Progress Report 2015 National AIDS Program National Strategic Plan for HIV/AIDS in Myanmar Contents Acronyms and abbreviations .................................................................................................................. 5 PART I ...................................................................................................................................................... 7 INTRODUCTION ................................................................................................................................... 7 INDICATOR SUMMARY ...................................................................................................................... 12 STRATEGY I: PREVENTION ................................................................................................................. 15 STRATEGY II: COMPREHENSIVE CONTINUUM OF CARE FOR PEOPLE LIVING WITH HIV .................. 59 STRATEGY III: MITIGATION OF THE IMPACT OF HIV ON PEOPLE LIVING WITH HIV AND THEIR FAMILIES ........................................................................................................................................... 71 CROSS-CUTTING INTERVENTIONS ..................................................................................................... 76 PART II ................................................................................................................................................... 87 SERVICE PROVISION AT STATE AND REGION LEVEL ......................................................................... 87 PART III ................................................................................................................................................ 106 SELECTED TOWNSHIP PROFILES ..................................................................................................... 106 1 Tables Table 1: Female Sex Workers reached with prevention services by organization (2011-2015) (High end figures) ............... 17 Table 2: Female Sex Workers reached with prevention services by State/Region (2011-2015) (Low end figures) ............... 18 Table 3: Clients of female sex workers reached with prevention services by State/Region (2011-2015) ............................. 22 Table 4: Men who have sex with men reached with prevention services by organization (2011-2015) (High end figures).. 24 Table 5: Men who have sex with men reached with prevention services by State/Region (2011-2015) (Low end figures) . 25 Table 6: People who inject drugs reached with prevention services through outreach by organization (2011-2015) (High end figures) ............................................................................................................................................................................ 30 Table 7: People who inject drugs reached with prevention services through DIC by organization (2011-2015) (High end figures) ................................................................................................................................................................................... 31 Table 8: PWUD reached by prevention and harm reduction interventions (2011-2015) ...................................................... 32 Table 9: Sterile needles and syringes distributed by organization and State/Region/Township in 2015 .............................. 34 Table 10: Sexual partners of people who inject drugs reached by State/Region (2011 – 2015) ........................................... 38 Table 11: Institutionalized population reached by organization (2011-2015) ....................................................................... 39 Table 12: Institutionalized population reached by State/Region (2011 – 2015) .................................................................... 40 Table 13: Mobile population and migrants reached by organization (2011 − 2015) ............................................................. 41 Table 14: Mobile population and migrants reached by State/Region (2011 − 2015) ............................................................ 42 Table 15: Uniformed services personnel reached by organization (2011 − 2015) ................................................................. 43 Table 16: Uniformed services personnel reached by State/Region (2011 − 2015) ................................................................ 44 Table 17: Out-of-school youth reached by organization (2011 − 2015) ................................................................................ 45 Table 18: Out-of-school youth reached by State/Region (2011 − 2015)................................................................................ 46 Table 19: People reached through workplace programmes by organization (2011 − 2015) ................................................. 47 Table 20: People reached through workplace programmes by State/Region (2011 − 2015) ................................................ 48 Table 21: Condom distributed for free by organization (2011 − 2015) .................................................................................. 50 Table 22: Number of target population receiving HIV test and post-test counselling in 2015 .............................................. 53 Table 23: People receiving STI treatment by organization (2011 − 2015) ............................................................................. 55 Table 24: People receiving STI treatment by State/Region (2011 – 2015) ............................................................................ 57 Table 25: People receiving Cotrimoxazole prophylaxis by organization (2011 – 2015) ......................................................... 60 Table 26: People receiving ART by organization in 2015 ....................................................................................................... 61 Table 27: People receiving ART by State/Region in 2015 ...................................................................................................... 64 Table 28: Number of pregnant women receiving pre-test counselling, HIV testing and HIV test results with post-test counselling by State/Region in 2015 ...................................................................................................................................... 68 Table 29: PLHIV who received community home based care by organization (2011 −2015) ................................................ 72 Table 30: Number of PLHIV involved with SHG by State/Region (2011 −2015) ..................................................................... 73 Table 31: Orphans and vulnerable children reached by organization in 2015 ....................................................................... 75 Table 32: HIV prevalence in sentinel populations – HSS 2014 ............................................................................................... 84 Table 33: Selected results from AEM and Spectrum for 2015 ............................................................................................... 86 Figures Figure 1: Priority setting of the National Strategic Plan on HIV and AIDS, Myanmar (2011–2016) ......................................... 8 Figure 2: Female sex workers reached by state and region from all organizations in 2011 and 2015 .................................. 19 Figure 3: Female Sex Workers reached with prevention, HTS and STI treatment (2011 − 2015) .......................................... 20 Figure 4: Men who have sex with men reached by state and region for all organizations in 2011 and 2015 ....................... 26 Figure 5: Men who have sex with men reached with prevention, HTS and STI treatment (2011 − 2015) ............................. 27 Figure 6: PWID reached by prevention and harm reduction interventions (2011−2015) (Low end figure) ........................... 32 Figure 7: PWID reached with prevention, HTS and STI services (2011 − 2015) ..................................................................... 33 Figure 8: Sterile needles and syringes distributed (2003–2015) ............................................................................................ 33 Figure 9: Needles and Syringes distribution by State/Region in 2015 ................................................................................... 35 Figure 10: People on MMT (2006–2015) ............................................................................................................................... 37 Figure 11: MMT coverage by State/Region in 2015 ............................................................................................................... 38 Figure 12: Condom distribution – Free distribution and social marketing (2004–2015) ....................................................... 49 Figure 13: HIV testing and post-test counselling received by target populations (2011 − 2015) .......................................... 52 2 Figure 14: Number of individuals receiving HIV test and post-test counselling by state and region in 2011 and 2015 ........ 53 Figure 15: People receiving STI treatment by key populations (2011 − 2015) ....................................................................... 56 Figure 16: People receiving ART (2005–2015) ....................................................................................................................... 62 Figure 17: Number of adults and children currently receiving ART by sector (2011-2015) ................................................... 62 Figure 18: Total number of health facilities that offer