214.
In 2014, PLHIVs benefitted the most from HIV-related spending with 46.64% of total
expenditures, followed by specific population groups with 13.34%, the general population with
26.57% and other key population groups with 8.49%. Men and women in uniform, out-of-school
youth and many other key populations identified in the 2014-2017 National Accelerated AIDS
Response Plan (PARNS) have not received any funding for activities relating to them. This situation
is worrying and challenges the SEN/CNLS regarding its coordination role. It is imperative to establish
systematic coordination meetings at the national and regional levels so as to ensure that interventions
are aligned with the PARNS and that all key populations are taken into account in national policies.
215.
Overall spending relating to HIV/AIDS and STIs increased from CFAF 8,816,326,850 in 2013
to CFAF 10,669,225,610 in 2014, i.e. an increase of 21%. An additional financing agreement with
the Global Fund to Fight AIDS, Tuberculosis and Malaria under the new funding model is currently
being implemented.
Malaria control and mortality rates
216.
Prevalence among children under 5
According to the 2010-2011 ENIPT, the prevalence of malaria among children aged 6 to 59
months is 35.8% with variations in the different age groups within this category: 24.1% among
children aged 6 to 11 months, 30.3% among children aged 12 to 23 months, 33% among children
aged 24 to 35 months, 39.6% among children aged 36 to 47 months and 42.9% among children aged
48 to 59 months. The prevalence of malaria increases with the age of children.
217.
The results by gender show a prevalence of 34.3% among girls compared to 37.1% among
boys.
218.
In terms of place of residence, the prevalence rate is 20.7% in urban areas and 42.3% in rural
areas. Results per endemicity level reveal a higher prevalence in the Sudanese zone (52%) than in the
Sahelo-Saharan zone (8.4%).
219.
Prevalence in the general population
According to the 2010-2011 ENIPT, the prevalence of malaria in the general population is
29.8%. This prevalence varies according to age group: 35.8% among children under five, 39.3%
among children aged 5-14 and 15.2% among those over 15.
220.
Prevalence is higher among men (32.3%) than women (27.8%). Similarly, malaria prevalence
is higher in rural areas (35.1%) than in urban areas (18.3%).
221.
The prevalence of malaria in the Sudanese zone is quite high (43.8%), while very low in the
Sahelo-Saharan zone (6.1%).
Page 52 sur 87