HIV and AIDS Data Hub for Asia-Pacific

HIV and AIDS Data Hub for Asia-Pacific

11

HIV and AIDSData Hub for Asia-Pacific

Review in slidesCambodia


ContentBasic socio-demographic indicators

HIV prevalence and epidemiological status (2005-2009)

Risk behaviors (2005-2007)

Vulnerability and HIV knowledge (2000-2007)

Economics of AIDS (2006-2008)

National Response (2005-2009)

Archives

2


3

Basic socio-demographic indicators

Source: 1. UN Statistics Division 2010: http://unstats.un.org/unsd/demographic/products/socind/population.htm2. UN Population Division - Population Prospects: The 2008 Revision, Population Database 3. UNFPA The State of World Population 20104. World Bank World Development Indicators & Global Development Finance ;http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=25. WHO World Health Statistics 20106. UNDP Human Development Report 2010

Total population (in thousands) 15,053 (2010) 1

Annual population growth rate 1.7% (2010-2015) 1

Population aged 15-49 (thousands) 8,273 (2008) 2

Percentage of population in urban areas 20% (2010) 3

Crude birth rate (births per 1,000 population) 24.7 (2008) 4

Under-5 mortality rate (per 1,000 live births) 89 (2008) 5

Human development index (HDI) - Rank/Value 124/0.494 (2010) 6

Life expectancy at birth (years) 62.2 (2010) 6

Ratio of girls to boys in primary and secondary education (%) 89.7 (2007) 4

Adult literacy rate 77% (2005–2008) 6

GDP per capita 1,914 (2009) 4

Per capita total health expenditure (Int.$) 108 (2007) 5


4

HIV prevalence and epidemiological status


Percent distribution of clients who tested positive for HIV in VCCT sites by gender and age group, 2009

5Source: Prepared by www.aidsdatahub.org based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and STD,

Annual Report 2009


Trend of HIV prevalence among VCT clients and people tested for HIV, 2006-2009


Annual Report 2009


HIV prevalence among female sex workers and IDU, 2006-2007

7Source: Prepared by www.aidsdatahub.org based on HSS 2006 (FSW) and Drug User HIV prevalence and Behavioral Survey 2007 reported in Country

Health Sector Progress Report_Towards Universal Access, Scaling Up Priority HIV/AIDS Interventions in the Health Sector, 2009


HIV prevalence among female sex workers and number tested for HIV by province, 2006

8Source: Prepared by www.aidsdatahub.org based on Cambodia_HIV Sentinel Surveillance, 2006


Trend of HIV prevalence among direct female sex workers and number tested for HIV, 1996-2006



Trend of HIV prevalence among indirect female sex workers and number tested for HIV, 1998-2003



Trends of HIV prevalence among direct and indirect female sex workers and number tested for HIV,

Phnom Penh, 1996-2006



Trends of HIV prevalence among direct and indirect female sex workers and number tested for HIV, Banteay

Meanchey, 1996-2006



Trends of HIV prevalence among direct and indirect female sex workers and number tested for HIV,

Battambang, 1996-2006



HIV prevalence among drug users in 4 provinces, 2007

14

Cross sectional study of 528 IDU and non-IDU in 4 provinces, 2007

Source: Prepared by www.aidsdatahub.org based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Drug User HIV Prevalence and Behavioral Survey 2007


HIV prevalence among ANC attendees and number tested for HIV by provincial capital, 2006



Trend of HIV prevalence among ANC attendees and number tested for HIV, 1996-2006




Trends of HIV prevalence among ANC attendees (15-24 yr) by province, 1996-2006



Trends of HIV prevalence among ANC attendees (25+ yr) by province, 1996-2006


19

HIV prevalence among antenatal clinics, 1995-2006

Source: Prepared by www.aidsdatahub.org based on Consensus workshop on HIV estimation for Cambodia, presented on June 28, 2007. Data were from HIV Sentinel Surveillance, 1995-2006

Note: Figures are adjusted for HIV testing errors % smoothed by Estimation Projection Package.

