Cascade of HIV testing, care and treatment services, 2014 & 2015: country profiles
1
Cascade of HIV testing, care and treatment services, 2014 & 2015: country profiles
WHO Library Cataloguing-in-Publication data World Health Organization, Regional Office for South-East Asia. Cascade of HIV testing, care and treatment services, 2014 & 2015: country profiles. 1. Human Immunodeficiency Virus. 2. Acquired Immunodeficiency Syndrome - statistics and numerical data. 3. Diagnosis. ISBN 978-92-9022-541-6 (NLM classification: WC 503)
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CONTENTS 7 8 10 12 14 16 18 20 22 24 28 Acronyms Bangladesh Bhutan India Indonesia Maldives Myanmar Nepal Sri Lanka Thailand Timor Leste
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ACRONYMS AIDS ANC ARV ART GARPR HIV PLHIV PMTCT TB UNAIDS UNICEF VL WHO acquired immunodeficiency syndrome antenatal care antiretroviral (drug) antiretroviral therapy Global AIDS Response Progress Reporting human immunodeficiency virus people living with HIV prevention of mother-to-child transmission of HIV tuberculosis Joint United Nations Programme on HIV/AIDS United Nations Children’s Fund viral load World Health Organization
7
Bangladesh H IV t est i ng, c a re a n d t re a t m e n t
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level(b) Life expectancy at birth (male/female)(a) Fertility rate, total (births per woman)(a) Infant mortality rate per 1000 live births(c) Maternal deaths per 100,000 births(d) Proportion of births attended by skilled health personnel(e)
160 Lower-middle-income 69.9/72.3 2.2 31 176 42.1%
Figure 1: Cascade of diagnosis and treatment for people living with HIV 3 000
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
2014 5 900
of PLHIV diagnosed receiving ART of diagnosed 661 1 287 510 777
35%
2014 41% Female sex workers
2015
17.8%
45.1%
8 900 Estimated number of PLHIV
3 111 Number of people diagnosed
1 948 Number of people enrolled in care
1 287 Number of people on ART
NA Number of people who obtained viral load
NA Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
16%
42%
3 400
of PLHIV diagnosed
36%
People who inject drugs receiving ART of diagnosed 597 886 122 76 119 19
4.7%
54.4%
2015
6 200 804 1 661
43%
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care
9 600 Estimated number of PLHIV
3 485 Number of people diagnosed
2 465 Number of people enrolled in care
1 483 Number of people on ART
198 Number of people who obtained viral load
138 Number of people who achieved viral suppression (<1000 copies/ml)
PLHIV 45.8% 47.4%
8
P revention of mother-to-child trans m is s ion Figure 4: HIV testing among pregnant women
TB/HIV coin fection
2014
2015
Figure 6: HIV testing among notified TB cases
2014 4 957 242 1 536 745 12 208 196 797 1 110
Estimated Number of Number of number of pregnant pregnant women pregnant women women attending ANC tested at least once for HIV(f)
495 7242
1 536 745
13 381
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV(f)
Number of notified TB cases
Number of TB cases tested for HIV
2015 209 438 2 094
Figure 5: Cascade of PMTCT services
2014
Number of notified TB cases
Number of TB cases tested for HIV
25 Number of pregnant women diagnosed with HIV
25 Number of pregnant women receiving ARVs
Number of infants exposed to HIV
NA
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
24
22
0 Number of infants diagnosed with HIV
Figure 7: Cascade of TB/HIV services
2014 45 Number of TB cases diagnosed with HIV
2015 2015
45 Number of people on both ART and TB treatment
21 Number of pregnant women diagnosed with HIV
21 Number of pregnant women receiving ARVs
NA Number of infants exposed to HIV
19
14
0 Number of infants diagnosed with HIV
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
92 Number of TB cases diagnosed with HIV
82 Number of people on both ART and TB treatment
(a) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (d) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (e) Millennium Development Goals Indicators. United Nations Statistics Division;2014) http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016 (f) The data of pregnant women tested for HIV is from 3 hospitals. (Not nationally representative)
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/) - ANC attendance data from DHS Key indicators 2014, Bangladesh.
