Review in slides Women, Children, and Young People

HIV and AIDS Data Hub for Asia-Pacific

1

Review in slidesWomen, Children, and

Young People

HIV and AIDSData Hub for Asia-Pacific


Content

HIV prevalence and epidemiology (1995-2009)

Vulnerability and HIV knowledge (2003-2009)

Risk behaviors (2003-2009)

HIV/AIDS finances and Socio-economics (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


3

National response


4

Coverage, prevention, care and treatment (Women and children)


5

Women


Antenatal care coverage, 2003-2008

Source: www.aidsdatahub.org based on UNICEF_ Children and AIDS, Fourth Stocktaking Report, 2009


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


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


Estimated number of pregnant women needing and receiving ARVs for PMTCT, and PMTCT coverage, by region, 2009



PMTCT coverage in East, South and South-East Asia vs total low-and middle-income countries, 2005-2009



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


PMTCT coverage among selected countries in East & South Asia and the Pacific, 2006-2009



PMTCT coverage, 2006-2009

Source: www.aidsdatahub.org based on UNGASS country progress report_2006, 2008 & 2010


% 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 yet included in the published report)

Afghanistan, DPRK, Fiji, Japan, Mongolia, Maldives, Pakistan, Republic of Korea, Timor-Leste

Lao PDR, Singapore, Sri Lanka


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 yet included in the published report)

* In Universal access country response questionnaire, most commonly used ART regimen is reported as combination of 3 ARVs


Proportion of different ART regimes for pregnant women to reduce the risk of mother to child

transmission, 2008

16Source: www.aidsdatahub.org based on Towards Universal Access_ Scaling Up Priority HIV Interventions in the Health Sector_ Progress Report, 2009


% of HIV + pregnant women assessed for ART eligibility through clinical staging or CD4 testing, 2009



% of HIV positive pregnant women receiving ART for their own health, 2008



% of HIV + pregnant women received ART for PMTCT, 2004-2008



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


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% 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

Cambodia

China

Indonesia

Malaysia

Mongolia

Myanmar

Philippines

Singapore

Thailand

Timor-Leste

Viet Nam

Fiji

Papua New Guinea

Afghanistan

India

Sri Lanka

PakistanNepal

Percent

Less than 10

10.1 - 50.0

Higher than 50

Missing Data


% distribution ANC facilities providing selected services to pregnant women for HIV prevention and testing, East Asia

and Pacific, 2008

22Source: www.aidsdatahub.org based on Universal access health sector response, 2009


% distribution of ANC facilities providing selected services to pregnant women for HIV prevention and testing, South Asia vs. East Asia and Pacific, 2008



% distribution of ANC facilities providing selected services to pregnant women for HIV prevention and

testing, South Asia, 2008



25

% 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

Bangladesh2004

Cambodia2005

India2006

Nepal2006-2007

Pakistan2007-2007

Thailand2005-2006

Vietnam2006

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


26

12.7

44.247.2

22.1

38.8

98.1

71

13.4

43.846.6

18.7

38.8

97.3

87.7

0

50

100

Bangladesh2004

Cambodia2005

India2006

Nepal2006-2007

Pakistan2006-2007

Thailand2005

Vietnam2006

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.


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Children


% 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



Coverage of ART prophylaxis among infants born to HIV+ mother, 2007-2008



% of infants born to HIV + mother receive ART to reduce the risk of mother-to-child transmission, 2009

* 2008 data



% 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



% of infants born to HIV + mother receive Cotrimoxazole propylaxis within 2 months of birth, 2009


* 2008 data ; ** 2007 data


Estimated % of infants born to women living with HIV who have received ART for PMTCT and Co-trimoxazole

prophylaxis, 2008



Proportion of different ART regimens for infants born to HIV + mother to reduce the risk of mother-to-child

transmission, 2009



Distribution of feeding practices among infants born to HIV + mother at DPT 3 (vaccination) visit, 2009



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



Estimated ART coverage among children (0-14) in East, South and South-East Asia vs total low-and middle-income

countries, 2005-2009



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



Estimated ART coverage among children (0-14) vs adults, 2009


* Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350)** Based on unrounded number of people receiving and needing ART


