Women, Children and Youth

Slide 1 1 Review in slides Women, Children, and Young People HIV and AIDS Data Hub for Asia-Pacific Slide 2 Content HIV prevalence and epidemiology (1995-2009) Vulnerability and HIV knowledge (2003-2009) Risk behaviors (2003-2009) Economics of AIDS (2005) National Response (2003-2009) Coverage, prevention, care and treatment (Women and children) Women Children Care and treatment (adults) HIV testing Data availability Archives 2 Slide 3 3 HIV prevalence and epidemiology Slide 4 Estimated number of women and adults (15+) living with HIV, Asia Pacific, 1990-2009 Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 Slide 5 Estimated proportion of adults (15-49) living with HIV by gender, Asia Pacifc, 1990-2009 Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 Slide 6 Estimated proportion of female (15+) living with HIV among adults, 1990-2009, ASEAN countries and Papua New Guinea Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 ASEAN = Association of Southeast Asian Nations Slide 7 Estimated proportion of female (15+) living with HIV among adults, 1990-2009, SAARC countries Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 SAARC = South Asian Association for Regional Cooperation Slide 8 Estimated proportion of female (15+) living with HIV among adults, 1990-2009, high-income countries (Asia) Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 Slide 9 Trends of HIV prevalence among ante-natal clinic attendees in selected countries, 1995-2009 Source: www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS Programs Slide 10 Women as proportion of adults (15-49) infected with HIV (among reported cases), countries where data is available, 2002-2009 10 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2003 and 2010 Slide 11 Syphilis prevalence among ANC attendees, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Slide 12 % of infants born to HIV-infected mothers who are infected, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Reports_ 2006, 2008 & 2010 Slide 13 HIV prevalence among IDUs (15–24)years, India and Myanmar, 2003–2009 Source: Myanmar , National AIDS Programme,Sentinel Surveillance Reports;India , National AIDS Control Organization, Sentinel Surveillance Reports cited In WHO_HIV In South- East Asia Region: Progress Report 2010 Slide 14 HIV prevalence among female sex worker (15–24)years, India and Myanmar, 2003–2009 Source: Myanmar , National AIDS Programme,Sentinel Surveillance Reports; India , National AIDS Control Organization, Sentinel Surveillance Reports cited In WHO_HIV In South- East Asia Region: Progress Report 2010 Slide 15 HIV prevalence among young people (15-24) in selected countries, 2005-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010 Slide 16 HIV prevalence among young people (15-24), selected countries, 2005-2009 16 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010 Slide 17 % 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: www.aidsdatahub.org based on Behavior Surveillance Surveys Slide 18 HIV prevalence among most at risk young people in selected countries, 2006-2008 18 Source: www.aidsdatahub.org based on Myanmar_HSS 2008, Indonesia_IBBS 2007, Pakistan_UNGASS Country Progress Report, 2008, Cambodia_HSS 2006 Slide 19 19 Slide 20 20 HIV prevalence among young people (15-24) by sex, 2007 Source: www.aidsdatahub.org based on UNAIDS Report on the Global AIDS Epidemics, 2008 * * Refers to <0.1 HIV prevalence by age at first sex, Papua, Indonesia, 2006 Source: Risk Behavior and HIV Prevalence in Tanah Papua, 2006 Slide 21 21 Vulnerability and HIV knowledge Slide 22 % of young people (15-24) years with comprehensive HIV knowledge, countries where data is available, 2005-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010 * Tamil Nadu only ; ** 17-19 years old; *** 18 -24 years old. Note: Comprehensive knowledge of HIV: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Slide 23 % of adult and young people (15-24) with comprehensive HIV knowledge, selected countries, 2007-2008 23 Source: www.aidsdatahub.org based On Demographic and Health Surveys Slide 24 24 % of women and men (15-49) with comprehensive knowledge of HIV, 2005-2006 (%) Note: Comprehensive knowledge of HIV: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Source: www.aidsdatahub.org based on Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 25 25 50 20 5 21 28 8 4 42 45 36 3 24 44 12 7 50 0 50 100 Urban Rural Cambodia 2005 India 2005-2006 Mongolia 2005 Myanmar 2003 Nepal 2006 Papua New Guinea 2004-2005 Vietnam 2005 Female Male % of young women and men (15-24) with comprehensive knowledge of HIV, 2003-2006 Source: www.aidsdatahub.org based on Cambodia Demographic and Health Survey 2005; Indonesia UNGASS Country Report 2003; India National Family Health Survey, 2005-2006; Mongolia STI/HIV/AIDS KAP Survey among Youth in Mongolia 2005, Myanmar Behavior Surveillance Survey 2003 General Population and Youth; Nepal Demographic and Health Survey 2006; PNG UNGASS Country Report 2004-2005; Vietnam AIDS Indicator Surveys 2005. (%) Note: Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Slide 26 26 % of young women and men (15-24) who know a source of condom, 2005-2006 (%) Source: www.aidsdatahub.org based on Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Vietnam AIDS Indicator Survey 2005. Slide 27 27 Risk behaviours Slide 28 % of young people (15-24) who had sex before the age of 15, countries where data is available, 2001-2009 Source: www.aidsdatahub.org based on DHS and Youth Surveys Reported In UNGASS Country Progress Reports 2006,2008 & 2010 + program based end line national survey ; * Though 2009 BSS was done in 6 states, data is available only for Tamil Nadu and not presented in this slide Slide 29 % of adult and young people who had sex with non-marital, non-cohabiting partner in the last 12 months, 2007-2008 29 Source: www.aidsdatahub.org based on Demographic And Health Surveys * Only among those who had sex in the last 12 months Slide 30 % of men reported paying for sex in the last 12 months, countries where data is available, 2005-2006 Source: www.aidsdatahub.org based on DHS ( Cambodia, India, Nepal, Philippines, Vietnam); Thailand_National Sexual Behaviour Survey, 2006 Slide 31 % of adults (15-49) who had more than one sexual partner in the last 12 months, countries where data is available , 1999-2007 Source: www.aidsdatahub.org based on DHS and Behaviour Surveillance Surveys reported in UNGASS Country Progress Reports 2006,2008 & 2010 * Though 2009 BSS was done in 6 states, data is available only for Tamil Nadu and not presented in this slide ; ** only the male respondents were asked Slide 32 % of adults (15-49) who had more than one sexual partner in the last 12 months reported condom use at last sex, countries where data is available 2005-2007 Source: www.aidsdatahub.org based on DHS and Behaviour surveillance surveys reported in UNGASS country Progress Reports 2006,2008 & 2010 * Very small sample size among female; Myanmar 0 (numerator) / 8 (denominator) ; PNG 0 (numerator) / 1 (denominator) Slide 33 33 % of women and men (15-24) who reported higher-risk sex in the last 12 months, 2005-2006 Source: www.aidsdatahub.org based on Thailand National Sexual Behavior Survey, 2006; Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Maldives Reproductive Health Survey 2004; Nepal Demographic and Health Survey 2006; PNG Institute of Medical Research and UNICEF 2003; Vietnam AIDS Indicator Survey 2005. 