Overview of the HIV Situation in    MENA: Challenges and        Opportunities         Going Viral Against HIV        Marra...
The Dynamics of HIV
Global summary of the AIDS epidemic  2010Number of people                     Total   34.0 million [31.6 million–35.2 mil...
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, McFarlan...
The Response
Condom use of Female Sex Workers, last client
HIV testing in different population groupsNumber tested vs. percent positive (1989-2007)
Prevention of New HIVInfection in Children,Estimated percentage ofpregnant women whoreceived ARVs
Projected annual number of deaths averted by 2015increasing ART coverage to 50% and 80%
Capacities &Resources
HIV
AIDS Spending: Total and source                         2011                        Tunisia:   Lebanon:                   ...
Present ContextUNAIDS Egypt
Main Challenges     • Stigma and Discrimination     • Low level of non-mandatory HIV testing and       counseling     • Lo...
Situation epidemio MENA
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Situation epidemio MENA

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  • 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.
  • Keeping HIV on the agenda…. Many other priorities….
  • Tendencytowards additional conservatism, revolutions, transition, instability, political tension, wars, …. *** the 3rd key performance indicator ---- travel restrictions …
  • Situation epidemio MENA

    1. 1. Overview of the HIV Situation in MENA: Challenges and Opportunities Going Viral Against HIV Marrakech 18-20 June 2012
    2. 2. The Dynamics of HIV
    3. 3. Global summary of the AIDS epidemic  2010Number 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. 4. Estimated HIV prevalence (adults and children)
    5. 5. Estimated New Infections (adults and children)
    6. 6. HIV prevalence among key populations
    7. 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)
    8. 8. The Response
    9. 9. Condom use of Female Sex Workers, last client
    10. 10. HIV testing in different population groupsNumber tested vs. percent positive (1989-2007)
    11. 11. Prevention of New HIVInfection in Children,Estimated percentage ofpregnant women whoreceived ARVs
    12. 12. Projected annual number of deaths averted by 2015increasing ART coverage to 50% and 80%
    13. 13. Capacities &Resources
    14. 14. HIV
    15. 15. AIDS Spending: Total and source 2011 Tunisia: Lebanon: 2.7 m 2.4 mMorocco: 13.1 m Oman: Algeria: 4.7 m 8.9 m Djibouti: 4.3 m
    16. 16. Present ContextUNAIDS Egypt
    17. 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
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