Madagascar

Key Results in 2022-2023

More than 7.5 million condoms were distributed to reduce new HIV infections.
Over 145 000 sex workers accessed voluntary HIV counselling and testing services.
A total of 70 000 young people improved their knowledge of HIV, sexual and reproductive health and teenage pregnancy.

Joint Programme Results

Community-led awareness creation and rapid HIV testing programmes expanded access to HIV services among key populations in Madagascar, thanks to strategic support from the Joint Programme in line with the Global HIV Prevention Coalition roadmap. For instance, about 200 000 sex workers improved their knowledge of HIV services of whom more than 145 000 had voluntary counselling and testing and 2070 tested positive for HIV. Further, 22 000 men who have sex with men and people who inject drugs were sensitized about HIV prevention and testing and more than 4100 of them were subsequently diagnosed with HIV. In addition, index testing helped to diagnose HIV infections among 430 people living with HIV, thanks to a partnership with government and civil society organizations (WHO, UNAIDS Secretariat). HIV and syphilis screening for pregnant women and children was also strengthened through procurement of 4800 boxes of HIV and syphilis dual testing kits and training of 23 healthcare providers on delivery of services for the prevention of vertical transmission of HIV (UNICEF). More than 7.5 million condoms were also distributed in the 2022-2023 biennium, with support from the Joint Programme (UNFPA).

HIV incidence per 1000 uninfected populations

Source: AIDSinfo

AIDS mortality per 1000 population

Source: AIDSinfo

Madagascar scaled up comprehensive sexuality education (CSE) and access to accurate HIV and sexual and reproductive health information to young people in schools. Hence, 30 000 young people accessed CSE within and outside their schools; more than 40 000 young students enhanced their knowledge of HIV and pregnancy prevention at school through the Zero Pregnancy school campaign; and over 2600 students from three school districts and 230 educators were sensitized on HIV, sexually transmitted infections and hygiene (UNICEF, UNFPA, UNESCO). In six districts, 300 people living with HIV enrolled in district and regional health centres and a university hospital continued to benefit from ongoing nutritional assistance and monthly cash transfers improving their health outcome and empowering them to share their serological status with their partner (WFP). Additionally, 100 young people from one region were trained as peer educators while 86 Health workers in two districts improved their capacity of delivering youth-friendly services (UNICEF).