HIV and AIDS Data Hub for Asia-Pacific Review in slides Migrants and mobile populations Last updated: February 2015

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among migrants and wives of migrants, Source: Prepared by based on HIV Sentinel Surveillance Surveys and Integrated Biological and Behavioural Surveyswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among migrant workers who are working in Thailand, 2010 and Source: Prepared by based on Thailand Bureau of Epidemiology. (2013). Report of HIV Situation among Migrant Workers in Thailand: Integrated Biological and Behavioural Surveillance Survey among Migrants Workers in Thailand 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of migrants among reported HIV cases, Source: Prepared by based on National HIV and AIDS case reporting and AIDS registrywww.aidsdatahub.org * Migrant workers and spouses of migrants

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! A prospective cohort study indicates high incidence of HIV and syphilis among migrant MSM in Beijing 6 Source: Prepared by based on Mao H, Ma W, Lu H, et al. High incidence of HIV and syphilis among migrant men who have sex with men in Beijing, China: a prospective cohort study. BMJ Open 2014;4:e doi: /bmjopen www.aidsdatahub.org Study design: Prospective cohort study Participants : 511 HIV-negative migrant MSM HIV sero-conversion was significantly associated with -‘had first anal intercourse at age 15 or younger’ and -‘ever had group sex’

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of migrants/wives of migrants among HIV positive cases from Integrated Counselling and Testing Centre, India Source: Prepared by based on Saggurti N, Mahapatra B, Swain SN, et al. (2011). Migration and HIV in India: Study of Select Districts. New Delhi: UNDP, NACO, and Population Council.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 Source: Prepared by based on Saggurti N, Mahapatra B, Swain SN, et al. (2011). Migration and HIV in India: Study of Select Districts. New Delhi: UNDP, NACO, and Population Council. Proportion of HIV sero-concordance and discordance among people who were tested positive at Integrated Counselling and Testing Centre by migration status, India 2011

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of migrants reported having sex with commercial/non-regular partners in the last year, Source: Prepared by based on 1) Success Search Option (P) Ltd Nepal, Intrepid Nepal, & Save the Children Nepal. (2010). Integrated Biological and Behavioral Surveillance Survey among Male Labor Migrants: Round 3 - Mid and Far-Western Regions of Nepal.; 2) Wagle, S., Bohidar, N., Samuels, F., et al. (2011). Vulnerability to HIV & AIDS: A Social Research on Cross Border Mobile Populations from Nepal to India.; 3) IOM, & UNAIDS. (2007). Assessment of Mobility and HIV Vulnerability among Myanmar Migrant Sex Workers and Factory Workers in Mae Sot District, Tak Province, Thailand.; 4) Sultana, T., Das, A., Sultana, M. M., et al. (2011). Vulnerability to HIV and AIDS: A Social Research on Cross Border Mobile Population from Bangladesh to India.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of migrants reported condom use with spouse or regular partners, 2014 (Emphasis project data) 11 Control population- purposefully selected control locations that have similar socio-demographic characteristics as the EMPHASIS end-line impact population Source: Prepared by based on Ravesloot, B., & Banwart, L. O. (2014). EMPHASIS End-Line Survey Report: CARE.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported sexual behaviours among Bangladeshi sailors in the last 12 months, Source: Prepared by based on CARE. (2014). Bangladeshi Sailor’s Vulnerability to HIV and AIDSwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported sexual behaviours among migrant workers in Eastern China, in the last 12 months, Source: Prepared by based on Pan X, Zhu Y, Wang Q, Zheng H, Chen X, et al. (2013) Prevalence of HIV, Syphilis, HCV and their High Risk Behaviors among Migrant Workers in Eastern China. PLoS ONE 8(2): e doi: /journal.pone www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Sexual behaviour and condom use by marital status among migrant workers in Eastern China, Source: Prepared by based on Pan X, Zhu Y, Wang Q, Zheng H, Chen X, et al. (2013) Prevalence of HIV, Syphilis, HCV and their High Risk Behaviors among Migrant Workers in Eastern China. PLoS ONE 8(2): e doi: /journal.pone www.aidsdatahub.org * in the last year

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of returned migrants reported condom use by partner type, Nepal, Source: Prepared by based on 1. Success Search Option (P) Ltd Nepal, Intrepid Nepal, & Save the Children Nepal. (2010). Integrated Biological and Behavioral Surveillance Survey among Male Labor Migrants: Round 3 - Mid and Far-Western Regions of Nepalwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of married men reported having extramarital sex and condom use at last sex by migration status, India Proportion of men reported having extramarital sex in the last 12 months Proportion of men reported condom use at last extramarital sex Source: Prepared by based on Saggurti N, Mahapatra B, Swain SN, et al. (2011). Migration and HIV in India: Study of Select Districts. New Delhi: UNDP, NACO, and Population Council. Sampled population = married men and women who visited Integrated Counselling and Testing Centre

