HIV/AIDS in Tanzania

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Trends of New HIV/AIDS infections versus HIV/AIDS annual deaths from 1990 to 2015 Annual Tanzania AIDS deaths.svg
Trends of New HIV/AIDS infections versus HIV/AIDS annual deaths from 1990 to 2015

Tanzania faces generalized HIV epidemic which means it affects all sections of the society but also concentrated epidemic among certain population groups. The prevalence of HIV/AIDS in Tanzania is characterised by substantial across age, gender, geographical location and socioeconomic status implying difference in the risk of transmission of infection. [1] In 2019, among 1.7 million people living with HIV/AIDS, the prevalence was 4.6% and 58,000 new HIV infection among 15–49 years old, and 6,500 new infections among children below 15 years old, [1] 50% of all new infections are between 15 - 29 years of age group. [2] Report from Tanzania PHIA of 2016/17 shows that HIV prevalence among women is higher (6.2%) than men (3.1%). [3] The prevalence of HIV is less than 2% among 15-19 years for both males and females and then increases with age for both sexes. [1]

Contents

Prevalence of HIV/AIDS has declined from 7% in 2003 to 4.8% in 2018. Burden of HIV/AIDS is higher in urban areas (7.5%) as compared to rural areas (4.5%). [1] The region with the highest prevalence is Njombe estimated to 11.4% followed by Iringa 11.3% and Mbeya (9.3%) while Lindi has the lowest HIV prevalence of less than 1%. In 2019 there were 27,000 HIV/AIDS related dealths. For children below 15 years there were 1,246 deaths and among 15–49 years of age there were up to 18,348 deaths. [4]

HIV/AIDS trend from 1990 to 2019 in Tanzania Trends of HIV from 1990-2019 in Tanzania.png
HIV/AIDS trend from 1990 to 2019 in Tanzania

Origins and spread

There is a widespread conception among Tanzanians and among some health workers that the 1979 Uganda–Tanzania War contributed to the spread of AIDS across the country. AIDS was first identified in Tanzania in 1984. [5]

Progress towards 90-90-90 Target

Tanzania progress towards 90-90-90 target Tanzania 90-90-90 (2018 FINAL).png
Tanzania progress towards 90-90-90 target

In December 2013, UNAIDS supported regions and countries led efforts to establish new targets for HIV treatment which were to be scaled up beyond 2015 after the deadline of 2011 targets and commitments of Political Declaration of HIV and AIDS. It was agreed by 2020, 90% of all the people living with HIV/AIDS knows their status, 90% of all the people diagnosed with HIV/AIDS receive sustained antiretroviral therapy and 90% of all the people receiving antiretrovital therapy have viral suppression. [6]

By 2019, 83% of all people living with HIV infection know their status of which 90% (75% of all people living with HIV/AIDS) receive antiretroviral therapy and 92%(69% of all people living with HIV/AIDS) have viral suppression. [7]

HIV testing

An advertisement at Kigoma rail station saying Be Faithful in the Kiswahili language Kigoma Station bench.jpg
An advertisement at Kigoma rail station saying Be Faithful in the Kiswahili language

The Tanzania Commission for AIDS (TACAIDS) and the Zanzibar AIDS Commission [8] authorized the Tanzania National Bureau of Statistics to conduct the Tanzania HIV/AIDS and Malaria Indicator Survey 2011–12. The survey was conducted in collaboration with the Office of the Chief Government Statistician (Zanzibar) and was funded by the United States Agency for International Development, TACAIDS, and the Tanzania Ministry of Health and Social Welfare. ICF International provided technical assistance during the survey. [9] :pages: xiii,xv

The survey covered both mainland Tanzania and Zanzibar. Its objectives were to collect data on knowledge and behaviour regarding HIV/AIDS and measure HIV prevalence among women and men age 15–49. [9] :page: xv The data was collected 16 December 2011 to 24 May 2012. [9] :page: 7

Results for all those tested

The survey tested 9,756 women and 7,989 men [10] in the 15 to 49 age group from every administrative region of Tanzania for HIV infection.

