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Situation epidemio MENA

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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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