HIV and AIDS Data Hub for Asia-Pacific Review in slides Viet Nam Last updated: July 2015 www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific CONTENT Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV expenditure National response 2 HIV and AIDS Data Hub for Asia-Pacific BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 92,548 (2014) 4 Annual population growth rate 0.9 (2014) 4 Population aged 15-49 (thousands) 51,569 (2010) 5 Percentage of population in urban areas 32 (2013) 3 Crude birth rate (births per 1,000 population) 15.9 (2012) 3 Under-5 mortality rate (per 1,000 live births) 23 (2012) 2 Human development index (HDI) - Rank/Value 121/0.638 (2013) 1 Life expectancy at birth (years) 75.9 (2013) 1 Adult literacy rate (%) 93.4 (2005-2012) 1 Ratio of girls to boys in primary and secondary education (%) 102.05 (2010) 3 GDP per capita (PPP, $US) 1,911 (2013) 3 Per capita total health expenditure (Int.$) 227 (2011) 2 Sources: Prepared by www.aidsdatahub.org based on 1. UNDP. (2014). Human Development Report 2014 Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience; 2. WHO. (2014). World Health Statistics 2014; 3. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved October, 2014, from http://databank.worldbank.org; 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset; and 5. UN Population Division. (2011). World Population Prospects The 2010 Revision. 3 HIV prevalence and epidemiology www.aidsdatahub.org Latest! HIV and AIDS Data Hub for Asia-Pacific Estimated number of people living with HIV, new infections and AIDS-related deaths, 1990-2014 Number (Estimate) 300,000 250,000 250,000 200,000 150,000 100,000 50,000 PLHIV [Estimate] New HIV infections [Estimate] 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 0 2014 15,000 11,000 AIDS-related deaths [Estimate] Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2015). HIV Estimates 1990-2014 and www.aidsinfoonline.org 5 Latest! HIV and AIDS Data Hub for Asia-Pacific Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2014 300,000 Number (Estimate) 250,000 240,000 200,000 150,000 100,000 77,000 50,000 Adults (15+) living with HIV Women (15+) living with HIV Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2015). HIV Estimates 1990-2014 and www.aidsinfoonline.org 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 0 6 Latest! HIV and AIDS Data Hub for Asia-Pacific Key population size estimates, 2013 Population size estimates Populations Estimate Year of estimate People who inject drugs 271,506 2013 Female sex workers 71,936 2013 Men who have sex with men 382,506 2013 Source: Prepared by www.aidsdatahub.org based on Viet Nam Global AIDS Response Progress Reporting 2014 7 Latest! HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among key populations, 2001-2013 35 30 % Female sex workers (HSS) Men who have sex with men (IBBS) Men who have sex with men (HSS) 25 People who inject drugs (HSS) 20 15 16.7 10.3 10 3.7 5 2.6 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Note: HSS – HIV sentinel surveillance surveys; IBBS – Integrated biological and behavioral surveys Source: Prepared by www.aidsdatahub.org based on 1. National Committee for AIDS, Drug and Prostitution Prevention and Control. (2014). Vietnam AIDS Response Progress Report, 2014. Following Up the 2011 Political Declaration on HIV/AIDS. Reporting period: January 2012 – December 2013; and 2. Integrated Biological and Behavioural Surveys 2006 and 2009 8 Latest! HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among key populations, 2013 14 % 12 10.3 10 8 6 3.7 4 2.6 2 0 FSW MSM PWID Source: Prepared by www.aidsdatahub.org based on National Committee for AIDS, Drug and Prostitution Prevention and Control. (2014). Vietnam AIDS Response Progress Report, 2014. Following Up the 2011 Political Declaration on HIV/AIDS. Reporting period: January 2012 – December 2013 9 Latest! HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among MSM by city/province, 2012 