Managing Change in the Middle East and Northern Africa ( MENA) Ongoing and Emerging T rends
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Transcript of Managing Change in the Middle East and Northern Africa ( MENA) Ongoing and Emerging T rends
Managing Change in the Middle East
and Northern Africa ( MENA)
Ongoing and Emerging Trends
ByDr. Arash Alaei, Dr. Kamiar Alaei, Alex Klein
and Munis Safajou
SUNY AlbanyGlobal Institute of Health and Human Rights
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The Middle East and Northern Africa
Afghanistan United Arab Emirates Iraq West Bank and Gaza Saudi Arabia Sudan RegionKuwaitTunisia
LebanonIran
Morocco
Turkey
Oman Egypt
PakistanYemen
Qatar Libya
IsraelSomalia
JordanBahrain
Algeria Djibouti
30,55238,289
1,131939
84,666
76,521
35,095
7,309
3,459
4,822
6,5183,2953,983
190,7094,4212,169
30,05410,3839,782
34,18621,898
10,882 76,083 9,346 25,235
Population of MENA in millions(2013)
AfghanistanAlgeriaBahrainDjiboutiEgyptIranIraqJordanKuwaitLebanonLibyaMoroccoOmanPakistanPalestinian Ter-ritoryQatarSaudi ArabiaSomaliaSouth SudanSudanSyriaTunisiaTurkeyUnited Arab EmiratesYemen
Dozens of religious and ethnic groups. Hundreds of languages.
Total: 720 Million People
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Against the Global Trend
Globally, rates of new HIV infection are down 31% over the past 10 years.
MENA countries has seen an increase of over 50% in that same period.
~270,000 4
Global
2001: 1.9 million
2005: 2.3 million
2012: 1.6 million
AIDS Related Deaths
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Systemic Lack of
Treatment
Only 8% of infected women receive treatment to prevent mother to child
transmission
Less than 1/8 of those eligible for ART treatment
received it in Egypt, Djibouti, Iran, Somalia,
and Sudan
17,000/160,000 of those eligible
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Intravenous Drug User(IDU)
IDUs –primary means of HIV transmission between at risk and the general population.Despite this – lack of appropriate programs
In an unrelated study in Libya, 85% of people who inject drugs reported sharing needles. OF these 87% had HIV.
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Female Sex Worker(FSW)
• Bridges between at risk population and the more general populace.
• Historically, low levels of HIV infection, less than 5 % • Morocco 2%- responsible for half of new HIV
infections
• Localized Epidemics of HIV have been found among FSW in Djibouti ( 15.4%), Libya (15.7%), Somalia, and Southern Sudan10
ConclusionInterdisciplinary Approach – Step Up The Pace
• Religion• Culture• Politics• Finance
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