Bangladesh
9
Bhutan
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level (b) Life expectancy at birth (male/female)(a) Fertility rate, total (births per woman)(c) Infant mortality rate per 1000 live births(d) Maternal deaths per 100,000 births(c) Proportion of births attended by skilled health personnel(e)
0.77 Lower-middle-income 68.6/69.1 2.1 27.2 148 74.6%
HIV t e s t i ng, c a re a n d t re a t me n t Figure 1: Cascade of diagnosis and treatment for people living with HIV 37%
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
2014 45% Female sex workers
2015
2014
of PLHIV diagnosed
199 204
147 160
receiving ART of diagnosed 93 87
NA
NA
1 100 Estimated number of PLHIV
403 Number of people diagnosed
307 Number of people enrolled in care of PLHIV diagnosed
180 Number of people on ART
0 Number of people who obtained viral load
0 Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
NA
NA
42%
People who inject drugs receiving ART of diagnosed 118 92
NA
NA
2015 226 234 190 175
46%
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care 0 Number of people who achieved viral suppression (<1000 copies/ml)
1 100 Estimated number of PLHIV
460 Number of people diagnosed
365 Number of people enrolled in care
210 Number of people on ART
0 Number of people who obtained viral load
PLHIV 23.5% NA
10
P re ve nt io n o f m o th e r- to - ch i l d tra n s m i s s i o n Figure 4: HIV testing among pregnant women
TB /H I V coi nfecti on
2014
2015
Figure 6: HIV testing among notified TB cases
2014 NA 11 994 8 784 1 082 703
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
NA
12 500
11 281
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 975 653
Figure 5: Cascade of PMTCT services
2014
Number of notified TB cases
Number of TB cases tested for HIV
Number of pregnant women diagnosed with HIV
7
Number of pregnant women receiving ARVs
7
Number of infants exposed to HIV
NA
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
7
4
Number of infants diagnosed with HIV
NA
Figure 7: Cascade of TB/HIV services
2014 7 7
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
6 Number of pregnant women diagnosed with HIV
6 Number of pregnant women receiving ARVs
NA Number of infants exposed to HIV
6 0 Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
NA Number of infants diagnosed with HIV
6 Number of TB cases diagnosed with HIV
6 Number of people on both ART and TB treatment
(a) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (d) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (e) Millennium Development Goals Indicators. United Nations Statistics Division;2014, http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/) - National STI & HIV/AIDS Control Programme data
Bhutan
11
India
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level(b) Life expectancy at birth (male/female)(c) Fertility rate, total (births per woman) (c) Infant mortality rate per 1000 live births (d) Maternal deaths per 100,000 births (e) Proportion of births attended by skilled health personnel (d)
1 311 Lower-middle-income 66.1/68.9 2.48 37.9 174 81.1%
HIV t est i ng, c a re a n d t re a t m e n t Figure 1: Cascade of diagnosis and treatment for people living with HIV 67%
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
of PLHIV diagnosed
2014 receiving ART of diagnosed 541 634 572 760 389 771 440 936
2015
2014
59%
Female sex workers
70.5%
72%
2 100 000 Estimated number of PLHIV
1 400 000 Number of people diagnosed
1 114 394 Number of people enrolled in care
830 707 Number of people on ART
NA Number of people who obtained viral load
NA Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
70.1%
70.3%
856 487
of PLHIV diagnosed 570 449
72%
2015 2 116 581 Estimated number of PLHIV
receiving ART of diagnosed 437 230
60%
People who inject drugs
68%
70.9%
1 260 094 599 557
481 911
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care 890 Number of people who achieved viral suppression (<1000 copies/ml)
1 523 481 Number of people diagnosed
1 170 006 Number of people enrolled in care
919 141 Number of people on ART
1 000 Number of people who obtained viral load
PLHIV NA 52.77%
12
P revention o f mo ther-to -child tra nsmissio n Figure 4: HIV testing among pregnant women
TB /HIV coinf ect ion
2014
2015
Figure 6: HIV testing among notified TB cases
2014 29 500 000 28 252 770 12 746 464 1 683 915 1 034 712
29 718 000
Estimated Number of Number of number of pregnant pregnant women pregnant women women attending ANC tested at least once for HIV
28 544 143
