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HIV and AIDSData Hub for Asia-PacificReview in slides

Mongolia

HIV and AIDS Data Hub for Asia-Pacific

2

Basic socio-demographic indicators

HIV prevalence and epidemiological status

Risk behaviors

Vulnerability and HIV knowledge

HIV Expenditure

National Response

CONTENT

HIV and AIDS Data Hub for Asia-Pacific

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BASIC SOCIO-DEMOGRAPHIC INDICATORS

Total population (in thousands) 2,888 (2013) 4

Annual population growth rate 1.4 (2015-2020) 4

Population aged 15-49 (thousands) 1,640 (2010) 4

Percentage of population in urban areas 68.5 (2011) 3

Crude birth rate (births per 1,000 population) 23.3 (2011) 3

Under-5 mortality rate (per 1,000 live births) 32 (2010) 2

Human development index (HDI) - Rank/Value 110/0.653 (2011) 1

Life expectancy at birth (years) 68.5 (2011) 1

Adult literacy rate 97.5 (2005-2010) 1

Ratio of girls to boys in primary and secondary education (%) 101.71 (2011) 3

GDP per capita (PPP, $US) 3,129 (2011) 3

Per capita total health expenditure (Int.$) 217 (2009) 2

Sources: Prepared by www.aidsdatahub.org based on 1. UNDP. (2011). Human Development Report 2011 - Sustainability and Equity: A Better Future for All; 2. WHO. (2012).

World Health Statistics 2012; 3. World Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved March, 2013, from

htt p://databank.worldbank.org; and 4. UN Population Division. (2011). World Population Prospects The 2010 Revision.

www.aidsdatahub.org

HIV prevalence and epidemiology

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Estimated number of people living with HIV, women

living with HIV, new HIV infections, adult HIV prevalence

and AIDS-related deaths, 2005 and 2013

5

2013 2005

Estimate [Low – High Estimate] Estimate [Low – High Estimate]

Adults and children living

with HIV<1,000 [<500 – <1,000] <100 [<100 - <200]

Women (15+) living with HIV <100 [<100 - <100] <100 [<100 - <100]

New HIV infections <200 [<100 - <200] - -

Adult (15-49) HIV prevalence <0.1 [<0.1 – <0.1] <0.1 [<0.1 – <0.1]

AIDS-related deaths <100 [<100 - <100] <100 [<100 - <100]

Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2014). The Gap Report; and www.aidsinfoonline.org

HIV and AIDS Data Hub for Asia-Pacific

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Key population size estimates, 2006

Source: Prepared by www.aidsdatahub.org based on 1. National Committee on HIV/AIDS, UN, & gtz. (2008). Comprehensive Review of the National Response to HIV and STIs in

Mongolia; and 2. National Committee on HIV/AIDS. (2010). National Strategic Plan on HIV, AIDS and STIs: 2010-2015. Ulaanbaatar.

Population size estimates

Populations Low estimate High estimate Year of estimate

Female sex workers 11,500 19,000 2006

Men who have sex with men

(homo and bisexual) 2 11,500 15,000 2006

HIV and AIDS Data Hub for Asia-Pacific

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HIV prevalence among key populations, 2009 and 2012

1.8

0 NA

10.7

0

2

4

6

8

10

12

Men who have sexwith men*

Female sexworkers

People who injectdrugs

%

2009 2012

Source: Prepared by www.aidsdatahub.org based on 1. National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia; and 2. Global Fund Supported

Project on AIDS and TB, Ministry of Health. (2012). Second Generation HIV and STI Surveillance Report 2012.

2012 survey used a

different methodology and

data should be interpreted

with caution when the

results are compared with

earlier rounds

* Weighted HIV prevalence in 2012 is 7.5%

HIV and AIDS Data Hub for Asia-Pacific

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Syphilis prevalence among MSM, 2007-2011

8

3026.4

9.7

0

5

10

15

20

25

30

35

2007 2009 2011

%

Source: Prepared by www.aidsdatahub.org based on National Committee on HIV and AIDS. (2012). Mongolia Global AIDS Response Progress Report, 2012.

HIV and AIDS Data Hub for Asia-Pacific

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Weighted syphilis prevalence among female sex

workers, 2012

9Source: Prepared by www.aidsdatahub.org based on Global Fund Supported Project on AIDS and TB, Ministry of Health. (2012). Second Generation HIV and STI Surveillance

Report 2012.

