HIV and AIDS Data Hub for Asia-Pacific 11 HIV and AIDS Data Hub for Asia-Pacific Review in slides India

HIV and AIDS Data Hub for Asia-Pacific Content Basic socio-demographic indicators HIV prevalence and epidemiological status ( ) Populations at higher risk Women and young people Estimated HIV prevalence and reported HIV/AIDS cases Risk behaviors ( ) Populations at higher risk Young people and general population Vulnerability and HIV knowledge ( ) Economics of AIDS (2003) National Response ( ) Archives 2

HIV and AIDS Data Hub for Asia-Pacific 3 Basic socio-demographic indicators Total population (in thousands) 1,214,464 (2010) 2 Annual population growth rate 1.3 ( ) 2 Population aged (thousands) 647,003 (2008) 6 Percentage of population in urban areas 30 % (2010) 1 Crude birth rate (births per 1,000 population) 22.8 (2008) 3 Under-5 mortality rate (per 1,000 live births) 69 (2008) 4 Human development index (HDI) - Rank/Value 119/0.519 (2010) 5 Life expectancy at birth (years) 64.4 (2010) 5 Adult literacy rate 62.8% ( ) 5 Ratio of girls to boys in primary and secondary education (%) 92 (2007) 3 GDP per capita (PPP, $US) 3,270 (2009) 3 Per capita total health expenditure (Int.$) 109 (2007) 4 Source:1. UNFPA The State of World Population UN Statistics Division 2010: 3. World Bank World Development Indicators & Global Development Finance ; 4. WHO World Health Statistics UNDP Human Development Report UN Population Division - Population Prospects: The 2008 Revision, Population Database

HIV and AIDS Data Hub for Asia-Pacific 4 HIV prevalence and epidemiological status 4

HIV and AIDS Data Hub for Asia-Pacific 5 Populations at Higher Risk

HIV and AIDS Data Hub for Asia-Pacific 6 Up to 2008

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among different population groups, Source: HIV sentinel surveillance and HIV estimation in India, %

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among FSWs in selected states, % Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among IDUs in selected states, % Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific HIV prevalence among MSMs in selected states, Source: HIV sentinel surveillance and HIV estimation in India, %

HIV and AIDS Data Hub for Asia-Pacific Districts with HIV prevalence higher than 15% among most at risk populations, Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific 12 Up to 2007

HIV and AIDS Data Hub for Asia-Pacific State-wise estimated adult HIV prevalence, 2006 & Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific Trends of HIV prevalence among most at risk populations, * 14 * 3 years moving average based on consistent sites: IDU- 13, MSM- 7, FSW-22 Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific Trends of HIV prevalence among FSWs in groups of states, * 15 * 3 yr moving average based on consistent sites : South 4 (AP, TN, Kar, Mah): 7 sites, NE 2 (Mani, Naga): 2 sites, North 4 (Guj, Rak, Ori, WB): 7 sites Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific Trends of HIV prevalence among IDUs, selected states, * 16 Source: HIV sentinel surveillance and HIV estimation in India, * 3 years moving average based on consistent sites: Manipur: 3 sites, Meghalaya: 1site, Mizoram: 1 site, Mumbai : 1 site, Nagaland: 5 sites, West Bengal: 1 site

HIV and AIDS Data Hub for Asia-Pacific Trends of HIV prevalence among MSMs in selected states, * 17 * 3 years moving average based on consistent sites: AP+TN : 3sites, Goa: 1 site, Bangalore: 1site, Delhi: 1site, Manipur: 1 site Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific Trends of HIV prevalence among STD clinic attendees, * 18 * 3 years moving average based on consistent sites: All India: 157 sites, South 4 (AP, TN, Kar, Mah): 36 sites, NE 2 ( Mani, Naga) : 3 sites, Mizoram: 1site, Gujarat : 8 sites, Chhattisgarh: 3 sites. Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific 19 Up to 2006

HIV and AIDS Data Hub for Asia-Pacific 20 HIV prevalence among different population groups, India, 2006 Source: National AIDS control Organization (NACO), HIV Sentinel Surveillance and HIV Estimation,