51 36 26 14 19 25 21 33 0.5 0.4 5 14 0.7 0 50 100 Thailand Cambodia India Maldives Nepal PNG Vietnam Male Female (%) Note: Higher-risk sexual intercourse refer to sex with a partner who was neither a spouse nor who lived with the respondent Slide 34 34 % of young women and men (15-24) who reported the use of a condom during last higher-risk sex, 2005-2006 Note: Higher-risk sexual intercourse refer to with a partner who was neither a spouse nor who lived with the respondent (%) 65.6 36.5 58.5 55.0 78.4 67.6 42.1 84.4 22.2 34.6 0 50 100 Thailand Cambodia India Mongolia Myanmar Nepal Vietnam Male Female Source: www.aidsdatahub.org based on Thailand National Sexual Behavior Survey, 2006; Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Mongolia STI/HIV/AIDS KAP Survey among Youth in Mongolia; Myanmar Behavior Surveillance Survey 2003 General Population and Youth; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Surveys 2005. Slide 35 35 Economics of AIDS Slide 36 36 AIDS spending per component of prevention, selected countries Source: UNGASS Country Progress Reports 2010 KAPs= Key Affected Populations Slide 37 37 Costed national HIV and AIDS programs, 2005-2010 Source: www.aidsdatahub.org based on UNICEF A Profile of UNICEF’s Response in East Asia and the Pacific 2007 (US$) Slide 38 38 Estimated and projected resource needs in Asia-Pacific region, 2005-2015 Source: www.aidsdatahub.org based on UNICEF, Global Campaign on children and AIDS, A Profile of UNICEF’s Response in East Asia and the Pacific 2007 Year Slide 39 39 National response Slide 40 40 Coverage, prevention, care and treatment (Women and children) Slide 41 41 Women Slide 42 ANC and HIV testing coverage, ART coverage to prevent mother-to-child transmission, and national ART coverage among women , SAARC Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 ; National Surveys Cited In WHO And UNICEF _Countdown to 2015 Decade Report ( 2000-2010): Taking Stock Of Maternal , Newborn and Child Survival 2009 ; Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 And UNGASS Country Progress Report 2010 Slide 43 ANC and HIV testing coverage, ART coverage to prevent mother-to-child transmission, and national ART coverage among women , ASEAN 43 Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 ; National Surveys Cited In WHO and UNICEF _Countdown to 2015 Decade Report ( 2000-2010): Taking Stock of Maternal , Newborn And Child Survival 2009 ; Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In the Health Sector, 2010 And UNGASS Country Progress Report 2010: WHO_World Health Statistics 2010 Slide 44 ANC and HIV testing coverage, ART coverage to prevent mother-to-child transmission, and national ART coverage among women , East Asia and Pacific ( non-ASEAN) 44 Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 ; National Surveys Cited In WHO and UNICEF _Countdown to 2015 Decade Report ( 2000-2010): Taking Stock of Maternal , Newborn and Child Survival 2009 ; Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 And UNGASS Country Progress Report 2010: WHO_World Health Statistics 2010 Slide 45 Antenatal care coverage, 2003-2008 Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 Slide 46 Antenatal care coverage at 4 or more visits, multiple countries Asia-Pacific (countries where data is available) Source: Prepared by www.aidsdatahub.org based on National Surveys cited in WHO and UNICEF - Countdown to 2015 Decade report ( 2000-2010) : Taking Stock Of Maternal , Newborn And Child Survival 2009 Slide 47 Estimated number of HIV + pregnant women needing and receiving ART for PMTCT in East, South and South-East Asia vs total low-and middle-income countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the Health Sector, 2010 Slide 48 Estimated number of pregnant women needing and receiving ARVs for PMTCT, and PMTCT coverage, by region, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in The Health Sector, 2010 Slide 49 PMTCT coverage in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 50 PMTCT coverage among selected ASEAN countries, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010 * Data from PMTCT register and ANC estimates Slide 51 PMTCT coverage among selected countries in East & South Asia and the Pacific, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010 Slide 52 PMTCT coverage, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports_2006, 2008 & 2010 Slide 53 % distribution of countries by most commonly used PMTCT ARV regimen, Asia Pacific, 2009 China, Malaysia, PNG Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Afghanistan, DPRK, Fiji, Japan, Mongolia, Maldives, Pakistan, Republic of Korea, Timor-Leste Lao PDR, Singapore, Sri Lanka Slide 54 Proportion of different ARV regimens for pregnant women to reduce the risk of mother to child transmission, 2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2010; Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) * In Universal access country response questionnaire, most commonly used ART regimen is reported as combination of 3 ARVs Slide 55 Proportion of different ART regimes for pregnant women to reduce the risk of mother to child transmission, 2008 55 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 56 % of HIV + pregnant women assessed for ART eligibility through clinical staging or CD4 testing, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 57 % of HIV positive pregnant women receiving ART for their own health, 2008 57 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 58 % of HIV + pregnant women received ART for PMTCT, 2004-2008 58 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 59 Estimated high and low percentage of pregnant women living with HIV who received ART for preventing mother-to-child transmission, 2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 60 60 % of HIV+ pregnant women who received ART to prevent mother-to-child transmission, 2007 Source: www.aidsdatahub.org based on UNAIDS, Report on the Global AIDS Epidemic, 2008 Note: % refers to the average of the low and high estimation Slide 61 % distribution ANC facilities providing selected services to pregnant women for HIV prevention and testing, East Asia and Pacific, 2008 61 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 62 % distribution of ANC facilities providing selected services to pregnant women for HIV prevention and testing, South Asia vs. East Asia and Pacific, 2008 62 Source: www.aidsdatahub.org based On Universal Access Health Sector Response, 2009 Slide 63 % distribution of ANC facilities providing selected services to pregnant women for HIV prevention and testing, South Asia, 2008 63 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 64 64 % of women (15-49) who delivered in a health facility, 2004-2007 8.8 21.8 38 20.7 32.5 98.2 42 9.3 21.5 38.7 17.7 34.2 63.8 96.7 0 50 100 Bangladesh 2004 Cambodia 2005 India 2006 Nepal 2006-2007 Pakistan 2007-2007 Thailand 2005-2006 Vietnam 2006 15-19 yrs. 15-49 yrs. (%) Source: www.aidsdatahub.org based on Bangladesh DHS 2004; Cambodia DHS 2005; India NFHS 2006; Nepal DHS 2006-2007; Pakistan DHS 2006-2007; Thailand MICS 3; Vietnam MICS 3 Health facility refers to Public sector, NGO/Trust sector, and Private sector Slide 65 65 12.7 44.2 47.2 22.1 38.8 98.1 71 13.4 43.8 46.6 18.7 38.8 97.3 87.7 0 50 100 Bangladesh 2004 Cambodia 2005 India 2006 Nepal 2006-2007 Pakistan 2006-2007 Thailand 2005 Vietnam 2006 15-19 yrs. 15-49 yrs. (%) % of women (15-49) assisted by trained health personnel during delivery Health personnel refers to Doctor, Nurse, Midwife, and other health personnel Source: www.aidsdatahub.org based on Bangladesh DHS 2004; Cambodia DHS 2005; India NFHS 2006; Nepal DHS 2006-2007; Pakistan DHS 2006-2007; Thailand MICS 3; Vietnam MICS 3. Slide 66 66 Children Slide 67 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, who receive CTX prophylaxis, HIV test and ART coverage among children (0-14), SAARC 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 CTX = Cotrimoxazole Slide 68 68 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, who receive CTX prophylaxis, HIV test and ART coverage among children (0-14), ASEAN 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 69 69 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, who receive CTX prophylaxis, HIV test and ART coverage among children (0-14), East Asia and Pacific (non-ASEAN) 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 70 % of infants born to HIV + mother received ART for PMTCT in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 71 Coverage of ART prophylaxis among infants born to HIV+ mother, 2007-2008 71 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 72 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, 2009 * 2008 data Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 73 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission and those who receive HIV test within 12 months, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 