1. www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific Review in slides Sri Lanka Last updated: April 2016

2. HIV and AIDS Data Hub for Asia-Pacific 2 Basic socio-demographic indicators HIV prevalence and epidemiological status Risk behaviors Vulnerability and HIV knowledge HIV expenditure National response CONTENT

3. HIV and AIDS Data Hub for Asia-Pacific 3 BASIC SOCIO-DEMOGRAPHIC INDICATORS Total population (in thousands) 21,446 (2014) 4 Annual population growth rate 0.8 (2014) 4 Population aged 15-49 (thousands) 10,757 (2014) 4 Percentage of population in urban areas 18 (2013) 3 Crude birth rate (births per 1,000 population) 18.1 (2012) 3 Under-5 mortality rate (per 1,000 live births) 10 (2012) 2 Human development index (HDI) - Rank/Value 73/0.750 (2013) 1 Life expectancy at birth (years) 74.3 (2013) 1 Adult literacy rate (%) 91.2 (2005-2012) 1 Ratio of girls to boys in primary and secondary education (%) 103.4 (2012) 3 GDP per capita (PPP, $US) 3,280 (2013) 3 Per capita total health expenditure (Int.$) 183 (2011) 2 Sources: Prepared by www.aidsdatahub.org 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.www.aidsdatahub.org

4. HIV prevalence and epidemiology

5. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 5 Estimated number of people living with HIV, new HIV infections and AIDS-related deaths, 1990-2014 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2015). HIV Estimates 1990 -2014.www.aidsdatahub.org

6. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 6 Estimated number of adults (15+) living with HIV and women (15+) living with HIV, 1990-2014 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2015). HIV Estimates 1990 -2014.www.aidsdatahub.org

7. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 7 Key population size estimates EstimateLow estimateHigh estimateYear of estimate People who inject drugs (PWID) 423--2013 Female sex workers (FSW) 14,13212,32915,9352013 Men who have sex with men (MSM) 7,5516,5478,5542013 1.Source: Prepared by www.aidsdatahub.org based on Sri Lanka Global AIDS Response Progress Reporting 2015 based on National STD/AIDS Control Programme and the Family Planning Association of Sri Lanka. (2013). National Size Estimation of Most at Risk Populations (MARPs) for HIV in Sri Lankawww.aidsdatahub.org Key population size estimates, 2013

8. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 HIV prevalence among key populations, 2005-2014 Source: Prepared by www.aidsdatahub.org based on HIV sentinel sero-surveillance surveys (HSS) cited in National STD/AIDS Control Programme. (2014). Annual Report 2012; and www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

9. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key populations by city, 2014 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

10. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! HIV prevalence among key populations by city and by age group, 2014 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

11. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 Annual reported number of HIV infections, AIDS cases and deaths, 1987-2014 Source: Prepared by www.aidsdatahub.org based on 1) Ministry of Health Sri Lanka; National STD/AIDS Control Programme. (2015). Annual Report 2014/15; and 2) National STD/AIDS Control Programme. HIV/AIDS Surveillance data in Sri Lanka. (Quarterly reports)www.aidsdatahub.org

12. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Cumulative HIV cases by mode of transmission, 1987- 2014 12 Source: Prepared by www.aidsdatahub.org based on Ministry of Health Sri Lanka; National STD/AIDS Control Programme. (2014). Annual Report 2013www.aidsdatahub.org

13. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Active syphilis prevalence among key populations by city, 2014 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

14. Risk behaviours

15. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 15 Proportion of key populations who reported condom use at last sex, 2006-2014 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme. (2012). Sri Lanka Global AIDS Response Progress Report 2012.; and www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

16. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM who reported condom use at last sex with different partners, by city, 2014 16 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

17. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of FSW who reported condom use at last sex with different partners, by city, 2014 17 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

18. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of beach boys who reported condom use at last sex with different partners, by city, 2014 18 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

19. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key population who reported consistent condom use with different partners by city, 2014 19 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

20. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Overlapping risk behaviors reported among surveyed key populations by city, 2014 20 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

21. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Average number of clients reported among FSW by city, 2014 21 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

22. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Average number of sex partners reported among MSM by city, 2014 22 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

23. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Average number of sex partners reported among beach boys in Galle, 2014 23 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

24. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed key populations who are married, by city, 2014 24 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

25. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of surveyed key populations who are younger than 25 years, by city, 2014 25 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

