key affected populations
DESCRIPTION
Key Affected Populations. CONTENT. HIV Prevalence and Epidemiological Status (1990-2009) - IDU - MSM - Sex Worker Risk Behaviors ( 2004-2009) Vulnerability and HIV Knowledge (2005-2009) HIV Expenditure (2006-2009) National Response (2005-2009) - Coverage and Prevention - PowerPoint PPT PresentationTRANSCRIPT
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HIV and AIDSData Hub for Asia-PacificReview in slides
Key Affected Populations
HIV and AIDS Data Hub for Asia-Pacific
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HIV Prevalence and Epidemiological Status (1990-2009)
- IDU
- MSM
- Sex Worker
Risk Behaviors (2004-2009)
Vulnerability and HIV Knowledge (2005-2009)
HIV Expenditure (2006-2009)
National Response (2005-2009)
- Coverage and Prevention
- HIV Testing
- Care and Treatment
- Monitoring and Evaluation
• Archives
CONTENT
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National response
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Coverage and prevention
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HIV prevention coverage among IDUs, countries where data is available, 2005-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010
* Manipur** 2009 Kathmandu
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HIV prevention coverage among MSM, countries where data is available, 2005-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010
* Manipur
HIV and AIDS Data Hub for Asia-Pacific
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HIV prevention coverage among female sex workers, countries where data is available, 2005-2009
* Manipur
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010
HIV and AIDS Data Hub for Asia-Pacific
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Number of syringes/needles distributed per IDU per year vs HIV prevalence among IDU,
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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% of key affected populations reached with prevention programs, 2005*
* Data collection between 2003-2005Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic.
82
97
28
37
35
81
22
77
17
1
5
45
9
4 8
15
6911
52
60
7 2
0 10 20 30 40 50 60 70 80 90 100
Bangladesh
Cambodia
India
Indonesia
Nepal
Pakistan
Vietnam
(%)
Sex workers
IDUs
MSM
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HIV testing
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% of key affected populations received an HIV test in the last 12 months and know the results, East, South East Asia and Pacific, 2008-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
* * Sex workers= only among brothel based
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% of key affected populations received an HIV test in the last 12 months and know the results, South Asia, 2008-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
HIV and AIDS Data Hub for Asia-Pacific
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% of IDU received an HIV test in the last 12 months and know the results, by age group and gender, countries where data is available, 2008-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
HIV and AIDS Data Hub for Asia-Pacific
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Trends in % of IDU received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010
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% of MSM received an HIV test in the last 12 months and know the results, countries where data is available, 2008-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
* Manipur** Kathmandu*** Luang Prabang
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Trends in % of MSM received an HIV test in the last 12 months and know the results, countries where data is available, 2005-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010
* 2009 data = Luang Prabang & 2007 data = Vientiane
HIV and AIDS Data Hub for Asia-Pacific
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% of MSM received an HIV test in the last 12 months and know the results, by age group, 2005-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006,2008 & 2010
*Manipur** Luaung Prabang*** Kathmandu
HIV and AIDS Data Hub for Asia-Pacific
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% of sex workers who received HIV test in the last 12 months and knew the result, countries where data is available, 2008-2009
* Only for brothel-based sex workers.
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010
Denominator = # of surveyed sex workers
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Trends in HIV testing coverage among female sex workers, countries where data is available, 2007-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006, 2008 & 2010
* Only for brothel-based sex workers.
