National Strategic Framework Status

Finalised for 2000 - 2006. Adjusted in 2002 following first national seroprevalence survey in 2003.

National policies

National monitoring and evaluation plan has been developed Prevention of mother-to-child transmission policy Legal Framework for people living with HIV/AIDS has been established.

Ministry of Health:
Tel: +261 20 222 3697

Conseil National de Lutte contre le SIDA (CNLS)
Contact person: Fenosoa Ratsimanetrimanana - Executive Secretary
Tel: +261 32 023 2101
Email: /

HIV/AIDS Organisations:

1. Catholic Relief Services (CRS)
   Contact person: Jennifer Overton
   Antananarivo (101) Batiment du Catholic Relief Services
   Route de l'Universite BP 6073
   Tel: +261 20 226 6565
   Email:
   · Community awareness campaigns, support for people living with HIV/AIDS and food security projects.

2. Population Services International (PSI)
   Contact person: Dr Jean Patrick Duconge
   Immeuble-FIARO
   Rue Jules RANAIVO
   ESCALIER-D, 2eme Etage
   BP 7748
   Antananarivo 101
   Tel: +261 20 226 2984
   Fax: +261 20 223 6189
   · Condom distribution, HIV/AIDS awareness campaigns, STI treatment, family planning services.

3. UN Theme Group on HIV/AIDS, Chair
   Contact person: Agniola Zinsou (going to change soon)
   Tel: +261 20 22 226 57
   Email: /

4. UNAIDS Country Coordinator
   Contact person: Setou Kaba
   UNAIDS
   Tel: +261 20 22 36632
   Fax: +261 33 11 44176
   Email:
   Website: www.unaids.org
   · Leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.

For consistency reasons the data used in the above table are taken from official UN publications

For consistency reasons the data used in the above table are taken from official UN publications

Source: WHO/UNAIDS epidemiological fact sheets on HIV/AIDS and Sexually Transmitted Infections, 2004 Update.
Email:

Assessment of the epidemiological situation (2004)

Recent information from Madagascar indicates that HIV prevalence has begun increasing among women attending antenatal clinics. Overall prevalence among antenatal clinic women is now 1.1 percent. Sentinel surveillance data are available from Antananarivo, the major urban area, since 1990 and through 1996. No evidence of HIV infection among antenatal clinic women was found at that time. In 2003, HIV prevalence among antenatal clinic women tested in Antananarivo was 0.3 percent. Outside of Antananarivo, HIV sentinel surveillance among antenatal clinic women was conducted since 1990. In 1994 and 1995, HIV infections among antenatal clinic women were detected in Morondava and Toamasina Provinces only. In 1996, 3 out of 10 sites reporting found evidence of HIV infection. In 2003, HIV prevalence among antenatal clinic women tested in Toamasina, Toliara and Fianarantsoa was 1 percent. In Antsiranana and Mahajanga, HIV prevalence was over 1 percent.

HIV infection among sex workers remains low, less than 1 percent of sex workers tested in 2001 in Antananarivo and Toamasina were HIV positive. HIV infection among sex workers in Antananarivo arose in 1995, after four years of no infections. However, less than 1 percent of sex workers tested in 1995 were HIV positive. 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 during that period. Again, in 1998, 1 percent of sex workers tested in Antsiranana were 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 between 1996 and 1998. 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, with the majority of sites reporting no infections. In 1996, less than 0.5 percent of STD clinic patients tested in Antsiranana were HIV positive. In 1998, HIV prevalence information was available from three clinics. The only evidence of infection was found at the Antsiranana clinic, 2 percent.