(%)

0

0.5

1

1.5

2

2.5

3

1995 1997 1999 2001 2003 2005

Urban Rural Total


20

HIV prevalence among pregnant women (15-24) who attended antenatal clinics, 2006

0.4 0.41 0.41

0

0.1

0.2

0.3

0.4

0.5

15-19 20-24 Total

Source: Prepared by www.aidsdatahub.org based on Preliminary data from the HIV Sentinel Surveillance (HSS) 2006, provided by the National Center for HIV/AIDS, Dermatology and STDs. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

(%)


Trend of HIV prevalence among policemen and number tested for HIV, 1996-2003



Trend of HIV prevalence among TB patients and number tested for HIV, 1996-2002



23

HIV prevalence among STI and TB patients, 2005

Source: Prepared by www.aidsdatahub.org based on WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008

(%)

1.9

10

0

2

4

6

8

10

12

STI patient TB patient(major urban areas)


24

0.3

0.8

0

0.5

1

1.5

Female Male

HIV prevalence among population (15-24), 2007

High estimate: 0.6

Low estimate: 0.1

High estimate: 1.2

Low estimate: 0.3

Source: Prepared by www.aidsdatahub.org based on WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008

(%)


25

HIV prevalence among population (15-49) by residence, 1995-2006

Source: Prepared by www.aidsdatahub.org based on National Center for HIV/AIDS, Dermatology and Sexually Transmitted Infection (NCHADS), National Institute of Public Health, FHI/USAID, CDC, WHO, UNAIDS, East-West Center. Consensus workshop on HIV estimation for Cambodia, June 28, 2006

1.8

2.32.5

2.62.4

2.12

1.81.6

1.41.2 1.11.1

1.51.7

1.91.7

1.5 1.51.3

1.2 1.10.9

0.8

1.2

1.71.9

21.9

1.61.5

1.41.2 1.1

10.9

0

0.5

1

1.5

2

2.5

3

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Urban

Rural

Total

Note: According to DHS 2005, HIV prevalence for 15-49 age group is 0.6%.

(%)

Year


26


Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey, 2005

0

0.6

1.3

0.8

0.7

0.3

1

0.1

0.2

0.6

1.2

1.3

0.7

1.3

0

0.5

1

1.5

15-19 20-24 25-29 30-34 35-39 40-44 45-49

Female Male(%)

Age

Total HIV prevalence =0.6%.


Estimated number of adult and children living with HIV, 2001-2007

27Source: Prepared by www.aidsdatahub.org based on WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008

(Nu

mb

er)


28

Projected prevalence of HIV among the general population (15-49), 2006-2012 (with ART available)

0.9

0.8

0.7 0.7 0.7

0.6 0.6

0

0.5

1

2006 2007 2008 2009 2010 2011 2012

(%)

Source: Prepared by www.aidsdatahub.org based on Reported on Consensus Workshop on HIV Estimates and Projections for Cambodia 2006-2012: Ministry of Health, National Centre for HIV/AIDS, Dermatology and STDs: 25-29 June, 2007. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

Year


29

Projected number of population (15-49) who are HIV infected, 2006 - 2012

3220029200 27900 27600 26700 25300 24400

3500032200 30800 30300 29500 27800 26800

67200

6140058700 57900 56200

53100 51200

0

10000

20000

30000

40000

50000

60000

70000

80000

2006 2007 2008 2009 2010 20112012

Female Male Total


(Num

ber)

Year


30

Projected no. of new HIV infections annually among population (15-49), 2006-2012

540

420

330

270230

200

550

480

410360

300260

700

630

0

100

200

300

400

500

600

700

800

2006 2007 2008 2009 2010 2011 2012

Female Male

(Num

ber)

Year



31

Projected no. of AIDS related deaths annually among population (15-49), 2006-2012

12040

10800

9500

8310

72006170

5260

9950

6890

3590

1210 14502400

1740

0

2000

4000

6000

8000

10000

12000

14000

2006 2007 2008 2009 2010 2011 2012

With ART Without ART

(Num

ber)

Year



32


(%)


0 0 0

0.6

0.4

0.9

0.1 0.1

0

0.2

0.1

0.3

0

0.5

1

15-19 15-17 18-19 20-24 20-22 23-24

Female Male

Age

Total Female: 0.3

Total Male:0.1


33

Risk behaviours


% of condom use at last commercial sex among direct and indirect female sex workers, 2007