27.8

18.321.9

29.531.3

41.3

0

10

20

30

40

50

Khuvsgulprovince

Orkhonprovince

Dornodprovince

Ulaanbaatarcity

Darkhan city Total

%

HIV and AIDS Data Hub for Asia-Pacific

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Annual reported number of HIV infections, AIDS cases

and deaths, 1992-2011

100

17

4

0

20

40

60

80

100

120

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

Nu

mb

er

HIV infections AIDS cases Deaths due to AIDS

Source: Prepared by www.aidsdatahub.org based on National Committee on HIV and AIDS. (2012). Mongolia Global AIDS Response Progress Report, 2012.

HIV and AIDS Data Hub for Asia-Pacific

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11

68

10

21

1

MSM FSW Hetrosexual Unknown

Cumulative HIV cases by mode of transmission, 2009

Source: Prepared by www.aidsdatahub.org based on National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia

www.aidsdatahub.org

Risk behaviours

HIV and AIDS Data Hub for Asia-Pacific

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Trends in condom use at last sex among key populations,

2005-2012

13Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2008). 2008 Report on the Global AIDS Epidemic; 2. Preliminary Data from Second Generation Sentinel Surveillance

2009 cited in National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia; 3. National Committee on HIV and AIDS. (2012). Mongolia Global AIDS Response

Progress Report, 2012; and 4. Ministry of Health and NCCD. (2012). Second Generation HIV and STI surveillance Report, 2012. Mongolia.

96 9290

81

67

87 85

70

0

20

40

60

80

100

2005 2007 2009 2012

%

FSW MSM

HIV and AIDS Data Hub for Asia-Pacific

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Sexual behaviours among MSM, Ulaanbaatar, 2012

14Source: Prepared by www.aidsdatahub.org based on Global Fund Supported Project on AIDS and TB, Ministry of Health. (2012). Second Generation HIV and STI Surveillance Report

2012.

70

48

4

36

3

0

20

40

60

80

100

Condom use atlast sex

Consistentcondom use

(last 12 months)

Receivedpayment for sex

with malepartner

Had sex withfemale

(last 12 months)

Had sex withcommercial

female partner

Sexual behaviour with male partners Sexual behaviour with femalepartners

%

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Proportion of female sex workers reported condom use at

last sex and consistent condom use by partner type, 2012

15

81

49482519 7

0

20

40

60

80

100

Condom use at last sex Consistent condom use in thelast 12 months

%

with client

with non-permanent non-paying partner

with permanent partner

Source: Prepared by www.aidsdatahub.org based on Global Fund Supported Project on AIDS and TB, Ministry of Health. (2012). Second Generation HIV and STI Surveillance Report

2012.

www.aidsdatahub.org

Vulnerability and

HIV knowledge

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Proportion of key populations, mobile men and male STI

patients with comprehensive HIV knowledge, 2009

17

4754

2024

0

10

20

30

40

50

60

FSWs MSM Mobile men Male STI patients

%

Source: Prepared by www.aidsdatahub.org based on Preliminary Data from Second Generation Sentinel Surveillance 2009 cited in National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia.

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Proportion of key populations, mobile men and male STI

patients with comprehensive HIV knowledge, 2005 - 2009

18

30

33

47

23

26

54

17

21

20

20

18

24

0 10 20 30 40 50 60

2005

2007

2009

2005

2007

2009

2005

2007

2009

2005

2007

2009

FS

Ws

MS

MM

ob

ile

men

Ma

le S

TI

pa

tie

nts

%

Source: Prepared by www.aidsdatahub.org based on 1. Ministry of Health Mongolia, WHO, et al. (2008). Second Generation HIV/STI Surveillance Report, 2007 Mongolia.

and 2. Preliminary Data from Second Generation Sentinel Surveillance 2009 cited in National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia.

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Proportion of young men and women (15-24) with

comprehensive HIV knowledge, 2005 - 2009

19

15

26

16 17

23

19

0

5

10

15

20

25

30

2005 2007 2009 2005 2007 2009

Female Male

%

Source: Prepared by www.aidsdatahub.org based on 1. Ministry of Health Mongolia, WHO, et al. (2008). Second Generation HIV/STI Surveillance Report, 2007 Mongolia.

and 2. Preliminary Data from Second Generation Sentinel Surveillance 2009 cited in National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia.

www.aidsdatahub.org

HIV Expenditure

HIV and AIDS Data Hub for Asia-Pacific

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AIDS spending by financing source, 2007-2011

21Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

$3,731,466

$224,151

$2,680,359

$1,169,128

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

2007 2008 2009 2010 2011

US

D

Total AIDS spending Bilateral Global Funding Domestic Funding

HIV and AIDS Data Hub for Asia-Pacific

Latest!