Overall, the survey found that 5.1 percent [11] of those tested were HIV positive. [9] :pages: 110-111 There was no statistically significant difference between this result and the result from the previous survey in 2007–08. [9]

:page: 111

Stratified by gender, 6.2 percent [12] of women were HIV positive, which was significantly higher than the 3.8 percentage rate [13] for men. These results were not statistically different from the results of the previous survey in 2007–08. [9] :page: 111 Njombe region had the highest rate of positive women, 15.4 percent [14] (240 tested), and men, 14.2 percent [15] (200 tested). [9] :page: 110 The rate for men was higher than for women in only two of Tanzania's 30 regions. [9] :page: 110 The rate for both men and women was highest for people in the highest wealth quintile. [9] :page: 110

The HIV positive rate for uncircumcised men was higher than for circumcised men in every five-year age group except for the 15–19 age group. [9] :page: 119 This was also true when the survey results were stratified by urban versus rural areas instead of by age group. [9] :page: 119

Among couples living in the same household (married or not), 4.6 were serodiscordant, where one was HIV positive and the other was negative. The Njombe region had the highest rate, 16.2 percent. The only other region above 10 percent was the Dar es Salaam region. [9] :page: 121

Rank of causes of death for age group 15-49 Rank of Causes of Deaths for Age 15-49.png
Rank of causes of death for age group 15-49

Results for the 15 to 24 age group

The survey tested 3,852 women and 3,393 men [10] in this age group from every administrative region of Tanzania for HIV infection. The survey found that 2.7 percent [16] of women were HIV positive, which was significantly higher than the 1.2 percentage rate [17] for men. Njombe region had the highest rate of positive women, 8.6 percent [18] (75 tested), while Kigoma region had the highest rate for men, 3.6 percent [19] (153 tested). The rate for men was higher than for women in only six of Tanzania's 30 regions. The rate for both men and women was highest for people in the highest wealth quintile. [9] :page: 116

Results for the 25 to 49 age group

The survey tested 6,072 women and 4,209 men [20] in this age group from every administrative region of Tanzania for HIV infection. The survey found that 7.5 percent of women were HIV positive, which was significantly higher than the 5.2 percentage rate for men. Njombe region had the highest rate of positive women, 18.6 percent (199 tested), and men, 21.4 percent (149 tested). The rate for men was higher than for women in only four of Tanzania's 30 regions. [21]

HIV prevention program

Tanzania is implementing use of combination of preventive services to reduce HIV infection through Fourth Health Sector HIV and AIDS Strategic Plan of 2017/22. Some of the preventive services employed are Prevention of Mother to Child Transmission (PMCT), Condom Promotion, HIV awareness and Sex Education, Voluntary Medical Male Circumcision (VMMC), Cash transfer scheme such as cash plus where money are given to adolescents from poor families to empower and strengthen resilience and wellbeing. Other preventive services include harm reduction by distributing needles for people who inject drugs and use of pre-exposure prophylaxis (PrEP). [7]

Antiretroviral treatment (ART)

In 2018, 1.1million (71%) people living with HIV/AIDS received ART among which 82% were women and 57% men, this is estimated to be 20% increase from 2015. Within the same year 90% of people diagnosed with HIV infection started ART within seven days. [7]

High risk groups

Populations at high risk for HIV infection include sex workers, Homosexual men,people who inject drugs, prisoners, people in the transport sector, and the military. 80% of new HIV infections are accounted by heterosexual group and women are the most affected. [7]

Health sector challenges

The greatest challenge facing the health sector is inadequate human resources to deliver quality health services to the Tanzanian population. Since the 1990s, structural adjustment policies and HIV/AIDS have greatly reduced the health-sector workforce. A second challenge is poverty, important because the cost of drugs and health services has constituted a financial barrier to access. Tanzania has formulated its second "Poverty Reduction Strategy" paper to reinforce its commitment to overcoming poverty. Tanzania also continues to struggle with the issue of corruption, with the health care sector being ranked as the second most corrupt sector in the country by the country's Economic and Social Research Foundation. Due in part to the vast size of the country, health services do not currently meet acceptable quality standards, and access to voluntary counseling and testing services varies greatly. Overall, while services may be available, the human and physical infrastructure is in need of improvement to allow for better quality patient care. [22]

See also

Related Research Articles

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<span class="mw-page-title-main">HIV/AIDS in Africa</span> HIV/AIDS in Africa

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<span class="mw-page-title-main">Epidemiology of HIV/AIDS</span> Epidemic of HIV/AIDS