34

Source: Prepared by www.aidsdatahub.org based on Cambodia, Ministry of Health, National Center of HIV/AIDS, Dermatology and STD, Behavioral Surveillance Survey, 2007


% of female sex workers who had unprotected sex with sweethearts in the past 3 months, 2007

35



% of direct and indirect FSWs who had sex with a non paying partner (sweetheart) in the past year, 2007

36



Status of sexual activity and condom use with clients among direct and indirect sex workers in the past week, 2007

37



% indirect FSWs who sold sex in the past year, 2007

38



Specific sexual behaviors among short hair MSM in the last month, 2007

39Source: Prepared by www.aidsdatahub.org based on Behavioral surveillance survey_2007; Power point presentation by National Center for HIV/AIDS,

Dermatology and STDs, Sun Way Hotel_28 April 2008


Specific sexual behaviors among long hair MSM in the last month, 2007




Specific sexual behaviors among short hair and long hair MSM in the last month, 2007



Long hair MSM- identified themselves as female and adopt feminine attitudeShort hair MSM- not identified themselves as female


% of condom use at last sex among MSM with different types of sexual partners, 2007

42



Unprotected sex in the past month by partner type among men who have sex with men, 2007

43

Source: Prepared by www.aidsdatahub.org based on National Center of HIV/AIDS, Dermatology and STD, Behavioral sentinel surveillance , 2007


% of short and long hair MSM with selected sexual behaviors, 2007

44




% reported sexual behaviors among short and long hair MSM with male partner, 2007

45




% reported sexual behaviors among short and long hair MSM with female partner, 2007

46




Sources to get clean needles and syringes among IDUs in 4 Provinces, 2007

47Source: Prepared by www.aidsdatahub.org based on Surveillance Unit, National Center of HIV/AIDS, Dermatology and STD


% of IDU who shared needles and syringes at the last injection, 2007

48



% of IDU who never injected with used needles and syringes at the past month, 2007

49



Selected sexual behaviors of IDUs in 4 Provinces, 2007

50

Cross –sectional study of 528 IDU and non-IDU in 4 Provinces, 2007



% of IDUs having various types of commercial sexual partners in the last 12 months, 2007

51



% of IDUs using condoms in 4 provinces, 2007

52



% of IDUs and drug users who used a condom at the last commercial sex, 2007

53



% of IDUs and drug users who reported consistent condom use during commercial sex in the past year, 2007

54



% of IDUs using condoms with regular and non-regular partners, 2007

55




% of moto-taxi drivers with selected sexual behaviors during last year, 2007

56



% of moto-taxi drivers who bought sex in the past year by type of partner, 2007

57



% of moto-taxi drivers who used a condom at last sex by type of partner, 2007

58



Percentage of motor-taxi drivers who consistently used condom with sex workers in the last 3 months,

2007




60

% of FSWs reported the no. of clients in last working day, 2005

1.3

58

39

20

40

80

0 1-3 4-10 10+

(%)

(Number)

Source: Prepared by www.aidsdatahub.org based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal

Mean=3.5

N=1081


61

% of FSWs reported always used condom, 2005


(%)Sweetheart refers to “romantic” partner who does not live with respondent. A sweetheart does not necessarily involve sexual intercourse (non marital and non commercial).

Causal partner refers to sexual partner who is neither living with, married to, or sweetheart of the respondent.


62

% of FSWs reported forced or convinced not to use condoms in the past week, 2005

Yes

No



63

Number of female sex partners of MSM in the past year, 2005

(%)

N=211

Source: Prepared by www.aidsdatahub.org based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal. Provinces refer to Battambang and Siem Reap

(Number)


64

% of MSM reported having sex with women in the past month, 2005


1511.5 10.4

4.7

24.9

16.614.1

4

0

20

40

With FSW With Casual partner With Sweetheart With Female client

Phnom PenhProvinces

(%)

Sweetheart refers to “romantic” partner who does not live with respondent. A sweetheart does not necessarily involve sexual intercourse (non marital and non commercial).