11 762 731
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 1 740 435 1 166 091
Figure 5: Cascade of PMTCT services
2014 Number of notified TB cases
Number of TB cases tested for HIV
Number of pregnant women diagnosed with HIV
13 073
Number of pregnant women receiving ARVs
11 360
Number of infants exposed to HIV
10 236
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
9 444
8 688
Number of infants diagnosed with HIV
496
Figure 7: Cascade of TB/HIV services
2014 44 171 39 800
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
11 918 Number of pregnant women diagnosed with HIV
10 951 Number of pregnant women receiving ARVs
10 103 Number of infants exposed to HIV
9 690
9 395
349 Number of infants diagnosed with HIV
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
44 652 Number of TB cases diagnosed with HIV
40 925 Number of people on both ART and TB treatment
(a) WHO country profile (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (d) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (e) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (f) India Rapid Survey on Children 2013-14, Draft report July 2015, page 5 : http://wcd.nic.in/issnip/National_Fact%20sheet_RSOC%20_02-07-2015.pdf
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/) - National AIDS Control Organization, India
India
13
Indonesia
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level(b) Life expectancy at birth (male/female)(c) Fertility rate, total (births per woman)(d) Infant mortality rate per 1000 live births(e) Maternal deaths per 100,000 births(d) Proportion of births attended by skilled health personnel(f)
257 Lower-middle-income 66.6/70.7 2.5 22.8 126 88.6%
HIV t est i ng, c a re a n d t re a t me n t Figure 1: Cascade of diagnosis and treatment for people living with HIV Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
2014 262 320
2015
2014 395 655
of PLHIV diagnosed receiving ART of diagnosed 19 849 30 551
24%
31%
Female sex workers
NA
37.7%
65 657 94 481
62 143 104 832
657 975 Estimated number of PLHIV
160 138 Number of people diagnosed
166 975 Number of people enrolled in care
50 400 Number of people on ART
NA Number of people who obtained viral load
NA Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
NA
54.1%
258 504
2015
of PLHIV diagnosed 432 572 69 324 108 430 75 124 125 494 receiving ART of diagnosed 24 059 39 007
26%
People who inject drugs
NA
38.8%
35%
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care NA Number of people who achieved viral suppression (<1000 copies/ml)
691 076 Estimated number of PLHIV
177 754 Number of people diagnosed
200 618 Number of people enrolled in care
63 066 Number of people on ART
NA Number of people who obtained viral load
PLHIV NA 52.77%
14
P re ve nt io n of m o th e r- to - ch i l d tra n s m i s s i o n Figure 4: HIV testing among pregnant women
TB /H I V coi nfecti on
2014
2015
Figure 6: HIV testing among notified TB cases
2014 5 382 779 5 180 091 478 489 324 539 15 074
Number of Estimated Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
5 136 041
5 083 301
298 050
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 330 729 36 380
Figure 5: Cascade of PMTCT services
2014
Number of notified TB cases
Number of TB cases tested for HIV
Number of pregnant women diagnosed with HIV
1 660
Number of pregnant women receiving ARVs
1 174
Number of infants exposed to HIV
NA
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
NA
539
Number of infants diagnosed with HIV
109
Figure 7: Cascade of TB/HIV services
2014 2 355 624
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
3 540 Number of pregnant women diagnosed with HIV
1 558 Number of pregnant women receiving ARVs
NA Number of infants exposed to HIV
NA 731 Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
76 Number of infants diagnosed with HIV
3 523 Number of TB cases diagnosed with HIV
757 Number of people on both ART and TB treatment
(a) WHO country profile (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (d) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (e) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (f) Indonesia Health Profile - Family Health - Maternal Directorate, Ministry of Health
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/) - Indonesian Health Profile 2015. Ministry of Health
Indonesia
15
Maldives
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level(b) Life expectancy at birth (male/female)(c) Fertility rate, total (births per woman)(c) Infant mortality rate per 1000 live births(d) Maternal deaths per 100,000 births(e) Proportion of births attended by skilled health personnel(f)