The global epidemic of HIV/AIDS began in 1981, and is an ongoing worldwide public health issue. According to the World Health Organization (WHO), by 2023, HIV/AIDS had killed approximately 40.4 million people, and approximately 39 million people were infected with HIV globally. Of these, 29.8 million people (75%) are receiving antiretroviral treatment. There were about 630,000 deaths from HIV/AIDS in 2022. The 2015 Global Burden of Disease Study estimated that the global incidence of HIV infection peaked in 1997 at 3.3 million per year. Global incidence fell rapidly from 1997 to 2005, to about 2.6 million per year. Incidence of HIV has continued to fall, decreasing by 23% from 2010 to 2020, with progress dominated by decreases in Eastern Africa and Southern Africa. As of 2020, there are approximately 1.5 million new infections of HIV per year globally.

The Caribbean is the second-most affected region in the world in terms of HIV prevalence rates. Based on 2009 data, about 1.0 percent of the adult population is living with the disease, which is higher than any other region except Sub-Saharan Africa. Several factors influence this epidemic, including poverty, gender, sex tourism, and stigma. HIV incidence in the Caribbean declined 49% between 2001 and 2012. Different countries have employed a variety of responses to the disease, with a range of challenges and successes.

<span class="mw-page-title-main">HIV/AIDS in Europe</span>

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<span class="mw-page-title-main">HIV/AIDS in Ethiopia</span>

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<span class="mw-page-title-main">HIV/AIDS in Ghana</span> HIV Virus in Ghana

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Kenya has a severe, generalized HIV epidemic, but in recent years, the country has experienced a notable decline in HIV prevalence, attributed in part to significant behavioral change and increased access to ARV. Adult HIV prevalence is estimated to have fallen from 10 percent in the late 1990s to about 4.8 percent in 2017. Women face considerably higher risk of HIV infection than men but have longer life expectancies than men when on ART. The 7th edition of AIDS in Kenya reports an HIV prevalence rate of eight percent in adult women and four percent in adult men. Populations in Kenya that are especially at risk include injecting drug users and people in prostitution, whose prevalence rates are estimated at 53 percent and 27 percent, respectively. Men who have sex with men (MSM) are also at risk at a prevalence of 18.2%. Other groups also include discordant couples however successful ARV-treatment will prevent transmission. Other groups at risk are prison communities, uniformed forces, and truck drivers.

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<span class="mw-page-title-main">HIV/AIDS in Nigeria</span>

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<span class="mw-page-title-main">HIV/AIDS in Rwanda</span>

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The Philippines has one of the lowest rates of infection of HIV/AIDS, yet has one of the fastest growing number of cases worldwide. The Philippines is one of seven countries with growth in number of cases of over 25%, from 2001 to 2009.

HIV/AIDS in Bolivia has a less than 1 percent prevalence of Bolivia's adult population estimated to be HIV-positive. Bolivia has one of the lowest HIV prevalence rates in the Latin America and Caribbean region.

The Dominican Republic has a 0.7 percent prevalence rate of HIV/AIDS, among the lowest percentage-wise in the Caribbean region. However, it has the second most cases in the Caribbean region in total, with an estimated 46,000 HIV/AIDS-positive Dominicans as of 2013.

HIV/AIDS in Jamaica has a 1.5 percent prevalence of the adult population estimated to be HIV-positive. There has been no significant change over the last five years and therefore Jamaica appears to have stabilized its HIV/AIDS epidemic.

In 2016, the prevalence rate of HIV/AIDS in adults aged 15–49 was 0.3%, relatively low for a developing country. This low prevalence has been maintained, as in 2006, the HIV prevalence in Mexico was estimated at around 0.3% as well. The infected population is remains mainly concentrated among high risk populations, men who have sex with other men, intravenous drug users, and commercial sex workers. This low national prevalence is not reflected in the high-risk populations. The prison population in Mexico, faces a fairly similar low rate of around 0.7%. Among the population of prisoners, around 2% are known to be infected with HIV. Sex workers, male and female, face an HIV prevalence of around 7%. Identifying gay men and men who have sex with other men have a prevalence of 17.4%. The highest risk-factor group is identifying transgender people; about 17.4% of this population is known to be infected with HIV. Around 90% of new infections occur by sex-related methods of transmission. Of these known infected populations, around 60% of living infected people are known to be on anti-retroviral therapy (ART).

