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Review in slides Malaysia

This review presents basic socio-demographic indicators, HIV prevalence and epidemiological status, risk behaviors, vulnerability and HIV knowledge, economics of AIDS, and national response in Malaysia from 1986-2009.

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Review in slides Malaysia

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  1. Review in slides Malaysia

  2. Content • Basic socio-demographic indicators • HIV prevalence and epidemiological status (1986-2009) • Risk behaviors (2006-2009) • Vulnerability and HIV knowledge (2007-2009) • Economics of AIDS (1993-2002) • National Response (2005-2009) • Archive

  3. Basic socio-demographic indicators Source: 1. UNFPA The State of World Population 2010 2. UN Statistics Division 2010: http://unstats.un.org/unsd/demographic/products/socind/population.htm 3. World Bank World Development Indicators & Global Development Finance ;http://databank.worldbank.org/ddp/home.do?Step=12&id=4&CNO=2 4. WHO World Health Statistics 2010 5. UNDP Human Development Report 2010 6. UN Population Division - Population Prospects: The 2008 Revision, Population Database

  4. HIV prevalence and epidemiological status

  5. HIV prevalence among populations at higher risk, 2007-2009 * MSM 2007 - VCT site survey 2009 – Venue-based study in Kuala Lumpur Source: UNGASS country progress report 2008; Power point presentations of Preliminary Findings of IBBS 2009 by Malaysian AIDS Council, Power point presentation of “ Venue-based MSM study in Kuala Lumpur,2009” by Malaysian AIDS council

  6. Size estimates of populations at higher risk Source: Finding s from National Consensus workshop May 26-29, 2009_WHO & Ministry of Health AIDS/STD Division, 2009

  7. Number of reported HIV/AIDS cases by gender, 1986- June 2009 Source: Ministry of Health,2009

  8. Reported HIV and AIDS cases Reported HIV and AIDS cases ( 1986-2008 December) Reported HIV and AIDS cases, 2008 Source: Ministry of Health,2009

  9. Percent distribution of reported HIV/AIDS cases by gender, 1990-2008 Source: Ministry of Health,2009

  10. Percent distribution of reported HIV/AIDS cases by age group, 1990-2008 Source: Ministry of Health,2009

  11. Percent distribution of reported HIV/AIDS cases by mode of transmission, 1986-2008 Source: Ministry of Health,2009

  12. Trends in percent distribution of reported cases of HIV infection by mode of transmission, 2000-2008 Source: Ministry of Health,2009

  13. Reported HIV and AIDS cases by region, Jan to Dec 2008 Source: Ministry of Health, 2009

  14. Percent distribution of reported cases of HIV and AIDS by ethnicity, 2008 Source: Ministry of Health, 2009

  15. Percentage of HIV + pregnant women among ANC attendees, 2000-2008 200 190 170 177 138 110 141 79 85 Source: Malaysia country presentation_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20 th November 2009, Bangkok

  16. Number of babies tested HIV + among reported number of babies delivered by HIV + mother, 2000-2008 Source: Malaysia country presentation_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20 th November 2009, Bangkok

  17. Percentage of HIV + children below 19 years among total reported HIV + cases, 2000-2008 Source: Malaysia country presentation_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20 th November 2009, Bangkok

  18. Reported HIV, AIDS and Death, Malaysia 1986-June 2008 Ministry of health 2008

  19. Reported HIV, AIDS and Deaths by States, 1986-June 2008 Ministry of Health 2008

  20. Estimated prevalence among populations at higher risk Source: Finding s from National Consensus workshop May 26-29, 2009_WHO & Ministry of Health AIDS/STD Division, 2009

  21. Estimated cumulative number of people living with HIV by sex 120,000 100,000 80,000 Numbers Female 60,000 Male 40,000 20,000 0 1985 1990 1995 2000 2005 2010 2015 Year 82,494 in 2008 0.47% adult prev 82,494 in 2008 0.47 % adult prev Source: Spectrum projections; Power point presentation by Adeeba Kamarulzaman at 9th ICAAP in Bali

  22. Estimated number of new HIV infections by sex 10,000 9,000 Numbers 8,000 7,000 6,000 5,000 4,000 Female 3,000 Male 2,000 1,000 0 1985 1990 1995 2000 2005 2010 2015 Year 9,211 in 2008 9,211 in 2008 1 : 9 in 2008 1:9 in 2008 Source: Spectrum projections; Power point presentation by Adeeba Kamarulzaman at 9th ICAAP in Bali