20 15 10.8 9.2 % 10 7.3 5.9 6.5 5.5 5 3.2 2.0 1.3 2.1 0 0 HCMC Ha Noi Soc Trang Total 1.31.21.6 0 An Giang <25 yr Khanh Hoa 1.7 0.7 0 0.40.5 0 Kien Giang Da Nang 25+ yr Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 10 Latest! HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among FSW by city/province, 2012 %25 22.5 HIV prevalence > 5% 20 HIV prevalence < 5% 15 12.0 10 6.5 4.7 5 4.1 4.0 4.0 3.7 3.0 2.8 2.7 2.5 0 Ha Noi Can Tho Lang Son Cao Bang Ha Tinh Thanh Thai An Hoa Nguyen Giang HCMC Kien Dong Giang Nai Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 Nghe An 11 Latest! HIV and AIDS Data Hub for Asia-Pacific Cities/provinces with HIV prevalence above 5% among PWID, 2012 40% 38.8 32.7 29.3 30 26.3 21.2 11 11 10 10 10 9.6 9.3 8 8 7.7 7.4 6.5 Khanh Hoa 12 Ba Ria 15 An Giang 16 Dong Nai 20 Nam Dinh 23.2 Ha Tinh Gia Lai Binh Duong Bac Giang Thanh Hoa Thai Binh Nghe An Hai Phong Lang Son Cao Bang Quang Ninh Ha Noi HCMC Can Tho Thai Nguyen 0 Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 12 Latest! HIV and AIDS Data Hub for Asia-Pacific STI prevalence among MSM by city, 2009 Can Tho 14 HCMC Hanoi Hai Phong 12 10.1 10 8.8 7.5 7.3 8 7 % 5.8 6 4.8 4 2 2.8 2.8 3 2.8 2.3 2.3 1.5 0.8 0.3 0.5 0 Syphilis 0.5 0.8 0 Genital gonorrhea Rectal gonorrhea Genital chlamydia Rectal chlamydia Source: Prepared by www.aidsdatahub.org based on Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioural Surveillance (IBBS) in Vietnam - Round II 2009 13 Latest! HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among street-based and venue-based sex workers by city, 2009 25 23 19.7 17.7 20 19.6 16.3 16.1 15 11.7 % 10.6 10 7.7 7.5 4.9 5 4.7 3.3 3 2.3 0 Hai Phong Hanoi Can Tho HCMC Street-based Yen Bai An Giang Dong Nai Lao Cai Venue-based Source: Prepared by www.aidsdatahub.org based on Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam - Round II 2009 14 Latest! HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among injecting FSW versus non-injecting FSW, 2009 % 100 78.3 80 60 53.9 48.7 40 34 28.6 20.7 20 17.3 11.1 14 7.8 0 Hai Phong HCMC Street-based FSW who inject drugs Can Tho Hanoi HCMC Venue-based FSW who do not inject drugs Source: Prepared by www.aidsdatahub.org based on Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam - Round II 2009 15 Latest! HIV and AIDS Data Hub for Asia-Pacific STI prevalence among street-based and venue-based sex workers by city, 2009 Syphilis % 12 Gonorrhea Chlamydia 10.9 10.7 10 8 6 4.7 4.4 4 3.3 3 2 2 1.3 1.2 0.3 0 Street-based Venue-based HCMC 0.7 0 Street-based Venue-based Hanoi Source: Prepared by www.aidsdatahub.org based on Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioural Surveillance (IBBS) in Vietnam - Round II 2009 16 Latest! HIV and AIDS Data Hub for Asia-Pacific Syphilis prevalence among PWID by city, 2009 % 3 2 1.7 1.5 1.3 1 1 0.6 0.3 0.7 0.8 0.3 0 An Giang Da Nang HCMC Dien Bien Yen Bai Quang Ninh Nghe An Can Tho Hai Phong Source: Prepared by www.aidsdatahub.org based on Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioural Surveillance (IBBS) in Vietnam - Round II 2009 17 Latest! HIV and AIDS Data Hub for Asia-Pacific Annual reported number of HIV infections, AIDS cases and deaths, 1996-2011 35000 HIV infections AIDS cases Deaths due to AIDS 30000 Number 25000 20000 15000 14,125 10000 5000 6,432 2,413 0 Source: Prepared by www.aidsdatahub.org based on 1. Viet Nam Administration of HIV/AIDS Control (2012). Report on HIV / AIDS as of 31/12/2011; data retrieved from http://www.vaac.gov.vn/Desktop.aspx/Noi-dung/Tinh-hinh-dich/Bao_cao_tinh_hinh_dich_nam_2011/ on 9th April 2012; and 2. National Committee for AIDS, Drug and Prostitution Prevention and Control. (2012). Vietnam Global AIDS Response Progress Report, 2012. 