Regional overview of HIV/AIDS in the Eastern Mediterranean Region, 2020

1. Regional overview of HIV/AIDS in
the Eastern Mediterranean
Region, 2020
HIV, Hepatitis and STIs unit (HAS) - Universal Health Coverage
(UHC)/Department of Communicable Disease Prevention and Control (DCD),
World Health Organisation Regional Office for the Eastern Mediterranean

2. HIV/AIDS burden (prevalence and number of PLHIV) in the
Eastern Mediterranean Region compared to other WHO
regions
WHO region -
Africa
WHO region -
America
WHO region -
Eastern
Mediterranean
WHO region -
Europe
WHO region -
South-East
Asia
WHO region -
Western Pacific
0.7
3.6
0.5
0.1
0.4
0.2
0.1
G LOB A L A F R ICA A M E R ICA E M R O E U R OP E S OU TH- E A S T
A S IA
W E S TE R N
P A CIF IC
Distribution of number of people (all ages) living
with HIV (PLHIV) by WHO region, 2020
Adult HIV prevalence (%) by WHO region,
2020

3. Number of HIV population in the Region (2015-2020)
320000
340000
360000
380000
400000
420000
0
50000
100000
150000
200000
250000
300000
350000
400000
450000
2015 2016 2017 2018 2019 2020

4. Distribution of PLHIV in the countries of the Region, 2020

5. Adults and children newly infected with HIV in the
Region, 2015-2020
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
2015 2016 2017 2018 2019 2020

6. HIV incidence rate (new HIV infections per 1000
uninfected population) in the Region, 2020.
0.009
0.009
0.02
0.02
0.03
0.03
0.03
0.03
0.04
0.04
0.05
0.05
0.07
0.09
0.12
0.13
0 0.02 0.04 0.06 0.08 0.1 0.12 0.14
JOR
SYR
MAR
SOM
EGY
IRN
LBN
TUN
AFG
YEM
LBY
SAU
QAT
SDN
PAK
DJI

7. Distribution of new HIV infections in the Region, 2020
Afghanistan
4% Egypt
8%
Iran (Islamic Republic of)
6%
Morocco
2%
Pakistan
61%
Sudan
9%
Yemen
3%
Other countries
8%

8. AIDS-related deaths in the Region (2015-2020)
15000
16000 16000 16000 16000
17000
14000
14500
15000
15500
16000
16500
17000
17500
2015 2016 2017 2018 2019 2020

9. AIDS-related death distribution in countries
Afghanistan
3%
Iran (Islamic Republic of)
19%
Pakistan
48%
Sudan
14%
Other countries
16%

10. Testing - Percentage of people living with HIV who know
their status and the gap to reach the 2020 target
0 10 20 30 40 50 60 70 80 90
Pakistan
Afghanistan
Sudan
Yemen
Iran, Islamic Republic of Iran
Tunisia
Egypt
Morocco
Syrian Arab Republic
United Arab Emirates
Libya
Lebanon
Percentage of people living with HIV who know their status Gap to reach the 1st 90

11. Treatment: Absolute number and % coverage of PLHIV who
are receiving treatment
0%
5%
10%
15%
20%
25%
30%
0
20000
40000
60000
80000
100000
120000
2015 2016 2017 2018 2019 2020
Absolute number of PLHIV on ART ART coverage (%)

12. Treatment: Estimated ART coverage among people living
with HIV by country and the gap to reach the 2020 target
0 10 20 30 40 50 60 70 80
Afghanistan
Pakistan
Sudan
Yemen
Iran (Islamic Republic of)
Djibouti
Tunisia
Syrian Arab Republic
Jordan
Somalia
Egypt
Libya
Saudi Arabia
Lebanon
Morocco
United Arab Emirates
Qatar
Chart Title
ART coverage Gap to reach the 2nd 90

13. Treatment: Children living with HIV and those on ART in the
Region, 2015-2020
0
2000
4000
6000
8000
10000
12000
14000
16000
2015 2016 2017 2018 2019 2020
Children living with HIV Children on ART

14. Treatment: Women living with HIV and those receiving
ART in the Region, 2015-2020
5700
5900 6000
6200
6400 6500
920 1000 1100 1200 1300
1000
0
1000
2000
3000
4000
5000
6000
7000
2015 2016 2017 2018 2019 2020
WLHIV Women receiving ART

15. Viral load suppression: Percentage of people living with HIV
who have suppressed viral loads and the gap to reach 2020
target
-7 3 13 23 33 43 53 63 73
Tunisia
Libya
Saudi Arabia
Lebanon
Morocco
Percent of people living with HIV who have suppressed viral loads Gap to reach 2020 targets

16. HIV Cascade of care in the Region and the gap to reach
the 2020 targets
0 10 20 30 40 50 60 70 80 90 100
Percentage of people living with HIV who know their status
Coverage of people living with HIV receiving ART
Percent of people living with HIV who have suppressed viral loads
Progress Gap to reach 2020 targets

17. COVID-19 impact on continuity of HIV services: Qualitative
analysis for HIV service disruption at the beginning of the
COVID pandemic, March 2020
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
ART services are
Condom/lubricant programming is
Facility-based HIV testing (TB, ANC, inpatient, etc.) is
Harm reduction services are
HIV self-testing services are
HIV testing services for key populations are
Outreach services for key populations are
PMTCT services are
PrEP services are
Viral load testing for treatment monitoring is
fully disrupted Fully functional partially disrupted

18. COVID-19 impact on HIV testing: Testing volume in 2019 and
2020
7680492
2534878
0
1000000
2000000
3000000
4000000
5000000
6000000
7000000
8000000
9000000
2019 2020
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Afghanistan
Iran
Lebanon
Morocco
Palestine
Proportion of tests in 2020 compared to 2019 Gap to reach the number of tests in 2019
Number of HIV tests conducted in the Region
in 2020 compared to 2019
Country-specific testing volume in 2019 and 2020

19. COVID-19 impact on HIV case identification: Newly reported
HIV cases in 2019 and 2020
14787
12963
0
2000
4000
6000
8000
10000
12000
14000
16000
2019 2020

20. Thank you