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REGION PROFILES

This update provides information on HIV prevalence, new infections, and AIDS-related deaths in Western and Central Africa from 2012 to 2018. It also examines the incidence-prevalence ratio and the status of key populations.

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REGION PROFILES

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  1. GLOBAL AIDS UPDATE 2019 • REGION PROFILES • WESTERN AND CENTRAL AFRICA

  2. HIV prevalence among young women and men aged 20–29 years, western and central Africa, 2012–2017 6 5 4 Per cent 3 2 1 0 Cameroon Gabon Côte d’Ivoire Congo Liberia Ghana Chad Guinea Sierra Leone Togo Democratic Republic of the Congo Mali Gambia Sato Tome and Principe Burkina Faso Burundi Senegal Niger Females Males Source: Population-basedsurveys, 2012–2017.

  3. Number of new HIV infections and AIDS-relateddeaths, and incidence-prevalence ratio western and central Africa, 2000–2018 New HIV infections AIDS-related deaths Incidence-prevalence ratio 14 700 000 500 000 Number of AIDS-related deaths Percentage change in new HIV infections since 2010 Percentage change in AIDS- related deaths since 2010 2018 Incidence- prevalence ratio Number of new HIV infections 450 000 Incidence-prevalence ratio 12 • 600 000 400 000 10 • 500 000 350 000 300 000 8 • 400 000 -13% -29% 5.5% [3.7–8.3%] 250 000 • 300 000 6 200 000 150 000 • 200 000 4 3 100 000 • 100 000 2 50 000 0 0 0 2000 2010 2018 2000 2010 2018 2000 2005 2010 2015 2018 • New HIV infections • AIDS-related deaths • Incidence-prevalence ratio • Target value Source: UNAIDS 2019 estimates.

  4. Percentage change in new HIV infections, by country, western and central Africa, 2010–2018 60 51 40 30 20 20 11 5 0 Per cent -8 -9 -11 -20 -15 -18 -19 -22 -24 -31 -31 -31 -33 -40 -34 -39 -39 -40 -47 -49 -60 -55 -80 Burundi Burkina Faso Mauritania Central African Republic Democratic Republic of the Congo Senegal Cameroon Côte d’Ivoire Togo Liberia Gabon Guinea-Bissau Sierra Leone Guinea Cabo Verde Benin Chad Congo Ghana Nigeria Niger Gambia Equatorial Guinea Mali Source: UNAIDS 2019 estimates.

  5. HIV prevalence among key populations Distribution of new HIV infections (aged 15–49 years), by population group • Western and central Africa, 2014–2018 • Western and central Africa, 2018 45 40 35 30 25 20 15 10 5 0 Sex workers 14% People whoinjectdrugs 8% Percent Remaining population 36% 15.3 Gay men and other men who have sex with men 17% 13.7 10.0 4.7 2.3 Clients of sex workers and sex partnersof other keypopulations 25% Sex workers, n = 17 Gay men and other men who have sex with men, n = 16 People who inject drugs, n = 6 Transgender people, n = 1 Prisoners, n = 15 Source: UNAIDS Global AIDS Monitoring, 2014–2018. Source: UNAIDS special analysis, 2019.

  6. Estimated size of key populations, western and central Africa, 2018 National population size estimate Local population size estimate Insufficient data No data The regions for which the local population size estimate refers: Gambia (Banjul) • Source: Global AIDS Monitoring, 2018; United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: the 2017 revision. 2018 (custom data acquired via website).

  7. Viral load suppression among adults (15 years and older) • living with HIV, by sex, western and central Africa, 2018 100 90 80 70 60 Per cent 50 40 30 20 10 0 Benin Cabo Verde Côte d'Ivoire Niger Sao Tome and Principe Sierra Leone Females Males • Source: UNAIDS specialanalysis, 2019.

  8. HIV testing and treatment cascade, western and central Africa, 2018 6 5 Gap to reaching the first 90: 1.3 million Gap to reaching the first and second 90s: 1.5 million 4 Number of people living with HIV (million) Gap to reaching all three 90s: 1.7 million 3 64% [51–80%] 64% [51–80%] 2 51% [34–66%] 39% [25–53%] 1 0 People living with HIV who know their status People living with HIV on treatment People living with HIV whoare virally suppressed Source: UNAIDS special analysis, 2019; see annex on methods for more details.