65

No. of male sex partners of MSM in the past year, 2005

25.7

53.3

13.27.7

37

49.6

7.7 5.7

0

40

80

1 2-5 6-10 11+

Phnom Penh

Provinces

(%)

N=518


(Number)


66

% of MSM reported selling sex in past week, 2005

N=254


26.628.8

18.2 17.1

0

20

40

1 paying partner >1 paying partner

Phnom Penh Provinces(%)


67

% of MSM reported consistent condom use with female partners in the past month, 2005


(%)




68

% of MSM reported consistent condom use with male partners in the past month, 2005




(%)

48.754.6

63.1 65.6

1823.1

17.8 18.5

0

50

100

With male sweatheart With casual male With male client With MSW

Phnom Penh

Provinces


69

% of MSM reported always use condom during anal sex in the past month, 2005


70.8

20.1

47.8

15.9

0

40

80

Insertive anal sex Receptive anal sex

Phnom PenhProvinces

(%)


70

% of police reported always using condoms in the past 3 months, 2005

(%)

Source: Prepared by www.aidsdatahub.org based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevalence, September 12, 2006, Hotel Le Royal.


71

% of population (15-49) who have had sexual intercourse with more than one partner in the past 12 months reporting the

use of a condom, 2005

40.4

12.3

83.2

73

22.7

39.2

0

50

100

Male Female 15-19 20-24 25-49

Gender Age Total

(%)

Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey, 2005. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007

Low level of condom use


72

% of population (15-24) who had sexual intercourse before age 15, 2000 and 2005

Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey, 2000 and 2005

(%)

Female, 2000 Female, 2005 Male, 2005

Age

1.0

0.7

1.2

0.5

0.91.1

1.2

0.40.3

0.6

0.0 0.0

0.8

0

2

15-19 20-24 15-17 18-19 20-22 23-24

0.3


73

% of unmarried population (18-24) who had sexual intercourse before age 18, 2005


Age

(%)

12.7

19.017.5

21.0

5.9

8.07.0

9.6

0.0

5

10

15

20

25

18-19 20-24 20-22 23-24

Female Male


74

Vulnerability and HIV knowledge


75


% of injecting and other drug users who knew that proper use of condom can prevent HIV transmission,

2007


76


% of injecting and other drug users who knew that used needles and syringes can transmit HIV infection, 2007


77

% of population (15-49) who have heard about HIV and AIDS, 2000 and 2005


(%) 93.3 94.6 94.2 95.9 95.798.3 98.3 98.7 98.6 98.998.7 99.3 99.2 99.6 99.5

0

50

100

15-19r 20-24 25-29 30-39 40-49


Age


78

% of population (15-49) who said HIV/AIDS can be prevented by abstinence, 2000 and 2005


(%)

21.6 22.8 23 22.6 24.6

82.3 83.6 83.3 83.1 83.1

90.1 92.2 93.0 93.7 93.5

0

50

100

15-19 20-24 25-29 30-39 40-49


Age


79

% of population (15-49) who knew HIV can be prevented by condom, 2000 and 2005


(%)

64.6 65.6 66.1 68.0 66.3

88.3 88.7 89.887.3

84.3

91.6 92.5 91.2 90.5 90.0

0

50

100

15-19 20-24 25-29 30-39 40-49


Age


80

% of comprehensive HIV knowledge among population (15-49) 2005


(%)

Age

50.1 50.2 49.847.2

40.435.9

43.539.1

34.9

45.250.4

41.4

0

50

100

15-24 15-19 20-24 25-29 30-39 40-49

Female Male


81

% of comprehensive HIV knowledge among population (15-49) with by wealth quintile, 2005


(%)

23.7

31.1

38.8

52.1

66.6

23.426.5

36.8

48.4

62.2

0

50

100

lowest second middle fourth highest

Wealth quintile

Female Male


82

% of comprehensive HIV knowledge among young people (15-24) by age, 2005

Source: Prepared by www.aidsdatahub.org based on Population Services International 2005 (PSI 2005)

(%)

Age

50.2 48.154.0

49.8 48.751.3

41.4 40.044.2

50.4 48.153.7

0

50

100

15-19 15-17 18-19 20-24 20-22 23-24

Female Male


83

% of population (15-24) who know a condom source, 2005

Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey , 2000 and 2005

Age

(%)

