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(1)

1

Cascade of HIV testing, care and

(2)
(3)

Cascade of HIV testing, care and

treatment services, 2014 & 2015:

(4)

World Health Organization, Regional Office for South-East Asia.

Cascade of HIV testing, care and treatment services, 2014 & 2015: country profiles.

(5)

© World Health Organization 2016

All rights reserved.

Requests for publications, or for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – can

be obtained from Publishing and Sales, World Health Organization, Regional Office for South- East Asia, Indraprastha Estate, Mahatma Gandhi Marg,

New Delhi 110 002, India (fax: +91 11 23370197; e-mail: publications@who.int).

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part

of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation

of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World

Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary

products are distinguished by initial capital letters.

All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the

published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of

the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.

(6)

Acronyms

Bangladesh

Bhutan

India

Indonesia

Maldives

Myanmar

Nepal

Sri Lanka

Thailand

Timor Leste

7

8

10

12

14

16

18

20

22

24

28

(7)

ACRONYMS

AIDS

acquired immunodeficiency syndrome

ANC

antenatal care

ARV

antiretroviral (drug)

ART

antiretroviral therapy

GARPR

Global AIDS Response Progress Reporting

HIV

human immunodeficiency virus

PLHIV

people living with HIV

PMTCT

prevention of mother-to-child transmission of HIV

TB

tuberculosis

UNAIDS

Joint United Nations Programme on HIV/AIDS

UNICEF

United Nations Children’s Fund

VL

viral load

WHO

World Health Organization

(8)

Bangladesh

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

8 900

3 111

1 948

1 287

5 900

3 000

1 287 777

661

510

9 600

3 485

2 465

1 483

198

138

804

886

1 661 597

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

17.8%

2014

2015

16%

4.7%

54.4%

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

45.8%

47.4%

42%

45.1%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

35%

of PLHIV diagnosed

NA

NA

76

122

41%

receiving ART

of diagnosed

36%

of PLHIV diagnosed

43%

receiving ART

of diagnosed

19

119

6 200

(9)

9

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV(f)

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV(f)

(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.

(10)

Bhutan

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

1 100

403

307

180

204 87

199

93

1 100

460

365

210

0

0

226

92

234 118

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

NA

2014

2015

NA

NA

NA

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

23.5%

NA

NA

NA

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

0

0

160

147

190

175

45%

receiving ART

of diagnosed

37%

of PLHIV diagnosed

46%

receiving ART

of diagnosed

42%

(11)

11

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

NA

12 500

11 281

NA

11 994

8 784

7

7

NA

7

4

NA

6

6

NA

6

0

NA

975

653

1 082

703

7

7

6

6

(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

(12)

India

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

2 100 000

1 400 000

1 114 394

830 707

NA

NA

572 760

389 771 541 634

440 936

2 116 581

1 523 481

1 170 006

919 141

1 000

890

1 260 094

856 487

599 557 481 911

570 449

437 230

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

70.5%

2014

2015

70.1%

68%

70.9%

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

NA

52.77%

70.3%

72%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

59%

receiving ART

of diagnosed

72%

of PLHIV diagnosed

67%

of PLHIV diagnosed

60%

receiving ART

(13)

13

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

1 740 435

1 166 091

1 683 915

1 034 712

44 171

39 800

44 652

40 925

(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

29 718 000

28 544 143

11 762 731

13 073

11 360

10 236

9 444

8 688

496

29 500 000

28 252 770

12 746 464

11 918

10 951

10 103

9 690

9 395

349

(14)

Indonesia

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

657 975

160 138

166 975

50 400

NA

NA

395 655

65 657 262 320

94 481

691 076

177 754

200 618

63 066

NA

NA

432 572

258 504

108 430 125 494

69 324 75 124

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

NA

2014

2015

NA

NA

38.8%

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

NA

52.77%

54.1%

37.7%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

31%

receiving ART

of diagnosed

26%

of PLHIV diagnosed

24%

of PLHIV diagnosed

35%

receiving ART

of diagnosed

62 143

104 832 19 849

30 551

39 007

(15)

