Bhutan

CONTENT Basic socio-demographic indicators HIV prevalence and epidemiological status (1990-2010) Risk behaviors (2006) Vulnerability and HIV knowledge (2000-2006) HIV Expenditure National Response (1997-2008) Archives

BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (thousands) 708.5 (2010) 1 Annual population growth rate 1.7% (2010-2015) 1 Population aged 15-49 (thousands) 411 (2010) 2 Percentage of population in urban areas 35% (2010) 3 Crude birth rate (births per 1,000 population) 21.1 (2009) 4 Under 5 mortality rate (per 1,000 live births) 81 (2008) 5 Human Development Index (HDI)/Value 132/0.619 (2007) 6 Life expectancy at birth 65.7 (2007) 6 Adult literacy rate 52.8% (2007) 6 Ratio of girls to boys in primary and secondary education (%) 100 (2009) 7 GDP per capita (PPP, US$) 4,837 (2007) 6 Per capita total health expenditure (Int.$) 188 (2007) 5 Sources: 1. UN Statistics Division. (2010). Demographic and Social Statistics. Retrieved 10 January 2011, from http://unstats.un.org/unsd/demographic/products/socind/population.htm 2. UN Population Division. (2011). World Population Prospects, the 2010 Revision. Retrieved 10 January 2011, from http://esa.un.org/unpd/wpp/Excel-Data/population.htm 3. UNFPA. (2010). State of World Population 2010. 4. World Bank. World Development Indicators & Global Development Finance. Retrieved 10 January 2011, from http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2 5. WHO. (2010). World Health Statistics 2010. 6. UNDP. (2010). Human Development Report 2010. 7. World Bank. World Development Indicators: Ratio of Girls to Boys in Primary and Secondary Education (%). Retrieved 10 Jan 2011, from http://data.worldbank.org/indicator/SE.ENR.PRSC.FM.ZS

HIV prevalence and epidemiological status

Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated number of adults (15+) living with HIV vs female (15+) living with HIV, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

% distribution of adults (15+) living with HIV by gender, 1999-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Estimated adult HIV prevalence vs new HIV infections, 1990-2009 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

Number and % distribution of cumulative HIV infections by mode of transmission, July 2010 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of cumulative HIV infections by age group and gender, July 2010 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

% distribution of cumulative HIV infections by age group and gender, July 2010 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of cumulative HIV infections and deaths by age group, July 2010 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of cumulative HIV infections and deaths by age group and gender, July 2010 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

Number of new HIV infections by age group and gender, December 2009 - June 2010 Source: Prepared by www.aidsdatahub.org based on Ministry of Health. An update on Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome (HIV/AIDS) - (July 1, 2010). Thimphu: Bhutan.

HIV and Hepatitis-C prevalence among IDUs, 2006 This study was conducted among IDUs along the border with Indian state of West Bengal. Source: Prepared by www.aidsdatahub.org based on Sarkar K, Bal B, Mukherjee R, et al. (2006). Epidemic of HIV Coupled with Hepatitis C Virus among Injecting Drug Users of Himalayan West Bengal, Eastern India, Bordering Nepal, Bhutan, and Bangladesh. Subst Use Misuse, 41(3), 341-352.

Risk behaviours

% of surveyed population reporting extramarital and premarital sex in the past 12 months, 2006 Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

% of surveyed population reporting the use of a condom with extramarital and premarital partners in the past 12 months, 2006 Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

% of IDUs with high-risk behaviors, 2006 Source: Prepared by www.aidsdatahub.org based on Sarkar K, Bal B, Mukherjee R, et al. (2006). Epidemic of HIV Coupled with Hepatitis C Virus among Injecting Drug Users of Himalayan West Bengal, Eastern India, Bordering Nepal, Bhutan, and Bangladesh. Subst Use Misuse, 41(3), 341-352.

Vulnerability and HIV knowledge

% of young people with misconceptions on HIV transmission and treatment, 2006 Source: Prepared by www.aidsdatahub.org based on WHO. (2006). Fact Sheet on Young People and HIV/AIDS in Bhutan.

% of young females 15-24 yr with comprehensive knowledge, 2000 Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006). Bhutan: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update.

HIV Expenditure

National response

Status of health facilities providing VCCT service and number of people (15+) tested for HIV in the past 12 months, 2008 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.

% of pregnant women counseled and tested for HIV, 2007 Total 2,244 pregnant women were counseled and tested for HIV Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

% of pregnant women 15-49 yr with access to antenatal care, 1997-2005 In Bhutan Maternal Mortality Rate (MMR) is 420* per 100,000 live births (WHO, World Health Report, 2006). Life-time risk of maternal death is 1* out of every 37 women (UNICEF, The State of the World’s Children, 2006) * Based on year 2000. This is the most recent data available. Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006). Bhutan: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update.

Status of health facilities providing ANC, VCCT and PMTCT services and their uptake, 2008 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.

Number of HIV infected pregnant women needing ARVs for PMTCT and status of maternal and infant PMTCT coverage, 2008 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.

Status of health facilities providing ART and number of adults and children who received ART by gender, 2008 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.

Number of adults and children who are in need of ART and % of ART coverage, 2008 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 number of children (<15 yr) needing ART, reported number of children receiving ART and % ART coverage, 2008 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.

Number of adults and children with advanced HIV infection who are in need and who received ART, 2007 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Towards Universal Access: Scaling Up Priority HIV/AIDS Interventions in the Health Sector-Progress Report 2008.

Archives

HIV prevalence and epidemiological status

Estimated number of people living with HIV, 2007 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2006). 2006 Report on the Global AIDS Epidemic. and WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS Bhutan 2008 Update.

Reported HIV cases, 1993- March 2008 Total 144 cases of HIV infection have been reported. Source: Prepared by www.aidsdatahub.org based on HIV/STI/AIDS Program, Ministry of Health, Royal Government of Bhutan, 2008.

Mode of HIV transmission for reported cases, 1993- March 2008 Source: Prepared by www.aidsdatahub.org based on HIV/STI/AIDS Program, Ministry of Health, Royal Government of Bhutan, 2008.

Estimated number of people died of AIDS, 2002-2006 Year Sub-group Number 2002 Total 7 2003 <100 2005 2006 22 Source: Prepared by www.aidsdatahub.org based on Bhutan Millennium Development Progress Development Report, 2006 and UNAIDS Report on the Global AIDS Epidemic 2006.

Risk behaviours

% of surveyed population reporting extramarital and premarital sex in the past 12 months, 2006 Note: Age of these population groups is not provided in the source. Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

% of general population reporting the use of a condom with extramarital and premarital partners in the past 12 months, 2006 Note: Age of these population groups is not provided in the source. Source: Prepared by www.aidsdatahub.org based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

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