18 Risk behaviours www.aidsdatahub.org Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations who reported condom use at last sex, 2005-2013 FSW MSM PWID % 100 97 92 87 78 80 67 67 61 60 40 83 76 52 66 49 41 36 20 0 2005 2006 2007 2008 2009 2010 2011 2012 2013 Source: Prepared by www.aidsdatahub.org based on 1. National Institute of Hygiene and Epidemiology Vietnam, FHI, Vietnam Administration of HIV/AIDS Control, US Center for Disease Control, & USAID. (2006). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam 2005 – 2006; 2. Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam - Round II 2009; 3. HSS + 2011 cited in National Committee for AIDS, Drug and Prostitution Prevention and Control. (2012). Vietnam Global AIDS Response Progress Report, 2012; 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 5. www.aidsinfoonline.org 20 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW who reported condom use with their most recent client; and consistent condom use with clients in the last month, by province/city, 2012 %100 97 95 94 93 91 83 80 67 60 40 73 68 50 74 69 55 45 43 36 26 25 20 0 Bac Giang Da Nang Nghe An Can Tho HCMC An Giang Ha Noi Cao Bang Hai Phong condom use with most recent client consistent condom use with clients in the last month Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 21 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of FSW who reported condom use with their most recent client by province/city, 2011 and 2012 %100 97 97 95 91 93 96 92 92 95 83 94 83 80 74 66 2011 60 2012 40 20 0 Thua Thien HCMC Thanh Hoa An Giang Da Nang Nghe An Ha Noi Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 22 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who reported condom use at last sex with male client; and consistent condom use in the last month, by province/city, 2012 100 % 80 88 78 60 61 52 36 33 40 20 74 67 56 31 31 29 18 10 0 An Giang Can Tho Da Nang HCMC Khanh Hoa Kien Giang Soc Trang Condom use at last sex with male client Consistent condom use with male clients in the last month Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 23 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who reported condom use with their most recent male partner by province/city, 2012 % 100 2011 91 2012 85 77 80 68 73 76 68 57 60 40 20 0 Da Nang Province An Giang Province Ha Noi Province Ho Chi Minh City Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 24 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID who reported using sterile injecting equipment at the last time they injected, 2005 - 2013 % 100 95 80 95 96 97 2011 2012 2013 89 60 40 20 0 2005 2006 2007 2008 2009 2010 Source: Prepared by www.aidsdatahub.org based on 1. National Institute of Hygiene and Epidemiology Vietnam, FHI, Vietnam Administration of HIV/AIDS Control, US Center for Disease Control, & USAID. (2006). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam 2005 – 2006; 2. Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam - Round II 2009; 3. HSS + 2011 cited in National Committee for AIDS, Drug and Prostitution Prevention and Control. (2012). Vietnam Global AIDS Response Progress Report, 2012; 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic; and 5. www.aidsinfoonline.org 25 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID who reported sharing needles and syringes in the last month, 2011 and 2012 100% 80 60 58 42 40 39 35 31 36 31 25 28 25 24 17 20 17 10 7 3 0 Binh Duong Nghe An Ho Chi Quang Tri Thanh Hoa An Giang Minh City 2011 Thua Thien Hue Ha Noi 2012 Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 26 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID who reported condom use at last sex by city/province, 2012 % 100 80 84 63 62 55 52 51 50 45 44 44 44 43 34 25 0 Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 27 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of PWID who reported consistent condom use with FSWs in the last month by province/city, 2011 and 2012 % 100 2011 79 80 60 56 75 75 75 2012 74 67 67 61 60 52 43 48 42 40 51 44 37 31 20 0 Nghe An Binh Duong Thanh Hoa Quang Tri Da Nang Ha Noi Thua Thien An Giang HCMC Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 28 Latest! HIV and AIDS Data Hub for Asia-Pacific Mean number of clients in the last week among venuebased and street-based FSW, 2009 Mean number of clients 30 Venue-based Street-based 25 25 20 15 10 5 3 5 4 5 6 4 7 5 6 7 6 8 9 10 11 10 Nghe An Hai Phong 6 0 Da Nang Can Tho An Giang HCMC Ha Noi Quang Ninh Dong Nai Source: Prepared by www.aidsdatahub.org based on Hoang T.V, Tuan NA, Vi LNL, et al. (2011). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam - Round II 2009 29 Latest! HIV and AIDS Data Hub for Asia-Pacific Average duration of sex work among FSW by province/city, 2012 100% 16 32 80% 60% 80 79 68 68 66 64 59 54 52 45 84 40% 68 20% 20 21 32 32 34 36 Can Tho Dong Nai Binh Dinh 41 46 48 55 0% Ha Noi Cao Kien Bang Giang Duration as a sex worker <= 3 years Thai Gia Lai An Da HCMC Nghe Binh Giang Nang An Duration as a sex worker >3 years Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 30 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of MSM who sold sex by province/city, 2012 100 % During the last 12 months 80 During the last month 60 43 40 33 31 21 20 11 14 16 7 10 4 8 2 5 1 1 0 0 HCMC Khanh Hoa Kien Giang Soc Trang An Giang Can Tho Da Nang Ha Noi Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 31 Latest! HIV and AIDS Data Hub for Asia-Pacific Overlapping risk behaviors: Proportion of MSM and FSW who have ever injected drugs, 2012 100 % 80 MSM 60 FSW 40 20 11 10 6 9 7 12 5 4 6 0 Bac Giang Can Tho Ha Noi Thai Binh Thanh Hoa HCMC An Giang Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 32 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations who are married in selected cities/provinces, 2012 100 % FSW PWID MSM 80 60 47 44 41 40 22 38 35 32 32 28 24 21 20 9 21 23 12 5 4 20 12 3 15 12 4 3 0 An Giang Ha Noi Soc Trang Can Tho Khanh HoaKien Giang HCMC Da Nang Source: Prepared by www.aidsdatahub.org based on Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012 33 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of adults (15-24) years who reported having more than one sexual partner in the last 12 months and reported condom use at last sex, 2009 100 % 93 80 60 40 20 1 0 More than one sexual parter Condom use at last sex Source: Prepared by www.aidsdatahub.org based on GSO. (2009). Unpublished data from the National Survey on Adolescents and Youth in Viet Nam. 34 Vulnerability and HIV knowledge www.aidsdatahub.org Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations with comprehensive HIV knowledge by age group, 2009 % 100 80 60 73 51 51 48 53 48 40 20 0 FSWs MSM <25 yr Male IDUs 25+ yr Source: Prepared by www.aidsdatahub.org based on 1. Vietnam Administration of HIV/AIDS Control. (2010). UNGASS Country Progress Report: Vietnam and 2.UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. citing Vietnam, IBBS, 2009 36 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations with comprehensive HIV knowledge, 2005-06 and 2009 % 100 80 60 40 51 60 55 49 38 35 20 0 2005-06 FSWs 2009 2005-06 2009 MSM 2005-06 2009 Male IDUs Source: Prepared by www.aidsdatahub.org based on 1. Vietnam Administration of HIV/AIDS Control. (2010). UNGASS Country Progress Report: Vietnam and 2.UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. citing Vietnam, IBBS, 2005-06 and 2009 37 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of young people (15-24 year) with comprehensive HIV knowledge by age group and gender, 2009 % 100 Male Female 80 60 44 49 41 40 41 39 45 20 0 Total 15-19 yr Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic. 20-24 yr 38 HIV Expenditure www.aidsdatahub.org Latest! HIV and AIDS Data Hub for Asia-Pacific AIDS Spending by financing source, 2006-2012 140,000,000 120,000,000 USD 100,000,000 $95,446,488 80,000,000 60,000,000 40,000,000 $42,821,544 20,000,000 $30,327,094 $19,495,015 0 2006 2007 Total AIDS spending 2008 Bilateral Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 2009 2010 Global Funding 2011 2012 Domestic Funding 40 Latest! HIV and AIDS Data Hub