74 % of infants born to HIV + mother receive Cotrimoxazole propylaxis within 2 months of birth, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * 2008 data ; ** 2007 data Slide 75 Estimated % of infants born to women living with HIV who have received ART for PMTCT and Co-trimoxazole prophylaxis, 2008 75 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in The Health Sector_ Progress Report, 2009 Slide 76 Proportion of different ART regimens for infants born to HIV + mother to reduce the risk of mother-to-child transmission, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 77 Distribution of feeding practices among infants born to HIV + mother at DPT 3 (vaccination) visit, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 78 Estimated number of children (0-14) needing and receiving ART in East, South and South-East Asia vs total low-and middle-income countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 79 Estimated ART coverage among children (0-14) in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 80 Estimated number of children receiving and needing ART , and ART coverage by region, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 81 Estimated ART coverage among children (0-14) vs adults, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350) ** Based on unrounded number of people receiving and needing ART Slide 82 High and low estimates of the percentage of HIV positive children in need receiving ART, 2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 83 % distribution of HIV positive male and female children (0-14 years) who received ART, 2008 83 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 84 Estimated number of infant infections at current level of antiretroviral prophylaxis and without antiretroviral prophylaxis in Asia, 1996-2008 Number Source: www.aidsdatahub.org based on UNAIDS_AIDS Epidemic Update, December 2009 Slide 85 % of national health facilities providing ART which also provide paediatric ART, South Asia vs. East Asia and Pacific, 2008 85 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 86 % of national health facilities providing ART which also provide paediatric ART, East Asia and Pacific, 2008 86 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 87 % of national health facilities providing ART which also provide paediatric ART, South Asia, 2008 87 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 88 % of schools that provided life skills-based HIV education within the last academic year, countries, where data is available, 2007-2009 88 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010 * Life skills through personal development curriculum is compulsory Slide 89 Current school attendance among orphans and among non-orphans aged 0-14 Source: www.aidsdatahub.org based on Demographic and Health Surveys & Multiple Indicators Cluster Surveys reported in UNGASS country Progress reports 2008 & 2010 Slide 90 90 Care and treatment (adults) Slide 91 ART scale up in East, South and South-East Asia, 2003-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 Slide 92 ART scale up in East, South and South-East Asia vs total low-and middle-income countries, 2003-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 Slide 93 Trends in ART coverage among adults and children, East Asia Pacific countries, 2005-2009 ( based on Universal Access reports) Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 *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 ) Slide 94 Trends in ART coverage among adults and children, South Asian countries, 2006-2009 ( based on Universal Access reports) Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 *Coverage based on WHO 2006 ART initiation guideline ** only the range is available for 2009, which is 36-55 Slide 95 ART coverage by gender, countries where data is available, 2009 Source: www.aidsdatahub.org based on UNGASS country progress reports 2010 * sex-disaggregated denominator not available and calculation is based on total Data based on country reported figures in UNGASS 2010 ( coverage based on 2006 WHO ART initiation guideline) Slide 96 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2010 ART coverage among adults (>15 years) vs children (<15 years), countries where data is available, 2009 Slide 97 Trends in ART coverage among adults (>15 years) vs children (<15 years), countries where data is available 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2006 -2010 Slide 98 Estimated ART coverage among adults and children, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350) Slide 99 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 100 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, ASEAN countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Slide 101 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, SAARC countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Slide 102 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, other East-Asia Pacific countries, 2009 Slide 103 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 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 104 Estimated ART coverage among adults and children in East, South and South-East Asia vs total low-and middle-income countries, 2008-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 105 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 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 106 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 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 107 Estimated ART coverage among adult and children, 2006-2008 107 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 108 Estimated number of adults and children receiving and needing ART, and ART coverage by region, 2009 108 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 109 Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 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 Slide 110 Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 111 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2008 % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008 Slide 112 Reported number of adults and children receiving ART, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 Slide 113 Estimated number of AIDS related deaths with and without antiretroviral therapy in Asia, 1996-2008 Number Source: UNAIDS_AIDS Epidemic Update, December 2009 Slide 114 % of estimated HIV-positive incident TB cases that received treatment for TB and HIV, countries where data is available, 2007-2009 Source: 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 Slide 115 % distribution of HIV positive males and females receiving ART, 2008 Source : www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 116 % of retention on ART at 12,24,36 and 48 months, 2008 116 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 117 117 Source: www.aidsdatahub.org based on UNAIDS, UNGASS Country Reports, 2008 % of adults and children with HIV known to be on treatment 12 months after the initiation of antiretroviral therapy, 2006-2007 Slide 118 118 HIV testing Slide 119 % of adults (15-49) who received HIV test in the last 12 months and knew the result, countries where data is available, 2005-2009 Source: www.aidsdatahub.org based on UNGASS country Progress reports 2006, 2008 & 2010 * Manipur only; ** data from 3 cities . Denominator = # of surveyed respondents aged 15-49 + VCT registration data 11722(knew the result) / 43598 (tested) ++ data from voluntary screening Slide 120 % of pregnant women who received an HIV test in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 121 Coverage of syphilis screening among antenatal clinic attendees, selected countries, South-East Asia Region, 2006–2009 Source: Country Posters Presented At South-east Asia Region Programme Manager Meeting, New Delhi, India, 26–28 October 2010 cited in WHO_HIV in South- East Asia Region: Progress Report 2010 Slide 122 % of pregnant women who received HIV test, 2004-2008 122 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 123 Number and % of pregnant women tested for HIV in the last 12 months and received the results, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 124 % of pregnant