Millennium Development Goal 7

Combat HIV/AIDS, malaria and other diseases
-          The challenge is to control the incidence of malaria, TB and other diseases (influenza, measles) and non communicable diseases through effective public and curative health. No data available on HIV/AIDS prevalence rates. The incidence of malaria has been reduced about threefold from 455 per 100 000 in 1992 to 131 in 2001. A dual disease pattern is emerging where infectious communicable diseases remain the main cause of morbidity, but life-style non-communicable diseases are on the increase. 

Target 7: Have halted by 2015 and begun to reverse the spread of HIV/AIDS

18. HIV prevalence among 15-24 year old pregnant women

• Information is not available for this indicator

19. Condom use rate of the contraceptive prevalence rate  2001 2.4% (Health Medical Statistics Department)

Contraceptive prevalence rate  1997:  10.6            2001:  6.8

• If this information is accurate there are concerns that the number of married couples using contraception for family planning is declining; with no information available on the use of condoms and knowledge of HIV/AIDs prevention methods

20. Number of children orphaned by HIV/AIDS

• Information is not available for this indicator

Target 8: Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases

21. Prevalence and death rates associated with malaria 

Malaria prevalence rate per 100,000 population  1992               :  455      1999:  155             2001:  131

Malaria death rate per 100,000 population  2000:  8 (2003 HDR)

• The prevalence rate for malaria is declining showing the results of the control programme of the Ministry of Health over the past thirty years.  The death rate for malaria does not seem accurate (MoH to confirm)

22. Proportion of population in malaria risk areas using effective malaria prevention and treatment measures  1999               :  53% (Census)

• The proportion of the population using effective malaria treatment measures (treated bednets) needs to improve to reduce the incidence of malaria

23. Prevalence and death rates associated with tuberculosis (MoH to confirm)

TB prevalence rate per 100,000 population  2000:  111             2002:  126 (WHO)

TB notification rate per 100,000 population  1990:  117              1995:  94               2000:  65 (SI HDR 2002)

• There is a trend for the prevalence of tuberculosis to be increasing while the notification rate is decreasing, implying that the number of new cases of TB is declining (notification) (MoH to confirm) 

TB death rate per 100,000 population  2000:  13         2002:  15 (WHO)

• There have not been recent improvements in the TB death rate and information is required for the baseline year of 1990 to determine if progress has been made towards achieving this target 

24. Proportion of tuberculosis cases detected and cured under directly observed treatment short course (DOTS) 

Tuberculosis, DOTS detection rate, per cent total population  1996:  52.00           2002:  57.00 (WHO)

Tuberculosis, DOTS treatment success, per cent total population  1995               :  65.00   2001:  89.00 (WHO)

• With DOTS introduced in 19xx, more information from the MoH is required to measure detection, however the treatment success has increased significantly (MoH to confirm)