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AIDS spending by category, 2007-2011

Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

$1,946,296 $2,756,285 $2,589,165$1,684,916

$1,338,987

$204,949 $599,651$104,499

$226,481

$380,292

$1,226,155 $1,687,888$1,969,865 $1,589,791

$2,012,187

0%

20%

40%

60%

80%

100%

2007 2008 2009 2010 2011

US

D

Prevention Care and treatment Others

HIV and AIDS Data Hub for Asia-Pacific

Latest!

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Proportion of total prevention programme spending on

key populations at higher risk, 2007-2011

Source: Prepared by www.aidsdatahub.org based on www.aidsinfoonline.org

13

2

1

0

84

99 100 100 100

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2007 2008 2009 2010 2011

% Others

% on people who inject drugs

% on men who have sex withmen

% on sex workers and theirclients

www.aidsdatahub.org

National response

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Proportion of FSW and MSM reached with HIV prevention

programmes, 2009 and 2012

25Source: Prepared by www.aidsdatahub.org based on 1. National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia; 2. National

Committee on HIV and AIDS. (2012). Mongolia Global AIDS Response Progress Report, 2012; and 3. Ministry of Health and NCCD. (2012). Second Generation HIV

and STI surveillance Report, 2012. Mongolia.

74

64

77

64

0

20

40

60

80

100

2009 2012

%

FSW

MSM

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Proportion of key populations who received an HIV test

in the last 12 months and know their results, 2005-2012

26Source: Prepared by www.aidsdatahub.org based on 1. National Committee on HIV/AIDS. (2010). UNGASS Country Progress Report: Mongolia; 2. National Committee on HIV

and AIDS. (2012). Mongolia Global AIDS Response Progress Report, 2012; 3. Ministry of Health and NCCD. (2012). Second Generation HIV and STI surveillance Report, 2012.

Mongolia;. and 4. www.aidsinfoonline.org

60

8177

65

5255

0

20

40

60

80

100

2005 2007 2009 2012

%

MSM

FSW

HIV and AIDS Data Hub for Asia-Pacific

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Number of ART sites and number of people on ART,

2005-2012

27

Source: Prepared by www.aidsdatahub.org based on 1. WHO, UNAIDS, & UNICEF. (2010). Towards Universal Access: Scaling up Priority HIV/AIDS Interventions in the Health

Sector - Progress Report 2006-2010; 2. UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic; 3. UNAIDS. (2012). Global Report: UNAIDS Report on the

Global AIDS Epidemic; 4. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 5. www.aidsinfoonline.org

2NA NA

5

53

0

2

4

6

8

10

2005 2006 2007 2008 2009 2010 2011 2012

0

10

20

30

40

50

60

Nu

mb

er

of

AR

T S

ite

s

Nu

mb

er

of

pe

op

le o

n A

RT

Number of health facilities that offer ART Number of people on ART

HIV and AIDS Data Hub for Asia-Pacific

Latest!

ART scale up, 2005-2012

28Source: Prepared by www.aidsdatahub.org based on 1. UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013; and 2. www.aidsinfoonline.org

5 13 155

53

0

20

40

60

80

100

0

10

20

30

40

50

60

2005 2006 2007 2008 2009 2010 2011 2012

% A

RT

co

ve

rag

e

Nu

mb

er

of

pe

op

le o

n A

RT

Estimated ART coverage Number of people on ART

HIV and AIDS Data Hub for Asia-Pacific

Latest!

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Estimated number of adults receiving and needing ART,

and coverage, 2012

Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2013). Global Report: UNAIDS Report on the Global AIDS Epidemic 2013.

<500

53

6

0

2

4

6

8

10

12

0

100

200

300

400

500

600

In need of ART Receiving ART ART coverage

% A

RT

co

ve

rag

e

Nu

mb

er

HIV and AIDS Data Hub for Asia-Pacific

Latest!

Spectrum of engagement in prevention of mother-to-

child transmission (PMTCT), 2011

30

• 72,619 pregnant women tested for HIV (including previously

known positive)

• 3 pregnant women tested positive for HIV (including previously

known positive)

• 3 HIV-positive pregnant women received ARV for PMTCT

• 2 infants born to HIV-infected women received ARV prophylaxis

to reduce early mother-to-child transmission

• 1 infant received an HIV test within 2 months of birth

Source: Prepared by www.aidsdatahub.org based on National Committee on HIV and AIDS. (2012). Mongolia Global AIDS Response Progress Report, 2012.

HIV and AIDS Data Hub for Asia-Pacific

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31Sources: Prepared by UNAIDS Regional Support Team Asia and the Pacific andwww.aidsdatahub.org based on information provided by UNAIDS country office and

partners

HIV and AIDS Data Hub for Asia-Pacific

32

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