HIV and AIDS Data Hub for Asia-Pacific Review in slides Bhutan Last updated: January 2016

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) 766 (2014) 4 Annual population growth rate 1.4 (2014) 4 Population aged (thousands) 448 (2014) 4 Percentage of population in urban areas 37 (2013) 3 Crude birth rate (births per 1,000 population) 19.9 (2012) 3 Under-5 mortality rate (per 1,000 live births) 45 (2012) 2 Human development index (HDI) - Rank/Value 136/0.584 (2013) 1 Life expectancy at birth (years) 68.3 (2013) 1 Adult literacy rate (%) 52.8 ( ) 1 Ratio of girls to boys in primary and secondary education (%) (2012) 3 GDP per capita (PPP, $US) 2,498 (2013) 3 Per capita total health expenditure (Int.$) 227 (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 ​ ; and 4. UN Population Division. (2013). World Population Prospects: The 2012 Revision - Extended Dataset.

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of people living with HIV, women living with HIV, new HIV infections, adult HIV prevalence and AIDS-related deaths, 2005 and Source: Prepared by based on UNAIDS. (2014). The Gap Report; and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported cumulative and new HIV/AIDS cases, Source: Prepared by based on 1) National STIs and HIV/AIDS Prevention and Control Programme. (2014). Bhutan Global AIDS Response Progress Report, 2014; and 2) National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Annual reported number of HIV infections by gender, Source: Prepared by based on National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of cumulative HIV infections by age group and gender, 1993 – Source: Prepared by based on National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of cumulative HIV infections by mode of transmission, 1993 – Source: Prepared by based on National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of cumulative HIV infections by site of detection, 1993 – Source: Prepared by based on National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Syphilis and hepatitis B prevalence among surveyed populations, Source: Prepared by based on Royal Government of Bhutan (2008). National Strategic Plan for the Prevention and Control of STIs and HIV and AIDS; National STIs and HIV/AIDS Prevention and Control Programme. (2012). Bhutan Global AIDS Response Progress Report, 2012; and Royal Government of Bhutan (2012). Bhutan National Strategic Plan for the Prevention and Control of STIs and HIV/ AIDS ( ), Kingdom of Bhutan, Thimphuwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Sexually transmitted infections (STI) incidence per 10,000 population, Source: Prepared by based on Bhutan Health Management Information System, Ministry of Health, Royal Government of Bhutan. (2013). Annual Health Bulletin

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who reported condom use at last sex, Source: Prepared by based on National STIs and HIV/AIDS Prevention and Control Programme. (2012). Bhutan Global AIDS Response Progress Report,

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations who reported condom use at last sex by partner type in the last year, Source: Prepared by based on National AIDS/STI Control Programme Bhutan. (2009). Behavioural Surveillance Survey, 2008 Bhutan - Technical Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations who reported transactional sex in the last year, Source: Prepared by based on National AIDS/STI Control Programme Bhutan. (2009). Behavioural Surveillance Survey, 2008 Bhutan - Technical Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations who reported illicit drug use in the last year, Source: Prepared by based on National AIDS/STI Control Programme Bhutan. (2009). Behavioural Surveillance Survey, 2008 Bhutan - Technical Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Proportion of surveyed population who reported the use of a condom with extramarital and premarital partners in the past 12 months, Source: Prepared by based on General Population Survey (GPS), 2006 cited in World Bank. (2008). HIV/AIDS in Bhutan.

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of women who reported condom use by age group and partner type, Source: Prepared by National Statistics Bureau, UNICEF, & UNFPA. (2011). Bhutan Multiple Indicator Survey

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported sexual behaviors among surveyed adolescents (13-18 yr), Source: Prepared by based on Department of Youth and Sports, Ministry of Education. (2011). An Assessment of Vulnerable and At-risk Adolescents (13-18 years) in Bhutan: Exploring Social & Health Risk Behaviours.

Vulnerability and HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations with comprehensive HIV knowledge, Source: Prepared by based on National AIDS/STI Control Programme Bhutan. (2009). Behavioural Surveillance Survey, 2008 Bhutan - Technical Reportwww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed women with comprehensive HIV knowledge, Source: Prepared by National Statistics Bureau, UNICEF, & UNFPA. (2011). Bhutan Multiple Indicator Survey

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of young people with misconceptions on HIV transmission and treatment, Source: Prepared by based on WHO. (2006). Fact Sheet on Young People and HIV/AIDS in Bhutan.

HIV Expenditure

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Amount spent on HIV by financing source, Source: Prepared by based on National STIs and HIV/AIDS Prevention and Control Programme. (2012). Bhutan Global AIDS Response Progress Report,

National response

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed populations who have ever tested for HIV, Thimphu, Source: Prepared by based on National AIDS/STI Control Programme Bhutan. (2009). Behavioural Surveillance Survey, 2008 Bhutan - Technical Reportwww.aidsdatahub.org

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.UNAIDS. (2014). UNAIDS HIV Estimates 1990 – 2013; 2. National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan-2015; and 3. and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART scale up, Source: Prepared by based on 1.UNAIDS. (2014). UNAIDS HIV Estimates 1990 – 2013; 2. National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan-2015; and 3. and

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Cumulative cross sectional cascade for HIV treatment and care, Source: Prepared by based on National AIDS Control Programme. (2015). Country Progress Report on the HIV Response in Bhutan

HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Selected indicators of response from NCPI 2014 Access to justice: Legal services (legal aid or other) NHRI or other mechanisms National data on stigma & discrimination STIGMA INDEX Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: No Stigma Index Civil society perspectives/ratings: Trend Laws and policies in place to protect and promote HIV- related human rights N/A 5/10 3/10 Efforts to implement human rights-related laws and policies N/A 3/10 6/10 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific and based on information provided by UNAIDS country office and partnerswww.aidsdatahub.org

HIV and AIDS Data Hub for Asia-Pacific 33 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