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close this bookAIDS in Africa; Country by country (ADF Profile Book). (UNAIDS, 2000, 243 p.)
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Gabon

HIV/AIDS epidemiological summary

HIV prevalence information among antenatal clinic attendees has been available since the mid-1980s from Gabon. In Libreville, the major urban area, HIV prevalence among antenatal women tested increased from 1% in 1988 to 4% in 1995. Outside Libreville, HIV prevalence information is available from Franceville in 1986, 1987, and 1989-90; from South-eastern Gabon in 1987-88; and from Estuaire in 1993. One per cent of antenatal clinic women tested HIV-positive.

There is no information available on HIV prevalence among sex workers.

In the late 1980s, 2%-4% of STI clinic patients tested in Libreville were HIV-positive. In 1996-97, 17% of STI patients in Libreville, Franceville, Moanda and Port-Gentil tested HIV-positive.

In 1997, 6% of military personnel in Port-Gentil tested HIV-positive.

Estimated number of people living with HIV/AIDS, end 1999

Adults and children

Adults
(15-49)

Adult rate
(%)

Women
(15-49)

Children
(0-14)

Source: UNAIDS/WHO, June 2000

23 000

22 000

4.16

12 000

780

Demographic impact of HIV/AIDS


Year

Estimate

Source

Children who lost their mother or both parents due to HIV/AIDS at age 14 or younger since the beginning of the epidemic


1999

8600

UNAIDS/WHO, June 2000

Estimated AIDS deaths


1999

2000

UNAIDS/WHO, June 2000

Behavioural indicators


Year

Age group

Male

Female

Reported condom use during most recent intercourse with a non-regular partner (%)


-

-

-

-

Reported non-regular sexual partnership over a 12-month period (%)


-

-

-

-

Measured HIV prevalence


Year

Median

Min.

Max.

Women in antenatal care clinics - major urban areas (%)


1995

4.0

2.1

5.4


Figure

Economic impact of HIV/AIDS

No data on the economic impact of HIV/AIDS on Gabon were found. However, if the epidemic develops at the same pace here as it has in many African nations, the impact will be felt in most sectors. In households and in the agricultural sector, illness and death may lead to increased expenditure, reduced savings and shifts in productivity patterns. In the area of businesses, detailed studies are required to understand the full impact. In education, a model developed by UNAIDS and UNICEF in 2000 shows how increasing mortality rates due to AIDS leads to discontinuity in teaching, with many pupils losing or having a change in their teachers. Studies are required to understand how the epidemic is impacting on demand for education and health as well as how supply in the health sector might be affected by rising infection rates in health care workers.

Summary of the economic impact of HIV/AIDS

Not available

Macroeconomic impact

Not available

Economic impact of HIV/AIDS on households

Not available

Economic impact of HIV/AIDS on agriculture

Not available

Economic impact of HIV/AIDS on firms

Not available

Economic impact of HIV/AIDS on education

Supply: Not available
Demand: Not available

Economic impact on the health sector

Supply: Not available
Demand: Not available
Resource gap: Not available

Management and implementation of the national response to HIV/AIDS

Policy formulation

Existence of national HIV/AIDS policy (either a written document or part of one)

Yes

No

X


Comments/Key elements: MTP II is valid until the end of 2000
Source: UNAIDS
Date: July 2000

Existence of HIV/AIDS policy in the following sectors:

Sector

Yes

No

Agriculture



Education



Health



Military



Workplace



Sports



Others



Comments/Key elements: Not available
Source: UNAIDS
Date: July 2000

Existence of HIV/AIDS-specific legislation against discrimination on the grounds of HIV

Yes

No



Comments/Key elements: Not available
Source: UNAIDS
Date: July 2000

Organizational structure

Existence of high-level structure in support of the national response

(e.g. National AIDS Committee/Commission, Inter-Ministerial Committee, Presidential-level bodies)

Yes

No

X


Comments/Key elements: A decree was recently adopted on the creation and organization of an Inter-Ministerial Committee, chaired by the Prime Minister.

Source: UNAIDS

Date: July 2000

Planning and programming

Existence of national strategic plan on HIV/AIDS

Yes

No

X (MTP2)


Comments/Key elements: In addition, the country is currently developing a new strategic plan.
Source: UNAIDS
Date: July 2000

National strategic plan on HIV/AIDS includes clearly identified priorities

Yes

No


X

Comments/Key elements: Only the first stage of the strategic planning process (the situation analysis) is currently being completed.

Source: UNAIDS

Date: July 2000

Existence of budget for implementation of the national strategic plan

Yes

No


X

Comments/Key elements: No budget ready at this stage
Source: UNAIDS
Date: July 2000

General demographic and socioeconomic indicators

Demographic indicators

Year

Estimate

Source

Total population (thousands)

1999

1197

UNPOP

Population aged 15-49 (thousands)

1999

528

UNPOP

Annual population growth (%)

1990-1998

2.8

UNPOP

% of population urbanized

1998

51

UNPOP

Average annual growth rate of urban population (%)

1990-1998

4.3

UNPOP

Economic indicators

Year

Estimate

Source

GNP per capita (US$)

1997

4120

World Bank

GNP per capita average annual growth rate (%)

1996-1997

3.3

World Bank

Human Development Index rank (HDI)

2000

123

UNDP

% population economically active

-

-

-

Unemployment rate

-

-

-

Education indicators

Year

Estimate

Source

Total adult literacy rate

1995

63

UNESCO

Adult male literacy rate

1995

74

UNESCO

Adult female literacy rate

1995

53

UNESCO

Male secondary school enrolment ratio

-

-

-

Female secondary school enrolment ratio

-

-

-

Health indicators

Year

Estimate

Source

Crude birth rate (births per 1000 pop.)

1999

37

UNPOP

Crude death rate (deaths per 1000 pop.)

1999

16

UNPOP

Maternal mortality rate (per 100 000 live births)

1990

500

WHO

Life expectancy at birth

1998

52

UNPOP

Total fertility rate

1998

5.4

UNPOP

Infant mortality rate (per 1000 live births)

1999

86

UNICEF/UNPOP

Contraceptive prevalence rate (%)

-

-

-

% of births attended by trained health personnel

1990-1999

80

UNICEF

% of one-year-old children fully immunized (DPT)

1995-1998

54

UNICEF

References