  23. HIV Notification Screening Rates 2000-2008 28.5 27.0 25.1 24.7 23.4 21.9 21.7 16.7 13.3 5107 5938 6978 6756 6427 6120 5830 4549 3692 Source: Power point presentation by Adeeba Kamarulzaman at 9th ICAAP in Bali

  24. Estimated number of people living with HIV, 2001-2007 Source: 2008 Report on the global AIDS epidemic, UNAIDS/WHO, July 2008

  25. Ministry of health and UNAIDS 2008

  26. Ministry of health and UNAIDS 2008

  27. UNGASS indicators values for Most at risk populations (2007) * Denominator or numerator is not the standard UNGASS definition

  28. Ministry of health 2008

  29. (%) Ministry of health 2008

  30. HIV prevalence among young people (15-24), 2007 Source: Malaysia_UNAIDS, Epidemiological Fact Sheets, 2008 Update

  31. Risk behaviours

  32. Percentage of condom use at last sex among populations at higher risk, 2009 Source: Power point presentations of Preliminary Findings of IBBS 2009 by Malaysian AIDS Council

  33. Percentage of IDU who used sterile injecting equipment the last time they injected drugs, 2009 Source: Power point presentations of Preliminary Findings of IBBS 2009 by Malaysian AIDS Council

  34. Risk behaviors of IDU, 2007 • The majority of IDUs initiated drug use before the age of 18 years and shift to injecting very fast • Heroin is the main drug of injection • An increasing number of people use amphetamines as their main drug of choice • Rates of sharing of injection equipment are very high • Condom use is less than 20% with all kinds of partners * WHO & University of Sains, RAP, 2008

  35. 30 25 20 15 did not always 10 use condoms always used 5 condoms 0 sex with sex with bought sold sex male - regular casual sex sex with partner partner another male Sex risk behaviours amongst IDUs, in the last month Behavioral Sentinel Surveillance 3 cities , 2006

  36. Vulnerability and HIV Knowledge

  37. Percentage of populations at higher risk with comprehensive HIV knowledge, 2009 Source: Power point presentations of Preliminary Findings of IBBS 2009 by Malaysian AIDS Council

  38. % of selected most-at-risk populations* with comprehensive knowledge, 2007 *Only those who attend services Comprehensive knowledge of HIV&AIDS: Percentage of people who both correctly identify ways of preventing the sexual transmission of HIV and who reject major misconceptions (UNGASS definition) UNGASS Country Report 2008

  39. Economics of AIDS 39

  40. % of budget allocation for HIV/AIDS programs, by sectors, 1993-2002 Center for Multidisciplinary Studies on Health and Development, Inc. Current situation of HIV/AIDS in Malaysia. Presentation at the Economic impact of HIV/AIDS in Asia Pacific, October 2-8, 2005 40

  41. National response

  42. Percentage of populations at higher risk reached with HIV prevention program, received HIV test in last 12 months and knew the result, 2009 Source: Power point presentations of Preliminary Findings of IBBS 2009 by Malaysian AIDS Council

  43. Number people receiving highly active anti-retroviral therapy (HAART), 2003-2009 Source: National HIV/AIDS Treatment Registry _presented by Dr.Christopher KC Lee

  44. Number of adults and children with advanced HIV infection who are in need and who are receiving ART, 2007 Source: WHO_UNAIDS_UNICEF_Towards Universal Access – Scaling up priority HIV/AIDS interventions in the health sector, 2008

  45. Number of HIV+ pregnant women who are in need and who are receiving ART to prevent mother-to-child transmission of HIV, 2007 Source: WHO_UNAIDS_UNICEF_Towards Universal Access – Scaling up priority HIV/AIDS interventions in the health sector, 2008

  46. % of pregnant women in ANC counseled and tested for HIV, 2002-2007 Of 298,367 antenatal clinic attendees tested for HIV in 2007, 0.1% HIV+ Ministry of health 2008

  47. Ministry of health and UNAIDS 2008

  48. Ministry of health and UNAIDS 2008

  49. HIV routine screening Women receiving ANC at government facilities (voluntary) Blood donors Inmates in selected drug rehabilitation centers Inmates in selected prisons and correctional centers TB and STD cases in sentinel sites Foreign workers Pre-marital HIV testing (mandatory in some States) Ministry of Health

  50. Case Notification 342 Act 1988 and 98 (Infectious Disease Control Act) Behavioral and biological surveillance among most at risk population (sporadic) STD Surveillance (sentinel site clinics) VCT sites (anonymous) Routine testing in hospitals and health centers HIV and AIDS reporting and surveillance Ministry of Health

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