hiv and aids data hub for asia-pacific review in slides malaysia

HIV and AIDS Data Hub for Asia-Pacific

Review in slides Malaysia


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

2


Basic socio-demographic indicatorsTotal population (in thousands) 27,914 (2010)2

Annual population growth rate 1.5% (2010-2015)2

Population aged 15-49 (thousands) 15,082 (2008)6

Percentage of population in urban areas 72% (2010)1

Crude birth rate (births per 1,000 population) 20.4 (2008)3

Under-5 mortality rate (per 1,000 live births) 6 (2008)4

Human development index (HDI) - Rank/Value 57/0.744 (2010)5

Life expectancy at birth (years) 74.7 (2010)5

Adult literacy rate 92.1% (2005-2008)5

Ratio of girls to boys in primary and secondary education (%) 103 (2007)3

GDP per capita (PPP, $US) 14,011 (2009)3

Per capita total health expenditure (Int.$) 604 (2007)4

3

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


HIV prevalence and epidemiological status

4


HIV prevalence among populations at higher risk, 2007-2009

5

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

* MSM2007 - VCT site survey2009 – Venue-based study in Kuala Lumpur


Size estimates of populations at higher risk

6

Source: Finding s from National Consensus workshop May 26-29, 2009_WHO & Ministry of Health AIDS/STD Division, 2009

Populations Size EstimatesIDU 170,000FSW 50,000MSM 173,000Transgender 5,000Clients of FSW 845,000


Number of reported HIV/AIDS cases by gender, 1986- June 2009

7Source: Ministry of Health,2009


Reported HIV and AIDS cases

8

Reported HIV and AIDS cases ( 1986-2008 December) Reported HIV and AIDS cases, 2008

Source: Ministry of Health,2009


Percent distribution of reported HIV/AIDS cases by gender, 1990-2008



Percent distribution of reported HIV/AIDS cases by age group, 1990-2008



Percent distribution of reported HIV/AIDS cases by mode of transmission, 1986-2008



Trends in percent distribution of reported cases of HIV infection by mode of transmission, 2000-2008



Reported HIV and AIDS cases by region, Jan to Dec 2008

13Source: Ministry of Health, 2009


14Source: Ministry of Health, 2009

Percent distribution of reported cases of HIV and AIDS by ethnicity, 2008


Percentage of HIV + pregnant women among ANC attendees, 2000-2008

15Source: Malaysia country presentation_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20 th November 2009, Bangkok

85

79141 177 138 110 170 190 200


Number of babies tested HIV + among reported number of babies delivered by HIV + mother,

2000-2008



Percentage of HIV + children below 19 years among total reported HIV + cases, 2000-2008



Reported HIV, AIDS and Death, Reported HIV, AIDS and Death, Malaysia 1986-June 2008Malaysia 1986-June 2008

18Ministry of health 2008

82,704

14,133

10,783

0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000

HIV

AIDS

Death

Number


Reported HIV, AIDS and Deaths by States, 1986-June Reported HIV, AIDS and Deaths by States, 1986-June 20082008

19Ministry of Health 2008


Estimated prevalence among populations at higher risk

20

Source: Finding s from National Consensus workshop May 26-29, 2009_WHO & Ministry of Health AIDS/STD Division, 2009


82,494 in 2008

0.47% adult prev

Estimated cumulative number of people living with HIV by sex

0

20,000

40,000

60,000

80,000

100,000

120,000

1985 1990 1995 2000 2005 2010 2015 Year

Num

bers

Female

Male

82,494 in 20080.47 % adult prev

Source: Spectrum projections; Power point presentation by Adeeba Kamarulzaman at 9 th ICAAP in Bali


9,211 in 2008

1 : 9

in 2008

Estimated number of new HIV infections by sex

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

1985 1990 1995 2000 2005 2010 2015 Year

Num

bers

Female

Male

9,211 in 2008

1:9 in 2008

Source: Spectrum projections; Power point presentation by Adeeba Kamarulzaman at 9 th ICAAP in Bali


0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

1,400,000

2000 2001 2002 2003 2004 2005 2006 2007 2008 Year

Num

ber s

cree

ned

0

5

10

15

20

25

30

Notif

icat

ion

rate

No. of screening Notification rate

5107 5938 6978 6756 6427 6120 5830 4549

21.724.7

28.5 27.0

25.123.4 21.9

16.7

3692

13.3

HIV Notification Screening Rates 2000-2008

Source: Power point presentation by Adeeba Kamarulzaman at 9 th ICAAP in Bali


Estimated number of people living with Estimated number of people living with HIV, 2001-2007HIV, 2001-2007

Source: 2008 Report on the global AIDS epidemic, UNAIDS/WHO, July 2008 24


25Ministry of health and UNAIDS 2008


26Ministry of health and UNAIDS 2008


27

UNGASS indicators values for Most at UNGASS indicators values for Most at risk populations (2007)risk populations (2007)

* Denominator or numerator is not the standard UNGASS definition

IndicatorsMSM IDU Sex workers% % %

HIV prevalence 7.1 11 >5HIV testing 100* 100* 100*

HIV prevention coverage

100* 86*

HIV comprehensive

knowledge98.4* 78.4*

Condom use 27.6 35.4Safe injecting

practices5.1


28Ministry of health 2008


29

(%)

Ministry of health 2008


HIV prevalence among young people (15-HIV prevalence among young people (15-24), 200724), 2007

