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Transcript of Review in slides Malaysia
HIV and AIDS Data Hub for Asia-Pacific
Review in slides Malaysia
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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 and AIDS Data Hub for Asia-Pacific
HIV prevalence and epidemiological status
4
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
Number of reported HIV/AIDS cases by gender, 1986- June 2009
7Source: Ministry of Health,2009
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
Percent distribution of reported HIV/AIDS cases by gender, 1990-2008
9Source: Ministry of Health,2009
HIV and AIDS Data Hub for Asia-Pacific
Percent distribution of reported HIV/AIDS cases by age group, 1990-2008
10Source: Ministry of Health,2009
HIV and AIDS Data Hub for Asia-Pacific
Percent distribution of reported HIV/AIDS cases by mode of transmission, 1986-2008
11Source: Ministry of Health,2009
HIV and AIDS Data Hub for Asia-Pacific
Trends in percent distribution of reported cases of HIV infection by mode of transmission, 2000-2008
12Source: Ministry of Health,2009
HIV and AIDS Data Hub for Asia-Pacific
Reported HIV and AIDS cases by region, Jan to Dec 2008
13Source: Ministry of Health, 2009
HIV and AIDS Data Hub for Asia-Pacific
14Source: Ministry of Health, 2009
Percent distribution of reported cases of HIV and AIDS by ethnicity, 2008
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
Number of babies tested HIV + among reported number of babies delivered by HIV + mother,
2000-2008
16Source: Malaysia country presentation_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20 th November 2009, Bangkok
HIV and AIDS Data Hub for Asia-Pacific
Percentage of HIV + children below 19 years among total reported HIV + cases, 2000-2008
17Source: Malaysia country presentation_East Asia and Pacific Regional Office HIV & AIDS Chiefs and Specialist s’ Meeting, 17-20 th November 2009, Bangkok
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
Reported HIV, AIDS and Deaths by States, 1986-June Reported HIV, AIDS and Deaths by States, 1986-June 20082008
19Ministry of Health 2008
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
25Ministry of health and UNAIDS 2008
HIV and AIDS Data Hub for Asia-Pacific
26Ministry of health and UNAIDS 2008
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
28Ministry of health 2008
HIV and AIDS Data Hub for Asia-Pacific
29
(%)
Ministry of health 2008
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence among young people (15-HIV prevalence among young people (15-24), 200724), 2007
Source: Malaysia_UNAIDS, Epidemiological Fact Sheets, 2008 Update 30
HIV and AIDS Data Hub for Asia-Pacific
31
HIV and AIDS Data Hub for Asia-Pacific
HIV prevalence and epidemiological status
32
HIV and AIDS Data Hub for Asia-Pacific
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 and AIDS Data Hub for Asia-Pacific
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
(%)
HIV and AIDS Data Hub for Asia-Pacific
Ministry of health 2005
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
Reported number of HIV cases by age, Reported number of HIV cases by age, 20032003
Source: UNAIDS, Malaysia UNGASS Country Report, 2005 37
HIV and AIDS Data Hub for Asia-Pacific
38
HIV and AIDS Data Hub for Asia-Pacific
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
(%)
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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 and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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 and AIDS Data Hub for Asia-Pacific
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
HIV and AIDS Data Hub for Asia-Pacific
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 and AIDS Data Hub for Asia-Pacific
HIV prevalence among MSM by cities, HIV prevalence among MSM by cities, 19961996
Source: UNAIDS, Epidemiological Fact Sheets, 2006 47
HIV and AIDS Data Hub for Asia-Pacific
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