Singapore Last updated: November 2016

CONTENT Basic socio-demographic indicators HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge HIV expenditure National response

BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 5,604 (2015) 1 Population aged 15-49 (thousands) 2,840 (2015) 1 Maternal mortality ratio (per 100 000 live births) 10 (2015) 5 Percentage of population in urban areas 100 (2015) 2 Antenatal care coverage - At least one visit (%) N/A Crude birth rate (births per 1,000 population) 9.8 (2014) 2 Under-5 mortality rate (per 1,000 live births) 3 (2015) 2 Human development index (HDI) - Rank/Value 11/0.912 (2014) 4 Life expectancy at birth (years) - Male/Female 80/86 (2015) 5 Adult literacy rate (%) 97 (2013) 2 Ratio of girls to boys enrolled at primary level in public and private school (%) GDP per capita (PPP, current international $) 85,209 (2015) 2 Per capita total expenditure on health (PPP int. $) 4,047 (2014) 3 Sources: Prepared by www.aidsdatahub.org based on 1. UN Population Division. (2015). World Population Prospects: The 2015 Revision - Extended Dataset; 2. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved July 2016, from http://data.worldbank.org/; 3. WHO. Global Health Observatory Indicator Views: Per Capita Total Expenditure on Health (PPP int. $) (Health Systems), Retrieved July 2016, from http://apps.who.int/gho/data/node.imr.WHS7_105?lang=en; 4. Palanivel, T., Mirza, T., Tiwari, B. N., Standley, S., & Nigam, A. (2016). Asia-Pacific Human Development Report - Shaping the Future: How Changing Demographics Can Power Human Development; 5. WHO. (2016). World Health Statistics 2016: Monitoring health for the SDGs; and 6. World Bank Group. (2016). World Development Indicators 2016.

HIV prevalence and epidemiology

Annual reported HIV and AIDS cases and case rate per 1,000,000 population, 1985-2015 Source: Prepared by www.aidsdatahub.org based on Ministry of Health Singapore. (2016). Update on HIV/AIDS Situation in Singapore 2015. accessed at https://www.moh.gov.sg/content/moh_web/home/diseases_and_conditions/h/hiv_aids.html

Annual reported number of HIV and AIDS cases by gender, 2000-2015 Source: Prepared by www.aidsdatahub.org based on Ministry of Health Singapore. (2016). Update on HIV/AIDS Situation in Singapore 2015. accessed at https://www.moh.gov.sg/content/moh_web/home/diseases_and_conditions/h/hiv_aids.html

Cumulative HIV and AIDS cases by mode of transmission, 2015 7,140 Source: Prepared by www.aidsdatahub.org based on Ministry of Health Singapore. (2016). Update on HIV/AIDS Situation in Singapore 2015. accessed at https://www.moh.gov.sg/content/moh_web/home/diseases_and_conditions/h/hiv_aids.html

Reported HIV cases by mode of transmission, 1985-2015 Source: Prepared by www.aidsdatahub.org based on Ministry of Health Singapore. (2016). Update on HIV/AIDS Situation in Singapore 2015. accessed at https://www.moh.gov.sg/content/moh_web/home/diseases_and_conditions/h/hiv_aids.html

Key population size estimates Year of estimate People who inject drugs 10,000-20,000 2004 Men who have sex with men 90,000 2011 Source: Prepared by www.aidsdatahub.org based on 1. Aceijas, C., Stimson, G. V., Hickman, M., et al. (2004). Global Overview of Injecting Drug Use and HIV Infection among Injecting Drug Users. AIDS, 18(17), 2295-2303; and 2. Mok, P. (2011). Sex Between Men in Your City.

HIV prevalence among key populations, 2009-2013 Source: Prepared by www.aidsdatahub.org based on 1)Ministry of Health Singapore. (2010). UNGASS Country Progress Report: Singapore; 2) Ministry of Health Singapore. (2012). Singapore Global AIDS Response Progress Report, 2012; 3) Chan, R., Chio, M., Lim, S., Poh, K., Tan, A., Loh, B., & Foong, J. (2013). Outreach HIV Testing Project in Venues Frequented by Men who have Sex with Men (MSM) – August 2013 – October 2013. ; 4) Singapore Global AIDS Response Progress Reporting 2014; and 5) www.aidsinfoonline.org

HIV prevalence among MSM who frequented venues, 2007-2013 Source: Prepared by www.aidsdatahub.org based on Chan, R., Chio, M., Lim, S., Poh, K., Tan, A., Loh, B., & Foong, J. (2013). Outreach HIV Testing Project in Venues Frequented by Men who have Sex with Men (MSM) – August 2013 – October 2013.

