1. www.aidsdatahub.org HIV and AIDS Data Hub for Asia-Pacific Review in slides Lao PDR Last updated: July 2015

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) 6,894 (2014) 4 Annual population growth rate 1.8 (2014) 4 Population aged 15-49 (thousands) 3,673 (2014) 4 Percentage of population in urban areas 36.5 (2013) 3 Crude birth rate (births per 1,000 population) 27.3 (2012) 3 Under-5 mortality rate (per 1,000 live births) 72 (2012) 2 Human development index (HDI) - Rank/Value 139/0.569 (2013) 1 Life expectancy at birth (years) 68.3 (2013) 1 Adult literacy rate (%) 72.7 (2005-2012) 1 Ratio of girls to boys in primary and secondary education (%) 91.6 (2012) 3 GDP per capita (PPP, $US) 1,646 (2013) 3 Per capita total health expenditure (Int.$) 75 (2011) 2 Source: 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 epidemiological status

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

7. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated new HIV infections by mode of transmission(AEM) Source: Lao PDR, Asian Epidemic Modeling (AEM) presented at the UNAIDS Regional Management Meeting, October 2012

8. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 8 Key population size estimates, 2010-2011 Source: Prepared by www.aidsdatahub.org based on 1. National Committee for the Control of AIDS. (2012). Lao PDR Global AIDS Response Progress Report 2012, andwww.aidsdatahub.org 2. National Committee for the Control of AIDS Lao PDR. (2010). National Strategy and Action Plan on HIV/AIDS/STI 2011-2015

9. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 9 HIV prevalence among key populations, 2007-2012 Source: Prepared by www.aidsdatahub.org based on National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

10. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 10 HIV and syphilis prevalence among service women in Vientiane and Savannakhet, 2001-2011 Source: Prepared by www.aidsdatahub.org based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

11. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! 11 HIV prevalence among service women by province, 2011 Source: Prepared by www.aidsdatahub.org based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

12. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Sexually transmitted infections (STI) prevalence among key populations, 2009-2012 12 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR. (2009). Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

13. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Annual reported number of HIV infections, 1991-2011 13 Source: Prepared by www.aidsdatahub.org based on National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012www.aidsdatahub.org

14. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Reported HIV/AIDS cases by mode of transmission, 2011 14 Source: Prepared by www.aidsdatahub.org based on National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012.www.aidsdatahub.org

15. Risk behaviours

16. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who reported condom use at last sex, 2007-2012 16 Source: Prepared by www.aidsdatahub.org based on National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012, Phimphachanh, C. (2010). Rapid Assessment and Response to Drug Use and Injecting Drug use in Huapganh and Phongsaly Provinces, Lao PDR. PowerPoint presentation presented at the Data Analysis Workshop, Vientiane, Lao PDR, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

17. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM who reported condom use at last sex by type of partner, Luang Prabang, 2009 17 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang.www.aidsdatahub.org

18. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM who reported consistent condom use in the past 3 months by type of partner, Luang Prabang, 2009 18 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang.www.aidsdatahub.org

19. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of transgender people who reported condom and water-based lubricant use at last anal sex, Vientiane and Savannakhet, 2010 and 2012 19 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

20. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of transgender people who reported consistent use of condom and water-based lubricant in the last month in Vientiane and Savannakhet, 2010 and 2012 20 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

21. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who reported condom use at last sex with their client, 2008 - 2011 21 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR. (2009). Integrated Behavioral Biological Surveillance 2008, Center for HIV/AIDS/STI Lao PDR. (2009). Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

22. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who reported condom use at last sex by type of partner, 2011 22 Source: Prepared by www.aidsdatahub.org based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioural Surveillance Survey among Service Women 2011www.aidsdatahub.org

23. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who reported consistent condom use in the past three months by type of partner, 2011 23 Source: Prepared by www.aidsdatahub.org based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

24. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Age of entering into sex work among service women, and duration of working as service woman, 2011 24 Source: Prepared by www.aidsdatahub.org based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

25. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Median number of clients in the past week among service women, 2011 25 Source: Prepared by www.aidsdatahub.org based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

26. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who injected drug in the past year, 2009 26 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang.www.aidsdatahub.org

27. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations who are married, 2009 and 2011 27 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI, Lao PDR,. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