  9. 90–90–90 country scorecard: western and central Africa, 2018 90–90–90: 85–89% 65–72% 70–84% 40–64% 50–69% 25–39% Less than 50% Less than 25% 90% and above Viral load suppression: 73% and above Source: UNAIDS special analysis, 2019.

  10. Percentage of key populations who reported receiving at least two prevention services in the past three months, western and central Africa, 2016–2018 100 90 80 70 60 Per cent 50 40 30 20 10 0 Senegal Burkina Faso Côte d'Ivoire Guinea Niger* Sao Tome and Principe Sex workers Gay men and other men who have sex with men People who inject drugs Transgender people Notes: The use of an asterisk (*) indicates that data for marked countries come from programme data (which tend to show higher values due to the use as a denominator of the number of key population members that are linked to the programme) and not from a survey. Possible prevention services received among sex workers, gay men and other men who have sex with men and transgender people: condoms and lubricant, counselling on condom use and safe sex, and testing for sexually transmitted infections. Possible prevention services received among people who inject drugs: condoms and lubricant, counselling on condom use and safe sex, and clean needles or syringes. Source: Global AIDS Monitoring, 2016–2018.

  11. Percentage of men and women (aged 15–24 years) reporting use of a condom at last high-risk sex (with a nonmarital, noncohabiting partner) in the past 12 months, western and central Africa, 2013–2017 70 60 50 40 Per cent 30 20 10 0 Côte d'Ivoire Togo Senegal Guinea Bissau Gambia Nigeria Liberia Mali Chad Ghana Benin Sierra Leone Males Females Source: Population-basedsurveys, 2013–2017.

  12. HIV prevalence among people with disabilities compared to the general population, selected countries, western and central Africa, 2016–2018 10 9 8 7 6 Per cent 5 4 3 2 1 0 Burkina Faso Cabo Verde Guinea-Bissau Niger Senegal General population People with disabilities Women with disabilities Men with disabilities • Source: Global Fund to Fight AIDS, Tuberculosis and Malaria, Humanity & Inclusion, West Africa Federation of Persons with Disabilities. Une population oubliée: résultats des études bio-comportementales [A forgotten population: results from the biobehavioural studies]. Power Point presentation. 2019.

  13. Cascade of services for preventing vertical transmission, numbers of new HIV infections and transmission rate, western and central Africa, 2018 300 000 250 000 59% [42–78%] 200 000 Number 150 000 27% [21–39%] Transmission rate: 22%[19–26%] 100 000 50 000 0 Births to women living with HIV Women receiving antiretrovirals to prevent vertical transmission Infants tested by eight weeks of age New child infections Any birth to women living with HIV Children newly infected with HIV • Source: UNAIDS 2019 estimates; 2019 Global AIDS Monitoring.

  14. Percentage of men and women aged 15–49 years with discriminatory attitudes towards people living with HIV, western and central Africa, 2013–2017 80 70 60 50 Per cent 40 30 20 10 0 Guinea Mauritania Ghana Benin Sierra Leone Guinea Bissau Senegal Liberia Gambia Mali Democratic Republic of the Congo Côte d'Ivoire Nigeria Togo Chad Congo Cameroon Burundi People who would not buy vegetables from a shopkeeper living with HIV People who think children living with HIV should not be allowed to attend school with children not living with HIV • Note: Data for Guinea are for female respondents only. • Source: Population-based surveys, 2013–2017, countries with available data.

  15. Percentage of ever-married or partnered women aged 15–49 years who • experienced physical and/or sexual violence by an intimate partner in the past 12 months, western and central Africa, most recent data, 2013–2018 40 35 30 25 Per cent 20 15 10 5 0 Democratic Republic of the Congo Congo Sierra Leone Burundi Mali Chad Benin Togo Senegal Nigeria Gambia Source: Population-basedsurveys, 2013–2018.

  16. HIV resource availability, by source, western and central Africa, • 2010–2018, and projected resource needs by 2020 4500 4000 Domestic (public and private) 3500 United States (bilateral) 3000 US$ (million) Global Fund 2500 Other international 2000 Resource needs (Fast-Track) 1500 1000 500 0 2010 2011 2012 2013 2014 2015 2016 2017 2018 2020 • Source: UNAIDS 2019 resource availability and needs estimates.

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