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of married women reported having extramarital sex and condom use at last sex by husband’s migration status, India Source: Prepared by based on Saggurti N, Mahapatra B, Swain SN, et al. (2011). Migration and HIV in India: Study of Select Districts. New Delhi: UNDP, NACO, and Population Council. Sampled population = married men and women who visited Integrated Counselling and Testing Centre Proportion of women reported having extramarital sex in the last 12 months Proportion of women reported condom use at last extramarital sex

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of migrants with comprehensive HIV knowledge, Source: Prepared by based on 1) Success Search Option (P) Ltd Nepal, Intrepid Nepal, & Save the Children Nepal. (2010). Integrated Biological and Behavioral Surveillance Survey among Male Labor Migrants: Round 3 - Mid and Far-Western Regions of Nepal.; 2) Saggurti N, Mahapatra B, Swain SN, et al. (2011). Migration and HIV in India: Study of Select Districts. New Delhi: UNDP, NACO, and Population Council; 3) Mongolia Second Generation Sentinel Surveillance 2009 cited in UNGASS Country Progress Report, 2010; 4) Thailand Bureau of Epidemiology. (2013). Report of HIV Situation among Migrant Workers in Thailand: Integrated Biological and Behavioural Surveillance Survey among Migrants Workers in Thailand 2012www.aidsdatahub.org

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Inclusion of migrants in the latest available National Strategic Plans 21 Country Identify migrants as priority population or focus area 1 Afghanistan ( ) YES 2 Bangladesh ( ) YES 3 Bhutan ( ) YES 4 Brunei Darussalam No information 5 Cambodia ( ) YES 6 China ( ) YES 7 DPR Korea No National Strategic Plan 8 Fiji ( ) YES 9 India ( ) YES 10 Indonesia ( ) YES 11 Japan ( ) YES 12 Lao PDR ( ) YES 13 Malaysia ( ) YES 14 Maldives No information 15 Mongolia ( ) YES 16 Myanmar ( ) YES 17 Nepal ( ) YES 18 Pakistan ( ) YES 19 Papua New Guinea ( ) YES 20 Philippines ( ) YES 21 Republic of Korea No information 22 Singapore YES 23 Sri Lanka ( ) YES 24 Thailand ( ) YES 25 Timor-Leste ( ) YES 26 Viet Nam ( ) YES Source: Prepared by based on the latest National Strategic Plans and National Commitments and Policies Instrument(NCPI), 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of migrants in India who are provided with health care benefits by their employer 22 Source: Prepared by based on Ravesloot, B., & Banwart, L. O. (2014). EMPHASIS End-Line Survey Report: CARE. Control population- purposefully selected control locations that have similar socio-demographic characteristics as the EMPHASIS end-line impact population

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of migrants in India (end-line impact population of Emphasis project) reporting access to HIV related services, Source: Prepared by based on Ravesloot, B., & Banwart, L. O. (2014). EMPHASIS End-Line Survey Report: CARE.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of migrants in India (end-line impact population of Emphasis project) reporting a supportive HIV and AIDS related environment, Source: Prepared by based on Ravesloot, B., & Banwart, L. O. (2014). EMPHASIS End-Line Survey Report: CARE. * among those who know a migrant living with HIV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of migrants tested for HIV, Source: Prepared by based on 1) Wagle, S., Bohidar, N., Samuels, F., et al. (2011). Vulnerability to HIV & AIDS: A Social Research on Cross Border Mobile Populations from Nepal to India.; 2)Sultana, T., Das, A., Sultana, M. M., et al. (2011). Vulnerability to HIV and AIDS: A Social Research on Cross Border Mobile Population from Bangladesh to India.; 3) Mongolia Second Generation Sentinel Surveillance 2009 cited in UNGASS Country Progress Report, 2010www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Restriction on entry, stay, and residence based on HIV status in South-East Asia and the Pacific countries 26 Sources: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific (October 2014) South-East Asia Pacific Brunei YES Fiji NO Cambodia NO Kiribati NO Indonesia NO Marshall Islands YES Lao PDR NO FSM* NO Malaysia YES Nauru NO INFO Myanmar NO Palau NO INFO Philippines NO Papua New Guinea YES Singapore YES Samoa YES Thailand NO Solomon Islands YES Timor-Leste NO INFO Tonga YES Viet Nam NO Tuvalu NO INFO Vanuatu NO *Federated States of Micronesia

HIV and AIDS Data Hub for Asia-Pacific Restriction on entry, stay, and residence based on HIV status in South and East Asia countries 27 South Asia East Asia Afghanistan NO China NO Bangladesh NO Japan NO Bhutan NO Mongolia NO India NO DRP Korea YES Maldives NO Nepal NO Pakistan NO Sri Lanka NO Sources: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific (October 2014)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 28 THANK YOU slides compiled by 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 if slides are lifted directly from this sitewww.aidsdatahub.org