0.4 Upper-middle-income 75.4/77.4 2.18 7.4 68 98.8%
HI V tes ti ng, c a re a n d t re a t m e n t Figure 1: Cascade of diagnosis and treatment for people living with HIV of PLHIV diagnosed
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
NA
4 17
2014
receiving ART of diagnosed
33%
2014 Female sex workers
2015
NA
NA
NA Estimated number of PLHIV
21 Number of people diagnosed
8 Number of people enrolled in care 4 19
7 Number of people on ART
7 Number of people who obtained viral load
4 Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
NA
NA
of PLHIV diagnosed
NA
2015 NA Estimated number of PLHIV
receiving ART of diagnosed
39%
People who inject drugs
NA
NA
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care 23 Number of people diagnosed 10 Number of people enrolled in care 9 Number of people on ART 9 Number of people who obtained viral load 6 Number of people who achieved viral suppression (<1000 copies/ml)
PLHIV NA NA
16
Pre ve nt io n o f m o th e r- to - ch i l d tra n s m i s s i o n Figure 4: HIV testing among pregnant women
TB /H I V coi nfecti on
2014
2015
Figure 6: HIV testing among notified TB cases
2014 7 245 6 046 4 700 131 130
Number of Estimated Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
4 163
4 163
3 705
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 153 153
Figure 5: Cascade of PMTCT services
2014 Number of notified TB cases
Number of TB cases tested for HIV
1 Number of pregnant women diagnosed with HIV
1 Number of pregnant women receiving ARVs
1 Number of infants exposed to HIV
1
1
0 Number of infants diagnosed with HIV
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
Figure 7: Cascade of TB/HIV services
2014 0 0
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
0 Number of pregnant women diagnosed with HIV
0 Number of pregnant women receiving ARVs
0 Number of infants exposed to HIV
0 0 Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
0 Number of infants diagnosed with HIV
0 Number of TB cases diagnosed with HIV
0 Number of people on both ART and TB treatment
(a) WHO country profile (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (d) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (e) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (f) Millennium Development Goals Indicators. United Nations Statistics Division;2014, http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/)
Maldives
17
Myanmar
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level(b) Life expectancy at birth (male/female)(a) Fertility rate, total (births per woman)(c) Infant mortality rate per 1000 live births(c) Maternal deaths per 100,000 births(d) Proportion of births attended by skilled health personnel(e)
53.9 Lower-middle-income 64.6/68.5 2.3 25.9 178 78%
H I V testing, ca re a n d t re a t m e n t Figure 1: Cascade of diagnosis and treatment for people living with HIV of PLHIV diagnosed 54 928 62 164 51 138 62 164
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
55%
72 794
2014 receiving ART of diagnosed 39 305 46 321 4 086 5 500 3 594 4 701
2015
2014
73%
138 993
Female sex workers
NA
45.8%
211 787 Estimated number of PLHIV
117 092 Number of people diagnosed
113 302 Number of people enrolled in care of PLHIV diagnosed
85 626 Number of people on ART
9 586 Number of people who obtained viral load
8 295 Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
NA
49.6%
62%
81 946
2015
142 848
60 481 77 889
receiving ART of diagnosed 54 554 66 375 49 022 57 468
77%
People who inject drugs
22.2%
NA
4 168 5 532
3 616 4 805
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care
224 794 Estimated number of PLHIV
138 370 Number of people diagnosed
120 929 Number of people enrolled in care
106 490 Number of people on ART
8 421 9 700 Number of Number of people who achieved people who obtained viral suppression viral load (<1000 copies/ml)
PLHIV 47.5% 58.5%
18
P re ve nt io n o f m o th e r- to - ch i l d tra n s m i s s i o n Figure 4: HIV testing among pregnant women
TB /H I V coi nfecti on
2014
2015
Figure 6: HIV testing among notified TB cases
2014 1 107 312 934 903 793 446 Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV 141 957 56 133
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
1100 000
845 623
522 108
Number of notified TB cases
Number of TB cases tested for HIV
2015 140 700 89 990
Figure 5: Cascade of PMTCT services
2014 Number of notified TB cases