High and low estimates of the percentage of HIV positive children in need receiving ART, 2008



% distribution of HIV positive male and female children (0-14 years) who received ART, 2008



Estimated number of infant infections at current level of antiretroviral prophylaxis and without antiretroviral

prophylaxis in Asia, 1996-2008

Nu

mb

er

Source: www.aidsdatahub.org based on UNAIDS_AIDS Epidemic Update, December 2009


% of national health facilities providing ART which also provide paediatric ART, South Asia vs. East Asia and

Pacific, 2008



% of national health facilities providing ART which also provide paediatric ART, East Asia and Pacific, 2008



% of national health facilities providing ART which also provide paediatric ART, South Asia, 2008



% of schools that provided life skills-based HIV education within the last academic year, countries, where data is

available, 2007-2009Country Year of survey Total Primary Secondary

Afghanistan 2008-09 1 - -

Bangladesh 2008 - - 0.1

Cambodia 2008-09 34 41 5

India 2009 31 - -

2007 - - 79

Lao PDR 2008-09 74 - 74

Malaysia 2007-08 0.2 - -

Nepal 2009 8 - -

2007 6 7 4

PNG 2009 100 100 100

Pakistan 2007 6 - -

Singapore 2008-09 100 - -

Timor-Leste 2009 0.3 - -

Vietnam 2008 34 - -

46Source: www.aidsdatahub.org based on UNGASS country Progress reports 2008 & 2010* Life skills through personal development curriculum is compulsory


Current school attendance among orphans and among non-orphans aged 0-14

Country Year of survey

Orphans Both parents

Total Male Female Total Male Female

Cambodia 2005 76 75 77 92 93 91

Indonesia 2007 87 84 91 93 92 94

PNG 2006-07 75 70 81 87 86 89

Thailand 2005-06 96 - - 96 - -

Source: www.aidsdatahub.org based on Demographic and Health Surveys & Multiple Indicators Cluster Surveys reported in UNGASS country Progress reports 2008 & 2010


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Care and treatment (adults)


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


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



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

Access reports)


*Coverage based on WHO 2006 ART initiation guideline

** only the range is available for 2009, which is 31-67

*** sudden decline in 2007 might be due to denominator issue (2006 denominator = 130,000 ; 2007 denominator = 250,000


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

Access reports)


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


ART coverage by gender, countries where data is available, 2009

Source: www.aidsdatahub.org based on UNGASS country Progress reports 2010


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


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


Estimated ART coverage among adults and children, 2009


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


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



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



Estimated ART coverage among adults and children in East, South and South-East Asia vs total low-and

middle-income countries, 2008-2009



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



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



Estimated ART coverage among adult and children, 2006-2008



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

63



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


Estimated in need of ART is based on WHO 2010 ART initiation guideline except China and India . * Estimated in need of ART based on WHO 2010 guideline is not available and it is based on estimated number in need reported by countries


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


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


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

Country 2005 2006 2007 2008 2009

Afghanistan 0 0 0 0 12

Bangladesh 5 53 178 283 353

Bhutan 5 13 18 30

Cambodia 12 396 18 256 26 664 31 999 37 315

China 15 500 30 640 35 112 48 254 65 481

Fiji 28 39 52

India 12 000 55 473 158 020 234 581 320 074

Indonesia 3 301 5 136 10 616 15 442

Lao PDR 104 370 700 1 009 1345

Malaysia 2 700 2 700 6 590 8 197 9 962

Maldives 0 1 2 3

Mongolia 1 3 5 9

Myanmar 3 500 4 845 11 100 15 191 21 138

Nepal 75 472 1 240 2 536 3 226

Pakistan 132 164 550 907 1 320

Papua New Guinea 320 701 2 250 5 195 6 751

Philippines 71 140 336 532 750

Sri Lanka 25 56 107 146 207

Thailand 61 000 89 496 143 539 179 557 216 118

Timor - Leste 0 0 29 31

Vietnam 3 000 6 564 14 969 27 059 37 995



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

Nu

mb

er

Source: UNAIDS_AIDS Epidemic Update, December 2009


% 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


% 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


% of retention on ART at 12,24,36 and 48 months, 2008



72Source: 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

50

61

64

78

80

85

85

87

87

88

90

0 50

100

Mongolia

PNG

Sri Lanka

Fiji

India

Nepal

Thailand

Malaysia

Pakistan

Cambodia

Lao PDR

(%)