HIV prevalence among MSM by venue type, 2007-2013 Source: Prepared by www.aidsdatahub.org based on Chan, R., Chio, M., Lim, S., Poh, K., Tan, A., Loh, B., & Foong, J. (2013). Outreach HIV Testing Project in Venues Frequented by Men who have Sex with Men (MSM) – August 2013 – October 2013.

Risk behaviours

Proportion of key populations reported condom use at last sex, 2007-2013 Source: Prepared by www.aidsdatahub.org based on 1. Ministry of Health Singapore. (2010). UNGASS Country Progress Report: Singapore; 2. Ministry of Health Singapore. (2012). Singapore Global AIDS Response Progress Report, 2012; 3. Singapore Global AIDS Response Progress Reporting 2014; and 4. www.aidsinfoonline.org

Proportion of MSM reported consistent condom use in the last 6 months by type of partner, 2010-2013 Source: Prepared by www.aidsdatahub.org based on Chan, R., Chio, M., Lim, S., Lo, D., Tan, A., Wong, J., & Loh, B. (2013). Outreach HIV Testing Project in Venues Frequented by MSM – November 2011 to February 2012; and Chan, R., Chio, M., Lim, S., Poh, K., Tan, A., Loh, B., & Foong, J. (2013). Outreach HIV Testing Project in Venues Frequented by Men who have Sex with Men (MSM) – August 2013 – October 2013.

Proportion of adults (15-49) years who reported having more than one sexual partner in the last 12 months and reported condom use at last sex, 2007 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Vulnerability and HIV knowledge

Proportion of surveyed population (18-69) who know that HIV infected person can still look healthy by gender and age group, 2007 Source: Prepared by www.aidsdatahub.org based on Ministry of Health Singapore (2008). National Behavioural Surveillance Survey (NBSS) on HIV/AIDS among the General Population 2007.

Proportion of surveyed population (18-69) who are willing to share a meal with an HIV infected person by gender and age group, 2007 Source: Prepared by www.aidsdatahub.org based on Ministry of Health Singapore (2008). National Behavioural Surveillance Survey (NBSS) on HIV/AIDS among the General Population 2007.

HIV expenditure

Domestic public funding, 2007-2013 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

AIDS spending by category, 2009-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

National response

Proportion of key populations who received an HIV test in the last 12 months and know their results, 2009-2013 Source: Prepared by www.aidsdatahub.org based on 1. Ministry of Health Singapore. (2010). UNGASS Country Progress Report: Singapore; 2. Ministry of Health Singapore. (2012). Singapore Global AIDS Response Progress Report, 2012; and 3. www.aidsinfoonline.org

Percent distribution by history of last HIV test among MSM, 2007-2013 Source: Prepared by www.aidsdatahub.org based on Chan, R., Chio, M., Lim, S., Poh, K., Tan, A., Loh, B., & Foong, J. (2013). Outreach HIV Testing Project in Venues Frequented by Men who have Sex with Mem (MSM) – August 2013 – October 2013.

Number of health facilities that offer ART, 2008 - 2011 Source: Prepared by www.aidsdatahub.org based on 1. Ministry of Health Singapore. (2010). UNGASS Country Progress Report: Singapore; and 2. Ministry of Health Singapore. (2012). Singapore Global AIDS Response Progress Report, 2012.

ART scale up, 2011 - 2015 Source: Prepared by www.aidsdatahub.org based on Singapore Global AIDS Response Progress Reporting

Treatment cascade, 2015 Note: rounded numbers are used for all indicators; * Number of people on ART who received a viral load test in the past year and have VL of <1000 copies/ml Source: Prepared by www.aidsdatahub.org based on Singapore Global AIDS Response Progress Reporting

14 HIV-positive pregnant women delivered in 2015 Spectrum of engagement in prevention of mother-to-child transmission (PMTCT), 2015 14 HIV-positive pregnant women delivered in 2015 14 HIV-positive pregnant women received ARVs for PMTCT 14 infants born to HIV-positive women received ARV prophylaxis to reduce early mother-to-child transmission 14 infants received an HIV test within 2 months of birth Source: Prepared by www.aidsdatahub.org based on Singapore Global AIDS Response Progress Reporting 2016

Punitive laws hindering the HIV response in Singapore Sources: Prepared by www.aidsdatahub.org based on UNAIDS, UNDP, UNFPA, and UNODC. (2013). Punitive Laws Hindering the HIV Response in Asia and the Pacific in June 2013

slides compiled by www.aidsdatahub.org 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