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HIV and AIDS

Data Hub for Asia-Pacific

Review in slides

Thailand

(2)

HIV and AIDS

Data Hub for Asia-Pacific

2

Basic socio-demographic indicators

HIV prevalence and epidemiological status (1990-2009) Risk behaviors (2003-2009)

Vulnerability and HIV knowledge (2004-2009) HIV expenditure (2001-2009)

National Response (2004-2009) Archives

CONTENT

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3

BASIC SOCIO-DEMOGRAPHIC INDICATORS

Total population (in thousands) 68,139 (2010)2

Annual population growth rate 0.5% (2010-2015)2

Population aged 15-49 (thousands) 37,383 (2008)6

Percentage of population in urban areas 34% (2010)1 Crude birth rate (births per 1,000 population) 14.5 (2008)3 Under-5 mortality rate (per 1,000 live births) 14 (2008)4

Human development index (HDI) - Rank/Value 92/0.654 (2010)5

Life expectancy at birth (years) 69.3 (2010)5

Adult literacy rate 93.5% (2005-2008)5

Ratio of girls to boys in primary and secondary education (%) 103 (2008)3

GDP per capita (PPP, $US) 7,995 (2009)3

Per capita total health expenditure (Int.$) 286 (2007)4

Sources: 1.UNFPA. (2010). State of World Population 2010, 2. UN Statistics Division. (2010). Social Indicators, 3.

Word Bank. World Data Bank: World Development Indicators & Global Development Finance. Retrieved January, 2011, from http://databank.wor ldbank.org/ddp/home.do?Step=12&id=4&CNO=2

, 4. WHO. (2010). World Health Statistics 2010, 5. UNDP. (2010). Human Development Report 2010, and 6. UN Population Division. (2009).

World Population Prospects The 2008 Revision.

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www.aidsdatahub.org

HIV prevalence and

epidemiological status

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HIV and AIDS

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Latest!

Latest!

Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2009

Estimated number of adults and children living with HIV, new infections and AIDS deaths, 1990-2009

Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

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6

Estimated number of adults (15+) living with HIV vs women (15+) living with HIV, 1990-2009

Estimated number of adults (15+) living with HIV vs women (15+) living with HIV, 1990-2009

Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

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HIV and AIDS

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7

% distribution of adults (15+) living with HIV by gender, 1990-2009

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Female (15+) living with HIV Male (15+) liv- ing with HIV

Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

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8

Estimated adult HIV prevalence vs new HIV infections, 1990-2009

Estimated adult HIV prevalence vs new HIV infections, 1990-2009

Source: Prepared by www.aidsdatahub.org based on UNAIDS. (2010). Global Report: UNAIDS Report on the Global AIDS Epidemic.

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9

Estimated number of HIV infections, 1985-2025

Source: Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection 2005-2025. Presentation at the Integrated Analysis and Advocacy-HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, 2006

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HIV and AIDS

Data Hub for Asia-Pacific

10

Estimated number of people living with HIV, 2001-2007

Source: Prepared by www.aidsdatahub.org based on WHO, & UNAIDS. (2008). Thailand: Epidemiological Country Profile on HIV and AIDS.

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HIV and AIDS

Data Hub for Asia-Pacific

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11

Estimated new HIV infections by mode of transmission, 1990–2010

Estimated new HIV infections by mode of transmission, 1990–2010

Source: Asia Epidemic Model, HIV/AIDS projections; Ministry of Public Health, Thailand, 2008 cited in WHO. (2009).

HIV/AIDS in the South-East Asia Region 2009.

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HIV and AIDS

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12

Changing routes of transmission over the course of Thai epidemic, 1985-2009

Source: The Thai Working Group on HIV/AIDS Projection. Projections for HIV/AIDS in Thailand: 2000-2020. Ministry of Public Health, Bangkok. 2001

Year

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HIV and AIDS

Data Hub for Asia-Pacific

13

Estimated number of IDUs, 1994-2005 and HIV prevalence among IDUs, 1989-2005

Sources: Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health and Brown T. and Thailand A2 Team. Updating Thai Projections: Inputs and Assumptions. Thai Ministry of Public Health. Presentation on December 9, 2006