73

HIV testing


% of adults (15-49) who received HIV test in the last 12 months and knew the result, countries where data is

available, 2005-2009


* 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


% of pregnant women who received an HIV test in East, South and South-East Asia vs total low-and middle-income

countries, 2005-2009



% of pregnant women who received HIV test, 2004-2008



Number and % of pregnant women tested for HIV in the last 12 months and received the results, 2009



% of pregnant women tested for HIV in the last 12 months and received the results, 2009



% distribution of pregnant women tested for HIV in the last 12 months and received the results- during ANC vs

during labour and delivery, 2009



Estimated % of pregnant women tested for HIV, 2008



% of infants born to HIV + mother receive HIV test within 12 months, 2009



% of infants born to HIV infected women who received HIV test within 12 months, 2008



% 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



% distribution of countries providing HIV virological testing services on site or through Dried Blood Spot,

South Asia, 2007 & 2008

2007 2008



% distribution of countries providing virological testing services on site or through Dried Blood Spot, East Asia

and Pacific, 2007 & 2008

2007 2008



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

Nu

mb

er



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

months, 2009



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



Total population ≥ 15 years per testing and counseling facility, 2007-2008



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



91

Data availability


Asia Pacific countries with HIV surveillance among ANC attendees, 2009

Annually Every 3 years No surveillance

Brunei Cambodia Afghanistan

China Fiji Bangladesh

India Bhutan

*Japan DPR Korea

*Malaysia Indonesia

*Mongolia Lao PDR

Myanmar Maldives

PNG Nepal

Philippines Pakistan

Singapore Republic of Korea

Sri Lanka

Timor- Leste

Thailand

Vietnam


* Routine testing


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



Estimated number of pregnant women living with HIV needing and receiving ARVs for prevention of mother-to-child transmission, 2009

CountryEstimated Number ( needing)

Reported Number ( receiving)

Bangladesh <100-<200 7

Bhutan <100 19

Cambodia <1000-3,000 798

China 2,600-11,000 1,554

Fiji <100 5

India 23,000-65,000 11,319

Indonesia 1,100-4,600 196

Lao PDR <200-<500 24

Malaysia <100 - <1,000 300

Maldives <100 0

Mongolia <100 1

Myanmar 1,800-5,600 2,398

Nepal <1,000-2,100 56

Pakistan 1,000-3,700 25

Philippines <100-<500 3

Papua New Guinea <1,000-3,000 263

Sri Lanka <100 4

Thailand 4,900-8,300 5,457

Timor Leste - 1

Viet Nam 1,700-4,700 1,372

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


Estimated number of HIV + children needing and receiving ART, 2009

Country Estimated number

(needing) * Reported number (receiving)

2009Reported number (receiving)

2008

Bangladesh <100-<200 6 -

Bhutan 1 -

Cambodia 2,800-6,100 3,638 3,067

China 2,100-7,600 1,594 1,120

Fiji <100 1 1

India 30,000-76,000 17,952 -

Indonesia <1,000-2,600 - 356

Lao PDR <100-<500 95 72

Malaysia <1000 - 501

Maldives <100 0 -

Mongolia <100 0 0

Myanmar 1,900-4,900 1,535 966

Nepal <1,000-2,600 178 -

Pakistan <1,000-2,300 57 -

Philippines <100-<200 - 11

PNG <1,000-2,600 427 329

Thailand 7,900-11,000 8076 8,736

Timor-Leste - 3

Vietnam 1,700-3,700 1,987 1,462

Prepared by www.aidsdatahub.org * Based on UNAIDS/WHO methods


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


97

THANK YOU

slides compiled by www.aidsdatahub.org

Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used.

Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site

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Review in slides Women, Children, and Young People