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Overview of the HIV Situation in
    MENA: Challenges and
        Opportunities
         Going Viral Against HIV
        Marrakech 18-20 June 2012
The Dynamics of HIV
Global summary of the AIDS epidemic  2010



Number of people                     Total   34.0 million [31.6 million–35.2 million]
living with HIV                     Adults   30.1 million [28.4 million–31.5 million]
                                  Women      16.8 million [15.8 million–17.6 million]
                      Children (<15 years)   3.4 million [3.0 million–3.8 million]



People newly                         Total 2.7 million [2.4 million–2.9 million]
infected                           Adults 2.3 million [2.1 million–2.5 million]
with HIV in 2010            Children (<15 390 000 [340 000–450 000]
                                   years)

AIDS deaths in 2010                  Total 1.8 million [1.6 million–1.9 million]
                                    Adults 1.5 million [1.4 million–1.6 million]
                      Children (<15 years) 250 000 [220 000–290 000]
Estimated HIV prevalence (adults and children)
Estimated New Infections (adults and children)
HIV prevalence among key populations
HIV prevalence among men who have sex with men (1990-2010)




                             Source: Mumtaz G, Hilmi N, McFarland W, et al. (2011) Are HIV Epidemics among Men Who Have Sex with
                             Men Emerging in the Middle East and North Africa?: A Systematic Review and Data Synthesis. PLoS Med 8(8)
The Response
Condom use of Female Sex Workers, last client
HIV testing in different population groups
Number tested vs. percent positive (1989-2007)
Prevention of New HIV
Infection in Children,
Estimated percentage of
pregnant women who
received ARVs
Projected annual number of deaths averted by 2015
increasing ART coverage to 50% and 80%
Capacities &
Resources
HIV
AIDS Spending: Total and source                         2011


                        Tunisia:   Lebanon:
                         2.7 m       2.4 m




Morocco:
 13.1 m
                                                                 Oman:
             Algeria:                                            4.7 m
              8.9 m



                                              Djibouti:
                                               4.3 m
Present Context




UNAIDS Egypt
Main Challenges


     • Stigma and Discrimination
     • Low level of non-mandatory HIV testing and
       counseling
     • Low Treatment coverage and adherence
     • Insufficient political leadership
     • Limited engagement and capacities of civil
       society organizations
     • Insufficient funding for needed programmes
Situation epidemio MENA

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Situation epidemio MENA

  • 1. Overview of the HIV Situation in MENA: Challenges and Opportunities Going Viral Against HIV Marrakech 18-20 June 2012
  • 3. Global summary of the AIDS epidemic  2010 Number of people Total 34.0 million [31.6 million–35.2 million] living with HIV Adults 30.1 million [28.4 million–31.5 million] Women 16.8 million [15.8 million–17.6 million] Children (<15 years) 3.4 million [3.0 million–3.8 million] People newly Total 2.7 million [2.4 million–2.9 million] infected Adults 2.3 million [2.1 million–2.5 million] with HIV in 2010 Children (<15 390 000 [340 000–450 000] years) AIDS deaths in 2010 Total 1.8 million [1.6 million–1.9 million] Adults 1.5 million [1.4 million–1.6 million] Children (<15 years) 250 000 [220 000–290 000]
  • 4. Estimated HIV prevalence (adults and children)
  • 5. Estimated New Infections (adults and children)
  • 6. HIV prevalence among key populations
  • 7. HIV prevalence among men who have sex with men (1990-2010) Source: Mumtaz G, Hilmi N, McFarland W, et al. (2011) Are HIV Epidemics among Men Who Have Sex with Men Emerging in the Middle East and North Africa?: A Systematic Review and Data Synthesis. PLoS Med 8(8)
  • 9. Condom use of Female Sex Workers, last client
  • 10. HIV testing in different population groups Number tested vs. percent positive (1989-2007)
  • 11. Prevention of New HIV Infection in Children, Estimated percentage of pregnant women who received ARVs
  • 12. Projected annual number of deaths averted by 2015 increasing ART coverage to 50% and 80%
  • 14. HIV
  • 15. AIDS Spending: Total and source 2011 Tunisia: Lebanon: 2.7 m 2.4 m Morocco: 13.1 m Oman: Algeria: 4.7 m 8.9 m Djibouti: 4.3 m
  • 17. Main Challenges • Stigma and Discrimination • Low level of non-mandatory HIV testing and counseling • Low Treatment coverage and adherence • Insufficient political leadership • Limited engagement and capacities of civil society organizations • Insufficient funding for needed programmes

Notes de l'éditeur

  1. In Europe, In 2010, there were 241 newly diagnosed cases, of which 102 came from the UK, mostly to women who came from SSAfrican countries. France and Germany had 21 and 22 respectively, Spain and Sweden 12 and 17 respectively, and the other countries had less than 10In the US, there were 217 newly diagnosed HIV infections among children less than 13, not clear if these are all MTCT transmissions.
  2. Keeping HIV on the agenda…. Many other priorities….
  3. Tendencytowards additional conservatism, revolutions, transition, instability, political tension, wars, …. *** the 3rd key performance indicator ---- travel restrictions …