Improving the Quality and Quantity of HIV Data in the Middle East and North Africa: Key Challenges and Ways Forward

Document Type : Editorial

Authors

1 HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada

3 Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

4 UNAIDS – The Joint United Nations Programme on HIV/AIDS (UNAIDS), Tehran, Iran

Abstract

Although the HIV pandemic is witnessing a decline in the number of new infections in most regions of the world, the Middle East and North Africa (MENA) has a rapidly growing HIV problem. While generating HIV data has been consistently increasing since 2005, MENA’s contribution to the global HIV literature is just over 1% and the existing evidence often falls behind the academic standards. Several factors could be at play that contribute to the limited quantity and quality of HIV data in MENA. This editorial tries to explore and explain the barriers to collecting high-quality HIV data and generating precise estimates in MENA. These barriers include a number of logistic and socio-political challenges faced by researchers, public health officials, and policy-makers. Looking at successful regional HIV programs, we explore examples were policies have shifted and lessons could be learned in developing appropriate responses to HIV across the region.

Highlights

Commentaries Published on this Paper

  • The Elephants in the Room: Sex, HIV, and LGBT Populations in MENA. Intersectionality in Lebanon; Comment on “Improving the Quality and Quantity of HIV Data in the Middle East and North Africa: Key Challenges and Ways Forward”

          Abstract | PDF

  • Ensuring HIV Data Availability, Transparency and Integrity in the MENA Region; Comment on “Improving the Quality and Quantity of HIV Data in the Middle East and North Africa: Key Challenges and Ways Forward”

          Abstract | PDF

 

Authors' Response to the Commentaries

  • Tackling HIV in MENA: Talk Is Not Enough–It Is Time for Bold Actions: A Response to Recent Commentaries