Despite big declines, the prevalence of HIV/AIDS in Cambodia is among the highest in Asia. Although Cambodia is one of the poorest countries in the world, extensive HIV prevention and control efforts by the Royal Government of Cambodia and its partners have helped to reduce the spread of HIV. Between 2003 and 2005, the estimated HIV prevalence among Cambodian adults aged 15 to 49 declined by 20%, from 2.0% to 1.6%. As of 2019, 0.6% of Cambodian adults currently has the virus.

<span class="mw-page-title-main">Health in Tanzania</span>

The 2010 maternal mortality rate per 100,000 births for Tanzania was 790. This is compared with 449 in 2008 and 610.2 in 1990. The UN Child Mortality Report 2011 reports a decrease in under-five mortality from 155 per 1,000 live births in 1990 to 76 per 1,000 live births in 2010, and in neonatal mortality from 40 per 1,000 live births to 26 per 1,000 live births. The aim of the report The State of the World's Midwifery is to highlight ways in which the Millennium Development Goals can be achieved, particularly Goal 4 – Reduce child

With an estimated 120,000 people living with HIV/AIDS, the HIV/AIDS epidemic in Colombia is consistent with the epidemic in much of Latin America as a whole, both in terms of prevalence of infection and characteristics of transmission and affected populations. Colombia has a relatively low rate of HIV infection at 0.4%. Certain groups, particularly men who have sex with men, bear the burden of significantly higher rates of infection than the general population. Colombia's health care system and conception of a "right to health", created by the T-760 decision of 2008, have revolutionized access to HIV treatment. Despite this, the quality of health insurance and treatment for HIV has often been disputed.

References

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  6. "90-90-90: treatment for all". www.unaids.org. Retrieved 2021-09-14.
  7. 1 2 3 4 5 "HIV and AIDS in Tanzania". Avert. 2015-07-21. Retrieved 2021-09-14.
  8. Homepage, Zanzibar AIDS Commission
  9. 1 2 3 4 5 6 7 8 9 10 11 12 13 Tanzania HIV/AIDS and Malaria Indicator Survey 2011-12, authorized by the Tanzania Commission for AIDS (TACAIDS) and the Zanzibar Commission for AIDS; implemented by the Tanzania National Bureau of Statistics in collaboration with the Office of the Chief Government Statistician (Zanzibar); funded by the United States Agency for International Development, TACAIDS, and the Ministry of Health and Social Welfare, with support provided by ICF International; data collected 16 December 2011 to 24 May 2012; report published in Dar es Salaam in March 2013 Archived 20 October 2014 at the Wayback Machine
  10. 1 2 These are weighted numbers, not actual numbers.
  11. At a 95 percent confidence level, the rate was 4.6 to 5.6 percent. Refer to page 202 of the survey.
  12. At a 95 percent confidence level, the rate was 5.5 to 6.8 percent. Refer to page 202 of the survey.
  13. At a 95 percent confidence level, the rate was 3.2 to 4.5 percent. Refer to page 202 of the survey.
  14. At a 95 percent confidence level, the rate was 10.8 to 19.9 percent. Refer to page 221 of the survey.
  15. At a 95 percent confidence level, however, the rate was 7.6 to 20.7 percent. Refer to page 221 of the survey.
  16. At a 95 percent confidence level, the rate was 2.0 to 3.3 percent. Refer to page 202 of the survey.
  17. At a 95 percent confidence level, the rate was 0.7 to 1.7 percent. Refer to page 202 of the survey.
  18. At a 95 percent confidence level, however, the rate was 1.4 to 15.9 percent. Refer to page 221 of the survey.
  19. At a 95 percent confidence level, however, the rate was 0.0 to 9.4 percent. Refer to page 218 of the survey.
  20. These are actual numbers, not weighted numbers.
  21. The statistics presented for this age group are derived from the data presented in Appendix B of the Tanzania HIV/AIDS and Malaria Indicator Survey 2011-12.
  22. "2008 Country Profile: Tanzania". U.S. Department of State (2008). Accessed August 25, 2008. PD-icon.svg This article incorporates text from this source, which is in the public domain .

Works cited