women tested for HIV in the last 12 months and received the results, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 125 % distribution of pregnant women tested for HIV in the last 12 months and received the results- during ANC vs during labour and delivery, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 126 Estimated % of pregnant women tested for HIV, 2008 126 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 127 % of infants born to HIV + mother receive HIV test within 12 months, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 128 % of infants born to HIV infected women who received HIV test within 12 months, 2008 128 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 129 % distribution of countries with Dried Blood Spot (DBS) technology available for PMTCT and Paediatric HIV care, Asia Pacific, 2009 7 countries = Brunei, China, Cambodia, India, PNG, Thailand, Vietnam 11 countries = Afghanistan, Bangladesh, Bhutan, Fiji, Indonesia,LaoPDR, Myanmar, Nepal, Philippines, Singapore, Sri Lanka 8 countries = DPR Korea, Japan, Malaysia, Maldives, Mongolia, Pakistan, Republic of Korea, Timor Leste Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not yet included in the published report) Slide 130 % distribution of countries providing HIV virological testing services on site or through Dried Blood Spot, South Asia, 2007 & 2008 2007 2008 130 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 131 % distribution of countries providing virological testing services on site or through Dried Blood Spot, East Asia and Pacific, 2007 & 2008 2007 2008 131 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 132 Total number of health facilities vs availability of HIV testing and ART services Number Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 133 Estimated number of per 1000 adult population who received HIV testing and counseling in the last 12 months, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 134 Estimated number of HIV testing and counseling facilities per 100 000 adult population, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 135 Total population ≥ 15 years per testing and counseling facility, 2007-2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 136 Number of HIV tests per 1000 people ≥ 15 years, 2007-2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 137 137 Data availability Slide 138 Asia Pacific countries with HIV surveillance among ANC attendees, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 * Routine testing Slide 139 Data availability of selected indicators on PMTCT and Paediatric HIV, 2009 Bangladesh, Bhutan, Cambodia, China, Fiji, India, Indonesia, Lao, Malaysia, Maldives, Mongolia, Myanmar, Nepal, Pakistan, PNG, Philippines, Sri Lanka, Thailand, Vietnam Bangladesh, Bhutan, Cambodia, China, Fiji, India, Indonesia, Lao, Malaysia, Maldives, Mongolia, Myanmar, Nepal, Pakistan, PNG, Philippines, Sri Lanka, Thailand, Vietnam Bangladesh, China, Cambodia, Fiji, India, Indonesia, Lao PDR, Malaysia, Maldives, Myanmar, Nepal, Pakistan, PNG, Philippines, Sri Lanka, Timor-Leste, Thailand, Vietnam Brunei, Cambodia, Malaysia, Myanmar, Nepal, PNG, Philippines, Thailand, Vietnam Denominator = 26 countries in Asia -Pacific Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 140 Estimated number of pregnant women living with HIV needing and receiving ARVs for prevention of mother-to-child transmission, 2009 Source: Complied by www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * Based on UNAIDS/WHO methods Slide 141 Estimated number of HIV + children needing and receiving ART, 2009 Prepared by www.aidsdatahub.org * Based on UNAIDS/WHO methods Slide 142 Assessment of behaviors and interventions being planned/underway/conducted for prevention of HIV Source: Prepared by www.aidsdatahub.org based on UNICEF data inputs for HIV & AIDS Chiefs and Specialists Meeting for Scaling up 4 Ps, 17-20th November, 2009 MARA= Most at risk adolescents, MARYP= Most at risk young people Slide 143 143 Archives Slide 144 144 HIV prevalence and epidemiology Slide 145 145 Child deaths caused by AIDS, 2001 2,250 1,010 300 0 0 1,500 0 2,750 490 50 0 335 445 50 0 50 0 500 1,000 1,500 2,000 2,500 3,000 Cambodia China Indonesia Lao PDR Malaysia Myanmar Philippines Thailand Vietnam Bangladesh India Nepal Pakistan Sri Lanka Fiji PNG (Number) Source: ADB, Socio Economic Impact of HIV/AIDS in Asia and the Pacific, Current and Future Scenarios, 2004 Slide 146 146 Vulnerability and HIV knowledge Slide 147 147 % of women and men (15-49) who would like to care for a family member with HIV, 2005-2006 77 75 94 93 83 77 96 96 0 50 100 Cambodia DHS 2005 India NFHS 2005-2006 Nepal DHS 2006 Vietnam AIS 2005 Female Male (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 148 148 % of young women and men (15-24) who would like to care for a family member with HIV, 2005-2006 81 77 94 93 88 79 96 97 0 50 100 Cambodia DHS 2005 India NFHS 2005-2006 Nepal DHS 2006 Vietnam AIS 2005 Female Male (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 149 149 % of women and men (15-49) would buy fresh vegetable from shopkeeper with HIV, 2005-2006 (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 150 150 % of young women and men (15-24) who would buy fresh vegetable from shopkeeper with HIV, 2005-2006 76 66 77 58 80 67 80 61 0 50 100 Cambodia DHS 2005 India NFHS 2005-2006 Nepal DHS 2006 Vietnam AIS 2005 Female Male (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 151 151 % of women and me (15-49) who agree that a female teacher with HIV should be allowed to continue teaching, 2005-2006 (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 152 152 % of young women and men (15-24) who agree that a female teacher with HIV should be allowed to continue teaching, 2005-2006 (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 153 153 HIV/AIDS finances and socio-economics & National response Slide 154 154 Reduced life expectancy due to AIDS (in years) for various countries in Asia, 2005 (Years) 0.1 0.5 0.5 0.5 1.0 1.0 1.7 3.0 0 1 2 3 4 China Viet Nam Nepal Malaysia Thailand India Myanmar Cambodia Source: Background study on socioeconomic impact for the Commission. Cited from UNAIDS, 2008, Report of the commission on AIDS in Asia Slide 155 155 Orphan school attendance ratio, 2000-2006 *Data refer to the most recent year available during the period specified in the cell. Slide 156 156 Projected total AIDS orphans by country in 2010 Source: Policy, HIV/AIDS in the Mekong Region, Cambodia, Lao PDR, Thailand, & Vietnam, June 2003 Slide 157 157 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

Slide 1 1 Review in slides Women, Children, and Young People HIV and AIDS Data Hub for Asia-Pacific Slide 2 Content HIV prevalence and epidemiology (1995-2009) Vulnerability and HIV knowledge (2003-2009) Risk behaviors (2003-2009) Economics of AIDS (2005) National Response (2003-2009) Coverage, prevention, care and treatment (Women and children) Women Children Care and treatment (adults) HIV testing Data availability Archives 2 Slide 3 3 Economics of AIDS Slide 4 4 AIDS spending per component of prevention, selected countries Source: UNGASS Country Progress Reports 2010 KAPs= Key Affected Populations Slide 5 5 Costed national HIV and AIDS programs, 2005-2010 Source: www.aidsdatahub.org based on UNICEF A Profile of UNICEF’s Response in East Asia and the Pacific 2007 (US$) Slide 6 6 Estimated and projected resource needs in Asia-Pacific region, 2005-2015 Source: www.aidsdatahub.org based on UNICEF, Global Campaign on children and AIDS, A Profile of UNICEF’s Response in East Asia and the Pacific 2007 Year Slide 7 7 Archives Slide 8 8 HIV/AIDS finances and socio-economics & National response Slide 9 9 Reduced life expectancy due to AIDS (in years) for various countries in Asia, 2005 (Years) 0.1 0.5 0.5 0.5 1.0 1.0 1.7 3.0 0 1 2 3 4 China Viet Nam Nepal Malaysia Thailand India Myanmar Cambodia Source: Background study on socioeconomic impact for the Commission. Cited from UNAIDS, 2008, Report of the commission on AIDS in Asia Slide 10 10 Orphan school attendance ratio, 2000-2006 *Data refer to the most recent year available during the period specified in the cell. Slide 11 11 Projected total AIDS orphans by country in 2010 Source: Policy, HIV/AIDS in the Mekong Region, Cambodia, Lao PDR, Thailand, & Vietnam, June 2003 Slide 12 12 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