for Asia-Pacific AIDS spending by category, 2007-2010 100% 90% $15,828,152 $27,146,300 80% $53,182,962 $52,139,350 70% 60% $25,899,876 $42,323,904 50% $21,031,678 40% $29,814,870 30% 20% $24,552,788 $39,344,292 $37,123,328 $41,698,644 2007 2008 2009 2010 10% 0% Prevention Care and treatment Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org Others 41 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of total prevention programme spending on key populations at higher risk, 2009-2010 100% 90% 80% 70% 60% % Others 72 71 % on people who inject drugs 50% % on men who have sex with men % on sex workers and their clients 40% 30% 20% 15 20 10% 3 10 3 6 2009 2010 0% Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 42 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of spending on HIV prevention programmes from domestic and international sources, 2007-2010 100% 90% 80% 70% 60% 82 89 89 82 50% % International sources % Domestic (public) sources 40% 30% 20% 10% 18 11 11 2008 2009 18 0% 2007 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 2010 43 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of spending on care and treatment from domestic and international sources, 2007-2010 100% 90% 80% 70% 60% 50% 87 99 99 91 % International sources % Domestic (public) sources 40% 30% 20% 10% 0% 1 2007 1 2008 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org 13 9 2009 2010 44 National response www.aidsdatahub.org Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations reached with HIV prevention programmes, 2009 - 2013 FSW % 100 MSM 80 56 60 49 47 51 42 40 24 20 0 2009 2010 2011 2012 2013 Source: Prepared by www.aidsdatahub.orgg based on 1. NIHE, FHI 360, VAAC. (2011). Results from the HIV/STI Integrated Biological and Behavioral Surveillance (IBBS) in Vietnam, Round II 2009, National Institute of Hygiene and Epidemiology, MoH; 2. Viet Nam Administration of HIV/AIDS Control (VAAC). 2012. Report on the results of HIV sentinel surveillance plus among high-risk groups in Viet Nam in 2012and 3. www.aidsinfoonline.org 46 Latest! HIV and AIDS Data Hub for Asia-Pacific Proportion of key populations who received an HIV test in the last 12 months and know their results, 2004-2013 FSW MSM PWID % 100 90 80 70 60 50 44 35 40 12 11 15 16 31 30 29 30 20 40 39 35 29 19 18 24 11 10 0 2004 2005 2009 2011 2012 2013 Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS, UNGASS Country Progress Report, 2005; 2. UNAIDS, UNGASS Country Progress Report, 2008; 3. UNAIDS Report on The Global AIDS Epidemic, 2010; 4. UNAIDS. (2012). Annexes - UNAIDS Report on the Global AIDS Epidemic 2012; and 5. HSS+ and IBBS surveys cited in National Committee for AIDS, Drug and Prostitution Prevention and Control. (2014). Viet Nam AIDS Response Progress Report 2014; Following Up the 2011 Political Declaration on HIV/AIDS. Reporting period: January 2012 – 47 December 2013; and 6. www.aidsinfoonline.org Latest! HIV and AIDS Data Hub for Asia-Pacific Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy sites, 2011-2013 5,000 Number of sites 4,000 3,922 3,755 3,607 3,000 2,000 1,000 80 60 41 0 2011 Number of NSP sites 2012 2013 Number of OST sites Source: Prepared by www.aidsdatahub.org based on National Committee for AIDS, Drug and Prostitution Prevention and Control. (2012). Vietnam Global AIDS Response Progress Report, 2012; National Committee for AIDS, Drug and Prostitution Prevention and Control. (2014). Vietnam AIDS Response Progress Report, 2014. Following Up the 2011 Political 48 Declaration on HIV/AIDS. Reporting period: January 2012 – December 2013; and Viet Nam Global AIDS Response Progress Reporting 2014 Latest! HIV and AIDS Data Hub for Asia-Pacific Number of opioid substitution therapy (OST) sites and patients, 2009-2013 200 15,542 Number of patients 16,000 180 160 14,000 12,253 140 12,000 120 10,000 100 8,000 6,931 80 6,000 2,000 0 60 60 4,000 1,646 7 2009 2,584 80 41 40 20 15 0 2010 Number of patients 2011 2012 2013 Number