50.2 48.053.9 55.2 52.8

58.5

37.533.7

45.0

59.3 59.3 59.2

0

50

100

15-19 15-17 18-19 20-24 20-22 23-24

Female Male


84

Economics of AIDS


Amount of domestic and international AIDS spending and % of government sharing in AIDS funds, 2006-2008

85Source: Prepared by www.aidsdatahub.org based on UNAIDS_Report on the Global AIDS Epidemic 2008, annex II: country progress indicators and Cambodia_UNGASS Country Progress Report, 2010


Amount of national funds spent by government from domestic sources for AIDS, 2001-2008

86Source: Prepared by www.aidsdatahub.org based on UNAIDS_Reports on the Global AIDS Epidemic , 2006 and 2008 and Cambodia_UNGASS Country Progress Report, 2010


Amount of AIDS expenditure in US$ by financing source and spending category, 2006-2008

AIDS expenditure by financing source AIDS expenditure by spending category

87Source: Prepared by www.aidsdatahub.org based on National AIDS Spending Assessments I (2006) and II (2007-08) cited in Cambodia_UNGASS Country Progress Report, 2010


Sources of HIV/AIDS funds, 2006

88

Global Fund20%

UN Agencies18%

National Budget13%

NGOs4%

Bilateral42%

Other3%

Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Report, Cambodia, 2008


89

AIDS expenditures by AIDS spending categories, 2006

Prevention45%

Related research

2%

Care and treatment

21%

Orphan & vulnerable children

5%

Program management & administration

20%

Incentive for Human

Resources2%

Enabling Environment &

community development

5%

Source: Prepared by www.aidsdatahub.org based on UNGASS Country Progress Report, Cambodia, 2008


90

National response


% of key populations at higher risk reached with HIV prevention program in the past year 2007

91Source: Prepared by www.aidsdatahub.org based on BSS 2007 and Drug User HIV Prevalence and Behavioral Survey 2007 reported in Country Health Sector

Progress Report_Towards Universal Access, Scaling Up Priority HIV/AIDS interventions in the Health Sector, 2009


92

% of MARPs who reached by prevention, outreach, or harm reduction programs, 2004-2005

Source: Prepared by www.aidsdatahub.org based on Coverage Survey 2006; USAID "Violence and Exposure to HIV Among Sex workers in Phnom Penh, Cambodia"

97.0

17.0

87.0

60.0

92.282.0

0

50

(%) 100

IDU: harm-reductionPrograms(2005)

MSM: outreachPrograms (2005)

Transgender (2004)

FSW(2005)

DFSW (2004)

IDFSW (2004)

MSM-Men who have sex with men IDU-Injecting drug user

FSW-Female sex worker DFSW-Direct female sex worker

IDFSW-Indirect female sex worker


% of key populations at higher risk who tested for HIV in the past 12 months and knew the results, 2007

93Source: Prepared by www.aidsdatahub.org based on BSS 2007 and Drug User HIV Prevalence and Behavioral Survey 2007_cited in Cambodia_UNGASS

Country Progress Report, 2010


% of direct and indirect FSWs who had an HIV test in the past 12 months, 2007

94



95

Number of VCCT sites and people tested for HIV, 2006-2009

Source: Prepared by www.aidsdatahub.org based on Cambodia_Ministry of Health, National Center for HIV/AIDS, Dermatology and STD, Annual Report 2009


Status of VCCT services and estimated number of people (15+) tested for HIV per 1000 adult population, 2008-2009

96Source: Prepared by www.aidsdatahub.org based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Reports, 2009 and 2010


Partner testing in 2008

97

15%

0.5% male partners were tested positive0.5% of pregnant

women were tested positive

Source: Prepared by www.aidsdatahub.org based on Penelope Campbell_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialists’ Meeting, 17-20 th November 2009, Bangkok


98

% of women and men (15-49) who received an HIV test in the past 12 months and who know their result, 2005

5.1

3.3

1.8

6.4

4.3 4.1

0

5

10

Male Female 15-19 20-24 25-49

Gender Age Total

(%)

Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey, 2005. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007


