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: 1044671
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1. Male Sex WorkersLast updated: January 2022
2. 2Data availability and population size estimatesHIV prevalence and epidemiology Risk behaviorsVulnerability and HIV knowledge National response CONTENT
3. Data availability and population size estimates
4. Male sex workers (MSW) population size estimates, countries where data is available, 2015-20194CountryEstimated size Definition Adult malesAs% 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 months17,568,8670.09Source: 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
5. Inclusion of MSW in latest available sentinel and bio-behavioral surveys5 CountrySentinel and/or Bio-behavioral surveysBehavioral surveysComment1 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 ThailandIBBS 2018IBBS 2018-Source: Prepared by www.aidsdatahub.org based on HIV Sentinel Surveys and Bio-Behavioral Surveys
6. Source: Prepared by www.aidsdatahub.org based on UNAIDS special analysis, 202194%of new HIV infections among key populations and their partnersMen who have sex with menPeople who inject drugsRest of populationTransgender womenSex workersClients of sex workers and partners of key populationsNeed for focused response in HIV: Epidemic mostly affecting key populations and their partnersDistribution of new HIV infections by population, 2020
7. Proportion of surveyed MSM who sold sex to men, 2011-20187Source: 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
8. HIV prevalence and epidemiology
9. HIV 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
10. HIV prevalence data on MSW is scarce but it indicates higher HIV prevalence than FSW in most of the countries, 2015-201910Source: 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
11. Syphilis prevalence among MSW, countries where data is available, 2010-201811Source: 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
12. Risk behaviours
13. Average duration in the profession of selling sex among MSW, countries where data is available, 2015-201613Source: Prepared by www.aidsdatahub.org based on Integrated Biological and Behavioral Surveys and HIV Sentinel Surveillance Surveys
14. Average number of clients among MSW in the last month, 2015-201814Source: 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)
15. Proportion 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
16. Proportion of MSW who reported consistent condom use with male clients, 2015-201716Source: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys and Bio-Behavioral Surveys.
17. Proportion 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
18. Proportion of MSW with overlapping risk behaviors in the last 12 months, countries where data is available, 2013-2017* male entertainment establishment workersSource: Prepared by www.aidsdatahub.org based on Behavioral Surveillance Surveys and Bio-Behavioral Surveys.
19. Vulnerability and HIV knowledge
20. Proportion 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
21. National response
22. HIV testing coverage among male sex workers, 2015-2020It 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* Programme data** Kathmandu
23. Proportion of MSW reached with HIV prevention programmes, 2015-201823Source: 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
24. Prevailing stigma, discrimination and violence against MSW, countries where data is available, 2015-2017Source: 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
25. Punitive laws hindering the HIV response in South Asia, latest available data, 2014-201925Sources: 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 workersMSMSex work in private is illegalSoliciting for sex work illegalSex work regulated and/or permitted in some locationsConsensual sex between adult men illegalAfghanistanBangladeshBhutanIndiaMaldivesNepalPakistanSri LankaThe 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 responsesPartially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitiveInformation is unavailable or unclear
26. Punitive laws hindering the HIV response in South-East Asia, latest available data, 2014-201926Sources: 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 workersMSMSex work in private is illegalSoliciting for sex work illegalSex work regulated and/or permitted in some locationsConsensual sex between adult men illegalBruneiCambodiaIndonesiaLao PDRMalaysiaMyanmarPhilippinesSingaporeThailandTimor-LesteViet NamThe 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 responsesPartially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitiveInformation is unavailable or unclear
27. Punitive laws hindering the HIV response in East Asia, latest available data, 2014-201927Sources: 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 workersMSMSex work in private is illegalSoliciting 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 responsesPartially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitiveInformation is unavailable or unclear
28. Punitive laws hindering the HIV response in the Pacific, latest available data, 2014-201928Sources: 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 workersMSMSex work in private is illegalSoliciting for sex work illegalSex work regulated and/or permitted in some locationsConsensual sex between adult men illegalFijiKiribatiMarshall IslandsFSM*NauruPNGSamoaSolomon IslandsTongaTuvaluVanuatuThe 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 responsesPartially enabling; enabling but subject to significant limitations; some aspects of the law or policy are punitiveInformation is unavailable or unclear* Micronesia (Federated States of )
29. 29THANK YOUslides compiled by www.aidsdatahub.orgData 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