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Total number of health facilities vs availability of HIV testing and ART services
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Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
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Estimated number of per 1000 adult population who received HIV testing and counseling in the last 12 months, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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Estimated number of HIV testing and counseling facilities per 100 000 adult population, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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Total population ≥ 15 years per testing and counseling facility, 2007-2008
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009
HIV and AIDS Data Hub for Asia-Pacific
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Number of HIV tests per 1000 people ≥ 15 years, 2007-2008
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009
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Care and treatment
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ART scale up in East, South and South-East Asia, 2003-2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010
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ART scale up in East, South and South-East Asia vs total low-and middle-income countries, 2003-2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010
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Trends in ART coverage among adults and children, East Asia Pacific countries, 2005-2009 (based on Universal Access reports)
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010
*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
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Trends in ART coverage among adults and children, South Asian countries, 2006-2009 ( based on Universal Access reports)
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010
*Coverage based on WHO 2006 ART initiation guideline** only the range is available for 2009, which is 36-55
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ART coverage by gender, countries where data is available, 2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010
* sex-disaggregated denominator not available and calculation is based on totalData based on country reported figures
in UNGASS 2010 ( coverage based on 2006 WHO ART initiation guideline)
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ART coverage among adults (>15 years) vs children (<15 years), countries where data is available, 2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010
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Trends in ART coverage among adults (>15 years) vs children (<15 years), countries where data is available 2006-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2006 -2010
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Estimated ART coverage among adults and children, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
* Based on 2010 WHO guidelines ( treatment initiation at CD 4 < 350)
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Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, ASEAN countries, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, SAARC countries, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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Estimated ART coverage among adults and children, based on 2010 WHO guidelines vs 2006 WHO guidelines, other East-Asia Pacific countries, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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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: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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Estimated ART coverage among adults and children in East, South and South-East Asia vs total low-and middle-income countries, 2008-2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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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: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
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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: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
HIV and AIDS Data Hub for Asia-Pacific
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Estimated number of adults and children receiving and needing ART, and ART coverage by region, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
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Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010
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
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Estimated % distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009
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% distribution of PLHIV who are in need of ART in the Asia Pacific Region (21 countries), 2008
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2009.
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Reported number of adults and children receiving ART, 2005-2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS & UNICEF. Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010
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Estimated number of AIDS related deaths with and without antiretroviral therapy in Asia, 1996-2008
Nu
mb
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Source: UNAIDS, & WHO. (2009). AIDS Epidemic Update.
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% of estimated HIV-positive incident TB cases that received treatment for TB and HIV, countries where data is available, 2007-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2010; Countries collected the data using ART patient registers and estimates from WHO STOP TB data base except Afghanistan_ ART data base, Indonesia _ART monitor and reports, Japan_ Nagoya Medical Center & International Medical Center of Japan (ACC) Database, PNG_ National Department of Health Program Monitoring
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% distribution of HIV positive males and females receiving ART, 2008
Source : Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009
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Monitoring and Evaluation
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% countries with HIV prevalence surveys among key affected populations, in the last 2 years (2009)
No survey= Bhutan, Brunei, Fiji, Hong Kong, Singapore, Timor-Leste, PNG, CambodiaAt least 2 populations = Afghanistan, Lao PDR, Pakistan, MongoliaAll 3 populations = Bangladesh, China, India, Indonesia, Malaysia, Maldives, Myanmar, Nepal, Philippines, Sri Lanka, Thailand, Vietnam
Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs
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Data availability from sero-surveillance surveys among key affected populations, Asia Pacific, 2007-2009
Source: Prepared by www.aidsdatahub.org based on Sentinel Surveillance Data Reported by National AIDS programs
a) Afghanistan, Bangladesh, China, India, Indonesia,Lao, Malaysia, Maldives, Myanmar, Nepal, Pakistan, Philippines, PNG, Singapore, Sri Lanka, Thailand, Vietnam
d) Afghanistan, Bangladesh, Cambodia,China, India, Indonesia, Malaysia, Maldives, Myanmar, Nepal, Pakistan, Philippines, Thailand, Vietnamg) Bangladesh, China, India, Indonesia, Lao, Japan, Malaysia, Maldives, Mongolia, Myanmar, Nepal, Philippines, PNG, Singapore, Sri Lanka, Thailand,
Vietnam
Bangladesh, China, Indonesia, Lao, Maldives, Myanmar, Pakistan, Philippines, PNG, Sri Lanka
Bangladesh, Indonesia, Nepal, Pakistan, PNG, Thailand
Afghanistan, Bangladesh, China, Indonesia, Maldives, Myanmar, Nepal, Pakistan, Philippines
Bangladesh, China, Indonesia, Thailand
Bangladesh, China, Indonesia, Lao, Japan, Mongolia, Myanmar, Nepal, Philippines, PNG, Sri Lanka, Vietnam
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% of Asia Pacific countries with systematic sero -surveillance conducted among ANC attendees and key affected populations, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010).Towards Universal Access Health Sector Response Country Reports 2010 (compiled from country response questionnaires which is not included in the published report)
Denominator = 26 countries
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Asia Pacific countries with systematic sero-surveillance conducted among ANC attendees and key affected populations, 2009
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010).Towards Universal Access Health Sector Response Country Reports 2010 (compiled from country response questionnaires which is not included in the published report)
Please see the details (with country names) in next slide
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Data availability on HIV sero-surveillance surveys in Asia Pacific
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2010).Towards Universal Access Health Sector Response Country Reports 2010 (compiled from country response questionnaires which is not included in the published report)
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Number of countries with selective data available on key affected populations, 2007-2009
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports 2008 & 2010
HIV and AIDS Data Hub for Asia-Pacific
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Assessment of Monitoring and Evaluation systems according to NCPI responses, ASEAN, 2009
Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009
Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.