28. Vulnerability and HIV knowledge

29. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations at higher risk with comprehensive HIV knowledge, 2004-2011 29 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR. (2005). Second Generation Surveillance 2nd Round on HIV, STI and Behavior 2004, Center for HIV/AIDS/STI Lao PDR. (2009). Integrated Behavioral Biological Surveillance 2008, Center for HIV/AIDS/STI Lao PDR. (2009). Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioural Surveillance Survey among Service Women 2011www.aidsdatahub.org

30. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women with comprehensive HIV knowledge, 2008 and 2011 30 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao PDR. (2009). Integrated Behavioral Biological Surveillance 2008, and Center for HIV/AIDS/STI. Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioural Surveillance Survey among Service Women 2011www.aidsdatahub.org

31. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of MSM and transgender people with correct knowledge of HIV transmission, 2009 and 2012 31 Source: Prepared by www.aidsdatahub.org based on Center for HIV/AIDS/STI Lao. (2009). Lao PDR 2009 Surveillance Surveys: Behavioral Survey among Service Women and Integrated Biological and Behavioral Surveillance Survey among Men who have Sex with Men in Luang Prabang, and Center for HIV/AIDS/STI Lao PDR, USAID, Global Fund and PSI (2012). Power Point Presentation at Consensus Meeting: Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

32. HIV Expenditure

33. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! AIDS spending by financing source, 2006-2011 33 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! 34 AIDS spending by service category, 2007-2011 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 total prevention programme spending on key populations at higher risk, 2007-2011 35 Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

36. www.aidsdatahub.org National response

37. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of key populations reached with HIV prevention programmes, 2007-2012 37 Source: Prepared by www.aidsdatahub.org based on: 1. National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012; and 2. Lao PDR Global AIDS Response Progress Report 2014.www.aidsdatahub.org

38. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Number of needle/syringes distributed per person who inject drugs per year, 2008 - 2013 38 Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2009). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector- Progress Report 2009; 2. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health Sector - Progress Report 2010; 3. WHO, UNAIDS, & UNICEF. (2011). Global HIV/AIDS Response Epidemic Update and Health Sector Progress towards Universal Access Progress Report 2011; 4. National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012; 5. UNAIDS.(2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 6. www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org Medium coverage: >100–<200 syringes per PWID per year Low coverage: <100 syringes per PWID per year High coverage: >200 syringes per PWID per year

39. 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 know their results, 2007-2012 39 Source: Prepared by www.aidsdatahub.org based on 1. National Committee for the Control of AIDS Lao PDR. (2012). Lao PDR Global AIDS Response Progress Report, 2012; and 2. Lao PDR Global AIDS Response Progress Reporting 2014 based on Results of Second Round HIV/STI Prevalence and Behavioral Tracking Survey among Male-to-Female Transgender in Vientiane Capital and Savannakhet Lao PDR, 2012www.aidsdatahub.org

40. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Proportion of service women who received an HIV test in the last 12 months and know their results, 2011 40 Source: Prepared by www.aidsdatahub.org based on Lao People’s Democratic Republic, Ministry of Health, Center for HIV/AIDS/STI (CHAS). Lao PDR 2011 Surveillance Survey: Integrated Biological and Behavioral Surveillance Survey among Service Women 2011www.aidsdatahub.org

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

42. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! ART scale up, 2004-2013 42 Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2014). The Gap Report; and 2. www.aidsinfoonline.orgwww.aidsdatahub.orgwww.aidsinfoonline.org

43. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of adults receiving and needing ART, and coverage, 2013 43 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). The Gap Reportwww.aidsdatahub.org

44. HIV and AIDS Data Hub for Asia-Pacific Latest!Latest! Estimated number of pregnant women living with HIV, pregnant women receiving ARVs and ART coverage, 2013 44 Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). The Gap Report.www.aidsdatahub.org

45. 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 (2012 Data) Percent of PLHIV respondents who avoided going to a local clinic when needed because of HIV status: 36% Civil society perspectives/ratings:20092011 2013 Trend Laws and policies in place to protect and promote HIV- related human rights 7/10 Efforts to implement human rights-related laws and policies 7/10 5/10 6/10 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 46 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 sitewww.aidsdatahub.org