of OST sites Source: Prepared by www.aidsdatahub.org based on National Committee for AIDS, Drug and Prostitution Prevention and Control. (2014). Vietnam AIDS Response Progress Report, 2014. Following Up the 2011 Political Declaration on HIV/AIDS. Reporting period: January 2012 – December 2013 49 Number of OST tises 18,000 Latest! HIV and AIDS Data Hub for Asia-Pacific Number of needle/syringes distributed per person who inject drugs per year, 2008-2013 Number of needles/syringes 300 High coverage: >200 syringes per PWID per year 200 181 Medium coverage: >100–<200 180 141 syringes per PWID per year 140 124 100 98 Low coverage: <100 syringes per PWID per year 0 2008 2009 2010 2011 2012 2013 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009; 2. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010; 3. WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response Epidemic Update and Health Sector Progress towards Universal Access Progress Report 2011; 4. National Committee for AIDS, Drug and Prostitution Prevention and Control. (2012). Vietnam Global AIDS Response Progress Report, 2012; 5. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 6. www.aidsinfoonline.org 50 Latest! HIV and AIDS Data Hub for Asia-Pacific Number of ART sites and number of people on ART, 2004-2013 100,000 Number of health facilities that offer ART 82,687 400 Number of people on ART 300 80,000 60,000 200 288 315 320 40,000 364 290 207 100 20,000 0 Number of people on ART Number of ART Sites 500 0 2004 2005 2006 2007 2008 2009 2010 2011 2012* 2013 * Excludes prisons Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2006-2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2006-2010; 2.UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 3. UNAIDS. (2013). The Gap Report; 4. National Committee for AIDS, Drug and Prostitution Prevention and Control. Vietnam Global AIDS Response Progress Reports 2013 and 2014; and 5. www.aidsinfoonline.org 51 Latest! HIV and AIDS Data Hub for Asia-Pacific ART scale up, 2004-2013 100 82,687 80,000 80 60,000 60 40,000 40 20,000 25 29 33 % ART coverage Number of people on ART 100,000 20 0 0 2004 2005 2006 2007 2008 Estimated ART coverage 2009 2010 2011 2012 2013 Number of people on ART NOTE: ART coverage (%) represents the proportion of people receiving ART out of the total number of people living with HIV Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2014). The Gap Report; and 2. www.aidsinfoonline.org 52 Latest! HIV and AIDS Data Hub for Asia-Pacific Estimated number of adults living with HIV, adults receiving ARVs, and adult ART coverage, 2013 300,000 100 250,000 Number 200,000 60 150,000 40 240,000 100,000 50,000 78,483 32 0 % ART coverage 80 20 0 Adults living with HIV Adults receiving ARVs ART coverage (%) NOTE: ART coverage (%) represents the proportion of people receiving ART out of the total number of people living with HIV Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). The Gap Report 53 Latest! HIV and AIDS Data Hub for Asia-Pacific 2,500 100 2,000 80 1,500 60 1,000 40 1,800 65 1,192 500 PMTCT coverage (%) Number Estimated number of pregnant women living with HIV, receiving ARVs, and PMTCT coverage, 2013 20 0 0 Estimated pregnant women living with HIV Pregnant women receiving ARVs (number) Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). The Gap Report PMTCT coverage 54 Latest! HIV and AIDS Data Hub for Asia-Pacific National data on stigma and discrimination Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms Civil society perspectives/ratings: 2009 2011 2013 Trend Laws and policies in place to protect and promote HIVrelated human rights 8/10 7/10 8/10 Efforts to implement human rights-related laws and policies 5/10 5/10 6/10 STIGMA INDEX (2011 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 5% Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and partners 55 HIV and AIDS Data Hub for Asia-Pacific 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 56