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Assessment of Monitoring and Evaluation systems according to NCPI responses, South Asia, 2009
Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009
Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.
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Assessment of Monitoring and Evaluation systems according to NCPI responses, East Asia & Pacific (non-ASEAN), 2009
Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009
Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.
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Assessment of Monitoring and Evaluation systems according to NCPI responses, East Asia & Pacific (non-ASEAN), 2009 (continued)
Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009
Notes: Green = positive change from 2007; Red = negative change as of 2007; Yellow = change from 2007 indiscernible given lack of consistent reporting over rounds.
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Civil society involvement in the HIV response in Asia Pacific
Sources: prepared by www.aidsdatahub.org based on National Composite Policy Index Reports, 2007 and 2009
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Assessment of Monitoring and Evaluation Systems
Source: UNGASS Country Progress Reports 2008
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Assessment of Monitoring and Evaluation Systems
Source: UNGASS Country Progress Reports, 2008
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Assessment of Monitoring and Evaluation Systems: Proportion of countries reporting selected key components (N=18)
Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Reports, 2008
78
78
78
61
50
44
100
100
100
94
94
89
89
50
0 10 20 30 40 50 60 70 80 90 100
A M&E plan of the NSP has been developed
Endorsed by key partners in M&E
Developed in consultation with civil society
Partners have aligned with M&E
The M&E budget is secured
Functional M&E unit
Strategy for data collection and analysis
Well-defined standardized set of indicators
HIV sero-surveillance
Behavioural surveillance
Guidelines on data collection tools
Strategy for assessing data quality
Strategy for data dissemination and use, including yearly publication
National and sub-national database
Percent
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Archives
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Percentage of countries with data on HIV testing among general population (15-49) in 2006-2008
Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009
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Reported HIV/AIDS cases by mode of transmissions in selected countries, 2008
Source: HIV/AIDS case reports by National AIDS programs cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.
* Unsafe sex includes MSM transmission
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% of most-at-risk populations covered by targeted prevention programs in South-east Asia, 2003
1%
MSM covered bypreventionprograms
8%
Risky acts protectedby publicallydistributing condoms
19%
Sex workers coveredby outreachprevention prorams
Source: Prepared by www.aidsdatahub.org based on USAID, UNAIDS, WHO, et al. (2004). Coverage of Selected Services for HIV/AIDS Prevention, Care and Support in Low and Middle Income Countries in 2003.
5.4%
IDUs reached byharm reductionprograms
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% of men who have sex with men reporting the use of a condom the last time they had sex in India (2002) , Indonesia (2002-2003) and Vietnam (2006)
Sources: Prepared by www.aidsdatahub.org based on 1. India National AIDS Control Organization (NACO) .National Baseline High Risk and Bridge Population Behavioural Surveillance Survey, 2002, 2. Indonesia Ministry of Health and Central Bureau of Statistics. Behavioural Surveillance in 13 Provinces, 2002-2003. 2004, and 3. National Institute of Hygiene and Epidemiology Vietnam, FHI, Vietnam Administration of HIV/AIDS Control, et al. (2006). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam 2005 – 2006.
39
5449
53
33
54
78
45 47
0
20
40
60
80
100
India 2002 (5 cities) Indonesia 2002-2003 (3 cities)
Vietnam 2006 (Ho Chi Minh City)
(%)
With MSWs With non-MSWs With FSWs
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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