2 Data availability and population size estimates HIV prevalence and epidemiology Risk behaviors Vulnerability and HIV knowledge National response CONTENT Data availability and population size estimates ID: 930829
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Slide1
Male Sex Workers
Last updated: June 2021
Slide22
Data availability and population size estimates
HIV prevalence and epidemiology
Risk behaviorsVulnerability and HIV knowledge National response
CONTENT
Slide3Data availability and population size estimates
Slide4Male sex workers (MSW) population size estimates, countries where data is available, 2015-2019
4
Country
Estimated size
Definition
Adult males
As% of males (15-49) Bangladesh(2015)29,776Males who sell sex to other males in exchange of money or gifts in last 3 months43,789,365 0.07 Nepal(2016)18,287Males 16+yrs; who had oral and/or anal sex with other males in the past 12 months in exchange for money or other benefits.5,982,377 0.31 Pakistan(2016)55,340 Males 13+yrs; who undertakes sexual activity with a man in return for money or benefits53,596,310 0.1 Philippines(2019)132,700Males 15+yrs; who had oral or anal sex with a male in the past 12 months and accepted cash or kind in exchange for sex regardless of establishment-based or not28,957,687 0.46 Sri Lanka (2018)6,000All MSM who sell sex to other men5,076,6150.12 Thailand(2016)15,000Male 18+ who exchange money or goods for sexual services either regularly or occasionally in the last 12 months17,568,8670.09
Source: Prepared by
www.aidsdatahub.org
based on Key population size estimation reports; Global AIDS Monitoring (GAM) reporting,
United Nations, Department of Economic and Social Affairs, Population Division (2020). World Population Prospects 2019
Slide5Inclusion of MSW in latest available sentinel and bio-behavioral surveys5
Country
Sentinel and/or
Bio-behavioral surveys
Behavioral surveys
Comment
1 Bangladesh2015Serological survey 2015**Survey among MSW in Dhaka and Hili2 FijiIBBS 2012IBBS 2012-3 NepalIBBS 2017, 2018IBBS 2017, 2018MSM & TG in Kathmandu 2017 and Terai Highway districts 20184 PakistanIBBS 2016-2017IBBS 2016-2017-5 PNGIBBS 2016IBBS 2016MSM & TG6 PhilippinesIHBSS 2018IHBSS 2018MSM & TG7
Thailand
IBBS 2018
IBBS 2018
-
Source: Prepared by
www.aidsdatahub.org
based on HIV Sentinel Surveys and Bio-Behavioral Surveys
Slide6Proportion of surveyed MSM who sold sex to men, 2011-2018
6
Source: Prepared by
www.aidsdatahub.org
based on Integrated Biological and Behavioral Surveys and Behavioral Surveillance Surveys
* MSM who sold sex as their main occupation
** Mixed sample of MSM and TG
Slide7HIV prevalence and
epidemiology
Slide8HIV prevalence among MSW, countries where data is available, 2015-2018Source: Prepared by
www.aidsdatahub.org
based on 1.Integrated Biological and Behavioral Surveillance Surveys; 2.HIV Sentinel Surveillance Surveys; and 3. Global AIDS Monitoring (GAM) reporting
* 4 sites including Bangkok, Chonburi, Phuket, and Chiang Mai
Slide9HIV prevalence data on MSW is scarce but it indicates higher HIV prevalence than FSW in most of the countries, 2015-2019
9
Source: Prepared by
www.aidsdatahub.org based on 1) Integrated Biological and Behavioural Surveys; 2) HIV Sentinel Surveillance Surveys; 3) icddr,b
. (2015). A Survey of HIV, syphilis and risk behaviors among males having sex with males, male sex workers and
hijra
. Global Fund Rolling Continuation Channel Project of
icddr,b
; 4). Global AIDS Monitoring (GAM)* MSW data is for 2015 in Dhaka and Hili** Kathmandu data is reported as national*** Port Moresby; MSW data is for 2011**** MSW data is for 2015++ MSW data is for 2018
Slide10Syphilis prevalence among MSW, countries where data is available, 2010-201810
Source: Prepared by
www.aidsdatahub.org
based on 1. Huang Y, Zhang Y, Li K, Zhao J (2016) Changes in Prevalence of HIV or Syphilis among Male Sex Workers and Non-Commercial Men Who Have Sex with Men in Shenzhen, China: Results of a Second Survey. PLOS ONE 11(12): e0167619; 2.Kelly, A., Kupul, M., et al. (2011). Askim Na Save (Ask and Understand): People Who Sell and Exchange Sex in Port Moresby. Key Quantitative Findings. Sydney: Papua New Guinea Institute of Medical Research and the University of New South Wales.; 3.Integrated Biological and Behavioral Surveys (IBBS); 4. Global AIDS Monitoring (GAM) reporting
Slide11Risk behaviours
Slide12Average duration in the profession of selling sex among MSW, countries where data is available, 2015-201612
Source: Prepared by
www.aidsdatahub.org
based on Integrated Biological and Behavioral Surveys and HIV Sentinel Surveillance Surveys
Slide13Average number of clients among MSW in the last month, 2015-201813
Source: Prepared by
www.aidsdatahub.org
based on Integrated Biological and Behavioral Surveys and HIV Sentinel Surveillance Surveys
* in the last week; ** Male entertainment establishment workers (median number)
Slide14Proportion of MSW who reported condom use at last sex, 2015-2018Source: Prepared by
www.aidsdatahub.org
based on Behavioral Surveillance Surveys, Bio-Behavioral Surveys and Global AIDS Monitoring (GAM) reporting
* Terai; ** Kathmandu valley
Slide15Proportion of MSW who reported consistent condom use with male clients, 2015-201715
Source: Prepared by
www.aidsdatahub.org
based on Behavioral Surveillance Surveys and Bio-Behavioral Surveys.
