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REGION PROFILES

This update provides an overview of HIV statistics, including the number of people living with HIV, new infections, and AIDS-related deaths in the Middle East and North Africa. It also highlights the HIV prevalence among key populations and the progress of testing and treatment cascade.

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REGION PROFILES

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  1. GLOBAL AIDS UPDATE 2019 REGION PROFILES MIDDLE EAST AND NORTH AFRICA

  2. Number of people living with HIV who are not on antiretroviral therapy (aged 15 years and over), by sex, high-burden countries in Middle East and North Africa, 2018 Iran (Islamic Republic of) Sudan Egypt Morocco Algeria 0 10000 20000 30000 40000 50000 60000 Number of people living with HIV who are not on antiretroviral therapy Females Males • Source: UNAIDS 2019 estimates.

  3. Number of new HIV infections and AIDS-relateddeaths, and incidence-prevalence ratio Middle East and North Africa, 2000–2018 New HIV infections AIDS-related deaths Incidence-prevalence ratio 16 000 Number of AIDS-related deaths 35 Percentage change in new HIV infections since 2010 45 000 Percentage change in AIDS- related deaths since 2010 2018 Incidence- prevalence ratio Number of new HIV infections Incidence-prevalence ratio 14 000 30 40 000 12 000 35 000 25 10 000 30 000 20 +10% 25 000 +9% 8.0% [3.5–16.3%] 8000 15 20 000 6000 15 000 10 4000 10 000 5 2000 5000 3 0 0 0 2000 2010 2018 2000 2010 2018 2000 2005 2010 2015 2018 New HIV infections AIDS-related deaths Incidence-prevalence ratio Target value Source: UNAIDS 2019 estimates.

  4. Percentage change in new HIV infections, by country, Middle East and North Africa, 2010–2018 250 196 200 150 100 Per cent 53 50 35 29 29 24 22 21 18 0 -2 -11 -12 -25 -50 -40 -43 -100 Libya Somalia Morocco Iran (Islamic Republic of) Syrian Arab Republic Sudan Kuwait Oman Tunisia Djibouti Lebanon Algeria Yemen Jordan Egypt Source: UNAIDS 2019 estimates.

  5. HIV prevalence among key populations Distribution of new HIV infections (aged 15–49 years), by population group • Middle East and North Africa, 2014–2018 • Middle East and North Africa, 2018 Remaining population 5% Sexworkers 12% 14 12 10 8 6 Clients of sex workers and sex partners ofother key populations 28% Percent Peoplewho injectdrugs 37% 4 4.2 1.9 2 2.1 1.7 0.2 0 Gay men and other menwho have sex withmen 18% Sex workers, n = 9 Gay men and other men who have sex with men, n = 6 People who inject drugs, n = 8 Transgender people, n = 1 Prisoners, n = 9 • Source: UNAIDS Global AIDS Monitoring, 2014–2018. • Source: UNAIDS special analysis, 2019.

  6. Estimated size of key populations, Middle East and North Africa, 2018 National population size estimate Local population size estimate Insufficient data No data The regions for which the local population size estimate refers are asfollows: Oman: Samail Source: Global AIDS Monitoring, 2018; United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: the 2017 revision. 2018 (custom data acquired via website).

  7. Viral load suppression among adults (15 years and older) living with HIV, by sex, Middle East and North Africa, 2018 100 90 80 70 60 Per cent 50 40 30 20 10 0 Oman Algeria Iran (Islamic Republic of) Kuwait Lebanon Morocco Tunisia Females Males • Source: UNAIDS special analysis, 2019.

  8. HIV testing and treatment cascade, Middle East and North Africa, 2018 300 000 250 000 200 000 Gap to reaching the first 90: 104 000 Number of people living with HIV Gap to reaching the first and second 90s: 118 000 150 000 Gap to reaching all three 90s: 112 000 100 000 47% [26–80%] 32% [18–54%] 27% [15–44%] 50 000 0 People living with HIV who know their status People living with HIV on treatment People living with HIV whoare virally suppressed Source: UNAIDS special analysis, 2019; see annex on methods for more details.

  9. 90–90–90 country scorecard: Middle East and North Africa, 2018 85–89% 65–72% 70–84% 40–64% 50–69% 25–39% Less than 50% Less than 25% 90–90–90: 90% and above Viral load suppression: 73% and above Source: UNAIDS special analysis, 2019.

  10. Number of countries reporting on key population indicators, 2016–2018 Note: There are a total number of 21 countries in the Middle East and North Africa region. Source: Global AIDS Monitoring, 2016–2018.

  11. Cascade of services for preventing vertical transmission, numbers of new HIV infections and transmission rate, Middle East and North Africa, 2018 5000 4500 4000 3500 3000 Number 2500 Transmission rate: 31%[27–36%] 28% [16–47%] 2000 1500 12% [7–21%] 1000 500 0 Births to women living with HIV Women receiving antiretrovirals to prevent vertical transmission Infants tested by eight weeks of age New child infections Any birth to women living with HIV Children newly infected with HIV Source: UNAIDS 2019 resource availability and needs estimates.

  12. Percentage of men and women aged 15–49 years who would not buy vegetables from a shopkeeper living with HIV • Percentage of ever-married or partnered women aged 15–49 years who experienced physical and/or sexual violence by an intimate partner in the past 12 months Middle East and North Africa, 2013–2014 Middle East and North Africa, most recent data, 2014–2018 100 18 90 16 80 14 70 12 60 10 Per cent Per cent 50 8 40 6 30 4 20 2 10 0 0 Egypt Yemen Sudan Algeria Egypt Jordan • Source: Population-based surveys, 2013–2016, countries with available data. • Source: Population-basedsurveys, 2014–2018.

  13. HIV resource availability, by source, Middle East and North Africa, 2010–2018, and projected resource needs by 2020 800 700 Domestic (public and private) 600 United States (bilateral) US$ (million) 500 Global Fund 400 Other international 300 Resource needs (Fast-Track) 200 100 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2020 Source: UNAIDS 2019 resource availability and needs estimates.

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