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

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1 Cascade of HIV testing, care and treatment services, 2014 & 2015:

country proﬁles

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

country profiles

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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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© 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.

Printed in India

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Acronyms Bangladesh Bhutan India Indonesia Maldives Myanmar Nepal Sri Lanka Thailand Timor Leste 7

8 10 12 14 16 18 20 22 24 28

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

7

(8)

Bangladesh

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

HIV testing, care and treatment

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

1 661 886597

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)

of PLHIV

35%

diagnosed

NA NA

76122 receiving ART

41%

of diagnosed

of PLHIV

36%

diagnosed

receiving ART

43%

of diagnosed

19119 6 200

3 400

(9)

9 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

women tested for HIV^(f)

196 797 1 110

209 438 2 094

45 45

92 82

495 7242 1 536 745 13 381 4 957 242 1 536 745 12 208

25 25 NA 24 22 0

21 21 NA 19 14 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) 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

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

HIV testing, care and treatment

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

234 92118

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

receiving ART

45%

of diagnosed of PLHIV

37%

diagnosed

receiving ART

46%

of diagnosed of PLHIV

42%

diagnosed

(11)

11 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

women tested for HIV

Number of notiﬁed

Number of TB cases diagnosed with HIV

Number of people on both ART and TB treatment

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

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

(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

- Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/proﬁles/en/) - National STI & HIV/AIDS Control Programme data

Bhutan

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

HIV testing, care and treatment

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)

receiving ART

59%

of diagnosed

of PLHIV

72%

diagnosed of PLHIV

67%

diagnosed

receiving ART

60%

of diagnosed

(13)

13 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

Number of notiﬁed

Number of TB cases

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

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/

(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

- 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

India

(14)

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

HIV testing, care and treatment

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)

receiving ART

31%

of diagnosed

of PLHIV

26%

diagnosed of PLHIV

24%

diagnosed

receiving ART

35%

of diagnosed 62 143

104 832 19 849

30 551

39 007 24 059

(15)

15 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

330 729 36 380

324 539 15 074

2 355 624

3 523 757

(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

- 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

Indonesia

(16)

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

HIV testing, care and treatment

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

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)

receiving ART

33%

of diagnosed

of PLHIV

NA

diagnosed of PLHIV

NA

diagnosed

receiving ART

39%

of diagnosed

(17)

17 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

Number of notiﬁed

Number of TB cases

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

131 130

153 153

0 0

4 163 4 163 3 705 7 245 6 046 4 700

1 1 1 1 1 0

0 0 0 0 0 0

(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

- Tuberculosis (TB)[online database].Geneva:WHO;2016 (http://www.who.int/tb/country/data/proﬁles/en/)

Maldives

(18)

Myanmar

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

HIV testing, care and treatment

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)

receiving ART

73%

of diagnosed

of PLHIV

62%

diagnosed of PLHIV

55%

diagnosed

receiving ART

77%

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

4 168 3 616

(19)

19 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

Number of notiﬁed

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

1100 000 845 623 522 108

4 138 3 790 NA 1 789 712 59

4 365 3 923 NA 2 169 801 25

141 957 56 133

140 700 89 990

6 412 2 319

7 918 3 034

(b) World Bank,https://datahelpdesk.worldbank.org/knowledgebase/articles/906519,accessed 24 October 2016 (c) Health in Myanmar, 2014.Ministry of Health

(e) WHO, World health statistics, 2016

1 107 312 934 903 793 446

Myanmar

(20)

22267

Nepal

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

HIV testing, care and treatment

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 Low-income 67.7/70.45 2.3 33 258 55.66%

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)

receiving ART

54%

of diagnosed

11 778

6 282

3 065 2 682

16 286 14 888

5 535 9 599

547 466

8 743 8 529

5 640

2 795 2 567

Nepal

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

HIV testing, care and treatment

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)

receiving ART

40%

of diagnosed

of PLHIV

57%

diagnosed of PLHIV

66%

diagnosed

25 449 13 800

651 538

10 533

4 872

(21)

21 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

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

(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

- 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

(22)

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

HIV testing, care and treatment

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

^(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

22.6% 18.7%

14.1%

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)

receiving ART

37%

of diagnosed

of PLHIV

46%

diagnosed of PLHIV

46%

diagnosed

receiving ART

41%

of diagnosed

601 509 213 191

2 590 1 210

1 114 330

241 117 99

623

566 403

208 187

669

346 294 120 102

(23)

23 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

Number of notiﬁed

Number of TB cases

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

377 993 359 093 168 221 377 993 368 345 262 051

9 9 7 7 7 0

16 16 9 9 9 0

9 473 7 418

9 575 8 043

21 18

25 17

(a) United Nations Population Division, World Population Prospects, the 2015 Revision, http://esa.un.org/wpp/

(d) Millennium Development Goals Indicators. United Nations Statistics Division;2014, http://mdgs.un.org/unsd/mdg/SeriesDetail.aspx?srid=570, accessed 26 October 2016

Sri Lanka

(24)

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

HIV testing, care and treatment

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)

receiving ART

72%

of diagnosed

receiving ART

70%

of diagnosed

80.4%

of PLHIV diagnosed

88.9%

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

71 618 50 670

66 179 62 135

6 831 4 691

7 819 5 389

Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

Number of notiﬁed

Number of TB cases

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

Thailand

(26)

Timor Leste

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

HIV testing, care and treatment

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)

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)

receiving ART

70%

of diagnosed

of PLHIV

47%

diagnosed of PLHIV

53%

diagnosed

receiving ART

79%

of diagnosed

109 109

237 227

126 100 87

121 103

86

117 92 92

(27)

27 Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services

TB/HIV coinfection

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

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

Number of notiﬁed

Number of TB cases

2014 2015

2014

2015

2014

2015

2014

2015

Number of pregnant

women diagnosed

with HIV

Number of pregnant

women receiving

ARVs

to HIV

within 2 months

Number of pregnant

at least once

Number of pregnant

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

8 8 6 6 2 0

10 9 9 7 6 2

3 778 2 054

3 532 2 932

24 24

Timor Leste

(28)

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

1

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

country proﬁles

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)

© World Health Organization 2016 All rights reserved.

Printed in India

Acronyms Bangladesh Bhutan India Indonesia Maldives Myanmar Nepal Sri Lanka Thailand Timor Leste 7

8 10 12 14 16 18 20 22 24 28

CONTENTS

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

7

Bangladesh

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

HIV testing, care and treatment

Figure 1: Cascade of diagnosis and treatment for people living with HIV

Country Statistics 2015 Population (million)

Income level

Life expectancy at birth (male/female)

Fertility rate, total (births per woman)

Infant mortality rate per 1000 live births

Maternal deaths per 100,000 births

Proportion of births attended by skilled health personnel

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

9 600 3 485 2 465 1 483 198 138

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%

NA NA

41%

36%

43%

9

Prevention of mother-to-child transmission Figure 4:

HIV testing among pregnant women

Figure 5:

Cascade of PMTCT services