6 Combat HIV/AIDS, malaria and other diseases

Where we are?

Goal and Likelihood of achievement

  •  Combat HIV/AIDS , malaria, and TB - Likely
    • Have halted and begun to reverse the spread of HIV/AIDS - Likely
    • Achieve universal access to treatment for HIV/AIDS - Likely
    •  Have halted and begun to reverse the incidence of malaria and other diseases - Achieved

TARGET 6A. Have halted and begun to reverse the spread of HIV/AIDS by 2015

TARGET 6B. Achieve universal access to treatment for HIV/AIDS for all those who need it by 2010


Indicator

1990
2000
2005
2010
2013
2015 target
HIV prevalence among men and women
aged 15–24 years (%)
n/a
n/a
0.15
n/a
0.12
Halt and reverse the trend
Condom use at last high-risk sexual encounter: youth 15–24 years n/a
n/a
71.2
Males aged 15-49 years
n/a
65.8
-
Percentage of population aged 15–24 years with comprehensive knowledge of HIV/AIDS n/a
n/a
35.6
n/a
29.8
-
Proportion of population with advanced HIV infection receiving antiretroviral combination therapy (%) n/a
n/a
n/a
21
28.7
80
 
Sources:
National Centre for AIDS and STD Control (NCASC) (2006).
NCASC (2011).
MoHP, New Era & ICF International (2011).
NCASC Fact Sheet  (2009).
NCASC (2012).

 

TARGET 6C. Have halted and begun to reverse the incidence of malaria and other major diseases by 2015

(Malaria)

Indicator

1990
2000
2005
2010
2013
2015 target
Clinical malaria incidence (per 1,000 people) n/a
n/a
3.3
5.67
3.23
Halt and reverse the trend
Annual parasite incidence (per 1,000 people) n/a
0.55
0.28
0.11
0.08
0.06
Death rate associated with malaria (per 100,000 people at risk) n/a
n/a
0.05
0.04
0.00
Halt and reverse the trend
Percentage of children under five with fever who are treated with appropriate anti-malarial drugs n/a
n/a
3.23
2.85
n/a
2.5
Percentage of children under five who sleep under a
long-lasting insecticide-treated bed net
n/a
n/a
48.2
94.2
96.8
100
 
Sources:
DoHS (2007).
DoHS, Epidemiology and Disease Control Division (EDCD) (2010).  
DoHS (2011).
DoHS (2001).
DoHS, Epidemiology and Disease Control Division (EDCD) (2012a).
DoHS, Epidemiology and Disease Control Division (EDCD) (2006).  
PSI TraC Study conducted in 13 high–risk districts (2010).
DoHS, Epidemiology and Disease Control Division (EDCD) (2012b). 

 

(Tuberculosis)

Indicator

1990
2000
2005
2010
2013
2015 target
Prevalence rate associated with TB (per 100,000 people) 460
310
280
244
238
Halt and reverse the trend
Death rate associated with TB (per 100,000 people) 43
23
22
22
21
Halt and reverse the trend
Proportion of TB cases detected (%) n/a
70
70
76
73
85
Proportion of TB cases cured under directly observed treatment short course (DOTS) (%) 40
89
89
90
90
91
 
Sources:
DoHS (2007).
DoHS, Epidemiology and Disease Control Division (EDCD) (2010). 
DoHS (2011).
DoHS (2001).
DoHS, Epidemiology and Disease Control Division (EDCD) (2012a).
DoHS, Epidemiology and Disease Control Division (EDCD) (2005/06). 
PSI TraC Study conducted in 13 high–risk districts (2010).
DoHS, Epidemiology and Disease Control Division (EDCD) (2012b).

 

Priorities until 2015

Climate change and the emergence of new diseases, notably HIV and TB co-in-fection and non-communicable diseases, will add a new and difficult dimension to dealing with HIV/AIDS, malaria and TB.  Doing so will require adopting at least the following initiatives.

  • Develop early warning indicators so that people who are HIV positive or have TB can be traced easily if they become lost to follow-up or go missing.
  • Introduce malaria vector surveillance indicators so that the link between mosquitoes and disease causation and the patterns of insecticide resistance can be monitored periodically and the impact of climate change assessed.
  • Address the emergence of new dis -eases, notably HIV/AIDS and TB co-infection and non-communicable dis -eases as well as the new and difficult dimension that climate change will pose in treating HIV/AIDS, malaria and TB.
  • Introduce new targets oriented toward  youths  (15-24-year-olds), including condom use at the last high-risk sexual encounter and comprehensive knowledge of HIV/AIDS.

 

1.17 years
remaining
until 2015

1990 2015
Targets for MDG6
  1. Halt and begin to reverse the spread of HIV/AIDS
    • HIV prevalence among population aged 15-24 years
    • Condom use at last high-risk sex
    • Proportion of population aged 15-24 years with comprehensive correct knowledge of HIV/AIDS
    • Ratio of school attendance of orphans to school attendance of non-orphans aged 10-14 years
  2. Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it
    • Proportion of population with advanced HIV infection with access to antiretroviral drugs