99

% of pregnant women with access to ANC, Cambodia, 2005

Krong Preah Sihanou 57.6

Pursat 88.8

Kampong Speu 59.4

Kampot 69

Krong Kep 69

Takeo 84.5

Kandal 77.9

Prey Veng 61

Kampong Chhnang 84.6

Phnom Penh 85.1

Kampong Cham 57.7

Krong Pailin 81.6

Banteay Meanchey 66.6

Kampong Thom 59.2

Siem Reap 69.3

Preah Vihear 38.3

Svay Rieng 91.7

Kratie 51.9

Mondul Kiri 28.2

Stoeung Treng 38.3

Ratanak Kiri 28.2

Koh Kong 57.6

Battambang 81.6

Oddar Meanchey 56.1

Percent

Lower than 50%

Between 50-75%

Higher than 75%

Missing Data

Note: The boundaries and the names shown and the designations used on these maps do not imply official endorsement or acceptance by the United Nations.Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey (DHS), 2005


Status of ANC, VCCT, PMTCT services and uptakes, 2008 and 2009



Status of ANC, VCCT, PMTCT services and uptakes, 2008 and 2009



102Source: Prepared by www.aidsdatahub.org based on WHO_Towards Universal Access Scaling up Priority HIV/AIDS Interventions in the Health Sector, Progress Report, 2010

% HIV infected pregnant women and their infants received ARVs to reduce MTCT and infants received co-trimoxazole

prophylaxis, 2009


103Source: Prepared by www.aidsdatahub.org based on Cambodia_UNGASS Country Progress Reports, 2005 and 2010

% of HIV infected pregnant women who received ARVs to reduce the risk of mother to child transmission, 2004-2009


Number of ART sites and cumulative number of adults and children on ART, 2001-2009


Annual Report 2009


Status of health facilities providing ART and number of people on ART, 2008-2009




Number of adults and children who are in need of ART and % of ART coverage, 2009



Number of children (<15 years) who are in need of ART and % of ART coverage, 2009


% of adults and children with advanced HIV infection who received ART, 2004-2009

108Source: Prepared by www.aidsdatahub.org based on UNAIDS_Report on the Global AIDS Epidemic, 2006 and Cambodia_UNGASS

Country Progress Report, 2010


Cumulative number of adults and children with advanced HIV infection who are on ART, 2004-2009


Annual Report 2009



Annual Report 2009

Number of new patients on opportunistic infection care and on ART, 2006-2009



Number and % of adults and children with HIV known to be on treatment 12, 24, 36 and 48 months after initiation of ART


112

Coverage of antiretroviral therapy, 2005-2007(N

umbe

r)

30

4448

19 20

22

30

38

1922

16

110

10

20

30

40

50

60

2005 2006 2007

Facilities with ART Provinces covered

ODs covered Facilities with paediatric ART

Year

Source: Prepared by www.aidsdatahub.org based on Annual Reports 2005 and 2006 & Third Comprehensive Quarterly Report 2007, National Centre for HIV/AIDS, Dermatology and STDs. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007


113Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey, 2005. Some figures refer to the combination with more than one area.

% of children below 18 yr who are orphans, 2005


% of schools which provided life skill based HIV education, 2004-2009

114Source: Prepared by www.aidsdatahub.org based on data provided by School Health Department of Ministry of Education, Youth and

Sports_cited in Cambodia_UNGASS Country Progress Reports, 2010


115

School attendance among children (10-14), 2000 & 2005

52.7

61.4

45

74

82.3 80.4

71.2

87.9

67.674.9

65.4

8485.1 83.877

89.9

0

50

100

Maternal orphans Paternal orphans Double orphans Non-orphans

Female 2000 Female 2005 Male 2000 Male 2005(%)

Source: Prepared by www.aidsdatahub.org based on Quantitative Secondary Data Analysis of DHS 2000 and DHS 2005 for Cambodia OVC Situational Analysis; UNICEF, September 6/7, 2007. Cited from UNGASS Country Progress Report, Cambodia, Reporting period: January 2006-December 2007


