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close this bookEpidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections: Madagascar (UNAIDS, 2000, 12 p.)
View the document(introduction...)
View the documentCountry information
View the documentEstimated number of people living with hiv/aids
View the documentAssessment of epidemiological situation - Madagascar
View the documentHIV sentinel surveillance
View the documentMaps of HIV sentinel sites
View the documentReported aids cases
View the documentCurable sexually transmitted infections (STIs)
View the documentHealth service indicators
View the documentKnowledge and behaviour
View the documentSources
View the documentAnnex: HIV surveillance data by site

Assessment of epidemiological situation - Madagascar

Recent information from Madagascar indicates that HIV prevalence is still very low in the country. Sentinel surveillance data has been available from Antananarivo, the major urban area, since 1990 and through 1996. No evidence of HIV infection among antenatal clinic women has been found. Outside of Antananarivo, HIV sentinel surveillance among antenatal clinic women has been conducted since 1990. Out of 15 sentinel surveillance sites, only one site, Toamasina found evidence of HIV infection among antenatal clinic attendees in 1995; 0.2 percent of women tested were HIV positive. In 1996, 3 out of 10 sites reporting found evidence of HIV infection. In Toamasina, 1 percent of antenatal clinic women tested positive. In Antsiranana and Maroantsetra less than 1 percent of antenatal clinic attendees tested were HIV positive.

HIV prevalence among sex workers in Antananarivo increased from 0.3 percent of women tested in 1995 to 1 percent in 1998. In 1995 and 1996 outside of Antananarivo, evidence of HIV prevalence among sex workers was found in only 2 sites. In Antsiranana, 1 to 2 percent of sex workers tested HIV positive. In Toamasina, less than one percent of sex workers tested were HIV positive in 1995.

In Antananarivo, less than 1 percent of STD clinic patients tested were HIV positive in 1995 and no evidence of HIV infection was found in 1996. In 1998, 2 percent of STD clinic patients tested in one clinic in Antananarivo were HIV positive. Outside of Antananarivo, 14 sentinel surveillance sites reported in 1995. HIV prevalence ranged from no evidence of infection to 7 percent in Antsiranana. Nine of the 14 sites found no evidence of HIV infection among STD clinic patients. In 1996, however, HIV prevalence ranged from no evidence of infection to only 0.7 percent from 12 reporting sites. In 1996, less than 0.5 percent of STD clinic patients tested in Antsiranana were HIV positive. In 1998, HIV prevalence information was only available from 2 clinics, where no evidence of HIV infection was found.