Year

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HIV and AIDS

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14

Estimated number of HIV + pregnant women, 2008-2010

2008 2009 2010

0 2000 4000 6000 8000 10000 12000

Number

93.8 % of HIV + pregnant women received ARV for PMTCT & 100% of ANC clinics provide PMTCT

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

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HIV and AIDS

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15

% distribution of reported HIV/AIDS cases, by gender, 1990 and 2008

% distribution of reported HIV/AIDS cases, by gender, 1990 and 2008

0 20 40 60 80 100

86

61

14

39

%

Source: Prepared by www.aidsdatahub.org based on Asia Epidemic Model, HIV/AIDS projections; Ministry of Public Health, Thailand, 2008 cited in WHO. (2009). HIV/AIDS in the South-East Asia Region 2009.

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HIV and AIDS

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16

% distribution of new HIV infections by population group, 2008

% distribution of new HIV infections by population group, 2008

4.00%

28.00%

8.00%

10.00%

33.00%

10.00%

7.00%

FSWs MSMs IDUs

Clients of FSW

Low risk women from husband/ partner Low risk men from wife/ partner People engaged in casual sex

Source: Prepared by www.aidsdatahub.org based on Bureau of AIDS, TB and STI, DDC, MOPH cited in WHO. (2009).

HIV/AIDS in the South-East Asia Region 2009.

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

17

Trends in HIV prevalence among key affected populations, 2003 - 2009

Trends in HIV prevalence among key affected populations, 2003 - 2009

2003 2005 2007 2009

0 20 40 60 80 100

46.8

37.6

28.8

38.7

6.70 5.20 4.3 2.8

20.7

14.2

0 0

24.6

13.5

IDU FSW MSW MSM

%

Sources: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC ; Joint Study of Thai MOPH - US-CDC-collaboration (TUC) and BOE cited in1. National AIDS Prevention and Alleviation Committee Thailand. (2008). UNGASS Country Progress Report: Thailand, and 2.

National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand.

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HIV and AIDS

Data Hub for Asia-Pacific

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Latest!

18

Trends in HIV prevalence among key affected populations, Bangkok, 2001 - 2009

Trends in HIV prevalence among key affected populations, Bangkok, 2001 - 2009

2001 2003 2005 2006 2007 2009

0 20 40 60 80 100

47.8 52

36 39

25.6

40.5

8.1 7.5

0.0 3.9

0.0 4.5

4.1 1.7 0.0 1.5 0.0

0 0.3

17.3

28.3

0

30.7

24.7

IDU Direct FSW Indirect FSW MSM

%

Sources: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC_Thailand 2001 to 2009 and BOE, DDC_HSS 2009 cited in National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand.

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

19

HIV prevalence among direct FSWs by region, 2009 HIV prevalence among direct FSWs by region, 2009

Central, including Bangkok North South North East

0 2 4 6 8 10

5.3

3.7

2.8

1.6

%

Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand cited in National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand.

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

20

Trends in HIV prevalence among direct and indirect FSWs, 1993 - 2009

Trends in HIV prevalence among direct and indirect FSWs, 1993 - 2009

1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 0

10 20 30 40 50

2.8 1.7

%

Sources: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand cited in National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand.

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

21

Trends in HIV prevalence among direct FSWs, selected provinces, 2001 - 2009

Trends in HIV prevalence among direct FSWs, selected provinces, 2001 - 2009

2001 2003 2006 2009

0 10 20 30 40

% 50

Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

22

Trends in HIV prevalence among indirect FSW, selected provinces, 2001 - 2009

Trends in HIV prevalence among indirect FSW, selected provinces, 2001 - 2009

2001 2003 2006 2009

0 2 4 6 8 10

%

Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

23

HIV prevalence among FSWs, selected provinces, 2009 HIV prevalence among FSWs, selected provinces, 2009

0 2 4 6 8 10 12 14

4.5

0.3 0.9

2.4

12.5

2.0 2.9

0.8

2.9

0.8

5.3

1.8

9.8

5.3

3.5

1.4

%

Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

24

HIV prevalence among female sex workers, by district, 1998 and 2008

HIV prevalence among female sex workers, by district, 1998 and 2008

1998 2008

Source: Sentinel surveillance data reported by Ministry of Public Health, Thailand_cited in WHO. (2009).