Number of TB cases tested for HIV
Number of pregnant women diagnosed with HIV
4 138
Number of pregnant women receiving ARVs
3 790
Number of infants exposed to HIV
NA
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
1 789
712
Number of infants diagnosed with HIV
59
Figure 7: Cascade of TB/HIV services
2014 6 412 2 319
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
4 365 Number of pregnant women diagnosed with HIV
3 923 Number of pregnant women receiving ARVs
NA Number of infants exposed to HIV
2 169 801 Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
25 Number of infants diagnosed with HIV
Number of TB cases diagnosed with HIV
7 918
3 034 Number of people on both ART and TB treatment
(a) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) Health in Myanmar, 2014.Ministry of Health (d) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (e) WHO, World health statistics, 2016
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/)
Myanmar
19
Nepal
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million) (a) Income level (b) Life expectancy at birth (male/female) (c) Fertility rate, total (births per woman) (d) Infant mortality rate per 1000 live births (d) Maternal deaths per 100,000 births (d) (d) Proportion of births attended by skilled health personnel (e)
28 Low-income 67.7/70.45 2.3 33 258 55.66%
HIV testing, care and treatment Figure 1: Cascade of diagnosis and treatment for people living with HIV 13 800 of PLHIV diagnosed 9 599 10 533
66%
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
2014 25 449
receiving ART of diagnosed
40%
2014 Female sex workers
2015
16 286
14 888
NA
56%
4 872 5 535 547 651 466 538
39 249 Estimated number of PLHIV
25 885 Number of people diagnosed
25 421 Number of people enrolled in care
10 407 Number of people on ART
1 198 Number of people who obtained viral load
1 004 Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
NA
43.8%
14 947
of PLHIV diagnosed 8 743 13 524 8 529 11 778
57%
2015
receiving ART of diagnosed
54%
People who inject drugs
NA
27.9%
24 450
5 640 6 282
2 795 3 065
2 567 2 682
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care
39 397 Estimated number of PLHIV
22267 Number of people diagnosed
20 307 Number of people enrolled in care
11 922 Number of people on ART
5 860 Number of people who obtained viral load
5 249 Number of people who achieved viral suppression (<1000 copies/ml)
PLHIV 37.2% 46%
20
Pre v e nt io n of m other-to-chi l d tra nsmissio n Figure 4: HIV testing among pregnant women
TB/ HIV coin fection
2014
2015
Figure 6: HIV testing among notified TB cases
2014 761 667 653 815 187 552 37 025 3 254
Number of Estimated Number of pregnant number of pregnant pregnant women women women attending ANC tested at least once for HIV
761 667
653 815
158 146
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 34 122 2 389
Figure 5: Cascade of PMTCT services
2014
Number of notified TB cases
Number of TB cases tested for HIV
Number of pregnant women diagnosed with HIV
162
Number of pregnant women receiving ARVs
162
Number of infants exposed to HIV
131
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
127
32
Number of infants diagnosed with HIV
1
Figure 7: Cascade of TB/HIV services
2014 369 273
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
Number of pregnant women diagnosed with HIV
145
Number of pregnant women receiving ARVs
145
Number of infants exposed to HIV
115
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
114
76
Number of infants diagnosed with HIV
2
Number of TB cases diagnosed with HIV
179
Number of people on both ART and TB treatment
133
(a) WHO country profile (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) WHO, World health statistics, 2016 (d) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (e) Millennium Development Goals Indicators. United Nations Statistics Division;2014, http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/) - National Centre for AIDS and STD Control, Nepal
Nepal
21
Sri Lanka
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level(b) Life expectancy at birth (male/female)(a) Fertility rate, total (births per woman)(c) Infant mortality rate per 1000 live births(c) Maternal deaths per 100,000 births(c) Proportion of births attended by skilled health personnel(d)
20.7 Lower-middle-income 71.2/78 2.1 8 30 98.6%
HIV t e s t in g, c a re a nd t re a t me n t Figure 1: Cascade of diagnosis and treatment for people living with HIV 1 210 of PLHIV diagnosed