26. Vulnerability and HIV knowledge

27. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations with comprehensive HIV knowledge, by city and age group, 2014 27 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Intergrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

28. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of military personnel with correct knowledge on HIV prevention and mode of transmission, 2008 28 Source: Prepared by www.aidsdatahub.org based on International Centre for Ethnic Studies. (2009). A Survey of HIV/AIDS Awareness and Risky Sexual Behavior in a Vulnerable Population in Sri Lanka.www.aidsdatahub.org Sample size = 900

29. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of young people (15-24) with comprehensive HIV knowledge, 2007 29 Source: Prepared by www.aidsdatahub.org based on WHO, UNAIDS, & UNICEF. (2008). Epidemiological Fact Sheet on HIV and AIDS, Sri Lanka, 2008 Update.www.aidsdatahub.org

30. HIV Expenditure

31. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by financing source, 2007-2013 31 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org and Global AIDS Response Progress Reporting.www.aidsdatahub.orgwww.aidsinfoonline.org

32. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by financing source, 2007-2010 32 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org and Global AIDS Response Progress Reporting.www.aidsdatahub.orgwww.aidsinfoonline.org

33. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 33 AIDS spending by category, 2008-2010 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

34. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of total prevention programme spending on key populations at higher risk, 2008-2010 34 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

35. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on HIV prevention from domestic and international sources, 2008-2010 35 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

36. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of spending on care and treatment from domestic and international sources, 2008-2010 36 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

37. www.aidsdatahub.org National response

38. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who received an HIV test in the last 12 months and knew their results, 2006-2014 38 Source: Prepared by www.aidsdatahub.org based on 1. National STD/AIDS Control Programme. (2010). UNGASS Country Progress Report: Sri Lanka; and 2. National STD/AIDS Control Programme. (2012). Sri Lanka Global AIDS Response Progress Report 2012; and 3) www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

39. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key population who received an HIV test in the last 12 months 39 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

40. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who received an HIV test in the last 12 months and knew the results, by age group and city, 2014 40 Source: Prepared by www.aidsdatahub.org based on National STD/AIDS Control Programme, Management Frontiers (Pvt) Ltd and KIT. (2015). Integrated Biological and Behavioral Surveillance (IBBS) Survey Among Key Populations at Higher Risk of HIV in Sri Lanka, 2014 Report, Colombo.www.aidsdatahub.org

41. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of ART sites and number of adults on ART, 2004-2014 41 Source: Prepared by www.aidsdatahub.org based on 1) WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Reports 2006-2010; 2. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; 3) Global AIDS Response Progress Reporting; and 4) www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

42. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART scale up, 2004-2014 42 Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2015). UNAIDS HIV Estimate 1990-2014; 2. UNAIDS. (2015). How AIDS Changed Every Thing. MDG 6: 15 Years, 15 Lessons of Hope from the AIDS Response and 3. www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

43. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults living with HIV, adults receiving ART, and adult ART coverage, 2014 43 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2015). How AIDS Changed Every Thing. MDG 6: 15 Years, 15 Lessons of Hope from the AIDS Response.www.aidsdatahub.org

44. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of pregnant women living with HIV, pregnant women receiving ART, and PMTCT coverage, 2014 44 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2015). How AIDS Changed Every Thing. MDG 6: 15 Years, 15 Lessons of Hope from the AIDS Response.www.aidsdatahub.org

45. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Selected indicators of response from NCPI 2014 Access to justice: N/A Legal services (legal aid or other) N/A NHRI or other mechanisms National data on stigma and discrimination STIGMA INDEX (2009-10 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 30% Civil society perspectives/ratings:20092011 2013 Trend Laws and policies in place to protect and promote HIV- related human rights 2/10 N/A Efforts to implement human rights-related laws and policies 3/10 1/10 N/A 45 Source: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and partnerswww.aidsdatahub.org

46. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Punitive laws hindering the HIV response 46 Sources: Prepared by www.aidsdatahub.org based on UNAIDS, UNDP, UNFPA, and UNODC. (2014). Punitive Laws Hindering the HIV Response in Asia and the Pacific in October 2014www.aidsdatahub.org

47. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 47 THANK YOU slides compiled by www.aidsdatahub.orgwww.aidsdatahub.org 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 www.aidsdatahub.org if slides are lifted directly from this site.www.aidsdatahub.org