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Managing Change in the Middle East and Northern Africa ( MENA) Ongoing and Emerging T rends . By. Dr. Arash Alaei , Dr. Kamiar Alaei, Alex Klein and Munis Safajou SUNY Albany Global Institute of Health and Human Rights. The Middle East and Northern Africa.
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Managing Change in the Middle East and Northern Africa ( MENA)Ongoing and Emerging Trends By Dr. ArashAlaei, Dr. Kamiar Alaei,Alex Klein and MunisSafajou SUNY Albany Global Institute of Health and Human Rights
The Middle East and Northern Africa Afghanistan United Arab Emirates Iraq West Bank and Gaza Saudi Arabia Sudan Region Kuwait Tunisia Lebanon Iran Morocco Turkey Oman Egypt PakistanYemen Qatar Libya Israel Somalia Jordan Bahrain Algeria Djibouti
Total: 720 Million People Dozens of religious and ethnic groups. Hundreds of languages.
Against the Global Trend Globally, rates of new HIV infection are down 31% over the past 10 years. MENA countries has seen an increase of over 50% in that same period. ~270,000
AIDS Related Deaths Global 2001: 1.9 million 2005: 2.3 million 2012: 1.6 million
Systemic Lack of Treatment 17,000/160,000 of those eligible Only 8% of infected women receive treatment to prevent mother to child transmission Less than 1/8 of those eligible for ART treatment received it in Egypt, Djibouti, Iran, Somalia, and Sudan
Intravenous Drug User(IDU) IDUs –primary means of HIV transmission between at risk and the general population. Despite this – lack of appropriate programs In an unrelated study in Libya, 85% of people who inject drugs reported sharing needles. OF these 87% had HIV.
Female Sex Worker(FSW) • Bridges between at risk population and the more general populace. • Historically, low levels of HIV infection, less than 5 % • Morocco 2%- responsible for half of new HIV infections • Localized Epidemics of HIV have been found among FSW in Djibouti ( 15.4%), Libya (15.7%), Somalia, and Southern Sudan
Conclusion Interdisciplinary Approach – Step Up The Pace • Religion • Culture • Politics • Finance