15

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

330 729

36 380

324 539

15 074

2 355

624

3 523

757

(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

5 136 041

5 083 301

298 050

5 382 779

5 180 091

478 489

1 660

1 174

NA

NA

539

109

3 540

1 558

NA

NA

731

76

(16)

Maldives

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

NA

21

8

7

7

4

4

17

NA

23

10

9

9

6

19

4

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

NA

2014

2015

NA

NA

NA

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

NA

NA

NA

NA

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

33%

receiving ART

of diagnosed

NA

of PLHIV diagnosed

NA

of PLHIV diagnosed

39%

receiving ART

(17)

17

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

131

130

153

153

0

0

(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/)

(18)

Myanmar

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

211 787

117 092

113 302

85 626

9 586

8 295

224 794

138 370

120 929

106 490

9 700

8 421

142 848

81 946

77 889

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

NA

2014

2015

NA

22.2%

NA

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

47.5%

58.5%

49.6%

45.8%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

73%

receiving ART

of diagnosed

62%

of PLHIV diagnosed

55%

of PLHIV diagnosed

77%

receiving ART

of diagnosed

66 375 57 468

5 532 4 805

138 993

72 794

62 164 62 164

46 321

5 500 4 701

54 928 51 138

39 305

4 086 3 594

60 481

54 554

49 022

(19)

19

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

1100 000

845 623

522 108

4 138

3 790

NA

1 789

712

59

(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/)

1 107 312

934 903

793 446

(20)

22267

Nepal

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

Country Statistics 2015

Population (million)

(a)

Income level

(b)

Life expectancy at birth (male/female)

Fertility rate, total (births per woman)

(d)

Infant mortality rate per 1000 live births

Maternal deaths per 100,000 births

Proportion of births attended by skilled health personnel

(d)

28

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

39 249

25 885

25 421

10 407

1 198

1 004

39 397

20 307

11 922

5 860

5 249

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

NA

2014

2015

NA

27.9%

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

37.2%

46%

43.8%

56%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

54%

receiving ART

of diagnosed

11 778

547 466

8 743

8 529

5 640

2 795 2 567

Nepal

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

Country Statistics 2015

Population (million)

(a)

Income level

(b)

Life expectancy at birth (male/female)

(c)

Fertility rate, total (births per woman)

Infant mortality rate per 1000 live births

(d)

Maternal deaths per 100,000 births

(d)

Proportion of births attended by skilled health personnel

(e)

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

24 450

14 947

13 524

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

NA

2014

2015

NA

NA

27.9%

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

37.2%

46%

43.8%

56%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

40%

receiving ART

of diagnosed

57%

of PLHIV diagnosed

66%

of PLHIV diagnosed

25 449

13 800

651 538

10 533

(21)

21

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV 761 667 653 815 158 146 761 667 653 815 187 552

162 162 131 127 32 1

145 145 115 114 76 2

34 122 2 389

37 025 3 254

179 133

369 273

(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

(22)

22

Sri Lanka

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

3 800

1 737

896

644

325

286

4 200

1 941

947

803

333

293

2 850

1 350

1 272

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

33.9%

2014

2015

14.1%

8.3%

NA

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

14.1%

NA

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

Number

of people

on ART

Number of

people who

obtained

Number of people

who achieved

viral suppression

37%

receiving ART

of diagnosed

46%

of PLHIV diagnosed

46%

of PLHIV diagnosed

41%

receiving ART

of diagnosed

601 509 213 191

2 590

1 210

1 114 330

241

117 99

623

566

403

208 187

669

346

(23)

23

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of

pregnant women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV 377 993 359 093 168 221 377 993 368 345 262 051

9 9 7 7 7 0

(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/)

(24)

