Comoros

HIV/AIDS epidemiological summary

There was no evidence of HIV infection among antenatal clinic women in Moroni, the major urban centre, between 1991 and 1996.

In 1994, 57% of sex workers tested in Moroni were HIV-positive.

There was no evidence of HIV infection among STI patients tested in 1987 or in 1996.

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	-	400	0.12	-	-
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		-	-	-
Estimated AIDS deaths		-	-	-
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 (%)		1996	0.0	0.0	0.0

Figure

Economic Impact of HIV/AIDS

Summary of the economic impact of HIV/AIDS

No data on the economic impact of HIV/AIDS on Comoros were found in the literature review. However, if the epidemic develops in the same way as it has in many African nations, the impact will be felt in each of the sectors identified here. In households and in the agricultural sector, illness and death may lead to increased expenditures, reduced savings and shifts in productivity patterns. In the area of businesses, detailed studies are required in order for us to understand the full impact. In education, a model developed by UNAIDS and UNICEF shows that increasing mortality rates due to AIDS leads to discontinuity in teaching, with many pupils losing or having a change in their teachers. Further studies are required to show 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.

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: However, there is a National Programme for the Fight against STD/AIDS, with an Action Plan, 1999-2003.

Source: NACP

Date: 11 March 1999

Existence of HIV/AIDS policy in the following sectors:

Sector	Yes	No
Agriculture		X
Education		X
Health		X
Military		X
Workplace		X
Sports		X
Others		X

Comments/Key elements: There are Programmes in the Ministry of Education, Ministry of Health, and the Armed Forces.

Source: NACP

Date: Not available

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

Yes	No
	X

Comments/Key elements:
Source: NACP
Date: Not available

Organizational structure

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

Yes	No
X

Comments/Key elements: The National Committee for the Fight against AIDS has been in place since 28 October 1988, and is composed of an Inter-Ministerial Committee and a Multisectoral Committee. It is not operational.

Source: NACP

Date: 1990

Planning and programming

Existence of national strategic plan on HIV/AIDS

Yes	No
X

Comments/Key elements: Not available
Source: NACP
Date: March 1990

National strategic plan on HIV/AIDS includes clearly identified priorities

Yes	No
X

Comments/Key elements: In collaboration with other partners: WHO/UNICEF/UNFPA/EU/Coop. Franse.

Source: NACP

Date: Not available

Existence of budget for implementation of the national strategic plan

Yes	No
X

Comments/Key elements: The NACP does not have its own functioning budget but functions on an ad hoc basis according to the availability of resources from its donors and partners.

Source: Not available

Date: Not available

General demographic and socioeconomic indicators

Demographic Indicators	Year	Estimate	Source
Total population (thousands)	1999	676	UNPOP
Population aged 15-49 (thousands)	1999	327	UNPOP
Annual population growth (%)	1990-1998	2.8	UNPOP
% of population urbanized	1998	31	UNPOP
Average annual growth rate of urban population (%)	1990-1998	3.8	UNPOP
Economic indicators	Year	Estimate	Source
GNP per capita (US$)	1998	370	UNDP
GNP per capita average annual growth rate (%)	1990-1998	-3.0	UNDP
Human development index rank (HDI)	2000	137	UNDP
% population economically active	-	45.0	ILO
Unemployment rate	-	-	-
Education indicators	Year	Estimate	Source
Total adult literacy rate	1995	57	UNESCO
Adult male literacy rate	1995	64	UNESCO
Adult female literacy rate	1995	50	UNESCO
Male secondary school enrolment ratio	1996	23.1	UNESCO
Female secondary school enrolment ratio	1996	21.2	UNESCO
Health indicators	Year	Estimate	Source
Crude birth rate (births per 1000 pop.)	1999	36	UNPOP
Crude death rate (deaths per 1000 pop.)	1999	9	UNPOP
Maternal mortality rate (per 100,000 live births)	1990	950	WHO
Life expectancy at birth	1998	59	UNPOP
Total fertility rate	1998	4.8	UNPOP
Infant mortality rate (per 1000 live births)	1999	74	UNICEF/UNPOP
Contraceptive prevalence rate (%)	1990-1999	21	UNICEF/UNPOP
% of births attended by trained health personnel	1990-1999	52	UNICEF
% of one-year-old children fully immunized-DPT	1995-1998	75	UNICEF

References