1. www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific Review in slides Myanmar Last Update: June 2015

2. HIV and AIDS Data Hub for Asia-Pacific 2 Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV Expenditure National Response CONTENT

3. HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 53,719 (2014) 4 Annual population growth rate 0.8 (2014) 4 Population aged 15-49 (thousands) 30,647 (2014) 4 Percentage of population in urban areas 33 (2013) 3 Crude birth rate (births per 1,000 population) 17.4 (2012) 3 Under-5 mortality rate (per 1,000 live births) 52 (2012) 2 Human development index (HDI) - Rank/Value 150/0.524 (2013) 1 Life expectancy at birth (years) 65.2 (2013) 1 Adult literacy rate (%) 92.7 (2005-2012) 1 Ratio of girls to boys in primary and secondary education (%) 101 (2010) 3 GDP per capita (PPP, $US) 1,126 (2012) 5 Per capita total health expenditure (Int.$) 23 (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 h ​ t ​ t ​ p ​ : ​ / ​ / ​ d ​ a ​ t ​ a ​ b ​ a ​ n ​ k ​. ​ w ​ o ​ r ​ l ​ d ​ b ​ a ​ n ​ k ​. ​ o ​ r ​ g ​​ ; 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset; and 5. World Statistics Pocketbook. United Nations Statistics Division https://data.un.org/CountryProfile.aspx?crName=MYANMAR

4. www.aidsdatahub.org HIV prevalence and epidemiological status

5. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2013 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). UNAIDS HIV Estimates 1990 - 2013 and www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

6. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 6 Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2013 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). UNAIDS HIV Estimates 1990 - 2013 and www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

7. HIV and AIDS Data Hub for Asia-Pacific 7 Size estimates of key populations at higher risk, 2010 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, WHO and UNIADS. (2010). HIV Estimates and Projections, Myanmar 2008-2015.www.aidsdatahub.org

8. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! People living with HIV by population group based on AIDS epidemic model (AEM), 1990-2020 Source: Unpublished country AEM workbook prepared for the report: Strategic Information and M&E Working Group, Technical and Strategy Group on AIDS, Myanmar. (2012). HIV Estimates and Projections Asian Epidemiological Model Myanmar 2010 ‐ 2015.

9. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! New HIV infections by key population based on AIDS epidemic model (AEM), 2010-2015 Source: Prepared by www.aidsdatahub.org based on unpublished country AEM workbook prepared for the report: Strategic Information and M&E Working Group, Technical and Strategy Group on AIDS, Myanmar. (2012). HIV Estimates and Projections Asian Epidemiological Model Myanmar 2010 ‐ 2015.www.aidsdatahub.org

10. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key populations, 2014 10 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

11. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 HIV prevalence among sentinel populations, 2014 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

12. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 12 HIV prevalence trends among key populations, 1992-2014 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

13. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 13 HIV prevalence trends among low risk sentinel populations, 1992-2014 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

14. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! National prevalence often masks the high prevalence in some geographical areas Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

15. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence trend among young key populations (15-24), 2000-2014 15 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

16. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among young key populations (15-24 yr) by age group, 2014 16 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

17. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 17 HIV prevalence among female sex workers by age group, 2008-2014 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

18. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 18 HIV prevalence among people who inject drugs by age group, 2008-2014 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

19. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 19 HIV prevalence among men who have sex with men by age group, 2008-2014 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

20. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Trends of syphilis prevalence among key populations, 2007-2014 20 Sources: Prepared by www.aidsdatahub.org based on HIV Sentinel Sero ‐ surveillance Survey Reports.www.aidsdatahub.org

21. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 21 Syphilis prevalence among key populations by age group, 2014 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

22. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 22 Syphilis prevalence among low risk sentinel populations by age group, 2014 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Department of Health, Ministry of Health and World Health Organization (2015). Results of HIV Sentinel Sero-surveillance 2014.www.aidsdatahub.org

23. Risk behaviours

24. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 24 Proportion of key populations who used a condom at last sex by age group, 2007-2009 Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Survey among Injecting Drug Users and Female Sex Workers, 2008 and IBBS 2009 cited in National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.www.aidsdatahub.org

25. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 25 Proportion of condom use among female sex workers with different types of sexual partners, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

26. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 26 Number of clients in the last working day among FSW, surveyed cities, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

27. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed female sex workers who have ever tried drugs, 2007-2008 27 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org *Only 3 female sex workers among sampled population reported ever injected drugs

28. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of male PWID who reported using sterile injecting equipment at last injection, 2007-2008 28 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.www.aidsdatahub.org

29. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 29 Proportion of male PWID who never shared injecting equipment in the past six months, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

30. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 30 Proportion of male PWID who reported using non-sterile injecting equipment at last injection and in the last six months, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

31. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 31 Proportion of male PWID having had sex with different types of sexual partners in the last six months, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

32. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 32 Proportion of condom use among male PWID with different types of sexual partners, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

33. Vulnerability and HIV knowledge

34. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 34 Proportion of key populations with comprehensive HIV knowledge by age group, 2007-2009 Source: Prepared by www.aidsdatahub.org based on Behavior Surveillance Survey among Injecting Drug Users and Female Sex Workers, 2008 and IBBS, 2009 cited in National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.www.aidsdatahub.org

35. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 35 Proportion of female sex workers with comprehensive HIV knowledge, selected cities, 2007-2008 The data covers 4 questions: 1.Can having sex with only one faithful and infected partner reduce the risk of transmission? 2.Can using condoms reduce the risk of HIV transmission? 3.Can a person get HIV from mosquito bite? 4.Can a person get HIV by sharing a meal with someone who is HIV infected? Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

36. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 36 Proportion of male PWID with comprehensive HIV knowledge, selected cities, 2007-2008 The data covers 4 questions: 1.Can having sex with only one faithful and infected partner reduce the risk of transmission? 2.Can using condoms reduce the risk of HIV transmission? 3.Can a person get HIV from mosquito bite? 4.Can a person get HIV by sharing a meal with someone who is HIV infected? Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

37. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 37 Proportion of out of school youths (15-24) with comprehensive HIV knowledge by city, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioral Surveillance Survey 2008: Out of School Youth.www.aidsdatahub.org

38. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 38 Proportion of out of school youths (15-24) with knowledge on HIV prevention and transmission, 2007 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioral Surveillance Survey 2008: Out of School Youth.www.aidsdatahub.org

39. HIV Expenditure

40. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 40 AIDS spending by financing source, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

41. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by category, 2007-2011 41 Source: Prepared by www.aidsdatahub.org based on data retrieved from www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

42. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of HIV spending on key populations out of total prevention spending, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

43. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on HIV prevention programmes from domestic and international sources, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

44. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on care and treatment from domestic and international sources, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

45. www.aidsdatahub.org National response

46. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 46 Proportion of key populations reached with HIV prevention programs in the last 12 months by age group, 2007-2009 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012.www.aidsdatahub.org

47. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 47 Proportion of people who inject drugs and female sex workers reached with HIV prevention programs in the last 12 months by surveyed city, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

48. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy (OST) sites, 2011-2013 48 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar Global AIDS Response Progress Reports.www.aidsdatahub.org

49. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 49 Number of needle/syringes distributed per person who inject drugs per year, 2008-2013 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 AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012; 5. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 6. www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

50. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of needles and syringes distributed to PWID by needles and syringes programmes (NSP), 2003-2013 50 Source: Prepared by www.aidsdatahub.org based on 1)National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar; 2) National AIDS Programme Myanmar. (2012). Progress Report 2011: National Strategic Plan for HIV/AIDS in Myanmar; and 3) National AIDS Programme Myanmar. (2014). Global AIDS Response Progress Report.www.aidsdatahub.org

51. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of PWID on methadone maintenance therapy (MMT), 2006-2013 51 Source: Prepared by www.aidsdatahub.org based on 1)National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar; 2) National AIDS Programme Myanmar. (2012). Progress Report 2011: National Strategic Plan for HIV/AIDS in Myanmar; and 3) National AIDS Programme Myanmar. (2014). Global AIDS Response Progress Report.www.aidsdatahub.org

52. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 52 HIV testing coverage among key populations, 2008-2009 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2012). Myanmar Global AIDS Response Progress Report, 2012; and www.aidsinfoonline.orgwww.aidsdatahub.org www.aidsinfoonline.org

53. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 53 Proportion of people who inject drugs and female sex workers who received HIV testing in the last 12 months and knew the results, surveyed cities, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar, & WHO. (2008). Behavioural Surveillance Survey 2008: Injecting Drug Users and Female Sex Workers.www.aidsdatahub.org

54. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of key populations who received HIV test and post test counseling, 2006-2012 54 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. Progress Reports 2010 to 2012.www.aidsdatahub.org

55. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 55 Number of ART sites and number of people on ART, 2005-2013 Source: Prepared by www.aidsdatahub.org based on Source: 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.(2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; 3. UNAIDS.(2012). Global Report: UNAIDS Report on the Global AIDS Epidemic; 4. UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 5. www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

56. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 56 ART scale up, 2005-2013 Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report; and 2. www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

57. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 57 Estimated number of adults needing and receiving ART, and coverage, 2013 Source: Prepared by www.aidsdatahub.org based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report;www.aidsdatahub.org

58. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 58 Estimated number of pregnant women living with HIV, receiving ARVs, and PMTCT coverage, 2013 Source: Prepared by www.aidsdatahub.org based on UNAIDS 2013 Estimates for UNAIDS. (2014). The Gap Report;www.aidsdatahub.org

59. Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms National data on stigma and discrimination STIGMA INDEX (2009 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 7% Civil society perspectives/ratings:20092011 2013 Trend Laws and policies in place to protect and promote HIV- related human rights 4/10 5/10 Efforts to implement human rights-related laws and policies 2/10 4/10 5/10 Myanmar 59 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on Global AIDS Response Progress Reporting and information provided by UNAIDS country office and partners.www.aidsdatahub.org

60. HIV and AIDS Data Hub for Asia-Pacific 60 THANK YOU slides compiled by www.aidsdatahub.orgwww.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.www.aidsdatahub.org