Slide16Proportion of MSW who reported transactional sex with female partners in the last month, 2008-2017Source: Prepared by
www.aidsdatahub.org
based on Cai, W.-D., Zhao, J., Zhao, J.-K., et al. (2010). HIV Prevalence and Related Risk Factors among Male Sex Workers in Shenzhen, China: Results from a Time–location Sampling Survey. Sexually Transmitted Infections, 86(1), 15-20;
Behavioral Surveillance Surveys; Bio-Behavioral Surveys * Last year
** Last 3 months
Slide17Proportion of MSW with overlapping risk behaviors in the last 12 months, countries where data is available, 2013-2017* male entertainment establishment workers
Source: Prepared by
www.aidsdatahub.org
based on Behavioral Surveillance Surveys and Bio-Behavioral Surveys.
Slide18Vulnerability and
HIV knowledge
Slide19Proportion of MSW with comprehensive HIV knowledge, 2015-2018Source: Prepared by
www.aidsdatahub.org
based on Integrated Biological and Behavioral Surveillance (IBSS) Reports.
* Male sex workers and transgender sex workers** Male entertainment establishment workers
Slide20National response
Slide21HIV testing coverage among male sex workers, 2015-2018
It is not strictly comparable across countries since methods and sampling varied. In addition, many surveys were conducted in a few urban areas and it might not necessarily reflect prevailing conditions at the national level.
Source: Prepared by
www.aidsdatahub.org
based on Integrated Biological and Behavioral Surveillance (IBBS) and Global AIDS Monitoring (GAM) reporting
* Kathmandu
Slide22Proportion of MSW reached with HIV prevention programmes, 2015-201822
Source: Prepared by
www.aidsdatahub.org
based on Global AIDS Monitoring (GAM) ReportingDefinition of reach:
In the past three months, MSW reported receiving two or more of the prevention interventions listed below -
Given condoms and lubricants
Received counselling on condom use and safe sex
Tested for sexually transmitted infections
Slide23Prevailing stigma, discrimination and violence against MSW, countries where data is available, 2015-2017
Source: Prepared by
www.aidsdatahub.org
based on Integrated Behavioral and Surveillance Surveys
* Experienced in the last 12 months
** Ever beaten or forced to have sex
Slide24Punitive laws hindering the HIV response in South Asia, latest available data, 2014-201924
Sources: Prepared by
www.aidsdatahub.org
based on UNAIDS and UNDP. (2021). Legal and policy trends. Impacting people living with HIV and key populations in Asia and the Pacific, 2014-2019.
Sex workers
MSM
Sex work in private is illegal
Soliciting for sex work illegal
Sex work regulated and/or permitted in some locationsConsensual sex between adult men illegalAfghanistanBangladeshBhutanIndiaMaldivesNepalPakistan
Sri Lanka
The law or policy provides an enabling environment for HIV responses
Punitive law or policy; there is no enabling law or policy; the law or policy does not provide an enabling environment for HIV responses
Partially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitive
Information is unavailable or unclear
Slide25Punitive laws hindering the HIV response in South-East Asia, latest available data, 2014-201925
Sources: Prepared by
www.aidsdatahub.org
based on UNAIDS and UNDP. (2021). Legal and policy trends. Impacting people living with HIV and key populations in Asia and the Pacific, 2014-2019.
Sex workers
MSM
Sex work in private is illegal
Soliciting for sex work illegal
Sex work regulated and/or permitted in some locationsConsensual sex between adult men illegalBruneiCambodiaIndonesiaLao PDRMalaysiaMyanmarPhilippines
Singapore
Thailand
Timor-Leste
Viet Nam
The law or policy provides an enabling environment for HIV responses
Punitive law or policy; there is no enabling law or policy; the law or policy does not provide an enabling environment for HIV responses
Partially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitive
Information is unavailable or unclear
Slide26Punitive laws hindering the HIV response in East Asia, latest available data, 2014-2019
26
Sources: Prepared by
www.aidsdatahub.org
based on UNAIDS and UNDP. (2021). Legal and policy trends. Impacting people living with HIV and key populations in Asia and the Pacific, 2014-2019.
Sex workers
MSM
Sex work in private is illegal
Soliciting for sex work illegalSex work regulated and/or permitted in some locationsConsensual sex between adult men illegalChinaJapanMongoliaDPR KoreaRepublic of KoreaThe law or policy provides an enabling environment for HIV responsesPunitive law or policy; there is no enabling law or policy; the law or policy does not provide an enabling environment for HIV responses
Partially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitive
Information is unavailable or unclear
Slide27Punitive laws hindering the HIV response in the Pacific, latest available data, 2014-2019
27
Sources: Prepared by
www.aidsdatahub.org
based on UNAIDS and UNDP. (2021). Legal and policy trends. Impacting people living with HIV and key populations in Asia and the Pacific, 2014-2019.
Sex workers
MSM
Sex work in private is illegal
Soliciting for sex work illegalSex work regulated and/or permitted in some locationsConsensual sex between adult men illegalFijiKiribatiMarshall IslandsFSM*NauruPNG
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
The law or policy provides an enabling environment for HIV responses
Punitive law or policy; there is no enabling law or policy; the law or policy does not provide an enabling environment for HIV responses
Partially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitive
Information is unavailable or unclear
* Micronesia (Federated States of )
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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