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Poverty and Human Development Report 2009 - UNDP in Tanzania

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POVERTY AND HUMAN DEVELOPMENT REPORT <strong>2009</strong><br />

HIV/AIDS<br />

HIV Prevalence<br />

New data about HIV prevalence from THMIS 2007/08 provide grounds for cautious optimism.<br />

Over the period s<strong>in</strong>ce 2003/04, HIV prevalence <strong>in</strong> adults (15-49 years) has decl<strong>in</strong>ed <strong>in</strong> both males<br />

<strong>and</strong> females, <strong>and</strong> across most age groups (Figure 25).<br />

Figure 25: HIV Prevalence <strong>in</strong> Adults 15-49 Years, 2003/04 <strong>and</strong> 2007/08<br />

64<br />

% of adults aged 15-49 years<br />

10%<br />

8%<br />

6%<br />

4%<br />

2%<br />

0%<br />

Source: THMIS 2007/08<br />

7.7%<br />

6.8%<br />

6.3%<br />

Women Men<br />

Gender<br />

4.7%<br />

2003/04<br />

2007/08<br />

Youth HIV prevalence (15-24 years) decl<strong>in</strong>ed largely because of a significant fall <strong>in</strong> prevalence<br />

among young men from 3.0% to 1.1%; the decl<strong>in</strong>e <strong>in</strong> prevalence among young women was<br />

small from 4.0% to 3.6% <strong>and</strong> not statistically significant. Data by age group <strong>and</strong> gender also<br />

reveal that prevalence among young women <strong>in</strong>creases sharply after 15-19 years, which highlights<br />

the crucial importance of early prevention <strong>in</strong>terventions (Figure 26). Of note, prevalence among<br />

15-24 year-old females is below the MKUKUTA target of 5%. However, this target was set relative<br />

to a basel<strong>in</strong>e estimate of prevalence derived from antenatal cl<strong>in</strong>ics where HIV rates are typically<br />

higher due to selection bias. 39 Now that population-based data series is available, the target for<br />

young women needs to be revised.<br />

39 In 2005/6, HIV prevalence among 15-24 year-old ANC attendees was 6.8% (National AIDS Control Programme<br />

(NACP), 2007).

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