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
46%
2014 receiving ART of diagnosed 330 566
2015
2014
37%
2 590
623 1 114
Female sex workers 117 208 99 187
33.9%
NA
241 403
3 800 Estimated number of PLHIV
1 737 Number of people diagnosed
896 Number of people enrolled in care
644 Number of people on ART
325 286 Number of Number of people people who who achieved obtained viral suppression viral load (<1000 copies/ml)
Men who have sex with men
14.1%
14.1%
1 350
of PLHIV diagnosed 669 1 272 346 601
46%
2015
2 850
receiving ART of diagnosed
41%
People who inject drugs
8.3%
NA
294 509
120 213
102 191
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care
22
4 200 Estimated number of PLHIV
1 941 Number of people diagnosed
947 Number of people enrolled in care
803 Number of people on ART
333 Number of people who obtained viral load
293 Number of people who achieved viral suppression (<1000 copies/ml)
PLHIV 22.6% 18.7%
Prevention of m o t her-t o -child t ran sm ission Figure 4: HIV testing among pregnant women
T B / HI V co i nfe cti o n
2014
2015
Figure 6: HIV testing among notified TB cases
2014 377 993 368 345 262 051 9 473 7 418
Estimated Number of Number of pregnant number of pregnant pregnant women women women attending ANC tested at least once for HIV
377 993
359 093
168 221
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 9 575 8 043
Figure 5: Cascade of PMTCT services
2014 Number of notified TB cases
Number of TB cases tested for HIV
Number of pregnant women diagnosed with HIV
9
Number of pregnant women receiving ARVs
9
Number of infants exposed to HIV
7
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
7
7
Number of infants diagnosed with HIV
0
Figure 7: Cascade of TB/HIV services
2014 21 18
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
Number of pregnant women diagnosed with HIV
16
Number of pregnant women receiving ARVs
16
9 Number of infants exposed to HIV
9
9
0 Number of infants diagnosed with HIV
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
Number of TB cases diagnosed with HIV
25
17 Number of people on both ART and TB treatment
(a) United Nations Population Division, World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (d) Millennium Development Goals Indicators. United Nations Statistics Division;2014, http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/)
Sri Lanka
23
Thailand
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level(b) Life expectancy at birth (male/female)(a) Fertility rate, total (births per woman)(c) Infant mortality rate per 1000 live births(d) Maternal deaths per 100,000 births(c) Proportion of births attended by skilled health personnel(e)
67.9 Upper-middle-income 74.1/77.6 1.6 10.5 20 99.6%
HIV t est i ng, c a re a n d t re a t m e n t Figure 1: Cascade of diagnosis and treatment for people living with HIV 193 043 of PLHIV diagnosed 164 498 138 730 252 460 193 549
80.4%
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
2014
receiving ART of diagnosed 124 239 103 556 107 990
72%
2014 Female sex workers
2015
99 433 103 831
163 229
132 391
54.19%
NA
445 503 Estimated number of PLHIV
358 047 Number of people diagnosed
301 959 Number of people enrolled in care
256 630 Number of people on ART
of PLHIV diagnosed 181 600 181 923 157 851
88.9%
211 546 Number of people who obtained viral load receiving ART of diagnosed 130 221
203 264 Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
28.7%
NA
70%
People who inject drugs 112 464 119 330 108 401 114 971
61.3%
NA
2015
256 100
207 104
182 369 142 529
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care
437 700 Estimated number of PLHIV
389 027 Number of people diagnosed
340 220 Number of people enrolled in care
272 750 Number of people on ART
231 794 Number of people who obtained viral load
223 372 Number of people who achieved viral suppression (<1000 copies/ml)
PLHIV 57.03% 57.5%
24
Pre v e n t io n of m o th e r- to - chi l d tran sm i ssi on Figure 4: HIV testing among pregnant women
TB/HIV coin f ect ion
2014
2015
Figure 6: HIV testing among notified TB cases
2014 736 352 733 407 733 390 71 618 50 670
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
749 578
737 150
736 205
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 66 179 62 135
Figure 5: Cascade of PMTCT services
2014 Number of notified TB cases
Number of TB cases tested for HIV
Number of pregnant women diagnosed with HIV
4 589
Number of pregnant women receiving ARVs
4 527
Number of infants exposed to HIV
4 589
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