116


117

HIV prevalence and epidemiological status


118

Cambodia 29.9


Pursat 63.4

Kampong Speu 32.8

Kampot 34

Takeo 11.5

Kandal 23

Prey Veng 17.2

Kampong Chhnang 36.8

Phnom Penh

Kampong Cham 23.3

Krong Pailin 30.3


Kampong Thom 20.2

Siem Reap 36.9

Preah Vihear 30

Svay Rieng 35.6

Kratie 24.4

Stoeung Treng 29.2

Koh Kong 29.7

Battambang 10.1

Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008

Note: Data presented are the most recent data in 2002 and 2003

HIV prevalence among FSWs, outside urban areas, 2002-2003


119

HIV prevalence among FSWs and MSM, Phnom Penh, 1995-2002

Source: WHO/UNAIDS, Epidemiological Fact Sheets on HIV/AIDS and Sexually Transmitted Infections, 2008

Year

(%)


120

Risk behaviours


121

% of men in high risk occupational groups who reported the consistent condom use with sex workers in the last 3

months, 1997-2003

Source: Cambodia 2003 Behavioral Surveillance Survey, HIV/AIDS Related Sexual Behavior among Urban Sentinel Groups

(%)

Year

70

53

87 87

59

81

70

89

79

7062

54

94.687

54

0

50

100

1997 1998 1999 2001 2003

Military Moto-taxi drivers Police


Socio-demographic characteristics of IDUs in 4 Provinces, 2007



Percentage of IDUs seeking specific places for treatment of STI symptoms in the last year




Percentage of IDUs using specific sources to get condoms, 2007




Place of living among IDUs in 4 Provinces, 2007



126

Average of no. of sexual partners in the lifetime of population (15-49), 2005


(Num

ber)

Age

1.2 1.2 1.2 1.1 1.1 1.1

4.3

3.7

4.4

4.9

4.5 4.5

0

1

2

3

4

5

6

15-24 15-19 20-24 25-29 30-39 40-49

Female Male


127

% of population (15-49) who reported more than one partner in the last 12 months, 2005


(%)

For 15-19 yr male, n = 91

Age

0.1 0.1 0.1 0.2 0.5 0.2

19.3

30.8

17.6

10.9

8.1

5.2

0

5

10

15

20

25

30

35

15-24 yr 15-19 yr 20-24 yr 25-29 yr 30-39 yr 40-49 yr

Female Male


128

% of population (15-49) reporting more than one partner in the last 12 months, 2005 (Cont.)


(%)

0.5 0.3 0.0 0.2 0.2 0.4 0.3 0.4

3.4

8.0

13.3

4.5

6.0 5.5

9.6

18.7

0

10

20

noeducation

primary secondaryand higher

lowest second middle fourth highest

Education Wealth quintile

Female Male


129

% of men (15-49) who paid for sexual intercourse in last 12 months, 2005


(%)

6.0

2.5

10.711.2

5.4

2.5

12.7

4.4

0

5

10

15

15-24 15-19 20-24 25-29 30-39 40-49 urban rural

Age Residence


130

% of men (15-49) who paid for sexual intercourse in last 12 months, 2005 (Cont.)


(%)

2.1

4.7

7.8

1.3

3.0 2.9

6.4

12.7

5.8

0

5

10

15

noeducation

primary secondaryand higher

lowest second middle fourth highest Male

Education Wealth quintile Total


131

% of MSM reported having sex with men in the past month, 2005


(%)

66

44

63.1

14.4

85.5

66.1

17.811.7

0

50

100

With male sweatheart With casual male With male client With MSW

Phnom Penh

Provinces




132

% MSM reported male-to-male sex in the past month, 2005


(%)

32.6

53.5

60.5458.655.4

40.73

0

40

80

Insertive anal sex Receptive anal sex Gave oral sex

Phnom Penh Provinces


133

Vulnerability and HIV knowledge


134

% of MARPs willing to buy fresh vegetables from a shopkeeper with AIDS, 2003

69.5 69.1 69.7

0

50

(%)100

DFSW IDFSW: Beer promoters IDFSW: Karaoke Workers


MARPs – Most-at-Risk Populations

DFSW – Direct Female Sex Workers

IDFSW - Indirect Female Sex Workers


135

% of MARPs who would like to keep the HIV status of an infected family member a secret, 2003