Slide 1 1 Review in slides Women, Children, and Young People HIV and AIDS Data Hub for Asia-Pacific Slide 2 Content HIV prevalence and epidemiology (1995-2009) Vulnerability and HIV knowledge (2003-2009) Risk behaviors (2003-2009) Economics of AIDS (2005) National Response (2003-2009) Coverage, prevention, care and treatment (Women and children) Women Children Care and treatment (adults) HIV testing Data availability Archives 2 Slide 3 3 HIV prevalence and epidemiology Slide 4 Estimated number of women and adults (15+) living with HIV, Asia Pacific, 1990-2009 Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 Slide 5 Estimated proportion of adults (15-49) living with HIV by gender, Asia Pacifc, 1990-2009 Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 Slide 6 Estimated proportion of female (15+) living with HIV among adults, 1990-2009, ASEAN countries and Papua New Guinea Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 ASEAN = Association of Southeast Asian Nations Slide 7 Estimated proportion of female (15+) living with HIV among adults, 1990-2009, SAARC countries Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 SAARC = South Asian Association for Regional Cooperation Slide 8 Estimated proportion of female (15+) living with HIV among adults, 1990-2009, high-income countries (Asia) Source: www.aidsdatahub.org based on UNAIDS_Global Report 2010 Slide 9 Trends of HIV prevalence among ante-natal clinic attendees in selected countries, 1995-2009 Source: www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS Programs Slide 10 Women as proportion of adults (15-49) infected with HIV (among reported cases), countries where data is available, 2002-2009 10 Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2003 and 2010 Slide 11 Syphilis prevalence among ANC attendees, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Slide 12 % of infants born to HIV-infected mothers who are infected, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Reports_ 2006, 2008 & 2010 Slide 13 HIV prevalence among IDUs (15–24)years, India and Myanmar, 2003–2009 Source: Myanmar , National AIDS Programme,Sentinel Surveillance Reports;India , National AIDS Control Organization, Sentinel Surveillance Reports cited In WHO_HIV In South- East Asia Region: Progress Report 2010 Slide 14 HIV prevalence among female sex worker (15–24)years, India and Myanmar, 2003–2009 Source: Myanmar , National AIDS Programme,Sentinel Surveillance Reports; India , National AIDS Control Organization, Sentinel Surveillance Reports cited In WHO_HIV In South- East Asia Region: Progress Report 2010 Slide 15 HIV prevalence among young people (15-24) in selected countries, 2005-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010 Slide 16 HIV prevalence among young people (15-24), selected countries, 2005-2009 16 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010 Slide 17 % 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: www.aidsdatahub.org based on Behavior Surveillance Surveys Slide 18 HIV prevalence among most at risk young people in selected countries, 2006-2008 18 Source: www.aidsdatahub.org based on Myanmar_HSS 2008, Indonesia_IBBS 2007, Pakistan_UNGASS Country Progress Report, 2008, Cambodia_HSS 2006 Slide 19 19 Slide 20 20 HIV prevalence among young people (15-24) by sex, 2007 Source: www.aidsdatahub.org based on UNAIDS Report on the Global AIDS Epidemics, 2008 * * Refers to <0.1 HIV prevalence by age at first sex, Papua, Indonesia, 2006 Source: Risk Behavior and HIV Prevalence in Tanah Papua, 2006 Slide 21 21 Archives Slide 22 22 HIV prevalence and epidemiology Slide 23 23 Child deaths caused by AIDS, 2001 2,250 1,010 300 0 0 1,500 0 2,750 490 50 0 335 445 50 0 50 0 500 1,000 1,500 2,000 2,500 3,000 Cambodia China Indonesia Lao PDR Malaysia Myanmar Philippines Thailand Vietnam Bangladesh India Nepal Pakistan Sri Lanka Fiji PNG (Number) Source: ADB, Socio Economic Impact of HIV/AIDS in Asia and the Pacific, Current and Future Scenarios, 2004 Slide 24 24 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

Slide 1 1 Review in slides Women, Children, and Young People HIV and AIDS Data Hub for Asia-Pacific Slide 2 Content HIV prevalence and epidemiology (1995-2009) Vulnerability and HIV knowledge (2003-2009) Risk behaviors (2003-2009) Economics of AIDS (2005) National Response (2003-2009) Coverage, prevention, care and treatment (Women and children) Women Children Care and treatment (adults) HIV testing Data availability Archives 2 Slide 3 3 National response Slide 4 4 Coverage, prevention, care and treatment (Women and children) Slide 5 5 Women Slide 6 ANC and HIV testing coverage, ART coverage to prevent mother-to-child transmission, and national ART coverage among women , SAARC Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 ; National Surveys Cited In WHO And UNICEF _Countdown to 2015 Decade Report ( 2000-2010): Taking Stock Of Maternal , Newborn and Child Survival 2009 ; Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 And UNGASS Country Progress Report 2010 Slide 7 ANC and HIV testing coverage, ART coverage to prevent mother-to-child transmission, and national ART coverage among women , ASEAN 7 Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 ; National Surveys Cited In WHO and UNICEF _Countdown to 2015 Decade Report ( 2000-2010): Taking Stock of Maternal , Newborn And Child Survival 2009 ; Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In the Health Sector, 2010 And UNGASS Country Progress Report 2010: WHO_World Health Statistics 2010 Slide 8 ANC and HIV testing coverage, ART coverage to prevent mother-to-child transmission, and national ART coverage among women , East Asia and Pacific ( non-ASEAN) 8 Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 ; National Surveys Cited In WHO and UNICEF _Countdown to 2015 Decade Report ( 2000-2010): Taking Stock of Maternal , Newborn and Child Survival 2009 ; Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 And UNGASS Country Progress Report 2010: WHO_World Health Statistics 2010 Slide 9 Antenatal care coverage, 2003-2008 Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009 Slide 10 Antenatal care coverage at 4 or more visits, multiple countries Asia-Pacific (countries where data is available) Source: Prepared by www.aidsdatahub.org based on National Surveys cited in WHO and UNICEF - Countdown to 2015 Decade report ( 2000-2010) : Taking Stock Of Maternal , Newborn And Child Survival 2009 Slide 11 Estimated number of HIV + pregnant women needing and receiving ART for PMTCT in East, South and South-East Asia vs total low-and middle-income countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the Health Sector, 2010 Slide 12 Estimated number of pregnant women needing and receiving ARVs for PMTCT, and PMTCT coverage, by region, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in The Health Sector, 2010 Slide 13 PMTCT coverage in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 14 PMTCT coverage among selected ASEAN countries, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010 * Data from PMTCT register and ANC estimates Slide 15 PMTCT coverage among selected countries in East & South Asia and the Pacific, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010 Slide 16 PMTCT coverage, 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports_2006, 2008 & 2010 Slide 17 % distribution of countries by most commonly used PMTCT ARV regimen, Asia Pacific, 2009 China, Malaysia, PNG Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Afghanistan, DPRK, Fiji, Japan, Mongolia, Maldives, Pakistan, Republic of Korea, Timor-Leste Lao PDR, Singapore, Sri Lanka Slide 18 Proportion of different ARV regimens for pregnant women to reduce the risk of mother to child transmission, 2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2010; Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) * In Universal access country response questionnaire, most commonly used ART regimen is reported as combination of 3 ARVs Slide 19 Proportion of