Myanmar Last Update: November 2014

CONTENT Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV Expenditure National Response

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

HIV prevalence and epidemiological status

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.org

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.org

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.

People living with HIV by population group based on AIDS epidemic model (AEM), 1990-2020 Source: Unpublished country AEM workbook prepared for the report: Strategic Information and M&E Working Group, Technical and Strategy Group on AIDS, Myanmar.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.

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.

HIV prevalence among key populations, 2013 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

HIV prevalence among sentinel populations, 2013 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

HIV prevalence trends among key populations, 1992-2013 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

National prevalence often masks the high prevalence in some geographical areas Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

HIV prevalence among young key populations (15-24), 2000-2013 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

HIV prevalence among key populations by age group, 2013 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

HIV prevalence among female sex workers by age group, 2007-2013 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

HIV prevalence among people who inject drugs by age group, 2007-2013 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

HIV prevalence among men who have sex with men by age group, 2007-2013 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar (2014). HIV Sentinel Sero‐surveillance Survey Report, 2013.

Syphilis prevalence among key populations at higher risk and male STI patients, 2011-2013 Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Sero‐surveillance Survey Reports 2011 to 2013.

Trends of syphilis prevalence among key populations at higher risk, 2007-2013 Sources: Prepared by www.aidsdatahub.org based on HIV Sentinel Sero‐surveillance Survey Reports.

Annual cumulative and new HIV cases, 1989-2010 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar.

Percent distribution of reported HIV infections and AIDS cases by gender, 2010 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2011). Progress Report 2010: National Strategic Plan for HIV/AIDS in Myanmar.

Risk behaviours

Proportion of key populations at higher risk 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.

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.

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.

Proportion of surveyed female sex workers who have ever tried drugs, 2007-2008 *Only 3 female sex workers among sampled population reported ever injected drugs 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.

Proportion of male PWID who reported using sterile injecting equipment at last injection, 2007-2008 Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. (2010). UNGASS Country Progress Report: Myanmar.

Proportion of male PWID who never shared injecting equipment in the past six months, 2007-2008 Stating 2 indicators, 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.

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.

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.

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.

Vulnerability and HIV knowledge

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.

Proportion of female sex workers with comprehensive HIV knowledge, selected cities, 2007-2008 The data covers 4 questions: Can having sex with only one faithful and infected partner reduce the risk of transmission? Can using condoms reduce the risk of HIV transmission? Can a person get HIV from mosquito bite? 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.

Proportion of male PWID with comprehensive HIV knowledge, selected cities, 2007-2008 The data covers 4 questions: Can having sex with only one faithful and infected partner reduce the risk of transmission? Can using condoms reduce the risk of HIV transmission? Can a person get HIV from mosquito bite? 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.

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.

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.

HIV Expenditure

AIDS spending by financing source, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

AIDS spending by category, 2007-2011 Source: Prepared by www.aidsdatahub.org based on data retrieved from www.aidsinfoonline.org

Proportion of HIV spending on key populations at higher risk out of total prevention spending, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of spending on HIV prevention programmes from domestic and international sources, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

Proportion of spending on care and treatment from domestic and international sources, 2007-2011 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

National response

Proportion of key populations at higher risk 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.

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.

Number of Needle and Syringe Programme (NSP) and Opioid Substitution Therapy (OST) sites, 2011-2013 Sources: Prepared by www.aidsdatahub.org based on National AIDS Programme, Myanmar Global AIDS Response Progress Reports.

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.org

Number of needles and syringes distributed to PWID by needles and syringes programmes (NSP), 2003-2013 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.

Number of PWID on methadone maintenance therapy (MMT), 2006-2013 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.

HIV testing coverage among key populations at higher risk, 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.org

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.

Number of key populations at higher risk who received HIV test and post test counseling, 2006-2012 Please update 2012 data with attached progress report Source: Prepared by www.aidsdatahub.org based on National AIDS Programme Myanmar. Progress Reports 2010 to 2012.

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.org

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.org

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;

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;

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 HIV- related human rights 4/10  5/10   Efforts to implement human rights-related laws and policies 2/10  STIGMA INDEX (2009 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 7% Myanmar Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and partners.

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.