HIV/AIDS in the South-East Asia Region 2009.

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

25

Trend of HIV prevalence among IDUs, Bangkok, 1995 - 2009

Trend of HIV prevalence among IDUs, Bangkok, 1995 - 2009

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 0

10 20 30 40 50 60

31.4 31.4 33.1

37.8 40.9 39.6

47.8

53.7 52

38 36 39

25.6

50.7

40.5

%

Source: Prepared by www.aidsdatahub.org based on Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 1995 - 2009

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

26

Trends in HIV prevalence among IDUs, selected sentinel sites, 2001 - 2009

Trends in HIV prevalence among IDUs, selected sentinel sites, 2001 - 2009

2001 2003 2006 2009

0 20 40 60 80 100

48 52

39 41

81.8

22.2

0.0

75.0

47.4

61.5

0.0

50.0 57.5

40.9

61.5

52.4

Bangkok Yala Lampang Samut Prakan

%

Source: Prepared by www.aidsdatahub.org based on Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2001 - 2009

Sample size, 2009 : Bkk= 126, Yala = 20, Lampang= 2, Samut Prakan =21

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HIV and AIDS

Data Hub for Asia-Pacific

27

HIV prevalence among IDUs, selected sentinel sites, 2009

Bangkok Yala Lampang Samut Prakan

0 20 40 60 80

41 75 50 52

%

Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand

Sample size : Bkk= 126, Yala = 20, Lampang= 2, Samut Prakan =21

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

28

Trends in HIV prevalence among MSM, selected sentinel sites, 2003 - 2009

Trends in HIV prevalence among MSM, selected sentinel sites, 2003 - 2009

2003 2005 2007 2009

0 10 20 30 40

17.3

28.3

30.7

24.7

0

15.3

16.9

0 0

5.5

20

0

Bangkok Chiang Mai Phuket

%

Source: Prepared by www.aidsdatahub.org based on Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC and TUC, 2003 - 2009 cited in National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand.

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

29

Trend of HIV prevalence among pregnant women, 1991 - 2009

Trend of HIV prevalence among pregnant women, 1991 - 2009

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 0.0

0.5 1.0 1.5 2.0 2.5

1 1

1 2

2

2 2

2 2

1 1 1

1

1 1

1 1

1 1

%

Source: Prepared by www.aidsdatahub.org based on Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 1991 - 2009

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HIV and AIDS

Data Hub for Asia-Pacific

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30

HIV prevalence among pregnant women by region, 2009 HIV prevalence among pregnant women by region, 2009

Upper North Central Bangkok Northeast South 0

0.3 0.6 0.9 1.2 1.5

1.01 0.93 0.9

0.8

0.7

%

Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand, cited in National AIDS Prevention and Alleviation Committee Thailand. (2010).

UNGASS Country Progress Report: Thailand.

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

31

HIV prevalence among pregnant women, selected sentinel sites, 2009

HIV prevalence among pregnant women, selected sentinel sites, 2009

0 1 2 3 4 5

0.9

1.3 1.6

0.9 1.1

2.7

1.4 1.4

2.8

%

Source: HIV Sentinel Surveillance (HSS) of BOE, DDC, Thailand, 2009

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

32

Trends in HIV prevalence among pregnant women, selected sentinel sites, 2001 - 2009

Trends in HIV prevalence among pregnant women, selected sentinel sites, 2001 - 2009

0 1 2 3 4 5

1.6

1.1 0.9 0.9 2

1.6 1.4 1.6

2.5 2.4

1.3 0.9

1.6 3

1.4 1.1 2.9

2.4

1.5 1.4 1.5

1.1 1.4 1.4

%

Source: Thailand_HIV Sentinel Surveillance (HSS) of BOE, DDC, 2001 - 2009

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HIV and AIDS

Data Hub for Asia-Pacific

Latest!

Latest!

33

Trends in HIV prevalence among young people (15 -24) and pregnant women, 2003 - 2009

Trends in HIV prevalence among young people (15 -24) and pregnant women, 2003 - 2009

2003 2005 2007 2009

0 1 2 3 4 5

1.0

0.5 0.6 0.6

1.2 1.0 0.8 0.7

Young People (15 - 24) Pregnant Women

%

Source: Prepared by www.aidsdatahub.org based on Thailand, HIV Sentinel Surveillance (HSS) of BOE, DDC, 2003 – 2009 cited in National AIDS Prevention and Alleviation Committee Thailand. (2010). UNGASS Country Progress Report: Thailand.

