Key Affected Populations in Asia: Where are we and what is the way forward? Dr. Sai Subhasree Raghavan SAATHII, India Governing Council Member, IAS

HIV Epidemic in the Region People living with HIV: 4,900,000 Women living with HIV: 1,600,000 New HIV infections: 370,000 Adult HIV prevalence: 0.2 % Concentrated Epidemic Sex workers and their clients, Men who have sex with men, Transgender, People who inject drugs, and all of their intimate partners The region made progress in containing the epidemic

There are rising HIV prevalence trends in regions/cities in 6 countries: China, Indonesia, Philippines, Thailand and Viet Nam Source: Prepared by based on HIV Sentinel Surveillance reports, Integrated Biological and Behavioral Surveillance reports and other reports

Made Significant Progress in Reducing HIV prevalence among female sex workers in Some Countries (India, Thailand, Vietnam, Cambodia, Myanmar) 4 Source: Prepared by based on HIV Sentinel Surveillance Surveys and Integrated Biological and Behavioural Surveys

Female sex workers (FSW): Progress but still at high prevalence in geographic ‘hotspots’ Source: Prepared by based on HIV Sentinel Surveillance Surveys, Integrated Biological and Behavioural Surveys, Country UNGASS Progress reports, and Global AIDS Response Progress Reports

HIV prevalence among MSM, countries where data is available, Source: Prepared by based on UNGASS Country Progress Reports 2008 & 2010 Country data are not strictly comparable because methods and sampling varied. In addition, many surveys were conducted in a few large urban areas & it might not necessarily reflect prevailing conditions at the national level.

Countries with stabilizing and declining HIV prevalence trend among PWID 7 Source: Prepared by based on HIV Sentinel Surveillance Surveys and Integrated Biological and Behavioural Surveys

Countries with rising HIV prevalence trend among PWID Source: Prepared by based on HIV Sentinel Surveillance Surveys and Integrated Biological and Behavioural Surveys

Percentage (median) of key populations at higher risk who received an HIV test in the past 12 months and know the results, Source: Prepared by based on WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response: Epidemic Update and Health Sector Progress Towards Universal Access. # of reporting countries Sex Workers – Global - 52 East, South and South-East Asia - 16 MSM - Global - 41 East, South and South-East Asia - 14 PWID - Global - 26 East, South and South-East Asia -10

Key populations are central to the epidemic but not enough are reached by prevention services Source: Prepared by based on UNAIDS. (2012). Global Report: UNAIDS Report on the Global AIDS Epidemic 2012 Key populations reached by prevention services, regional median, 2011

Total regional AIDS spending by spending category, Source: Prepared by based on

Estimated antiretroviral therapy coverage among people living with HIV by region, based on 2010 WHO guidelines, Source : Prepared by based on WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response: Epidemic Update and Health Sector Progress Towards Universal Access.

Estimated number of people eligible for ART, receiving ART, and ART coverage by region, Source : Prepared by based on WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response: Epidemic Update and Health Sector Progress Towards Universal Access.

Way Forward Focus on countries with high burden Focus on key populations Prevention Testing Linkages to care and treatment Remove legal barriers Reduce stigma 14

Acknowledgements UNAIDS Data Hub Team Mr. Steve Krauss and Mr Pradeep Kakkattil, UNAIDS Mr. JVR Prasada Rao, UN Envoy for Asia pacific 15