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
34.0 million [31.6 million–35.2 million]
30.1 million [28.4 million–31.5 million]
16.8 million [15.8 million–17.6 million]
3.4 million [3.0 million–3.8 million]
2.7 million [2.4 million–2.9 million]
2.3 million [2.1 million–2.5 million]
390 000 [340 000–450 000]
1.8 million [1.6 million–1.9 million]
1.5 million [1.4 million–1.6 million]
250 000 [220 000–290 000]
Number of people
living with HIV
People newly
infected
with HIV in 2010
AIDS deaths in 2010
Total
Adults
Women
Children (<15 years)
Total
Adults
Children (<15
years)
Total
Adults
Children (<15 years)
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 groupsNumber 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
Morocco:
13.1 m
Algeria:
8.9 m
Tunisia:
2.7 m
Lebanon:
2.4 m
Djibouti:
4.3 m
Oman:
4.7 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