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Archives

(35)

www.aidsdatahub.org

HIV prevalence and

epidemiological status

(36)

HIV and AIDS

Data Hub for Asia-Pacific

36

HIV prevalence among IDUs,1990-2004

Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006).

Thailand: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update 36.7

45.0

41.0

23.1

37.5

31.4 31.4 33.1

37.8

40.9 39.6

47.8

53.7 52.0

38.0

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

29.7 31.5

35.8 34.6 34

31.6

39 41.4

46.9

32.2

50.3

47.4

41.7 43.9

42.2 52

42 42 44 44 46

36

42

39 40

28 27 29

8

18

0 30 60

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 0 10 20 30 40 50 60

Major urban area N-site major urban area

Outside major urban area N-site outside major urban area (%)

(Number of sites)

Year

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HIV and AIDS

Data Hub for Asia-Pacific

HIV prevalence among MSM, 1990-2003

Source: European Union, WHO, UNICEF, et al. (2006). Thailand: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

1 1 1

5 4.4

17.3

11.1

15.2

3 3

0 10 20

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 0 2 4 6 8 10 12 14 16

N-site major urban area Major urban area

Outside major urban area N-site outside major urban area (%)

(Number of sites)

Year

37

(38)

HIV and AIDS

Data Hub for Asia-Pacific

38

HIV prevalence among sex workers, 1990-2004

Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006).

Thailand: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

(%) (N

umber of sites)

Year

(39)

HIV and AIDS

Data Hub for Asia-Pacific

39

HIV prevalence among STI patients, 1990-2004

Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006).

Thailand: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

2.6

5.6

8.7 8.8

9.9

8.2

6.9 6.8

9.6

6.1

2.5

6.4

5.1 7

11.6

1 51 5.71 7.81 8.91 8.71 8.31 6.71 7.71 9.11 1 1 1 1 1 6.3 5.9 4.9 4.2 4 62 65

63 64 67

45

49

57 55

49 49

44 42

32 32

2.6 0 2 4 6 8 10 12 14

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 0 10 20 30 40 50 60 70 80 Outside major urban area N-site outside major urban area

Major urban area N-site Major urban area

(%) (Number of sites)

Year

(40)

HIV and AIDS

Data Hub for Asia-Pacific

40

HIV prevalence among pregnant women, 1990-2004

Source: Prepared by www.aidsdatahub.org based on European Union, WHO, UNICEF, et al. (2006).

Thailand: Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections- 2006 Update

0.2

0.6

1.2

1.9 1.9

1.7

1.3

2.1

2.3

1.6 1.6

1.2 1.1 1.1

1 1 1 1 1 1 1 1 1 1 1 1 1 1

0 0.7 1 1.4 1.8 2.3 1.8 1.7 1.5 1.8 1.5 1.4 1.4 1.2 1

70 70 69

22

72 75 75 75 75 73 75 75 75 75 75

0 0.5 1 1.5 2 2.5

1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 0 10 20 30 40 50 60 70 80

Major urban area N-site major urban area

Outside major urban area N-site outside major urban area

(%) (Number of sites)

Year

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HIV and AIDS

Data Hub for Asia-Pacific

41

HIV prevalence among young people (15-24), 2002-2007

0.95

0.45

0.64

0 0.5 1

2002-2003 2004-2005 2006-2007 (%)

Source: National AIDS Prevention and Alleviation Committee Thailand. (2008). UNGASS Country Progress Report: Thailand

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HIV and AIDS

Data Hub for Asia-Pacific

42

HIV transmission pattern over time, 1990-2010

Source: Brown T and Thailand A2 Team. Preliminary results of HIV/AIDS projection 2005-2025. Presentation at the Integrated Analysis and Advocacy-HIV/AIDS Projection Meeting, Ministry of Public Health. December 9, 2006

(43)

HIV and AIDS

Data Hub for Asia-Pacific

43

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

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