Thailand

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

445 503

358 047

301 959

256 630

211 546

203 264

252 460

193 043

193 549

163 229

132 391

107 990 103 831

164 498

138 730

124 239

103 556 99 433

437 700

389 027

340 220

272 750

231 794

223 372

256 100

181 600

207 104 182 369

142 529

119 330 114 971

181 923

157 851

130 221

112 464 108 401

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

54.19%

2014

2015

28.7%

61.3%

NA

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

57.03%

57.5%

NA

NA

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

72%

receiving ART

of diagnosed

70%

receiving ART

of diagnosed

80.4%

of PLHIV diagnosed

(25)

25

749 578 737 150 736 205 736 352 733 407 733 390

4 589 4 527 4 589 4 566 3 494 70

4 497 4 280 4 497 4 404 4 173 68

(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/)

71 618 50 670

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of notified

TB cases

Number of TB cases

tested for HIV

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

Number of TB cases

diagnosed with HIV

Number of people on both

ART and TB treatment

2014

2015

2014

pregnant

women

diagnosed with HIV

Number of pregnant

women

receiving ARVs

Number of

infants exposed

to HIV

Number of HIV-exposed

infants who received

prophylactic ARV

Number of HIV-exposed

infants tested

within 2 months

Number of infants

diagnosed with HIV

Estimated number of

pregnant women

Number of pregnant

women

attending ANC at least once

Number of pregnant

women

tested for HIV

(26)

Timor Leste

Cascade of HIV testing, care and treatment services, 2014–2015

H I V t e s t i n g, c a r e a n d t r e a t m e n t

Figure 1:

Cascade of diagnosis and treatment for people living with HIV

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%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

464

247

203

173

0

0

542

254

201

201

0

0

277

265

137

Figure 2:

Percentage of key populations who received

an HIV test and knew their results in past 12 months

2014

2015

Female

sex workers

Men who have

sex with men

People who

inject drugs

NA

2014

2015

NA

NA

NA

Figure 3:

Percentage of PLHIV with first CD4

count less than <200 cells/uL during

enrollement into care

PLHIV

61%

43%

23%

59%

Estimated

number of

PLHIV

Number

of people

diagnosed

Number

of people

enrolled

in care

Number

of people

on ART

Number of

people who

obtained

viral load

Number of people

who achieved

viral suppression

(<1000 copies/ml)

70%

receiving ART

of diagnosed

47%

of PLHIV diagnosed

53%

of PLHIV diagnosed

79%

receiving ART

of diagnosed

109 109

237

227

126

100

87

121 103

86

117

(27)

27

P r e v e n t i o n o f m o t h e r- t o - c h i l d t r a n s m i s s i o n

Figure 4:

HIV

testing

among

pregnant

women

Figure 5:

Cascade

of PMTCT

services

T B / H I V c o i n f e c t i o n

Figure 6:

HIV testing among

notified

TB cases

Figure 7:

Cascade of TB/HIV services

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

Number of infants exposed

to HIV

Number of HIV-exposed

infants who received prophylactic ARV

Number of HIV-exposed infants tested

within 2 months

Number of infants diagnosed

with HIV Estimated

number of pregnant women

Number of pregnant

women attending ANC

at least once

Number of pregnant

women tested for HIV

Number of notified TB cases

Number of TB cases tested for HIV

Number of notified TB cases

Number of TB cases tested for HIV

Number of TB cases diagnosed with HIV

Number of people on both ART and TB treatment

Number of TB cases diagnosed with HIV

Number of people on both ART and TB treatment

2014

2015

2014

pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

Number of infants exposed

to HIV

Number of HIV-exposed

infants who received prophylactic ARV

Number of HIV-exposed infants tested

within 2 months

Number of infants diagnosed

with HIV Estimated

number of pregnant women

Number of pregnant

women attending ANC

at least once

Number of pregnant

women tested for HIV

48 316 38 653 9 354 48 316 32 623 13 627

(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/)

(28)

Gambar

Figure 1: Cascade of diagnosis and treatment for people living with HIV
Figure 6: HIV testing among notified TB cases
Figure 2: Percentage of key populations who received an HIV test and knew their results in past 12 months
Figure 6: HIV testing among notified TB cases
+7

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