Source: Malaysia_UNAIDS, Epidemiological Fact Sheets, 2008 Update 30


31


HIV prevalence and epidemiological status

32


HIV prevalence among populations at HIV prevalence among populations at higher riskhigher risk

UNGASS Country Report, 2005 33

1.7

6.09

3.7

0

- 1.0 2.0 3.0 4.0 5.0 6.0 7.0

Fishermen (North-

1998)

STI patients (2002)

Long distant truck

drivers (East coast-

2000)

Factory workers

(West-central, 2001)

Percent (%)


HIV prevalence among general HIV prevalence among general population and populations at higher population and populations at higher

riskrisk

UNAIDS, Report on the Global AIDS Epidemic, 2006. UNGASS Country Report, 200534

0.5

3.7

0

1.7

0

1

2

3

4

5

Adults (2005)

National

Long distance

drivers (2000)

N=906

Factory workers

(2001) N=3,000

Fishermen (1998)

N=542

(%)


Ministry of health 2005


HIV prevalence among migrant HIV prevalence among migrant workers,workers,

2000-2004 2000-2004

Source: Malaysia_UNAIDS, UNGASS Coutntry Report, 2008 citing MoH, 2004 36


Reported number of HIV cases by age, Reported number of HIV cases by age, 20032003

Source: UNAIDS, Malaysia UNGASS Country Report, 2005 37


38


HIV prevalence among pregnant HIV prevalence among pregnant women,women,

by state, 2003 by state, 2003

Source: UNAIDS, Epidemiological Fact Sheets, 2006

In 2005, 358,622 antenatal women were tested, 0.04% (154) were found HIV+. National HIV prevalence among antenatal women is less than 0.01%.

39

0000000

0.10.10.10.10.10.1

0.3

0 0.05 0.1 0.15 0.2 0.25 0.3 0.35

Kuala LumpurJohor

KedahNegeri Sembilan

SabahSarawakSelangorKelantan

MelakaPahang

Pulau PinangPerak

TerengganuPerlis

(%)


81.4

44.2

79.2

10.5

44.8

13.5

8.1 11 7.3

0

20

40

60

80

100

Malay Chinese Indians

HIV

in

fec

tio

n (

%)

IDU Heterosexual Others

% distribution of reported HIV cases, % distribution of reported HIV cases, by ethnicity and mode of transmission, by ethnicity and mode of transmission,

20022002

Ministry of Health 2003


Trends in HIV prevalence among Trends in HIV prevalence among injecting drug users and prisoners and % injecting drug users and prisoners and %

who share needles in 2002who share needles in 2002

14.3

16.4

13.2

17.919.6

13.2

10.3

68

0

5

10

15

20

25

1996 1997 1998 1999 2000 2001 2002

HIV

po

sit

ive (

%)

0

10

20

30

40

50

60

70

80

Perc

en

t (%

)

HIV prevalence Sharing

Ministry of Health and WHO. Consensus report on HIV and AIDS: Epidemiology in 2004-Malaysia, 2004 41


HIV prevalence among IDUs,HIV prevalence among IDUs, by state, 2002 by state, 2002

Source: UNGASS Country Report, 2005

0.01

0.11

0.13

0.14

0.18

0.19

0.20

0.23

0.45

0.09

0.09

0.08

0.07

0.08

0.00 0.10 0.20 0.30 0.40 0.50

Sarawak

TerengganuMelakaSabah

SelangorJohor

Pahang

N.SembilanPerak

WP

PerlisKelantan

Kedah

P.Pinang

(%)

All states with higher prevalence are in the north and north-east, except for Kuala Lumpur, the capital.

42


Estimated number of drug users and Estimated number of drug users and injecting drug users in Malaysia, 2002injecting drug users in Malaysia, 2002

1,032,111

794,413

135,506

104,486

897,624

117,955

-

200,000

400,000

600,000

800,000

1,000,000

1 2

Numbers in ‘red’ are median estimates, whereas numbers in ‘black’ are upper and lower estimates.

Drug users

Injection drug users

Source: MOH, WHO and University Utara. Estimation of drug users and injecting drug users in Malaysia, 2003 43


STI and HIV prevalence among FSWs, STI and HIV prevalence among FSWs, 20002000

Ministry of Health and WHO. Prevalence survey of sexually transmitted infections among sex workers and women attending antenatal clinics. Malaysia 1999-2000 44

11.5

30.1

6.3

2.4

1

40.9

0 5 10 15 20 25 30 35 40 45

HIV

Syphilis

Chlamydia

Gonorrhea

Trichomonas

Any STI

Percent (%)


HIV prevalence among IDUs and non-IDU HIV prevalence among IDUs and non-IDU ss

by region, 1998 by region, 1998

Ministry of Health and WHO. Consensus report on HIV and AIDS: Epidemiology in 2004-Malaysia, 2004 45

0.682.7

0.95

8.54

18.7

10.2

24.4

35.6

0

5

10

15

20

25

30

35

40

North West South East

HIV

po

siti

ve (

%)

Non-IDU IDU


46

HIV prevalence among female sex HIV prevalence among female sex workers by cities, 1996workers by cities, 1996

Source: UNAIDS, Epidemiological Fact Sheets, 2006: 1196 is the most recent data available


HIV prevalence among MSM by cities, HIV prevalence among MSM by cities, 19961996

Source: UNAIDS, Epidemiological Fact Sheets, 2006 47


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

48

hiv and aids data hub for asia-pacific review in slides malaysia

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