different ART regimes for pregnant women to reduce the risk of mother to child transmission, 2008 19 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 20 % of HIV + pregnant women assessed for ART eligibility through clinical staging or CD4 testing, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 21 % of HIV positive pregnant women receiving ART for their own health, 2008 21 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 22 % of HIV + pregnant women received ART for PMTCT, 2004-2008 22 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 23 Estimated high and low percentage of pregnant women living with HIV who received ART for preventing mother-to-child transmission, 2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 24 24 % of HIV+ pregnant women who received ART to prevent mother-to-child transmission, 2007 Source: www.aidsdatahub.org based on UNAIDS, Report on the Global AIDS Epidemic, 2008 Note: % refers to the average of the low and high estimation Slide 25 % distribution ANC facilities providing selected services to pregnant women for HIV prevention and testing, East Asia and Pacific, 2008 25 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 26 % distribution of ANC facilities providing selected services to pregnant women for HIV prevention and testing, South Asia vs. East Asia and Pacific, 2008 26 Source: www.aidsdatahub.org based On Universal Access Health Sector Response, 2009 Slide 27 % distribution of ANC facilities providing selected services to pregnant women for HIV prevention and testing, South Asia, 2008 27 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 28 28 % of women (15-49) who delivered in a health facility, 2004-2007 8.8 21.8 38 20.7 32.5 98.2 42 9.3 21.5 38.7 17.7 34.2 63.8 96.7 0 50 100 Bangladesh 2004 Cambodia 2005 India 2006 Nepal 2006-2007 Pakistan 2007-2007 Thailand 2005-2006 Vietnam 2006 15-19 yrs. 15-49 yrs. (%) Source: www.aidsdatahub.org based on Bangladesh DHS 2004; Cambodia DHS 2005; India NFHS 2006; Nepal DHS 2006-2007; Pakistan DHS 2006-2007; Thailand MICS 3; Vietnam MICS 3 Health facility refers to Public sector, NGO/Trust sector, and Private sector Slide 29 29 12.7 44.2 47.2 22.1 38.8 98.1 71 13.4 43.8 46.6 18.7 38.8 97.3 87.7 0 50 100 Bangladesh 2004 Cambodia 2005 India 2006 Nepal 2006-2007 Pakistan 2006-2007 Thailand 2005 Vietnam 2006 15-19 yrs. 15-49 yrs. (%) % of women (15-49) assisted by trained health personnel during delivery Health personnel refers to Doctor, Nurse, Midwife, and other health personnel Source: www.aidsdatahub.org based on Bangladesh DHS 2004; Cambodia DHS 2005; India NFHS 2006; Nepal DHS 2006-2007; Pakistan DHS 2006-2007; Thailand MICS 3; Vietnam MICS 3. Slide 30 30 Children Slide 31 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, who receive CTX prophylaxis, HIV test and ART coverage among children (0-14), SAARC 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 CTX = Cotrimoxazole Slide 32 32 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, who receive CTX prophylaxis, HIV test and ART coverage among children (0-14), ASEAN 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 33 33 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, who receive CTX prophylaxis, HIV test and ART coverage among children (0-14), East Asia and Pacific (non-ASEAN) 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 34 % of infants born to HIV + mother received ART for PMTCT in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 35 Coverage of ART prophylaxis among infants born to HIV+ mother, 2007-2008 35 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 36 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, 2009 * 2008 data Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 37 % of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission and those who receive HIV test within 12 months, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 38 % of infants born to HIV + mother receive Cotrimoxazole propylaxis within 2 months of birth, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * 2008 data ; ** 2007 data Slide 39 Estimated % of infants born to women living with HIV who have received ART for PMTCT and Co-trimoxazole prophylaxis, 2008 39 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in The Health Sector_ Progress Report, 2009 Slide 40 Proportion of different ART regimens for infants born to HIV + mother to reduce the risk of mother-to-child transmission, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 41 Distribution of feeding practices among infants born to HIV + mother at DPT 3 (vaccination) visit, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 42 Estimated number of children (0-14) needing and receiving ART in East, South and South-East Asia vs total low-and middle-income countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 43 Estimated ART coverage among children (0-14) in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 44 Estimated number of children receiving and needing ART , and ART coverage by region, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 45 Estimated ART coverage among children (0-14) vs adults, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350) ** Based on unrounded number of people receiving and needing ART Slide 46 High and low estimates of the percentage of HIV positive children in need receiving ART, 2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 47 % distribution of HIV positive male and female children (0-14 years) who received ART, 2008 47 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 48 Estimated number of infant infections at current level of antiretroviral prophylaxis and without antiretroviral prophylaxis in Asia, 1996-2008 Number Source: www.aidsdatahub.org based on UNAIDS_AIDS Epidemic Update, December 2009 Slide 49 % of national health facilities providing ART which also provide paediatric ART, South Asia vs. East Asia and Pacific, 2008 49 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 50 % of national health facilities providing ART which also provide paediatric ART, East Asia and Pacific, 2008 50 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 51 % of national health facilities providing ART which also provide paediatric ART, South Asia, 2008 51 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 52 % of schools that provided life skills-based HIV education within the last academic year, countries, where data is available, 2007-2009 52 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010 * Life skills through personal development curriculum is compulsory Slide 53 Current school attendance among orphans and among non-orphans aged 0-14 Source: www.aidsdatahub.org based on Demographic and Health Surveys & Multiple Indicators Cluster Surveys reported in UNGASS country Progress reports 2008 & 2010 Slide 54 54 Care and treatment (adults) Slide 55 ART scale up in East, South and South-East Asia, 2003-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 Slide 56 ART scale up in East, South and South-East Asia vs total low-and middle-income countries, 2003-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 Slide 57 Trends in ART coverage among adults and children, East Asia Pacific countries, 2005-2009 ( based on Universal Access reports) Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 *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 ) Slide 58 Trends in ART coverage among adults and children, South Asian countries, 2006-2009 ( based on Universal Access reports) Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 *Coverage based on WHO 2006 ART initiation guideline ** only the range is available for 2009, which is 36-55 Slide 59 ART coverage by gender, countries where data is available, 2009 Source: www.aidsdatahub.org based on UNGASS country progress reports 2010 * sex-disaggregated denominator not available and calculation is based on total Data based on country reported figures in UNGASS 2010 ( coverage based on 2006 WHO ART initiation guideline) Slide 60 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2010 ART coverage among adults (>15 years) vs children (<15 years), countries where data is available, 2009 Slide 61 Trends in ART coverage among adults (>15 years) vs children (<15 years), countries where data is available 2006-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports 2006 -2010 Slide 62 Estimated ART coverage among adults and children, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350) Slide 63 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 64 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, ASEAN countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Slide 65 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, SAARC countries, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Slide 66 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS interventions in the health sector, 2010 Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, other East-Asia Pacific countries, 2009 Slide 67 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 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 68 Estimated ART coverage among adults and children in East, South and South-East Asia vs total low-and middle-income countries, 2008-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 69 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 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 70 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 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 71 Estimated ART coverage among adult and children, 2006-2008 71 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 72 Estimated number of adults and children receiving and needing ART, and ART coverage by region, 2009 72 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 73 Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 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 Slide 74 Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 75 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2008 % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008 Slide 76 Reported number of adults and children receiving ART, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2006-2010 Slide 77 Estimated number of AIDS related deaths with and without antiretroviral therapy in Asia, 1996-2008 Number Source: UNAIDS_AIDS Epidemic Update, December 2009 Slide 78 % of estimated HIV-positive incident TB cases that received treatment for TB and HIV, countries where data is available, 2007-2009 Source: 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 Slide 79 % distribution of HIV positive males and females receiving ART, 2008 Source : www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 80 % of retention on ART at 12,24,36 and 48 months, 2008 80 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 81 81 Source: www.aidsdatahub.org based on UNAIDS, UNGASS Country Reports, 2008 % of adults and children with HIV known to be on treatment 12 months after the initiation of antiretroviral therapy, 2006-2007 Slide 82 82 HIV testing Slide 83 % of adults (15-49) who received HIV test in the last 12 months and knew the result, countries where data is available, 2005-2009 Source: www.aidsdatahub.org based on UNGASS country Progress reports 2006, 2008 & 2010 * Manipur only; ** data from 3 cities . Denominator = # of surveyed respondents aged 15-49 + VCT registration data 11722(knew the result) / 43598 (tested) ++ data from voluntary screening Slide 84 % of pregnant women who received an HIV test in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 85 Coverage of syphilis screening among antenatal clinic attendees, selected countries, South-East Asia Region, 2006–2009 Source: Country Posters Presented At South-east Asia Region Programme Manager Meeting, New Delhi, India, 26–28 October 2010 cited in WHO_HIV in South- East Asia Region: Progress Report 2010 Slide 86 % of pregnant women who received HIV test, 2004-2008 86 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 87 Number and % of pregnant women tested for HIV in the last 12 months and received the results, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 88 % of pregnant women tested for HIV in the last 12 months and received the results, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 89 % distribution of pregnant women tested for HIV in the last 12 months and received the results- during ANC vs during labour and delivery, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not included in the published report) Slide 90 Estimated % of pregnant women tested for HIV, 2008 90 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 91 % of infants born to HIV + mother receive HIV test within 12 months, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 92 % of infants born to HIV infected women who received HIV test within 12 months, 2008 92 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 93 % distribution of countries with Dried Blood Spot (DBS) technology available for PMTCT and Paediatric HIV care, Asia Pacific, 2009 7 countries = Brunei, China, Cambodia, India, PNG, Thailand, Vietnam 11 countries = Afghanistan, Bangladesh, Bhutan, Fiji, Indonesia,LaoPDR, Myanmar, Nepal, Philippines, Singapore, Sri Lanka 8 countries = DPR Korea, Japan, Malaysia, Maldives, Mongolia, Pakistan, Republic of Korea, Timor Leste Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 ( compiled from country response questionnaires which is not yet included in the published report) Slide 94 % distribution of countries providing HIV virological testing services on site or through Dried Blood Spot, South Asia, 2007 & 2008 2007 2008 94 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 95 % distribution of countries providing virological testing services on site or through Dried Blood Spot, East Asia and Pacific, 2007 & 2008 2007 2008 95 Source: www.aidsdatahub.org based on Universal Access Health Sector Response, 2009 Slide 96 Total number of health facilities vs availability of HIV testing and ART services Number Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 97 Estimated number of per 1000 adult population who received HIV testing and counseling in the last 12 months, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 98 Estimated number of HIV testing and counseling facilities per 100 000 adult population, 2009 Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 99 Total population ≥ 15 years per testing and counseling facility, 2007-2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 100 Number of HIV tests per 1000 people ≥ 15 years, 2007-2008 Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009 Slide 101 101 Data availability Slide 102 Asia Pacific countries with HIV surveillance among ANC attendees, 2009 Source: www.aidsdatahub.org based on Towards Universal Access Health Sector Response Country Reports 2010 * Routine testing Slide 103 Data availability of selected indicators on PMTCT and Paediatric HIV, 2009 Bangladesh, Bhutan, Cambodia, China, Fiji, India, Indonesia, Lao, Malaysia, Maldives, Mongolia, Myanmar, Nepal, Pakistan, PNG, Philippines, Sri Lanka, Thailand, Vietnam Bangladesh, Bhutan, Cambodia, China, Fiji, India, Indonesia, Lao, Malaysia, Maldives, Mongolia, Myanmar, Nepal, Pakistan, PNG, Philippines, Sri Lanka, Thailand, Vietnam Bangladesh, China, Cambodia, Fiji, India, Indonesia, Lao PDR, Malaysia, Maldives, Myanmar, Nepal, Pakistan, PNG, Philippines, Sri Lanka, Timor-Leste, Thailand, Vietnam Brunei, Cambodia, Malaysia, Myanmar, Nepal, PNG, Philippines, Thailand, Vietnam Denominator = 26 countries in Asia -Pacific Source: www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 Slide 104 Estimated number of pregnant women living with HIV needing and receiving ARVs for prevention of mother-to-child transmission, 2009 Source: Complied by www.aidsdatahub.org based on Towards Universal Access: Scaling up Priority HIV/AIDS Interventions In The Health Sector, 2010 * Based on UNAIDS/WHO methods Slide 105 Estimated number of HIV + children needing and receiving ART, 2009 Prepared by www.aidsdatahub.org * Based on UNAIDS/WHO methods Slide 106 Assessment of behaviors and interventions being planned/underway/conducted for prevention of HIV Source: Prepared by www.aidsdatahub.org based on UNICEF data inputs for HIV & AIDS Chiefs and Specialists Meeting for Scaling up 4 Ps, 17-20th November, 2009 MARA= Most at risk adolescents, MARYP= Most at risk young people Slide 107 107 Archives Slide 108 108 HIV/AIDS finances and socio-economics & National response Slide 109 109 Reduced life expectancy due to AIDS (in years) for various countries in Asia, 2005 (Years) 0.1 0.5 0.5 0.5 1.0 1.0 1.7 3.0 0 1 2 3 4 China Viet Nam Nepal Malaysia Thailand India Myanmar Cambodia Source: Background study on socioeconomic impact for the Commission. Cited from UNAIDS, 2008, Report of the commission on AIDS in Asia Slide 110 110 Orphan school attendance ratio, 2000-2006 *Data refer to the most recent year available during the period specified in the cell. Slide 111 111 Projected total AIDS orphans by country in 2010 Source: Policy, HIV/AIDS in the Mekong Region, Cambodia, Lao PDR, Thailand, & Vietnam, June 2003 Slide 112 112 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