HIV and AIDS Data Hub for Asia-Pacific 21 Source: NACO, HIV Sentinel Surveillance and HIV Estimation, HIV prevalence among most-at-risk populations in Maharashtra state, IDUsMSMFSWs (%)

HIV and AIDS Data Hub for Asia-Pacific 22 Source: NACO, HIV Sentinel Surveillance and HIV Estimation, HIV prevalence among most-at-risk populations in Tamil Nadu state,

HIV and AIDS Data Hub for Asia-Pacific 23 Source: NACO, HIV Sentinel Surveillance and HIV Estimation, HIV prevalence among most-at-risk populations in Manipur state, IDUsMSMFSWs (%)

HIV and AIDS Data Hub for Asia-Pacific 24 HIV prevalence among high-risk populations, Surat, Gujarat Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 25 *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006 HIV prevalence among FSWs, by State, 2006* Maharashtra Nagaland Manipur Mizoram Karnataka Andhra Pradesh Gujarat West Bengal Tamil Nadu Rajasthan Chattisgarh Punjab Uttar Pradesh Pondicherry Haryana Madhya Pradesh Bihar Orissa Delhi Jharkhand Himachal Pradesh Chandigarh Assam Arunachal Pradesh Jammu & Kashmir Kerala (%)

HIV and AIDS Data Hub for Asia-Pacific 26 HIV prevalence among FSWs in Southern states (combined) by age, * *Includes only those sites from which there was consistent data available for 2003 to Total number of sites 9. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 27 HIV prevalence among FSWs in West Bengal, * *Includes only those sites from which there was consistent data available for 2003 to Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 28 HIV prevalence among IDUs, by State, 2006* *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, Tamil Nadu Maharashtra Manipur Chandigarh Punjab Orissa Delhi West Bengal Uttar Pradesh Assam Karnataka Mizoram Kerala Nagaland Jharkhand Bihar Sikkim Haryana Tripura (%)

HIV and AIDS Data Hub for Asia-Pacific 29 HIV prevalence among IDUs in selected Northern states, * *Includes only those sites from which there was consistent data available for 2002 to 2006 Number of consistent sites considered in Manipur=3, Nagaland=3 and Mizoram=1. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 30 HIV prevalence among MSM and IDUs in Chandigarh, Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 31 *The required sample size for each high-risk group site was 250. Sites reporting data for less 75% of this sample were excluded from analysis. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006 HIV prevalence among MSM, by State, 2006* 31

HIV and AIDS Data Hub for Asia-Pacific 32 HIV prevalence among MSM in selected sentinel sites, Source: National Institute of Health and Family Welfare and National AIDS Control Organization, Annual HIV Sentinel Surveillance Country Report, (%) Year

HIV and AIDS Data Hub for Asia-Pacific Percentage of reported STI symptoms among clients of female sex workers and female sex workers 33 Clients of female sex workersFemale sex workers Source: Behavioral Surveillance Survey among Clients of Female Sex Workers and Female Sex Workers, 2006

HIV and AIDS Data Hub for Asia-Pacific Percentage of MSM with self reported STI symptoms in the last 12 months 34 Source: Behavioral Surveillance Survey among MSM and IDUs, 2006 Symptoms include Genital ulcer/sore, burning pain during urination

HIV and AIDS Data Hub for Asia-Pacific Percentage of IDU with self reported STI symptoms in the last 12 months 35 Source: Behavioral Surveillance Survey among MSM and IDUs, 2006 Symptoms include Genital ulcer/sore, burning pain during urination

HIV and AIDS Data Hub for Asia-Pacific 36 Source: Behavioral Surveillance Survey among General Population, 2006 Percentage of adult (15-49) yr with reported STI symptoms in the last 12 months, 2006

