Epidemiology of HIV infection in the Middle East and North Africa

  title={Epidemiology of HIV infection in the Middle East and North Africa},
  author={Laith Jamal Abu-Raddad and Nahla Hilmi and Ghina R. Mumtaz and Manal Benkirane and Francisca Ayodeji Akala and Gabriele Riedner and Oussama Tawil and David P. Wilson},
Objective:The Middle East and North Africa (MENA) region continues to be perceived as a region with very limited HIV epidemiological data, raising many controversies about the status of the epidemic in this part of the world. The objective of this review and synthesis was to address the dearth of strategic interpretable data on HIV in MENA by delineating a data-driven overview of HIV epidemiology in this region. Methods:A comprehensive systematic review of HIV, sexually transmitted infections… 

The emerging face of the HIV epidemic in the Middle East and North Africa

The new data from MENA indicate growing HIV epidemics among key populations across the region, and there is heterogeneity, however, as to which key populations are affected and in what proportions in different countries.

The epidemiology of HIV infection in Morocco: systematic review and data synthesis

HIV transmission dynamics were found to be focused in high-risk populations, with female sex workers and clients contributing the largest share of new HIV infections in Morocco.

HIV in the Middle East and North Africa: priority, culture, and control

The social, cultural and religious features of HIV in the region are examined, and their influence on perception of risk and approaches to control, such as condom use and antiretroviral therapy are considered.

HIV/AIDS in the Middle East and North Africa: new study methods, results, and implications for prevention and care

This special issue of AIDS is an output of concerted efforts to build research and scientific writing capacity and promote timely dissemination of recent HIV/AIDS research findings from the MENA through publications in high impact, peer-reviewed scientific journals.

Characterising the progress in HIV/AIDS research in the Middle East and North Africa

MENA has witnessed a rapid growth in HIV research over the last decade, however, there are still large gaps in HIV scientific evidence in the region, and the progress is far from being uniform across countries.

The Epidemiology of HIV Infection Among People Who Inject Drugs in the Middle East and North Africa.

A novel method for estimating HIV epidemic potential using current HCV prevalence was demonstrated and predicted that scale-up of antiretroviral therapy and harm reduction services could avert up to 90% and 70% of incident infections among PWID and their sexual partners, respectively.

Epidemiological features of HIV/AIDS in the Middle East and North Africa from 1990 to 2017

Policymakers should therefore be encouraged to develop harm reduction programs for people living with HIV, and invest globally in reducing HIV prevalence rates in commercial sex workers, people who inject drugs, and men who have sex with men in the region, as well as eliminating mother-to-child HIV transmission.

HIV-1 molecular epidemiology evidence and transmission patterns in the Middle East and North Africa

In several countries though, epidemic-type clustering of specific subtypes suggests established or nascent HIV epidemics among classic core risk groups for HIV infection, and HIV prevention efforts in MENA must be prioritized for these high-risk groups.

Characterising HIV/AIDS knowledge and attitudes in the Middle East and North Africa: Systematic review and data synthesis

HIV/AIDS knowledge and attitudes in various population groups in the Middle East and North Africa are reviewed, and differentials in knowledge putting women, rural populations, refugees, and other marginalised minorities at a disadvantage are found.



Characterizing the HIV/AIDS Epidemic in the Middle East and North Africa: Time for Strategic Action

The recommendations provided here focus on key strategies related to the scope of this report and its emphasis on understanding HIV epidemiology in MENA as a whole, as a low HIV prevalence setting with rising concentrated epidemics among priority populations.

Low and stable HIV infection rates in Senegal: natural course of the epidemic or evidence for success of prevention?

From available data, Senegal can rightfully claim to have contained the spread of HIV by intervening early and comprehensively to increase knowledge and awareness of HIV/AIDS and to promote safe sexual behaviour.

Mapping and situation assessment of key populations at high risk of HIV in three cities of Afghanistan

The World Bank agreed with the Ministry of Public Health to contract with the University of Manitoba to conduct an assessment of these three key, high risk populations in three cities of Afghanistan (Mazar-i-Sharif, Jalalabad, and Kabul), which indicates an explosive growth in injecting drug use and commercial sex work throughout the region.

Prevalence of HIV infection among pregnant women of the central Sudan

The HIV seroprevalence of pregnant Sudanese women who attended the antenatal clinic of the Khartoum Hospital, for the first time, is investigated, with a low prevalence of 1.38% amongst pregnant women in central Sudan.

The epidemics of injecting drug use and HIV in Asia.

The need for strengthened surveillance and control of injecting drug use and HIV infection in the Asian region and the newly independent Central Asian republics are discussed.

HIV‐1 infection in Juba, Southern Sudan

The findings of this study indicate that HIV‐1 infection is highly prevalent in southern Sudan and that prostitutes and their sexual partners represent a major reservoir of HIV infection in this population.

HIV Surveillance: A Global Perspective

An overview of recommendations for HIV surveillance is provided, which differ for different epidemic situations—epidemics that are concentrated in defined groups with high‐risk behavior, and epidemics that is well established among heterosexuals in the population at large.

Risk factors for HIV‐1 infection in adults in a rural Ugandan community: a population study

The people most at risk of HIV-1 infection in this rural Ugandan population are young married women who had, presumably, commenced sexual activity recently.

An outbreak of HIV infection among injection drug users in a small town in Pakistan: potential for national implications

The first outbreak of HIV infection among injection drug users (IDUs) in Pakistan is reported in a small town of Sindh province--Larkana, with an estimated population of 0.4 million.