Slide 1 1 Review in slides Women, Children, and Young People HIV and AIDS Data Hub for Asia-Pacific Slide 2 Content HIV prevalence and epidemiology (1995-2009) Vulnerability and HIV knowledge (2003-2009) Risk behaviors (2003-2009) Economics of AIDS (2005) National Response (2003-2009) Coverage, prevention, care and treatment (Women and children) Women Children Care and treatment (adults) HIV testing Data availability Archives 2 Slide 3 3 Risk behaviours Slide 4 % of young people (15-24) who had sex before the age of 15, countries where data is available, 2001-2009 Source: www.aidsdatahub.org based on DHS and Youth Surveys Reported In UNGASS Country Progress Reports 2006,2008 & 2010 + program based end line national survey ; * Though 2009 BSS was done in 6 states, data is available only for Tamil Nadu and not presented in this slide Slide 5 % of adult and young people who had sex with non-marital, non-cohabiting partner in the last 12 months, 2007-2008 5 Source: www.aidsdatahub.org based on Demographic And Health Surveys * Only among those who had sex in the last 12 months Slide 6 % of men reported paying for sex in the last 12 months, countries where data is available, 2005-2006 Source: www.aidsdatahub.org based on DHS ( Cambodia, India, Nepal, Philippines, Vietnam); Thailand_National Sexual Behaviour Survey, 2006 Slide 7 % of adults (15-49) who had more than one sexual partner in the last 12 months, countries where data is available , 1999-2007 Source: www.aidsdatahub.org based on DHS and Behaviour Surveillance Surveys reported in UNGASS Country Progress Reports 2006,2008 & 2010 * Though 2009 BSS was done in 6 states, data is available only for Tamil Nadu and not presented in this slide ; ** only the male respondents were asked Slide 8 % of adults (15-49) who had more than one sexual partner in the last 12 months reported condom use at last sex, countries where data is available 2005-2007 Source: www.aidsdatahub.org based on DHS and Behaviour surveillance surveys reported in UNGASS country Progress Reports 2006,2008 & 2010 * Very small sample size among female; Myanmar 0 (numerator) / 8 (denominator) ; PNG 0 (numerator) / 1 (denominator) Slide 9 9 % of women and men (15-24) who reported higher-risk sex in the last 12 months, 2005-2006 Source: www.aidsdatahub.org based on Thailand National Sexual Behavior Survey, 2006; Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Maldives Reproductive Health Survey 2004; Nepal Demographic and Health Survey 2006; PNG Institute of Medical Research and UNICEF 2003; Vietnam AIDS Indicator Survey 2005. 51 36 26 14 19 25 21 33 0.5 0.4 5 14 0.7 0 50 100 Thailand Cambodia India Maldives Nepal PNG Vietnam Male Female (%) Note: Higher-risk sexual intercourse refer to sex with a partner who was neither a spouse nor who lived with the respondent Slide 10 10 % of young women and men (15-24) who reported the use of a condom during last higher-risk sex, 2005-2006 Note: Higher-risk sexual intercourse refer to with a partner who was neither a spouse nor who lived with the respondent (%) 65.6 36.5 58.5 55.0 78.4 67.6 42.1 84.4 22.2 34.6 0 50 100 Thailand Cambodia India Mongolia Myanmar Nepal Vietnam Male Female Source: www.aidsdatahub.org based on Thailand National Sexual Behavior Survey, 2006; Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Mongolia STI/HIV/AIDS KAP Survey among Youth in Mongolia; Myanmar Behavior Surveillance Survey 2003 General Population and Youth; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Surveys 2005. Slide 11 11 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

Slide 1 1 Review in slides Women, Children, and Young People HIV and AIDS Data Hub for Asia-Pacific Slide 2 Content HIV prevalence and epidemiology (1995-2009) Vulnerability and HIV knowledge (2003-2009) Risk behaviors (2003-2009) Economics of AIDS (2005) National Response (2003-2009) Coverage, prevention, care and treatment (Women and children) Women Children Care and treatment (adults) HIV testing Data availability Archives 2 Slide 3 3 Vulnerability and HIV knowledge Slide 4 % of young people (15-24) years with comprehensive HIV knowledge, countries where data is available, 2005-2009 Source: www.aidsdatahub.org based on UNGASS Country Progress Reports, 2010 * Tamil Nadu only ; ** 17-19 years old; *** 18 -24 years old. Note: Comprehensive knowledge of HIV: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Slide 5 % of adult and young people (15-24) with comprehensive HIV knowledge, selected countries, 2007-2008 5 Source: www.aidsdatahub.org based On Demographic and Health Surveys Slide 6 6 % of women and men (15-49) with comprehensive knowledge of HIV, 2005-2006 (%) Note: Comprehensive knowledge of HIV: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Source: www.aidsdatahub.org based on Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 7 7 50 20 5 21 28 8 4 42 45 36 3 24 44 12 7 50 0 50 100 Urban Rural Cambodia 2005 India 2005-2006 Mongolia 2005 Myanmar 2003 Nepal 2006 Papua New Guinea 2004-2005 Vietnam 2005 Female Male % of young women and men (15-24) with comprehensive knowledge of HIV, 2003-2006 Source: www.aidsdatahub.org based on Cambodia Demographic and Health Survey 2005; Indonesia UNGASS Country Report 2003; India National Family Health Survey, 2005-2006; Mongolia STI/HIV/AIDS KAP Survey among Youth in Mongolia 2005, Myanmar Behavior Surveillance Survey 2003 General Population and Youth; Nepal Demographic and Health Survey 2006; PNG UNGASS Country Report 2004-2005; Vietnam AIDS Indicator Surveys 2005. (%) Note: Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Slide 8 8 % of young women and men (15-24) who know a source of condom, 2005-2006 (%) Source: www.aidsdatahub.org based on Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Vietnam AIDS Indicator Survey 2005. Slide 9 9 Archives Slide 10 10 Vulnerability and HIV knowledge Slide 11 11 % of women and men (15-49) who would like to care for a family member with HIV, 2005-2006 77 75 94 93 83 77 96 96 0 50 100 Cambodia DHS 2005 India NFHS 2005-2006 Nepal DHS 2006 Vietnam AIS 2005 Female Male (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 12 12 % of young women and men (15-24) who would like to care for a family member with HIV, 2005-2006 81 77 94 93 88 79 96 97 0 50 100 Cambodia DHS 2005 India NFHS 2005-2006 Nepal DHS 2006 Vietnam AIS 2005 Female Male (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 13 13 % of women and men (15-49) would buy fresh vegetable from shopkeeper with HIV, 2005-2006 (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 14 14 % of young women and men (15-24) who would buy fresh vegetable from shopkeeper with HIV, 2005-2006 76 66 77 58 80 67 80 61 0 50 100 Cambodia DHS 2005 India NFHS 2005-2006 Nepal DHS 2006 Vietnam AIS 2005 Female Male (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 15 15 % of women and me (15-49) who agree that a female teacher with HIV should be allowed to continue teaching, 2005-2006 (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 16 16 % of young women and men (15-24) who agree that a female teacher with HIV should be allowed to continue teaching, 2005-2006 (%) Source: Cambodia Demographic and Health Survey 2005; India National Family Health Survey, 2005-2006; Nepal Demographic and Health Survey 2006; Vietnam AIDS Indicator Survey 2005. Slide 17 17 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