response.

  32. MSM

  33. Estimated size and HIV prevalence among MSM in Asia-Pacific Source: (a) Please see the next slide; (b) UNGASS country Progress reports 2010based on HIV sentinel surveillance surveys

  34. References , MSM population estimation • WHO. (2010). HIV/AIDS among Men Who Have Sex with Men and Transgender Populations in South-East Asia 2010:The Current Situation and National Responses • FHI, USAID, & PRASIT. (2008). Population Size Estimation of MSM in Cambodia, 2008. • UNAIDS China. China AIDS fact sheet 2009 (unpublished) • Hong Kong Advisory Council on AIDS. (2006). Report of Community Assessment and Evaluation of HIV Effort on Men who have Sex with Men in Hong Kong 2006. • National AIDS Control Organization India. (2006). National AIDS Control Programme Phase III (2006-2011) Strategy and Implementation Plan. • National AIDS Programme, Ministry of Health cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010. • Ministry of Health and World Health Organization (2009). Nationalconsensus workshop on estimation and projection of the Malaysian HIV epidemic. Revised version 20th March 2010 cited in AIDS/STD Section Disease Control Division Malaysia. (2010 ). UNGASS Country Progress Report: Malaysia 2010. • WHO. (2009). HIV/AIDS in the South-East Asia Region 2009. • National AIDS Programme Myanmar, & WHO. (2008). Report from the Technical Working Group on Estimation and Projection of HIV and AIDS in Myanmar. • HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007. • Power point presentation of Dr.Samonte G, National Epidemiology Center, Department of Health , Philippines (undated) • WHO. (2010). HIV/AIDS among Men Who Have Sex with Men and Transgender Populations in South-East Asia 2010. • a)FHI, Analysis and Advocacy Project, & Bureau of AIDS TB and STIs Department of Disease Control Ministry of Public Health Thailand. (2008). The Asian Epidemic Model (AEM) Projections for HIV/AIDS in Thailand: 2005-2025 ; b). Winter, S. (2006). Of Transgender and Sin in Asia. Bangkok. Proceedings of the First International Conference of Queer Studies in Asia “Sexualities, Genders and Rights in Asia” Bangkok, July 2005. • Lee, J., Rawstorne, P., & Worth, H. (2008). Behavioural surveillance survey and capacity development in Timor-Leste mapping exercise, National Centre in HIV Social Research, University of New South Wales cited in International HIV Research Group School of Public Health and Community Medicine The University of New South Wales. (2008). Behavioral Surveillance Survey in Timor-Leste, 2008 First Round Results for Men Who Have Sex with Men (MSM). • Estimates and projections of HIV/AIDS 2007-2012, Ministry of Health cited in Vietnam Administration of HIV/AIDS Control. (2010). UNGASS Country Progress Report: Vietnam.

  35. Prevalence of MSM among adult male population, their heterosexual behavior and marital status, 2003-2007 Source: Prepared by www.aidsdatahub.org based onCáceres, 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

  36. % of man who ever had sex with a man, countries where data is available, 2000-2006 * % of man who had sex with a man in the last 12 months 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.

  37. HIV prevalence among MSM, countries where data is available, 2001-2009 Sources: Prepared by www.aidsdatahub.org based on 1. Sentinel Surveillance data Reported by National AIDS programs , and 2. UNAIDS. (2009). AIDS in China: Background Information on the Epidemic and the Response.

  38. Trends in HIV prevalence among MSM, countries where data is available, 2005-2009 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. Source: Prepared by www.aidsdatahub.org based onUNGASS Country Progress Reports 2006, 2008 & 2010

  39. HIV prevalence among MSM, countries where data is available, 2008-2009 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. Source: Prepared by www.aidsdatahub.org based onUNGASS Country Progress Reports 2008 & 2010

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

  41. HIV prevalence among MSM and transgender population, 2007-2009 Source: Sentinel surveillance data reported by National AIDS programs cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.

  42. HIV prevalence among MSM and transgender, selected cities, 2007-2008 Source: Prepared by www.aidsdatahub.org based on WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010.

  43. Trends in HIV prevalence among MSM and transgender persons in selected cities, 2002-2007 TG = Transgender Source: Sentinel surveillance data reported by National AIDS programs cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.

  44. Sex Worker

  45. Estimated size and HIV prevalence among female sex workers in Asia-Pacific Source: (a) Please see the next slide; (b) UNGASS country progress report 2010based on HIV sentinel surveillance surveys

  46. References , FSW population estimation • National AIDS Committee Bangladesh. (2006). UNGASS Indicators Country Progress Report: Bangladesh • HIV estimates and projections 2006 cited in The National AIDS Authority Cambodia. (2010). UNGASS Country Progress Report: Cambodia. • UNAIDS China. 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 Organization India. (2010). UNGASS Country Progress Report: India. • Indonesia_National AIDS Programme, Ministry of Health cited in WHO. (2010). HIV/AIDS in the South-East Asia Region: Progress Report 2010. • WHO and MOH, Estimation and projection of the HIV epidemic in Malaysia, in Report of the National Consensus Workshop, May 2009 ( unpublished) • National Committee on HIV/AIDS, UN, & gtz. (2008). Comprehensive Review of the National Response to HIV and STIs in Mongolia. • National AIDS Programme Myanmar, & WHO. (2008). Report from the Technical Working Group on Estimation and Projection of HIV and AIDS in Myanmar. • HIV/AIDS and STI Control Board National Centre for AIDS and STD Control. (2007). National Estimates of HIV Infections Nepal 2007. • National AIDS Control Program Pakistan. (2010). UNGASS Country Progress Report: Pakistan. • Power point presentation of Dr.Samonte G, National Epidemiology Center, Department of Health , Philippines (undated) • Kaldor, J., Worth, H., Henderson, K., et al. (2006). Impacts of HIV/AIDS 2005–2025 in Papua New Guinea, Indonesia and East Timor: Final Report of HIV Epidemiological Modelling and Impact Study • National STD/AIDS Control Programme Ministry of Healthcare and Nutrition Sri Lanka. (2010). Mapping Key Populations for HIV Prevention in Sri Lanka. • Annual survey of commercial sex establishments (CSE) and sex workers cited in National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand. • Lee, J., Rawstorne, P., & Worth, H. (2008). Behavioural surveillance survey and capacity development in Timor-Leste mapping exercise, National Centre in HIV Social Research,University of New South Wales cited inInternational HIV Research Group School of Public Health and Community Medicine The University of New South Wales. (2008). Behavioral Surveillance Survey in Timor-Leste, 2008 First Round Results for Female Sex Workers (FSW). • Estimates and projections of HIV/AIDS 2007-2012, Ministry of Health cited in Vietnam Administration of HIV/AIDS Control. (2010). UNGASS Country Progress Report: Vietnam.

  47. HIV prevalence among female sex workers, countries where data is available, 2001-2009 Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs

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

  49. HIV prevalence 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

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

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