HIV and AIDS Data Hub for Asia-Pacific 37 Women and Young People

HIV and AIDS Data Hub for Asia-Pacific Selected districts with HIV prevalence higher than 3% among ANC attendees, Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific Newly identified districts with HIV prevalence ≥ 1% among ANC attendees, Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific Trends of HIV prevalence among ANC attendees in selected high prevalence states, * 40 Source: HIV sentinel surveillance and HIV estimation in India, * 3 years moving average based on consistent sites: India- 360 sites, South 4 ( AP, TN, Kar, Mah) -219 sites, NE 3 (Mani, Naga, Mizo) – 28 sites

HIV and AIDS Data Hub for Asia-Pacific 41 HIV prevalence among pregnant women in selected districts of Tamil Nadu compared with state average, * *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Tamil Nadu 56. District prevalence reflects both rural and urban areas. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 42 HIV prevalence among pregnant women in selected districts of Maharashtra compared with state average, * *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Tamil Nadu 70. District prevalence reflects both rural and urban areas. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 43 HIV prevalence among pregnant women in selected districts of Andhra Pradesh compared with state average, * *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Andhra Pradesh 43. District prevalence reflects both rural and urban areas. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 44 HIV prevalence among pregnant women in selected districts of Karnataka compared with state average, * *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Karnataka 53. District prevalence reflects both rural and urban areas. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 45 HIV prevalence among pregnant women in Orissa and Rajasthan (combined) by age, * *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of consistent sites considered in Orissa=5, Rajasthan=6. District prevalence reflects both rural and urban areas. Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 46 HIV prevalence among pregnant women by age group, 2006 Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 47 HIV prevalence among pregnant women in Southern states, * *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of sites 222 (Andhra Pradesh=43; Karnataka=53; Maharashtra=70; Tamil Nadu=56) Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report,

HIV and AIDS Data Hub for Asia-Pacific 48 *Includes only those sites from which there was consistent data available for 2003 to 2006 Number of sites 222 (Andhra Pradesh=43; Karnataka=53; Maharashtra=70; Tamil Nadu=56) Source: National Institute of Health and Family Welfare, NACO, Annual HIV Sentinel Surveillance Country Report, 2006 HIV prevalence among pregnant women in Southern states (combined) by age, * 48

HIV and AIDS Data Hub for Asia-Pacific 49 HIV prevalence among young people aged 15-24, by age and residence, Source: IIPS, National Family Health Survey round III,

HIV and AIDS Data Hub for Asia-Pacific 50 HIV prevalence among young people aged in selected states, Source: IIPS, National Family Health Survey round III,

HIV and AIDS Data Hub for Asia-Pacific 51 Estimated HIV prevalence and reported HIV/AIDS cases

HIV and AIDS Data Hub for Asia-Pacific Trend of adult HIV prevalence and number of PLHIV ( Total & female), Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific Estimated adult HIV prevalence, Source: HIV sentinel surveillance and HIV estimation in India, %

HIV and AIDS Data Hub for Asia-Pacific Distribution of PLHIV among high HIV burden states, Source: HIV sentinel surveillance and HIV estimation in India,

HIV and AIDS Data Hub for Asia-Pacific 55 HIV prevalence among adult (15-49) yr in various states, 2006 Source: Technical Report, India HIV Estimates 2006, NACO, National Institute of Medical Statistics,

HIV and AIDS Data Hub for Asia-Pacific 56 Estimated HIV prevalence by sex, Source: Technical Report, India HIV Estimates 2006, NACO, National Institute of Medical Statistics,

HIV and AIDS Data Hub for Asia-Pacific 57 % distribution of reported HIV cases by age, Source: Technical Report, India HIV Estimates 2006, NACO and National Institute of Medical Statistics 57

HIV and AIDS Data Hub for Asia-Pacific 58 Reported cumulative HIV/AIDS cases, Source: National AIDS Control Organization at 58 Cumulative Number Year

HIV and AIDS Data Hub for Asia-Pacific 59 Estimated HIV prevalence in selected states, 2005 Source: Dandona L., Lakshmi V., Kumar G. A. and Dandona R. Is the HIV burden in India being overestimated? BMC Public Health 2006;6:308 59

HIV and AIDS Data Hub for Asia-Pacific 60 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