4 566
3 494
Number of infants diagnosed with HIV
70
Figure 7: Cascade of TB/HIV services
2014 6 831 4 691
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
4 497 Number of pregnant women diagnosed with HIV
4 280 Number of pregnant women receiving ARVs
4 497 Number of infants exposed to HIV
4 404 4 173 Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
68 Number of infants diagnosed with HIV
Number of TB cases diagnosed with HIV
7 819
5 389 Number of people on both ART and TB treatment
(a) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (d) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (e) Millennium Development Goals Indicators. United Nations Statistics Division;2014, http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/)
Thailand
25
Timor Leste HIV t est i ng, c a re a n d t re a t me n t
Cascade of HIV testing, care and treatment services, 2014–2015
Country Statistics 2015 Population (million)(a) Income level (b) Life expectancy at birth (male/female)(a) Fertility rate, total (births per woman)(c) Infant mortality rate per 1000 live births(d) Maternal deaths per 100,000 births (c) Proportion of births attended by skilled health personnel(e)
1.157 Lower-middle-income 66/69.5 5.7 44.7 215 63%
Figure 1: Cascade of diagnosis and treatment for people living with HIV 227 of PLHIV diagnosed
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
53%
2014 receiving ART of diagnosed 86 87
2015
2014
70%
237
121 126
103 100
Female sex workers
NA
59%
464 Estimated number of PLHIV
247 Number of people diagnosed
203 Number of people enrolled in care
173 Number of people on ART
0 Number of people who obtained viral load
0 Number of people who achieved viral suppression (<1000 copies/ml)
Men who have sex with men
NA
23%
265
of PLHIV diagnosed
47%
2015
277
117 137
receiving ART of diagnosed 92 109 92 109
79%
People who inject drugs
NA
NA
Figure 3: Percentage of PLHIV with first CD4 count less than <200 cells/uL during enrollement into care 0 Number of people who achieved viral suppression (<1000 copies/ml)
542 Estimated number of PLHIV
254 Number of people diagnosed
201 Number of people enrolled in care
201 Number of people on ART
0 Number of people who obtained viral load
PLHIV 61% 43%
26
Prevention of mother-to-child transmission Figure 4: HIV testing among pregnant women
TB/HIV coinfection
2014
2015
Figure 6: HIV testing among notified TB cases
2014 48 316 32 623 13 627 3 778 2 054
Number of Estimated Number of number of pregnant pregnant women pregnant women women attending ANC tested at least once for HIV
48 316
38 653
9 354
Estimated Number of Number of number of pregnant pregnant pregnant women women women attending ANC tested at least once for HIV
Number of notified TB cases
Number of TB cases tested for HIV
2015 3 532 2 932
Figure 5: Cascade of PMTCT services
2014
Number of notified TB cases
Number of TB cases tested for HIV
8 Number of pregnant women diagnosed with HIV
Number of pregnant women receiving ARVs
8
Number of infants exposed to HIV
6
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
6
2
Number of infants diagnosed with HIV
0
Figure 7: Cascade of TB/HIV services
2014 24 24
2015 2015
Number of TB cases diagnosed with HIV
Number of people on both ART and TB treatment
Number of pregnant women diagnosed with HIV
10
Number of pregnant women receiving ARVs
9
Number of infants exposed to HIV
9
Number of Number of HIV-exposed HIV-exposed infants who infants tested received within prophylactic ARV 2 months
7
6
Number of infants diagnosed with HIV
2
24 Number of TB cases diagnosed with HIV
24 Number of people on both ART and TB treatment
(a) United Nations Population Division,World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/ (b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) 2016, World population data sheet, http://www.prb.org/pdf16/prb-wpds2016-web-2016.pdf (d) WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division, Maternal Mortality Estimation Inter-Agency Group estimates, 2015 (e) Millennium Development Goals Indicators. United Nations Statistics Division;2014, http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016
Sources: All data from the databases below unless otherwise stated - Global AIDS Response Progress Reporting (GARPR) online reporting tool [online database].Geneva:UNAIDS,WHO,UNICEF 2016 - AIDSInfo[website].Geneva: UNAIDS;2016(http://aidsinfo.unaids.org) - Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/profiles/en/)
Timor Leste
27