          Abstract | PDF

Keywords

Main Subjects


  1. Setayesh H, Roudi-Fahimi F, El Feki S, Ashford LS. HIV and AIDS in the Middle East and North Africa. Washington, DC: Population Reference Bureau2014.
  2. UNAIDS. The Gap Reporthttp://www.unaids.org/sites/default/files/media_asset/UNAIDS_Gap_report_en.pdf. Published 2014.
  3. World Health Organization Eastern Mediterranean Regional Office Countries.  http://www.emro.who.int/countries.html. Accessed August 2016.
  4. UNAIDS. Middle East and North Africa Regional Report on AIDS.http://www.unaids.org/sites/default/files/media_asset/JC2257_UNAIDS-MENA-report-2011_en_1.pdfPublished2011.
  5. Gökengin D, Doroudi F, Tohme J, Collins B, Madani N. HIV/AIDS: trends in the Middle East and North Africa region. Int J Infect Dis. 2016;44:66-73. doi: 10.1016/j.ijid.2015.11.008.
  6. UNAIDS. AIDS by the numbers 2015. http://www.unaids.org/sites/default/files/media_asset/AIDS_by_the_numbers_2015_en.pdf. Published 2015.
  7. Saba HF, Kouyoumjian SP, Mumtaz GR, Abu-Raddad LJ. Characterising the progress in HIV/AIDS research in the Middle East and North Africa. Sex Transm Infect. 2013;89(Suppl 3):iii5-iii9. doi:10.1136/sextrans-2012-050888
  8. Bozicevic I, Riedner G, Calleja JMG. HIV surveillance in MENA: recent developments and results. Sex Transm Infect. 2013;89(Suppl 3):iii11-iii16. doi:10.1136/sextrans-2012-050849
  9. Himmich H, Madani N. The state of harm reduction in the Middle East and North Africa: A focus on Iran and Morocco. Int J Drug Policy. 2016;31:184-189. doi:10.1016/j.drugpo.2016.02.013
  10. Mumtaz GR, Weiss HA, Thomas SL, et al. HIV among people who inject drugs in the Middle East and North Africa: systematic review and data synthesis. PLoS Med. 2014;11(6):e1001663. doi:10.1371/journal.pmed.1001663
  11. OMICS International. List of modern conflicts in the Middle East. http://research.omicsgroup.org/index.php/List_of_modern_conflicts_in_the_Middle_East. Published 2014.
  12. Syria Emergency. UNHCR website. http://www.unhcr.org/syria-emergency.html. Accessed August 2016. Published 2016.
  13. Bernitz BL, Rechel B. HIV data in central and eastern Europe: fact or fiction? In: Matic S, Lazarus JV, Donoghoe MC, eds. HIV/AIDS in Europe: Moving From Death Sentence to Chronic Disease Management. Copenhagen, Denmark: WHO; 2006:232.
  14. Gushulak BD, MacPherson DW. The impact of population movement on HIV/AIDS in Europe. In: Matic S, Lazarus JV, Donoghoe MC, eds. HIV/AIDS in Europe: Moving From Death Sentence to Chronic Disease Management. Copenhagen, Denmark: WHO; 2006.
  15. Samuels G. Dozens of refugee men forced to sell sex for as little as €2 to survive in Greece. Independent. June 7, 2016. http://www.independent.co.uk/news/world/europe/dozens-of-refugee-men-sell-sex-for-as-little-as-2-to-survive-in-athens-a7068741.html
  16. Jay M. Child slavery, prostitution and ‘survival sex’ rages among Syrian refugees in Lebanon due to ‘no jobs for adults’ policy and UN denial. Daily Mail. June 12, 2016.
  17. UNHCR. Sexual and gender-based violence among Syrian Refugees in Jordan. Amman: UNHCR; 2014.
  18. Reeve C. HIV and the Arab Spring An Unseen War. World Policy Journal. 2015;32(1):108-117. doi:10.1177/0740277515578629
  19. National AIDS Committee Secretariat. Islamic Republic of Iran AIDS Progress Report;2014.
  20. UNAIDS. HIV and AIDS estimates (Islamic Republic of Iran). http://www.unaids.org/en/regionscountries/countries/islamicrepublicofiran. Accessed July 2016. Published 2015.
  21. UNAIDS. HIV and AIDS estimates (Egypt). http://www.unaids.org/en/regionscountries/countries/egypt. Accessed July 2016. Published 2015.
  22. UNAIDS. HIV and AIDS estimates (Sudan). http://www.unaids.org/en/regionscountries/countries/sudan. Accessed July 2016. Published 2015.
  23. UNAIDS. HIV and AIDS estimates (Morocco). http://www.unaids.org/en/regionscountries/countries/morocco. Accessed July 2016. Published 2015.
  24. Gray PB. HIV and Islam: is HIV prevalence lower among Muslims? Social science & medicine. 2004;58(9):1751-1756. doi:10.1016/s0277-9536(03)00367-8
  25. Obermeyer CM. HIV in the Middle East. BMJ. 2006;333(7573):851-854. doi:10.1136/bmj.38994.400370.7c
  26. McFarland W, Abu-Raddad LJ, Mahfoud Z, et al. HIV/AIDS in the Middle East and North Africa: new study methods, results, and implications for prevention and care. AIDS. 2010;24 Suppl 2:S1-4doi:10.1097/01.aids.0000386728.49059.92
  27. Saba HF, Kouyoumjian SP, Mumtaz GR, Abu-Raddad LJ. Characterising the progress in HIV/AIDS research in the Middle East and North Africa. Sexually transmitted infections. 2013.
  28. Ávila C, Loncar D, Amico P, De Lay P. Determinants of government HIV/AIDS financing: a 10-year trend analysis from 125 low-and middle-income countries. BMC Public Health. 2013;13(1):673.
  29. Nasirian M, Karamouzian M, Haghdoost A-A. Why is the number of HIV/AIDS-related publications low in the MENA region? Sex Transm Infect. 2013;89(Suppl 3):iii10-iii10. doi:10.1136/sextrans-2013-051199
  30. Rafif N, Mellouk O. Punishing Success: Impact of the new Global Fund Business Model and Eligibility Criteria on the MENA Region.  http://www.itpcmena.org/IMG/pdf/punish-en1-2.pdf. Published 2012.
  31. Karamouzian M, Nasirian M, Sedaghat A, Haghdoost AA. HIV in Iran. Lancet. 2014;383(9922):1040. doi:10.1016/s0140-6736(14)60518-3
  32. Khajehkazemi R, Osooli M, Sajadi L, et al. HIV prevalence and risk behaviours among people who inject drugs in Iran: the 2010 National Surveillance Survey. Sex Transm Infect. 2013;89 Suppl 3:iii29-32. doi:10.1136/sextrans-2013-051204
  33. Chakkar Y. An overview of HIV/AIDS and key populations in the MENA region. AIDS 2016.
  • Receive Date: 20 April 2016
  • Revise Date: 09 August 2016
  • Accept Date: 10 August 2016
  • First Publish Date: 01 February 2017