51.3 49.9 48.0

0

50

(%) 100

DFSW IDFSW: Beer promoters IDFSW: Karaoke Workers


MARPs – Most-at-Risk Populations

DFSW – Direct Female Sex Workers

IDFSW - Indirect Female Sex Workers


136

36.2 37.5 36.1 34.2 33.4

86.6 86.882.8

73.669.6

0

50

100

15-19 20-24 25-29 30-39 40-49

% of women (15-49) saying a person with AIDS should be allowed to work, 2000 and 2005

Source: Prepared by www.aidsdatahub.org based on Cambodia Demographic and Health Survey , 2000 and 2005

(%)

Age

Female Male


137

National response


138

% of population (15-49) who know where to get an HIV test, 2005


(%)

Age

46.241.6

51.649.1

45.140.742.1

34.7

52.1 52.3 50.947.8

0

50

100

15-24 15-19 20-24 25-29 30-39 40-49

Female Male


139

% of population (15-49) who know where to get an HIV test, 2005 (Cont.)


(%)

29.9

42.2

63.1

28.5

35.740.3

51.0

63.3

22.3

38.4

69.3

29.5

49.8

40.035.6

61.2

0

50

100

noeducation

primary Secondary+ lowest second middle fourth highest

Education Wealth quintile

Female Male


140

% of population (15-24) who received an HIV test in the last 12 months and who know their results, 2005


(%)

Age

11.612

11.4

7.6 7.47.8

5.2

3.9

10.7 10.411

0

2

4

6

8

10

12

14

15-19 15-17 18-19 20-24 20-22 23-24

Female Male


141

% of MARPs who received HIV testing in the last 12 months, 2003


(%)

61.0

48.0

68.0

22.0

38.0

63.0

0

50

100

DFSW karaoke workers

beer promoters moto-taxi drivers

military police

Sex workers Clients of sex workers


142

45.5

38.9

31.1

62.3

33.8

24.8

36.8

69.768.872.1

59.8

67.7

49.9

70.6

90.2

55.2

63.668.5

77.6

90.3

79.2

0

50

100

<20 20-34 35-49 urban rural no

Education

primary Secondary+ lowest second middle fourth highest

2000 2005

% of pregnant women who had access to antenatal care, 2000 and 2005


(%)

Wealth quintileAge


143

ART coverage in Cambodia, by end of 2005

Source: Prepared by www.aidsdatahub.org based on National AIDS Authority. UNGASS Report-Monitoring the Declaration of Commitment, January 2004-December 2005. March 2006

3

26

57

1.2

3.8

5

0 10 20 30 40 50 60

2003

2004

2005

ARV/PMTCT

ARV coverage (overall)

(%)

Year


144

When do MARPs and Police receive last HIV test result, 2005

Source: Prepared by www.aidsdatahub.org based on NCHADS, Cambodia STI Survey, 2005. Cited from presentation Cambodia STI Survey 2005: Key Risk Behaviors and STI Prevlence, September 12, 2006, Hotel Le Royal

(%)


145Note: The boundaries and the names shown and the designations used on these maps do not imply official endorsement or acceptance by the United Nations.

% of pregnant women with access to ANC, Cambodia, 2000


Pursat 42.3

Kampong Speu 28.3

Kampot 34.3

Krong Kep 34.3

Takeo 35.2

Kandal 46.2

Prey Veng 18.3

Kampong Chhnang 46

Phnom Penh 84

Kampong Cham 33.7

Krong Pailin 48.2


Kampong Thom 28.9

Siem Reap 20.8

Preah Vihear 40

Svay Rieng 46.5

Kratie 40

Mondul Kiri 15.7

Stoeung Treng 40

Ratanak Kiri 15.7

Koh Kong 26.1

Battambang 48.2

Oddar Meanchey 20.8

Percent

Lower than 50%

Between 50-75%

Higher than 75%

Missing Data

Source: Cambodia Demographic and Health Survey (DHS), 2000


146

THANK YOU

slides compiled by www.aidsdatahub.org

Data shown in this slide set are comprehensive to the extent they are available from country reports. Please inform us if you know of sources where more recent data can be used.

Please acknowledge www.aidsdatahub.org if slides are lifted directly from this site

Documents

HIV and AIDS Data Hub for Asia-Pacific