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close this bookAIDS in Africa; Country by country (ADF Profile Book). (UNAIDS, 2000, 243 p.)
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View the documentAlgeria
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Burkina Faso

HIV/AIDS epidemiological summary

HIV prevalence information among antenatal clinic attendees has been available since the mid-1980s from Burkina Faso. In Burkina Faso, Ouagadougou and Bobo-Dioulasso are considered major urban areas. From 1985-87 to 1996, HIV prevalence among antenatal women increased from nearly 2% to 10%. In 1997-8, 7% of antenatal clinic attendees were HIV-positive. Outside of major urban areas, median HIV prevalence among antenatal clinic attendees has ranged from 4% to 8% between 1994 and 1998.

HIV-1 and/or HIV-2 prevalence among sex workers in Ouagadougou and Bobo-Dioulasso increased from 17% in 1986 to 58% in 1994. Data were not available for the individual virus types. Nor were data available outside of the major urban areas among sex workers.

In 1990, 19% of male STI clinic patients tested in Bobo-Dioulasso were HIV-positive. In 1992, 42% of female STI clinic patients in Bobo-Dioulasso tested positive for HIV-1.

In 1994, 16% of truck drivers tested in Bobo-Dioulasso were HIV-1-infected.

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

350 000

330 000

6.44

180 000

20 000

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

320 000

UNAIDS/WHO, June 2000

Estimated AIDS deaths


1999

43 000

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 (%)


1992

15-24

61.3

31.4

Measured HIV prevalence


Year

Median

Min.

Max.

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


1998

7.4

5.9

8.3


Figure

Economic Impact of HIV/AIDS

Summary of the economic impact of HIV/AIDS

Data on the economic impact of AIDS in Burkina Faso are extensive compared with other French-speaking African countries. Preliminary results of a recently developed model on the macroeconomic impact of AIDS show that the impact is average compared with other countries in sub-Saharan Africa. At the household level, AIDS expenditures are equivalent to double the GDP per capita. Individuals and families lose earning power as they face exorbitant medical costs that rapidly diminish savings. This loss in wealth is exacerbated by a decline in revenues as a result of AIDS morbidity and mortality in the agricultural sector. In the education sector, a UNAIDS/UNICEF model shows that increasing mortality rates due to AIDS leads to discontinuity in teaching, with many pupils losing or having a change in their teachers. The health sector studies show a large gap in funding required for a scaled-up care and prevention programme, equivalent to US$ 3-4 per capita and 2.4% of GDP.

Macroeconomic impact

Preliminary results of a model developed in 2000 estimate the annual loss in GDP growth per capita as a result of AIDS to be 0.8% by 2010 (1).

Economic impact of HIV/AIDS on households

Family payments for the lifetime care of an AIDS patient were reported to be between US$ 416 and US$ 546-equivalent to two times the per capita income in 1993 (2).

Economic impact of HIV/AIDS on agriculture

A 1997 study carried out by the Food and Agricultural Organization in Sanguind Boulkiemdound shifting work patterns and an overall reduction in food production as a result of coping with AIDS in the household. In the same study, a 25-50% decline in net revenues from agricultural production was observed (3).

Economic impact of HIV/AIDS on firms

Not available

Economic impact of HIV/AIDS on education

Supply: A model developed by UNAIDS and UNICEF in 2000 shows that, of around 700 000 primary school students, 7400 children would have lost a teacher to AIDS in 1999 (4).

Demand: Not available

Economic impact on the health sector

Supply: Not available

Demand: More than 50% of hospital beds are occupied by those with AIDS-related illness (5).

Resource gap: The annual costs of scaling-up HIV/AIDS programmes nationwide is estimated to be between US$ 37 million and US$ 57 million (6).

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:
Source: UNAIDS
Date: 20 June 2000

Existence of HIV/AIDS policy in the following sectors:

Sector

Yes

No

Agriculture



Education



Health



Military



Workplace



Sports



Others



Comments/Key elements:
Source: UNAIDS
Date: 20 June 2000

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

Yes

No


X

Comments/Key elements:
Source: UNAIDS
Date: 20 June 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: National AIDS Committee being restructured; decentralized structures being set up; AIDS/STI being integrated into health structures.

Source: UNAIDS

Date: 20 June 2000

Planning and programming

Existence of national strategic plan on HIV/AIDS

Yes

No

X


Comments/Key elements: A framework for the National Response has been completed, and an operational plan 2001-2003 is nearing completion.

Source: UNAIDS

Date: 20 June 2000

National strategic plan on HIV/AIDS includes clearly identified priorities

Yes

No

X


Comments/Key elements: Priorities defined, but not ranked.
Source: Analysis of Completed Strategic Plans, Burkina Faso, Africa Desk.
Date: 5 June 2000

Existence of budget for implementation of the national strategic plan

Yes

No

X


Comments/Key elements:
Source: UNAIDS
Date: 20 June 2000

General demographic and socioeconomic indicators

Demographic Indicators

Year

Estimate

Source

Total population (thousands)

1999

11 616

UNPOP

Population aged 15-49 (thousands)

1999

5110

UNPOP

Annual population growth (%)

1990-1998

2.8

UNPOP

% of population urbanized

1998

16

UNPOP

Average annual growth rate of urban population (%)

1990-1998

4.8

UNPOP

Economic Indicators

Year

Estimate

Source

GNP per capita (US$)

1997

250

World Bank

GNP per capita average annual growth rate (%)

1996-1997

3.2

World Bank

Human Development Index rank (HDI)

2000

172

UNDP

% population economically active

-

-

-

Unemployment rate

-

-

-

Education Indicators

Year

Estimate

Source

Total adult literacy rate

1995

19

UNESCO

Adult male literacy rate

1995

30

UNESCO

Adult female literacy rate

1995

9

UNESCO

Male secondary school enrolment ratio

1996

11.7

UNESCO

Female secondary school enrolment ratio

1996

6.4

UNESCO

Health Indicators

Year

Estimate

Source

Crude birth rate (births per 1000 pop.)

1999

46

UNPOP

Crude death rate (deaths per 1000 pop.)

1999

18

UNPOP

Maternal mortality rate (per 100 000 live births)

1990

930

WHO

Life expectancy at birth

1998

45

UNPOP

Total fertility rate

1998

6.5

UNPOP

Infant mortality rate (per 1000 live births)

1999

97

UNICEF/UNPOP

Contraceptive prevalence rate (%)

1990-1999

12

UNICEF/UNPOP

% of births attended by trained health personnel

1990-1999

27

UNICEF

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

1995-1998

37

UNICEF

References

(1) Bonnel, R. What Makes an Economy HIV-Resistant? Draft report presented during the International AIDS Economic Network Symposium, Durban, South Africa, 7-8 July 2000.

(2) Comitational de Lutte contre le SIDA/ONUSIDA. La lutte contre le VIH/SIDA et les MST au Burkina Faso. 1997.

(3) Food and Agricultural Organization. The rural people of Africa confronted with AIDS: a challenge to development. Rome, FAO, 1997.

(4) UNICEF. The Progress of Nations 2000. Background paper. New York, UNICEF, 2000.

(5) Epide du VIH/SIDA au Burkina Faso: Diagnostics et Rnses Optionnelles. Preliminary. 4 December 2000. Ouagadougou.

(6) World Bank and UNAIDS. Costs of Scaling HIV Programmes to a National Level for Sub-Saharan Africa. Draft report, April 2000.