HIV and AIDS Data Hub for Asia-Pacific Review in slides Timor-Leste Last updated: December 2014

HIV and AIDS Data Hub for Asia-Pacific 2 Basic socio-demographic indicators HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge HIV Expenditure National Response CONTENT

HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 1,152 (2014) 4 Annual population growth rate 1.7 (2014) 4 Population aged (thousands) 490 (2010) 5 Percentage of population in urban areas 31.5 (2013) 3 Crude birth rate (births per 1,000 population) 35.9 (2012) 3 Under-5 mortality rate (per 1,000 live births) 57 (2012) 2 Human development index (HDI) - Rank/Value 128/0.620 (2013) 1 Life expectancy at birth (years) 67.5 (2013) 1 Adult literacy rate (%) 58.3 ( ) 1 Ratio of girls to boys in primary and secondary education (%) 97.3 (2011) 3 GDP per capita (PPP, $US) 1,371 (2013) 3 Per capita total health expenditure (Int.$) 79 (2011) 2 Sources: Prepared by 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. UN Population Division. (2011). World Population Prospects The 2010 Revision.

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Key population size estimates PopulationsEstimateYear of estimate People who inject drugs * Female sex workers Men who have sex with men 11, Sources: Prepared by 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), ; 2. Timor-Leste National AIDS Programme, Ministry of Health cited in WHO SEARO (2010).Timor-Leste: Epidemiological Situation and Health Sector Response * Year of source reference

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among surveyed populations, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor -Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! STI prevalence among MSM by district, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor -Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! STI prevalence among FSW by district, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor -Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! STI prevalence among clients of sex workers by district, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor -Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! STI prevalence among uniformed personnel by district, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor -Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 Reported number of new HIV infections, cumulative HIV infections and AIDS-related deaths, Source: Prepared by based on National HIV/AIDS and STIs Control Programme (NAP). Department of Communicable Disease Control, Ministry of Health. (2014). HIV/AIDS Surveillance Data-Timor Leste. 1st Quarter 2014.

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations reported condom use at last sex, 2008 and Source: Prepared by based on 1. National AIDS Programme Timor-Leste. (2010). UNGASS Country Progress Report,Timor-Leste; and 2. National AIDS Programme Timor-Leste. (2012). Timor Leste Global AIDS Response Progress Report, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW reported condom use at last sex with client by district, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor -Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Frequency of buying and selling sex among female sex workers and clients, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor-Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 16 Proportion of MSM reported condom use at last sex by partner type, 2011 Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor -Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM with reported transactional sex and bi-sexual behaviour, Source: Prepared by based on Ministry of Health, HIV/STI Unit. (2012). Results from the HIV/STI Integrated Biological & Behavioral Surveillance Survey Democratic Republic of Timor-Leste (Draft)

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM who reported consistent condom use in the past 12 months by type of partner, Source: Prepared by based on International HIV Research Group, School of Public Health and Community Medicine, The University of New South Wales. (2008). Behavioral Surveillance Survey in Timor-Leste, 2008 First Round Results for Men Who Have Sex with Men (MSM).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Young people (15-24) who reported sex before the age of 15 by gender and district, Source: Prepared by based on National Statistics Directorate Timor-Leste, Ministry of Finance Timor-Leste, & ICF Macro. (2010). Timor- Leste Demographic and Health Survey

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of FSW with correct knowledge of HIV, Source: Prepared by based International HIV Research Group, School of Public Health and Community Medicine, The University of New South Wales. (2008). Behavioral Surveillance Survey in Timor-Leste, 2008 First Round Results for Female Sex Workers (FSW).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Percentage of MSM with correct knowledge of HIV, Source: Prepared by based on International HIV Research Group, School of Public Health and Community Medicine, The University of New South Wales. (2008). Behavioral Surveillance Survey in Timor-Leste, 2008 First Round Results for Men Who Have Sex with Men (MSM).

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of population with comprehensive knowledge of HIV by age group, gender and residence, Source: Prepared by based on National Statistics Directorate Timor-Leste, Ministry of Finance Timor-Leste, & ICF Macro. (2010). Timor-Leste Demographic and Health Survey

HIV Expenditure

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by financing source, Source: Prepared by based on

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 26 AIDS spending by category, Source: Prepared by based on

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of ART sites and number of people on ART, Source: Prepared by based on 1. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report ; 2. Timor Leste Global AIDS Response Progress Reporting 2014; and 3.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV testing coverage among key populations, 2008 and Source: Prepared by based on 1. National AIDS Programme Timor-Leste. (2010). UNGASS Country Progress Report, Timor-Leste; and 2. National AIDS Programme Timor-Leste. (2012). Timor Leste Global AIDS Response Progress Report, 2012www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Spectrum of engagement in prevention of mother-to-child transmission (PMTCT), ,857 pregnant women tested for HIV (including previously known positive) 9 pregnant women tested positive for HIV (including previously known positive) 7 HIV-positive pregnant women received ARV for PMTCT Source: Prepared by based on Timor -Leste Global AIDS Response Progress Reporting 2014www.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Punitive laws hindering the HIV response in Timor-Leste 31 Source: Prepared by based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific in October 2014 MSM Reported to criminalize same-sex sexual activities between consenting adult males Reported to criminalize sex work in private Reported to criminalize soliciting Reported to maintain compulsory detention centres for people who use drugs Reported to impose the death penalty for drug-related offences Reported to maintain some form of restriction on entry, stay and residence on the basis of HIV status Laws that specifically crimainlize HIV transmission or exposure No Information No Information SEX WORKERSPEOPLE WHO USE DRUGSPEOPLE LIVING WITH HIV

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 32 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 site.